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Re: Bud update : she's doing all right . . .

I know very little about feline pancreatitis, but I found this interesting website:

http://www.manhattancats.com/Articles/p ... _test.html

Something that I have noticed is that people on the FDMB who have cats with pancreatitis have to give their cats 6 to 10 units of insulin per day and that usually does not bring them down into the normal range. So hopefully, Bud does not have pancreatitis since she is so easily managed on a drop of insulin.

Lana
 
Re: Bud update : she's doing all right . . .

Thanks for the link, Lana, but it's not working
 
Re: Bud update : she's doing all right . . .

eeraby said:
Vet thinks it's pancreatities, inflamation of liver and or bowel.

Usually when the pancreas, bowel and liver are involved, which is not all that uncommon, it is referred to as Triaditis. Here is a quote from Jess (a vet tech on this forum):

"Triaditis is a phenomenon in which you have concurrent inflammation in the intestine, liver, and pancreas. The liver and pancreas are both linked to the small intestine. Intestinal disease such as IBD can affect the pancreas and liver because the irritation/inflammation can spread through this common linkage system. It's usually diagnosed in cats that have symptoms of IBD plus evidence of liver and pancreatic disturbance or inflammation. It's not a disease itself but rather a group of symptoms (a syndrome)."

Here is the link I think Lana was trying to give you. Read down and you will see where it mentions Triaditis:

http://www.manhattancats.com/Articles/pancreatitis_test.html

eeraby said:
All her blood work was within normal range. She's sending off for expensive 2 blood tests that will possibly indicate bowel or pancreas problems. Feline PLI (pancreas) and Cobalamine & Folate (Butamins related to inflamatory bowel). Should have results tomorrow.

She had no fever and red and white blood counts were fine. She does have abdominal pain.

Does she have an in-house lab? Just curious as to how she got the results of the bloodwork back so fast. So even the liver values were normal? Did you get a copy of the lab test results? If not, you can call them and they will send it to you. Always a good idea to make it a habit to get all copies of bloodwork done. You can't believe how big Tigger's folder is from various tests he has had done over the years from just routine bloodwork/urinalysis to when he had Triaditis.

BTW he was very sick with this but eventually recovered. As soon as I could (after a few months) I started him on raw food and he hasn't had a re-occurrence in four years (knock on wood). :)

eeraby said:
She got an injection of Cerenia for nausea and pain in abdomen and a script for amoxicillin.

I didn't do anything with BG testing or insulin yesterday. Figured the #s wouldn't be true as Bud was there for 5+ hours and stressed out (they had numerous emergencies yesterday). Vet wants to do another ultrasound (previous 2 have looked normal) Bud's not constipated.

She does not think Bud's coming off insulin. Thinks there's something else going on causing the fluctuations in BG #s.

Bud's very alert and back to her purring self. Seems a very happy kitty.

Glad she seems to be feeling better. Did the vet say anything about her eventually needing a dental?

Interesting that she doesn't think she is coming off insulin.

ETA - looks like Lana fixed the link and it is the same one. ;)
 
Re: Bud update : she's doing all right . . .

I have not found that pancreatitis causes unnecessarily high doses - that's acromegaly. Maybe some confusion there?

While it is common to need a lower dose during a flare, it isn't this low. I think the vet is wrong about her coming off insulin - that's my 2 cents.
 
Re: Bud update : she's doing all right . . .

Lana & Yoyo said:
Something that I have noticed is that people on the FDMB who have cats with pancreatitis have to give their cats 6 to 10 units of insulin per day and that usually does not bring them down into the normal range.

Lana, I'm curious, would you point us to some examples of SS's as examples of this phenomenon we could check out? I'm really curious to see this in action. Also, I'm wondering if the kitties in question might also have some other health issues in addition to the pancreatitis (e.g. acromegly as Sheila mentioned) or be taking medications that cause insulin resistance?

Lana & Yoyo said:
So hopefully, Bud does not have pancreatitis since she is so easily managed on a drop of insulin.

Lana

It is possible for a cat to have pancreatitis and yet still have a partial or whole functioning, working pancreas. It kind of depends on how serious the disease is, how long it's been going on before being diagnosed, how acute the attacks are, and whether or not there are any complicating conditions such as IBD, Cholangialhepatitis (triaditis), or EPI (Exocrine Pancreatic Insufficiency).

For example, Harley was well regulated on 0.2u of PZI and showing signs (or so we thought) of going OTJ before his acute attack of pancreatitis in March. Since his attack was severe and we found out he has both pancreatitis and IBD, he has to be on 5mg prednisolone every day (prednisolone causes insulin resistance). As a result, his current dose is now 2u on Levemir. He's getting close to being regulated, but maybe not tightly regulated.

Keeping all fingers, toes and tails crossed that Miss BudBud will be feeling better soon and we'll still be having that OTJ party!
 
Re: Bud update : she's doing all right . . .

Bud Bud has a painful belly and she didn't send you home with some Buprenorphine???

Oh, she got Cerenia, not sure how long that lasts. You should have something to give at home. Do you have any Pepcid AC? Famotidine is the generic name. Dose is about 2.5mg, get 10mg pills and quarter them. That's for the nausea, buprenex or buprenorphine is for pain.

Sorry, but getting at the pain & discomfort from nausea are the first steps in healing. I'll save the rest of my schpeal with a link to the thread I replied to on Health just yesterday about triaditis. Pretty much same protocols.
http://felinediabetes.com/FDMB/viewtopic.php?f=28&t=45929#p492629

You guys are going to drive me to drink..... drinking09
 
Re: Bud update : she's doing all right . . .

I know i'm coming in abit late-but did you say the general bloodwork testing doesnt indicate pancreatitis and that 2 additional tests are needed to determine this condition? have you gotten them back yet? hope she's feeling better.
 
Re: Bud update : she's doing all right . . .

Laura wrote, "Lana, I'm curious, would you point us to some examples of SS's as examples of this phenomenon we could check out? I'm really curious to see this in action. Also, I'm wondering if the kitties in question might also have some other health issues in addition to the pancreatitis (e.g. acromegly as Sheila mentioned) or be taking medications that cause insulin resistance?"

I didn't note the names of SS's so I don't have particular ones on the tip of my tongue. None were from the handful of frequent posters to the Lev board. And I can't say whether they had other issues or not. I assumed that the pancreatitis involved inflammation and that was the driving factor in the BGs I was seeing.

Lana
 
Re: Bud update : she's doing all right . . .

Laura wrote, "Lana, I'm curious, would you point us to some examples of SS's as examples of this phenomenon we could check out? I'm really curious to see this in action. Also, I'm wondering if the kitties in question might also have some other health issues in addition to the pancreatitis (e.g. acromegly as Sheila mentioned) or be taking medications that cause insulin resistance?"

I didn't note the names of SS's so I don't have particular ones on the tip of my tongue. None were from the handful of frequent posters to the Lev board. And I can't say whether they had other issues or not. I assumed that the pancreatitis involved inflammation and that was the driving factor in the BGs I was seeing.

Lana
 
Re: Bud update : she's doing all right . . .

i don't know if this will help-she'll probably just lick it off, but when i was as dicouraged as you are about Buddy not eating, the only thing that worked was putting Fortiflora throughtout his food. may be worth a try.
 
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