4/24 Trixie PMBG 172 - Today's update: P-titis

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Amy&TrixieCat

Amy&TrixieCat

Member Since 2011
Yesterday

Thank you, everyone, for all the visits and support. It means the world to me. I didn't sleep last night, so please bear with me...

In some ways, Trix seems brighter today, but in other ways she's either the same or a little worse. She still seems nauseous despite the cerenia injection, and she did throw up last night 6 hours after the injection. This totally freaked me out because my vet said that if a cat throws up after cerenia, there is something really serious going on.

She was really nauseous last night and did not want to eat...we got a few licks of baby food and a few licks of FF...and then she barfed it.

This morning, she kinda sorta seemed interested in eating - she looked up when she saw a plate coming her way, but one sniff and licks her lips and walks away. I feel like I'm trapped...I know she needs to eat or she'll get REALLY sick, but I'm afraid that if she eats she'll throw it back up and be in even worse shape. What are you supposed to do????

Since she threw up, I felt like I HAD to watch her all night, so that's what I did. She spent the entire night meatloafed and restless - moving from spot to spot, but staying in the same general vicinity. Like me, she also did not sleep because she couldn't get comfortable...I could see her eyes semi-close and then pop back open. And, there were times that she had that "far away" look in her eyes that one has with pain.

That made me begin to think/wonder if she has p-titus. She has never had it before, but of course she's an FD/CKD kitty so it is entirely possible.

So I made yet another vetty appointment for this morning...sorry, Trix, we're going back yet again. Very unfortunately our personal vet is off today, so we're seeing someone else. But, I think it's important enough to take her today and not wait until tomorrow. I'm really terrified of her developing FHL from not eating, and I want to get her back to feeling good and back on insulin, although fortunately her numbers aren't too bad. I'm just too scared to shoot with her nauseous, vomiting and refusing all food.

I'm going to ask about ondansetron...I don't know if they use it, but I will let them know I know of others who have great success with it. I also don't know if they do the fPL tests or not - yesterday, it sounded like they don't just by some of the things my vet was saying. She hadn't completely ruled out p-titus, but wasn't totally sure that was the case since Trix didn't SEEM painful. But we already know how well Trix hides stuff.

I did give her the liquid famotadine this morning, and she does seem a little brighter now that it has kicked in, but she still won't eat.

DH is going to the vet with us this time...partly because I'm overwhelmed and overloaded, and also because I really haven't slept in 2 days now and don't want to drive.

I appreciate all the vines and prayers...please keep 'em coming. This is uncharted territory for us....how ironic that she was walking around with horrific kidney values and feeling all radiant, and now that they are down a tad, she is walloped.

Amy
 
Re: 4/24 Trixie AMBG 164 - Back to the vet today

(((Amy))),

I'm continuing to send out extra special prayers for you and Trixie. I wish there was more I could do to help you. Just know that we're all here for you!

:YMHUG: :YMHUG: :YMHUG:
Shelly
 
Re: 4/24 Trixie AMBG 164 - Back to the vet today

Tons of healing vines coming for Trixie. As I was reading your condo, I kept thinking that it sounded exactly like Tarragon was the couple of times he has had pancreatitis. Ondansetron and bupe were life savers for him. ((((Amy)))) I am so glad you are getting her in. Please update when you can and know that we are all thinking about you.
 
Re: 4/24 Trixie AMBG 164 - Back to the vet today

Aww, Amy, I'm so sorry you and Trixie are going thru this. Lots of love, hugs and healing vines for you guys. Keep us posted.
 
Re: 4/24 Trixie AMBG 164 - Back to the vet today

Morning Amy ~O) ~O) ~O)

Many many hugs to you,a nd to DH. I am ever so sorry that you guys, and Trixie are having to go through this. it is hard... I agree with Melissa - it is so reminiscent of what Mannie went though with his P'titis episodes too. The eating for him was noon-existent, and he acted much the way Trixie is. It is all so painful for out furkids. Bupe was a lifesaver for us too. I will be thinking of you today. I am glad you are taking her in today. Hugs to you, and update when you can.
 
Re: 4/24 Trixie AMBG 164 - Back to the vet today

Oh, (((Amy))) I'm so sorry you are having such a rough time, my heart is aching for you and your worries. I'm sending many good vetty vines, and feel better/appy vines to Trixie. I know how hard it is when they won't eat and how it feels to worry so much over things :cry: . I'll be watching for updates. I'm glad that DH can come with you for support and driving. Many hugs and prayers to you all :YMHUG: :YMHUG: :YMHUG:
 
Re: 4/24 Trixie AMBG 164 - Back to the vet today

Adding prayers for Trixie.

Remember the Ondansetron is a human prescription so the vet should just be able to give you a piece of paper to take to your own pharmacy If they don't keep any around.
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

We have joined the p-titis club...we have been so fortunate to not have encountered it before now. Yesterday, our vet knew it was a possibility, but Trix's abdomen didn't seem painful when palpated. This morning, it was painful for sure...and I knew things were getting progressively worse overnight by her behavior.

So we have a week's worth of bupe...they gave her the first dose before we left and she is already seeming more comfortable. I got scripts for the Ondansetron - both pill and injectable, because the vet wasn't sure if I would be able to easily get the injectable locally - but I sure hope I can because I don't want to have to struggle with pills since it seems that pill pockets are off the table for now. I know I can get it from ThrivingPets, but of course I want to have it for tonight. I don't think they've ever prescribed it before, but they didn't object to my request at all.

I also had them give her her BP meds, too. It's not ideal that she's getting the at odd times and only once a day for the moment, but once a day is better than nothing. I really hope we can get back to pill pockets ASAP so I can get her BP meds back on schedule.

She is showing a less nausea - I think the pain meds are helping with that. But, she's still not ready to commit to food....hopefully very soon, because the whole not eating thing is SO stressful. This time when I showed her baby food, she sniffed it and didn't eat it, but she also didn't lick her lips from nausea, either....

So that's where we are for now. DH has taken the day off, and I brought the store's laptop home so I can do some work....don't feel like it, but at least I'm here at home with my family.
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

(((Amy)))
Sending many many feel better and good appy vines to Trixie.
:YMHUG: :YMHUG: :YMHUG:
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

I wrote a long post for you with info about the test and ondansetron but the board went down before I hit submit.

You got everything I recommended so it's great news!! I would stay on top of the pain like you see doing. Did the vet tell you to start giving fluids again? I'd ask if she didn't mention it because it will help her with the pancreatitis. Then you all can decide after she's better if you still want to give it for the CKD.

Sending healing and eating vines!
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

Max doesn't react like in pain at the vet's either. I've been told by the FPS that it is a defense mechanism. The fPL is done by IDEXX or TSMU but my vet uses Antech and they send it to IDEXX. It comes back the next day. Ondansetron works for Max and I buy it from Costco with a script. On line thrivingpets is reasonably priced as well. Some cats do better with it than cerenia, sometimes vice versa and some need both for awhile. Prayers and hugs your way.
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

She's definitely loop now...I know it's the bupe, but it's just nerve-wracking too. She's always had some minor twitches and ticks, but now they are more pronounced, and her eyes are like saucers. I don't remember her being so loopy when she was on bupe after her dental a few years ago.

I checked ThrivingPets for injectable ondansetron but they don't seem to have it. I haven't gotten to the pharmacy here yet, and I will do that shortly, after attempting to eat something myself. This mega stress has killed MY desire to eat and sleep...I know that's not good for a bean.
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

She's definitely loop now...I know it's the bupe, but it's just nerve-wracking too. She's always had some minor twitches and ticks, but now they are more pronounced, and her eyes are like saucers. I don't remember her being so loopy when she was on bupe after her dental a few years ago.

I checked ThrivingPets for injectable ondansetron but they don't seem to have it. I haven't gotten to the pharmacy here yet, and I will do that shortly, after attempting to eat something myself. This mega stress has killed MY desire to eat and sleep...I know that's not good for a bean.

Yes, we are back to 100mls LRS every night until further notice!
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

Hi Amy. I too, had a response written, then lost it. I was sending prayers for a diagnosis you can live with.
I'm puzzled. I kept rereading your post looking for the ab that Trixie was given. Ondansetron is for nausea?
Bupe is excellent for pain. Is she also on ab, for the p'titis? Do you have to wait for test to come back for that?
I'm sorry your girl has something so painful, but glad it's something treatable. I was so worried this morning.

Get better, sweet Miss Trixie.
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

Thanks for the support and love, everyone!

Trix isn't on an AB. She's on fluids, the anti-nausea stuff, liquid famotadine, bupe, and BP meds. I think that's it :roll: .

With regards to the odansetron dose...Marje's primer says 1/4 4mg tablet BID, but the vet told us 1 full 4mg tablet BID. Not sure which way to go??? I still have to go to the pharmacy.

I'm a little loopy myself, with the stress from all this....
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

When Max started ondansetron I gave him 1mg twice a day. He still needed cyproheptadine to eat. The vet on the lymphoma list told me it wasn't enough. I asked my vet if I could increase to 2mg twice a day. I did and it worked. Some cats need 4mg but that is more rare and I think when having chemo. Max was 15 lbs at the time. Strangely, he only needs a sliver of cypro to eat where many vets give 1/4-1/2 a 4mg pill.
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

We give 1/4 of a 4 mg pill of ondansetron twice a day. Many, many vines coming to Trix, you and DH.
Liz
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

Maybe she's prescribing the full 4mg because we're at the peak of this flare.

She ate! Two very small servings of Purine One Turkey Pate. Not great for the CKD, but good for the FD...and baby steps back to eating what she should. Now the nervous waiting begins of making sure she keeps it down.

It is SO hard watching her be so loopy!
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

Jumping on the healing band wagon for Trixie! I'm so glad she ate a bit and I too pray she can keep it down and her appetite continues to get better and better. I'm glad that DH can be home with you today. Def. sounds like momma bean could use some I-)
Many many prayers heading your way Amy. :YMHUG:
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

Hi Amy,
So sorry to hear the dx of pancreatitis. I hope Trixie's flare will be brief and not too severe. Rusty has had a couple of flare ups, but he has only had mild pancreatitis and never stopped wanting to eat. But I made sure that he got foods that he enjoyed. In fact, that's when we started giving him FF T&G much more frequently than before: it's the food he would always eat.

Sending many healing vines in a beautiful bouquet,

Ella & Rusty

p.s. The Board is so slow again. I had to go shopping while waiting for this page to emerge!
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

Ondansatron is a human drug so pharmacies should carry it. The pills are expensive. The injectible liquid isn't (go figure). However, you will need different syringes for the ondansatron. You can use an insulin syringe but you'll probably need 2 syringes. When Gabby got the ondansatron injection, it was 0.67mL or 67 units. Also, make sure the dose is correct for the injectible variety. I believe the dose is based on weight.
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

{{{Amy}}}

I'm so sorry to hear that Trixie has p-titis, but I'm glad you have a diagnosis so you know what you're dealing with and have a plan. That is so much better than not knowing and imagining the worst.

Sending many hugs to you and lots of healing vines for Trixie. :YMHUG: Try to get some rest. You're no good to her if you get sick, too. Let the DH stand watch for a while. It's wonderful that he's there for you two.
 
Re: 4/24 Trixie AMBG 164 - Today's update: P-titis

Hi Amy, I finally got on the Board and caught up with Trixie and you. It sounds like you've gotten a lot of good advice here from experienced Beans who had kitties with p'titis. I'm so glad to hear Trixie ate a little, yes, baby steps. Maggie (GA)'s eyes also got so big and dilated on the Bupe in the early days. Prayers and healing vines and appy vines continue for sweet Trixie. So glad DH went to the Vet with you. Please take care of you, too. :YMHUG: :YMHUG: rom me and Katie.
 
(((Amy))) finally able to post on the board. What a day! :YMHUG: :YMHUG: But at least a diagnosis means you know how to treat it. I was so glad to read that Trixie was eating a bit. :-D :-D :-D

My civie got a little big eyed on his first dose of bupe for his cystitis attacks, but seemed to handle subsequent ones easier. When I started Neko on maintenance bupe, vetty suggested starting her at night cause she'd be sleeping mostly anyway and would be more used to it the next day. Seems to have worked for her. I hope Trixie reacts better to bupe as time goes on.
 
Hi Amy :-D

Finally able to post to you too. I am glad that you have your answer. With the bupe on Board she should start to feel better soon, You can adjust the dosing on that too, so she won't be so stoned. I did with Mannie, he didn't need as much as they prescribed and was still feeling good. One thing they did for him too, which really helped was a cobalamin (SP?), B12, once a week - it was intended to help regulate and maintain his gastro ssytem. We did try the AB's too, part of the recommended regimen for P'tits treatment, but stopped after a few days, as it was bringing back his nausea. I have read in places that fluids are a must. Wishing you much luck, Sorry for the Dx, and I hope Trixie responds quickly. Good luck with the ondansatron. It is a human drug, and can be a harsh one, be careful with it. Dosing is based on weight. Trixie - I hope you feel better soon!
 
Finally....I've been trying to post for a while, too.

Trix is doing OK tonight....obviously not herself, but better than last night. Vetty prescribed the bupe for every 12 hours, but at 10 hours I could tell the pain was coming back so I made a quick call and got the go-ahead to dose her early. (Actually, the vet's office just called and gave us the go-ahead to give it every 8 hours if need be. I know how important it is to stay ahead of the pain, even though it's also hard to see her all loopy.)

I did use cerenia tonight...last night, I purchased a rather pricey pre-loaded syringe at the vet, so I did want to use it. I also picked up very pricey odansatron tablets locally so I have then on hand, and the pharmacy ordered the injectable which will be in tomorrow. As Sienne mentioned, the pharmacist did say the injectable is much cheaper. Since we won't be starting that until tomorrow evening, I do want to quadruple check dosing with our personal vet, who will be in tomorrow.

Our vet didn't suggest ABs and honestly, she's getting so many meds right now, that is fine.

I'm just a little more calm...but not drastically so.....time. I want to get back to shooting insulin - not doing so makes me so nervous, but at the same time, shooting when she won't eat reliably also scare the you-know-what out of me. So many horrific ironies with this sort of situation, as so many of you know....
 
Amy

They do have injectable ondansetron at thriving pets because I ordered some today. It will arrive in a couple days. It's a 20 ml vial for +$19. Scroll down to the very bottom of the chart, 2nd to last, and you'll see it. Since you have the pills, if thrivingpets price is cheaper, just don't pick it up at the pharmacy and order the thriving pets to have on hand. Because Gracie is little, if I had to give it to her, she'd only get 0.5ml of the injectable.

As far as the pills go, perhaps your vet said 1 mg bid? Is it possible? An entire 4 mg tablet bid seems like ALOT to me. I'd be really cautious.

Sending more healing vines.
 
It does say 1 4mg tablet twice a day, but I will NOT do that, given what you guys have told me today. 1mg - or 1/4 of a tablet - sounds like the way to go.

I actually want to use the injectable if possible, and I got the pills to use as emergency back-up. I think we'll have less stress/greater success with the injectable, but I felt a need for the pills as a safety net.

What does 0.5ml translate to in insulin units? Actually, now that I think of it, I have some of Mario's old Adequan syringes - it's a 25g 1cc/ml syringe. Is that one better to use?

I'll feel better about all this once I also speak with our personal vet tomorrow, too. She really knows us, and is so thorough.
 
No advice from me tonight. (I'm really sorry I can't answer any of the questions you're asking.) This is just the first time I've been able to stop back in after your diagnosis. (I hate wonky boards!) I'm glad to hear Trixie's feeling a bit better tonight. Even baby steps are a good sign!

I'm continuing to send out lots of prayers for you and Trixie. :YMHUG: :YMHUG: :YMHUG:
 
100u = 1 ml so 0.5 mls is 50u. Just be sure you use the U100 syringes you use to give her insulin if you are going to give her ondansetron with insulin syringes.
 
Amy, I felt a need to visit the board tonight...something made me come on, I'm thinking now its because of Trixie.
I'm so sorry to read all of this, but glad you do have a dx. I know you must be so exhausted, I pulled a lot of those all nighters, like probably most of us here. Hope you can get some rest soon.

Sending lots of prayers your way, for you, DH, and Trixie... you know I'm just a call away if you need anything.
:YMHUG: :YMHUG:
 
Good Morning Amy

Im using yesterday's condo, because I have to get off computer, and I see you on, so will check back later.

I hope all our prayers are working, and Trixie is feeling better today. The reason I asked about AB's yesterday, is cuz I was momentarily confused about p'itis. I was thinking infection, which it isn't. It's inflammation.
Hoping your sweet girl is in much less pain today, and eating, even a little.
Kiss her little head for her Auntie Barb, please. cat_pet_icon
 
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