4/23 Trixie PMBG 151, Update, Kidneys Better!

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Amy&TrixieCat

Amy&TrixieCat

Member Since 2011
Yesterday

Pardon me if Trixie's condo is a bit jumbled...my brain is tired and I'm a rattled bean right now. And, I apologize for not getting to condos...but I know my LL family understands and can relate to the stress and anxiety to having a furbaby who is not feeling well :sad: . I am thinking of everyone...as always.

I think Trixie might be feeling somewhat better - she's definitely not worse than yesterday, but she is definitely not herself either. She's still not eating or feeling well enough for me to feel comfortable shooting green. To be honest, that green surprised me, considering a BCS yesterday morning, no shot last night, and snacking on baby food throughout the evening! If she was higher than that, I would have at least gone for a BCS this morning.

Last night, that is primarily what she ate - baby food that I spread out over the course of the evening. She did eat it enthusiastically, but didn't want too much in one shot - not that I wanted to overdo it in one shot anyway, but she would definitely let me know when she was done. I'd give her a rest for a while, then offer a little more. She eventually did come downstairs and was being somewhat social, rather than keeping to herself upstairs.

And, she is still enthusiastically taking her BP meds...phew and anti-jinx.

This morning, I did give her a Pepcid first thing. When I initially gave her breakfast, which really was too soon after the Pepcid (ie, it didn't have time to kick in yet), she just took a few licks and walked away. I gave the Pepcid some time to kick in and then I busted out her old, old favorite: Fancy Feast Classic Chicken. Definitely not ideal as far as phos goes, but I did use the binder, and I did need to get her to eat something other than baby food. She was very excited to see/smell that stuff again, and she did heartily eat a small quantity. And just a few minutes ago, she did eat another small quantity...together, an OK amount of food, but not a great amount of food...but enough for the bean to start feeling a LITTLE relieved. I'll try at least two more servings before I leave for work.

So far, she has only thrown up the one time yesterday afternoon, so I suppose that is a good sign, but she definitely seems like her tummy is unsettled. Last night she was a little burpy despite having a Pepcid earlier in the day, but I haven't noticed that this morning, so maybe it's starting to settle down.

I called the vet's office this morning and requested my vetty give me a call as early as possible; I want her opinion as to whether I need to bring Trix in today before I actually schedule an appointment. I'm getting her to eat OK, but I also know how quickly something like this can escalate into something really bad, given her FD and CKD. She doesn't feel great, that is for sure, but I know she could feel worse...and I want to stay ahead of things before that has a chance to happen. So if vetty says to bring her in, I will bring her in. We do have leftover cerenai and cypro from Noah (from last fall), so maybe she'll suggest we try that and monitor for another day before bringing her in.

If I can keep her eating at the current rate, and she doesn't barf, I should feel comfortable giving at least a little juice tonight....I hope and pray that is how things play out, and that maybe we are over the hump of whatever is causing this.

Have a great day, LL!
Amy
 
Re: 4/23 AMBG 99, Skip, call in to vetty

Morning Amy ~O) ~O) ~O)

Poor Trixie... it is always so hard when our Furkids don't feel well. I am glad though that you were able to get her to eat some, low phos or not. I will hope she starts to feel better throughout the day. Good call I think to skip the shot this morning, much safer. Maybe the pepcid is helping some. Mannie was on that too, with his CKD, it di seem to help some. Feel better vines for Trixie! Be better little one!!
 
Re: 4/23 AMBG 99, Skip, call in to vetty

Amy :YMHUG: :YMHUG:

Sending good appy/tummy vines for Miss Trixie. Hope you hear from the vet soon. I wouldn't have shot either, when it is time you will get Trixie right back on track. Please feel better, little girl cat_pet_icon
 
Re: 4/23 Trixie AMBG 99, Skip, call in to vetty

Many vines for Trix and calming vines for you. I hope you can get in to see the vet right away.
Liz
 
Re: 4/23 Trixie AMBG 99, Skip, call in to vetty

Hi guys .. Sorry to hear trixie is not feeling her best .. sending lots of feel better thoughts her way and calming thoughts your way amy!
 
Re: 4/23 Trixie AMBG 99, Skip, call in to vetty

(((Amy))). I'm sorry that Trixie isn't feeling well:( I know when I first started using the Pepcid AC for Chyna, it seemed to take a few days of dosing every day to really "kick in" and get the acid under control, I guess. I tried once a day for awhile and had to go to twice a day but Tanyas site says to try less at first...It was the same when I went back to once a day from twice a day to test if it would be enough, it took a few days to show that it wasn't enough and another few days to get it under control again, but ECID of course. I did a lot of spoon feedings those days. I just wanted to mention that:) I really hope that Trixie is feeling better now and the vet can give you some good advice. Many hugs and prayers! I can't use icons on my work computer so here is my virtual hug "O".
 
Re: 4/23 Trixie AMBG 99, Skip, call in to vetty

(((Amy)))
Sending many many vines for Trixie to feel better.
She's a lucky girl to have such a caring and attentive bean.
 
Re: 4/23 Trixie AMBG 99, Skip, call in to vetty

Piling on more tummy and appy vines for Trixie. Very interesting that she's so low after a BCS and a skipped shot. Wild thought here, but could her pancreas be waking up??? Maybe that is contributing to her tummy upset. I know, not likely, but stranger things have happened.

In any case, I'll keep her, and you in my prayers and look for an update later. :YMHUG:
 
Re: 4/23 Trixie AMBG 99, Skip, 3:00 EST appt

Just came home to check on her....vetty hasn't called yet, but she seems more nauseous to me, so I just went ahead and made an appointment for an hour from now....
 
Re: 4/23 Trixie AMBG 99, Skip, 3:00 EST appt

(((Amy and Trixie))) so glad you made an appointment and are probably already there. Sending loads and loads of good Vetty vines, healing vines and calming vines for you.
 
Re: 4/23 Trixie AMBG 99, Update, Kidneys Better!

Serious information overload now....I can't believe how many cans of worms we've opened with our sweet little Trixie who seemed like she was perfectly healthy until her annual check up back on March 1!

First things first...getting her BP under control has resulted in improved kidney values - yay! The BW on Saturday showed her BUN at 71 (down from 89), and her Creatinine at 4.6 (down from 5.3). BUT...today, we re-ran her creat in-house, just to make sure something crazy wasn't going on there that was making her sick...and it is even better than it was on Saturday! The vet's reference range is a little different, but when she did the conversion, it is now 4.0! So that's the good news.

The other news is...I don't know. Vet did an x-ray to see if she was constipated. She's not constipated, but she does have poop ready to go, followed by gas, followed by looser looking poop...potential diarrhea on the way. Her stomach also had a lot of gas, and vetty saw mineralization that she thought was on Trix's kidneys, which would totally make sense. There was one lymph node higher up by the lungs that caught her eye, so she took a second x-ray of a different view. After that, she felt the node was incidental, but the mineralization is actually in Trix's stomach - chronic inflammation and possibly the start of an ulcerative process! She thinks the mineralization has been there for a while. Apparently Trix is a master at disguising things, because once again, I would never guess this was happening inside her little body.

We're not sure if the immediate situation is a virus or what, but the stomach issue could be contributing to making it worse. So it's supportive care for now: daily fluids again; 1/2 a pepcid twice a day; 1/4 - 1/2 cerenia once a day; 1/4 cypro twice a day, then check back with her on Friday. If diarrhea starts, then we have to add in metronidazole, too. ANd, of course, we've got her amlodipine and ACE Inhibitor. I sure hope she does not get sick of pill pockets rolled in FortiFlora....

She did say to feed bland food, and I have to play the insulin by ear until we are sure she is eating well and keeping things safe.

So it's a day by day thing. I'm nervous and anxious, but also feel relieved having a plan in place.

Time for Pepcid...
 
Re: 4/23 Trixie AMBG 99, Update, Kidneys Better!

((((Amy)))) What a lot on your plate right now with Miss Trixie! :YMHUG: :YMHUG: Sending mega healing vines. I hope the interim treatment makes her feel better and something can be done about the mineralization. Great news on the kidney values - you've been doing an awesome job there.
 
Re: 4/23 Trixie AMBG 99, Update, Kidneys Better!

Hi Amy,
Wow, what a day you and Trixie have had! It sounds like you have an excellent vet and that she is very thorough. I hope that all of whatever the mineralizations (?) might be will be cleared up by the steps you are taking. And the fact that the kidney values, etc. are getting better is awesome. Bland food, huh? Cats just love bland food, don't they? :lol:

Sending Trixie lots of feel-better, enjoy your fuds, healing vines this evening.

Hugs and scritches,

Ella & Rusty
 
Re: 4/23 Trixie AMBG 99, Update, Kidneys Better!

Poor baby.... Amy, it would be another medication to add to the arsenal, but Sulcrafate will coat the lining of a cat's stomach to help it heal. It does have aluminum in it though so I don't know about this for kidney cat. I would ask you vet if she thinks it could help Trixie heal from possible stomach ulcers. It would definitely help protect against getting stomach ulcers.

I am curious, did you ever try to get Trixie to eat foods that are lower in protein, that are under 10% in protein? I know that most of the FF are more than 10%. I would try some that are 8% - 9% for Trixie, with a low phosphorus content. It *might* help bring those numbers down even further.
 
Oh, my head is swimming. As I was typing, DH noticed a teeny puddle of spit up....so I don't know if she absorbed the cerenia the vet popped in her mouth while we were there or not. So, I'm afraid to give the cypro because I don't want her craving food if she's still nauseated. I called the vet who suggested we give her another small smidge of cerenia, but now of course Trix is not up for pill pockets. I did manage to get the pepcid in her before that happened, but now I'm freaked that I won't be able to get her BP meds into her....after all this in getting her controlled.

I am probably going to run back out there to get injectible cerenia and famotadine...just waiting for the vet to call back yet again.

She mentioned sulcrafate as a possibility in the future, but not just yet....she wants to wait and see how things go from here right now.

Feeding her FF is temporary - I'm just trying to get her to eat just about anything she'll eat and keep down right now. She usually eats PawLickin' Chicken and some BFF foods, but has no interest in those right now.
 
(((Amy))) Great news on the kidneys - Vines that Trixie's tummy issues get under control quickly. Sending you calming, head clearing vines ~ so much to absorb.
 
Just ran her back to the vet do they could do a cerenia injection and give her the cypro since she currently objects to pill pockets. They gave me a second pre-loaded syringe for tomorrow as well as liquid famotadine. Hopefully that will gt us over the hump and we can get back to pill pockets. I feel bad because on saturday I promised her we wouldn't go back for 3 months, and here we went back twice today. Poor Trix :sad:
 
Just take a deep breath. You've done a wonderful job with Trixie, and you'll be able to get through this, too. I'm sending tons of prayers out tonight for both of you! :YMHUG: :YMHUG: :YMHUG:
 
(((Amy)))
I'm so glad to hear that Trixie's kidneys are better.
Sending more feel better vines to Trixie.
Hugs to you. :YMHUG:
 
Amy, sending prayers for Trixie and hugs to you. :YMHUG: :YMHUG:
You've got a good plan in place to help her feel better. I hope she starts feeling better soon.
 
So she's had all these meds to make her feel better and want to eat....and now she won't even eat baby food :sad: ....I'm beyond stressed......I don't know what to do.
 
Oh I am so sorry, Amy.
I know how stressful this is.

Maybe the meds are just taking some time to kick in.
Sending mega appy vines to Trixie.
And sending calming vines to you, Amy.

I know Trixie will eat, I know Trixie will eat, I know Trixie will eat, I know Trixie will eat, I know Trixie will eat, I know Trixie will eat.
 
:YMHUG: :YMHUG: ((Amy)) I'm so sorry that you guys are going through all this stress. Our furbabies are worth it, but I swear it's taking years off my life. Come on, sweet Trixie...it's time to eat...for mamabean and daddybean and for all your aunie and uncle beans in LL. Sending appy vines and lots of healing prayers and stress-be-gone vines for you and DH.
 
Big mega hugs Amy... wow, I can so relate to all of this. Mannie went through a similar situation until I could get it all under control. For us, the eating and feeling better was primary, FD was secondary, as hard as that was for me to accept, and to deal with. Mannie too was a master at disguising how he felt... it does take day or two for the anti-nausea meds and the appy stuff to truly kick in, at least it did for us. Things should be better soon. I ended up giving Mannie really reduced doses in insulin, just to get some on board until I knew for sure he was eating etc. I wish you much luck. Thinking of you tonight! Hugs to you, hugs to Trixie.
 
Just wanted to add more hugs, healing/appy vines to Trix, and comfort ones to you. :YMHUG: :YMHUG: . I know how hard it is when they won't eat :cry: . Eat your fuds, sweet Trixie, please cat_pet_icon
 
(((Amy)))

I'm so sorry that she is feeling so bad but so happy her numbers are better. I'm also sorry I couldn't get on the board last night to let you know that it's fine to give 1/4 pepcid ac (10mg) twice a day.

I don't know how much this will help you but I found with Gus that the ondansetron worked MUCH better to control nausea and allow him to eat than the cerenia did. The cerenia was fine if he was vomiting. But the ondansetron was much better for nausea and then he'd eat like a champ without cypro. I never had to give him an appetite stimulant. The good thing about ondansetron is that it can be given bid. Cerenia is once a day and theoretically for only five days consecutively but if my cat was vomiting and I needed it longer, I'd likely use it. Vets do not seem to be as familiar with ondansetron and I don't know why not. You can get a script and buy a vial of injectable from thrivingpets.com pretty cheap. Cheaper than the pills. Your vet can calculate the dose and then convert it to IUs and you can give it subq with an insulin syringe. The normal dose is 1 mg bid of the pill but your vet can figure the injectable dosage based on that.

Sending you many healing vines for Trix, eating vines, and big hugs and comfort for you.
 
Did Trixie get the sub-qs at the vet too? For some reason I thought you said that her vet suggested to you to start with the fluids for awhile, again. Praying that she will eat something for you tonight. I know how my stomach feels when I've taken too many meds to get rid of a headache. :? Yucky.. :cry:
 
{{{Amy}}}

No advice, just hugs and prayers and healing vines from me. You have done so well with Trixie. I know you'll get through this. Take lots of deep breaths. :YMHUG: :YMHUG: :YMHUG:
 
(((Amy))) I'm so glad to hear the renal values have improved for Trixie, but so sorry to hear of the nausea and stomach problems. Sending healing vines for Trixie and calming vines for you. It is great that you and Trixie's Vet worrk so closely together. Prayers for the meds to kick in and for Trixie's appy and nausea to improve today.
 
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