3/28 Billie AMPS 346 started ondansetron

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Deanna & Billie

Member Since 2014
Hello LLL!

Last condo: http://www.felinediabetes.com/FDMB/threads/3-26-billie-amps-201-3-25-172-6-82-pmps-333.135198/

Billie has not been feeling well for the past couple days. Her appy has been off, and she had one diarrhea incident yesterday and one borderline diarrhea/very soft poo today. She has been playing and socializing a bit, so she must feel at least somewhat okay, but there's definitely something going on.

I got ondansetron for her today. Her vet prescribed 2mg twice a day but I did some snooping through condos and it sounds like most kitties take 1mg? So I started with 1mg since she has never had it before. I crushed it up in some tuna water, and she drank it without a problem. She just took it an hour or so ago. I'm not sure how long it takes to work but she did come out to eat a little more just now. I am trying Instinct chicken since she doesn't appear to be allergic to chicken after all. It is very brothy, and she seems to like that.

She had been doing a lot better until yesterday/the day before, but now the IBD/lymphoma/what to do next question is back on the table. I got some help from the Yahoo lymphoma group (thank you to Elise for the recommendation) and it was suggested that we run a pancreatitis test and also do a urine culture since her last urinalysis did not include a culture. I talked to her regular vet and made an appointment for her on Thursday (the next day her regular vet is in) for those tests. I will call the IM vet on Monday to see what she thinks.

If the urine culture and pancreatitis tests come back negative, her regular vet thinks our options are to treat this as IBD with a steroid for a while and see what happens, or go for the biopsy. I think the IM vet will recommend the biopsy. I am still hoping for pancreatitis. I have been weighing Billie regularly on my scale (weighing myself, then weighing myself with her and subtracting my weight) and she has been holding steady at 9lbs, so she hasn't lost any additional weight in the past 3 weeks. That has to count for something.

Sending vines to all the kitties and beans needing vines!
 
Hi Deanna. Sorry Billie isn't feeling well. Max has had diarrhea a few of the times when he has had pancreatitis and is always inappetent. I would start with l mg ondansetron twice a day. If it doesn't get her eating then go up to 2 mg. That is what Max needs but every cat is different.

The problem with starting steroids without the biopsy first is that it can make cancer harder to detect later. I'm thinking and hoping this is IBD and/or pancreatitis but you need to know that the pred can make diagnosis more difficult. If the diarrhea continues you might need flagyl. It's good that her weight is staying constant. Vines that the ondansetron works well for her.:bighug:
 
Thanks Elise and Carla! The vines and prayers are much appreciated. Billie's appy is not perfect but definitely better than yesterday, so I think the ondansetron is helping. She had some diarrhea again this evening, unfortunately, but at least she is eating a little more. We'll see what tomorrow brings!
 
Hi Deanna,
I'm getting caught up and hope that today Billie will be feeling much better. Good luck with the vet calls and visits this week. It will be good to have those tests and maybe get some answers.

Thanks for visiting us during Rusty's vetty sojourn and for the vines for him (and for me!!).

Have a good day. We are sending special vines for Billie to feel good today.

Ella & Rusty
 
Shadow also has that possible ibd/lymphoma dx....

flagyl for the diarrhea... (Metronidazole)
and b-12 shots , cerenia can also act as an anti-inflammatory so we are using that 2x a week and I occasionally give her
a budesonide. ( this one can raise bg- but not for all cats) It does raise Shadow's.

we are trying to avoid prednisolone as it definitely raises bgs and they prefer a biopsy before giving it.
 
Nudes onside can help with IBD but not with lymphoma. I've used flagyl too. It tastes and smells awful so you need to put it in a gelcap.
 
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