6/24 Hugo's vet visit results - pancreatis?

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Tiina and Hugo

Tiina and Hugo

Member Since 2016
Hi everyone and Happy Midsummer from Finland :) I have Hugo's test results now and his kidney levels are normal as is everything else too. But the Spec fPl value was a bit elevated, it was 9.8ug/l. That would mean he has mild pancreatis right? But he is showing no symptoms. No nausea, no vomiting, no diarrhea. I don't think he has stomach pain either. And his appetite is good too. Should I be worried?

http://www.felinediabetes.com/FDMB/threads/6-20-hugo-update-vet-visit-tomorrow.179524/#post-1986587
 
Hei Tiina and Hugo,
congrats on the most part of BW being good!
My cat has pancreatitis suspected until we run the Spec fPl in April and although I spoke with the vet in details about it I found my peace of mind only after @Marje and Gracie , someone very skilled at reading the LABs on this Forum looked at/talked to me. I tagged her in hopes she can give you her input.
We will always worry about our little ones, won't we?:bighug:
 
Tanya and Ducia said:
Hei Tiina and Hugo,
congrats on the most part of BW being good!
My cat has pancreatitis suspected until we run the Spec fPl in April and although I spoke with the vet in details about it I found my peace of mind only after @Marje and Gracie , someone very skilled at reading the LABs on this Forum looked at/talked to me. I tagged her in hopes she can give you her input.
We will always worry about our little ones, won't we?:bighug:
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Thank you :) Yes I always worry so much. I noticed that your cat has a heart murmur too? The vet said my Hugo has one also and she said it sounded like a 2/6. But she didn't seem to be concerned about that and neither from the Spec fPl either. I can try to add Hugo's labs here. The explanations are in Finnish, but I think you all know how to read them anyway.

U-Prot 28 mg/dl ()
U-Krea 82,5 mg/dl ()
U-Prot/Krea 0,34 (<0,36)
Proteiinin erittyminen 6,8 mg/kg/24h ()
MCV 50,6 fl (39 - 56 Lisätietoja: Viitealue muuttunut 20.6.16 (vanha viitealue 39 - 55).)
MCH 16,4 pg (12,6 - 16,5 Lisätietoja: Viitealue muuttunut 20.6.16 (vanha viitealue 13,0 - 17,0).)
MCHC 325 g/l (285 - 378 Lisätietoja: Viitealue muuttunut 20.6.16 (vanha viitealue 300 - 360).)
Natrium 148 mmol/l (147 - 159)
Kalium 4 mmol/l (3,3 - 5,8)
Kloridi 111 mmol/l (109 - 129)
Kalsium 2,5 mmol/l (2,2 - 2,9)

Fosfaatti 1,5 mmol/l (0,8 - 2,2)
Magnesium 1 mmol/l (0,6 - 1,1)
Proteiini (tot) 88 g/l (59 - 87)
Albumiini 30 g/l (27 - 44)
Kolesteroli 7,7 mmol/l (0 - 8,5 Lisätietoja: Viitealue, paastonäyte, normaalipainoinen kissa: < 5,2 mmol/l)
Kreatiniini 102 umol/l (0 - 168)
ASAT (Koira, Kissa, Delfiini, Nauta, Lammas) 43 U/l (0 - 71)
ALAT 89 U/l (0 - 175)
AFOS 34 U/l (0 - 73)
CK 57 U/l (0 - 542)
GT <1 U/l (0 - 5)
Fruktosamiini 349 umol/l (190 - 365)
T4 tyroksiini 23,6 nmol/l (10,0 - 60,0 Lisätietoja: Tulkinta: <10 Matala. 10 - 60 Normaali. 30 - 60 Tulos raja-alueella (vanhat ja oireelliset kissat). >60 Viittaa hypertyreoosiin.)
Leukosyytit 6,91 10^9/l (3,9 - 19,0 Lisätietoja: Viitealue muuttunut 20.6.16 (vanha viitealue 5,5 - 15,4).)
Erytrosyytit 9,49 10^12/l (7,12 - 11,46 Lisätietoja: Viitealue muuttunut 20.6.16 (vanha viitealue 5,5 - 10,0).)
Hkr 48 % (28,2 - 52,7 Lisätietoja: Viitealue muuttunut 20.6.16 (vanha viitealue 26 - 46).)
Hb 156 g/l (103 - 162 Lisätietoja: Viitealue muuttunut 20.6.16 (vanha viitealue 80 - 150).)
Trombosyytit 41 10^9/l (155 - 641 Lisätietoja: Automaattisen solulaskimen laskema arvo. Viitealue muuttunut 20.6.16 (vanha viitealue 150 - 600).

DIFF 100 (Automaattisen solulaskimen laskema solujakauma. Viitearvot totaalimääristä (10^9/l). Lisätietoja: DIFF__%__Total__(Min - Max) Sauvat__0%__0__(0 - 0,30) Liuskat__78,3%__5,41__(2,62 - 15,17) Eos__8,8%__0,61__(0,09 - 2,18) Baso__0%__0__(0 - 0,10) Lymf__10,6)
Glukoosi 9,3 mmol/l (3,5 - 7,8)
Bilirubiini (tot) 4,5 umol/l (0 - 6,8)
UREA 9,8 mmol/l (5,7 - 13,5)
Retikulosyytit (Koira, Kissa) 14,2 10^9/l (Punasolujen uudismuodostuminen (Retik x109/l, aggr.ret.): 15 - 50 Lievä. 50 - 100 Kohtalainen. 100 - 200 Voimakas. >200 Eritt. voimakas.)
Triglyseridit 2,8 mmol/l (0,2 - 4,9 Lisätietoja: Viitealue, paastonäyte, normaalipainoinen kissa: 0,2 - 1,1 mmol/l)
GLDH 5 U/l (0 - 11)
Globuliinit 58 g/l (29 - 54)
Albumiini/globuliini -suhde (Kissa) 0,52 (>0,57)
SDMA 14 ug/dl (0 - 14 Lisätietoja: IDEXX SDMA -testi on kreatiniinia luotettavampi munuaisten toimintakyvyn osoittaja. SDMA havaitsee heikentyneen munuaisen toimintakyvyn aikaisemmin
 
The only thing that was on the higher side was the SDMA kidney function test, that was 14. I asked the vet and she said most healthy cats have it this high too.

Also the vet told me that she thinks it would be better to keep Hugo in the blue numbers, though I explained that I test very often and aim for the green ones. She shot down my hopes of Hugo ever reaching remission. She said that it should have happened a year ago already, in the first few months after his diagnosis.:(
 
I don't know anything about pancreatitis. I hope some other people can give you some advice. I'm glad Hugo's other results were good. Don't get discouraged by the vet saying Hugo will never go into remission. He might not, but there is always a chance. Some cats go into remission quickly and some take longer. Furball went into remission after 3 1/2 years. The best thing you can do is to follow SLGS and focus on keeping Hugo feeling good. :bighug::bighug:
 
Hi Carla and thank you for the support. Even though the vet said to not let Hugo have any green, I will want to continue with TR. :)
 
Tiina and Hugo said:
The only thing that was on the higher side was the SDMA kidney function test, that was 14. I asked the vet and she said most healthy cats have it this high too.
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Perhaps more water per-orally would help here. But the result is still within the ref range safe.
Tiina and Hugo said:
She shot down my hopes of Hugo ever reaching remission
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Just dismiss the none sense ans stay positive. If you have time brows thru/read thru condos and SS, remissions happens at any time.

I hope Marje will be online to talk to you but my hubby, trained human MD looked thru your post in Finnish - who would have known that Finish is so close to Latin :eek:, and he says that nothing is really for you to raise the red flag. Truly. But again, being MD doesn=being vet. I'd wait for Marje's input.

I read one of your earlier posts - about being out of the syringes - and meant to tell you - have you considered contacting any nearest US base? They might have some surplus items but it doesn't make them bad. Just thoughts..
 
Tell your husband me and Hugo said Kiitos, which means Thank You :)

I haven't thought of contacting a US base, what does that mean? You mean a manufacturer in the US? I think the postage fee would be superhigh. I can't find anymore syringes from Amazon.uk, but just found one from Ebay.uk. The cheaper ones say they don't post to my country, so I found this one box of 100 for about 22£.
 
Tiina and Hugo said:
I noticed that your cat has a heart murmur too? The vet said my Hugo has one also and she said it sounded like a 2/6.
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That number should translate into MODERATE - please correct me if am wrong here, but doesn't mean for it to ne ignored.
I don't have money for vets so we try to practice the preventive care here, at home. Do you see that RR recordings in my SS? It stands for the respiratory rate. When cat is over hydrated the excess water can create extra strain on the heart - the RR in the rest state should not exceed 30/per min. I noticed her breathing heavily and also to shorten her exercise - that's why we start to measure. I measure it when I can because Ducia has more water than the "average" cat - it's good for post DKA kitties. It may not be the safest way re" the heart murmur, but it is something for us to consider and to be aware of.
 
Tiina and Hugo said:
Tell your husband me and Hugo said Kiitos, which means Thank You :)

I haven't thought of contacting a US base, what does that mean? You mean a manufacturer in the US? I think the postage fee would be superhigh. I can't find anymore syringes from Amazon.uk, but just found one from Ebay.uk. The cheaper ones say they don't post to my country, so I found this one box of 100 for about 22£.
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olet tervetullut!
Sorry, on the 2nd thoughts I should have not mention it:oops:, I won't talk about it any longer but I meant rather something on the defense side of things. Norway is close enough to expect cheap postage, isn't it? Forget I suggested it, please.

Best of luck to you and gorgeous Hugo!
 
Hello sweet Tiina and Hugo! We’ve missed you.

I’ll have to get my conversion charts out to look at his labs more closely. I hate to ask, but is there a way to load the values into the lab tab? It’s easier for me to read and, if you put the normal reference ranges, it helps alot.

Sometimes, they can be on the upper end of normal and that can signal an issue that needs to be watched. For instance, if the creatinine and the SDMA both are on the upper end of normal, you should keep an eye on this as it could be a signal that he “might” be in Stage 1 chronic kidney disease. Not saying he is....it’s just an example.

You know, Gracie’s specfPL was always high and she never once had symptoms of pancreatitis.

:bighug::bighug::bighug::bighug::bighug:
 
Marje and Gracie said:
Hello sweet Tiina and Hugo! We’ve missed you.

I’ll have to get my conversion charts out to look at his labs more closely. I hate to ask, but is there a way to load the values into the lab tab? It’s easier for me to read and, if you put the normal reference ranges, it helps alot.

Sometimes, they can be on the upper end of normal and that can signal an issue that needs to be watched. For instance, if the creatinine and the SDMA both are on the upper end of normal, you should keep an eye on this as it could be a signal that he “might” be in Stage 1 chronic kidney disease. Not saying he is....it’s just an example.

You know, Gracie’s specfPL was always high and she never once had symptoms of pancreatitis.

:bighug::bighug::bighug::bighug::bighug:
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Hi Marje! Thank you for visiting my condo. I can try to upload the labs to the SS, but it looks quite overwhelming. I don't know where the reference ranges go?

I did think if there was anything I could do as a preventative care to reduce the strain on his kidneys. Of course to get enough insulin, but what about foodwise?

I think I'll be increasing his dose tonight to 2u.
 
You can look at my labs tab (on Gizmo's SS) for reference if you want. Another option is take a picture or scan the paperwork and upload as an attachment.
 
Hey Tiina and good to see you and Hugo. Glad that Marje is looking at your SS as she's the go to for interpretation. All I can offer is a great big virtual hug to you and Hugo and the rest of your fur gang. :bighug::bighug::bighug::bighug::bighug:
 
LizzieInTexas said:
You can look at my labs tab (on Gizmo's SS) for reference if you want. Another option is take a picture or scan the paperwork and upload as an attachment.
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Thank you, wow yours looks so nice :eek::bighug: This will take a long time from me to do. I didn't get any results on paper as they called me on the next day and then sent me a pdf by email (I just copypasted the results here earlier).
 
LizzieInTexas said:
Upload the pd file!
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It has my personal info on it, like my address and insurance numbers etc and I don't have a such program on my pc that I could alter it. Sorry to be so difficult :blackeye: I'm not very good with computers lol. I'm going to try the SS labs, but for some reason it won't let me type the titles...o_O
 
Tiina and Hugo said:
It has my personal info on it, like my address and insurance numbers etc and I don't have a such program on my pc that I could alter it. Sorry to be so difficult :blackeye: I'm not very good with computers lol. I'm going to try the SS labs, but for some reason it won't let me type the titles...o_O
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I understand. No worries. I don't have any suggestions for the reason it won't let you type.
 
Tiina and Hugo said:
I think I got it now. I just don't know these all that are typed ready in those columns and then Hugo has some that aren't there.
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I just omitted the ones that were not on his tests (but didn't delete) and added line for the ones that were on his tests and not listed. I don't know all the abbreviations either. :blackeye:
 
Cherryl & Mouzer said:
heehee I love Hugo already!
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Hugo says thank you! Your words made him want to look even taller :D
PhotoEditor-1454504261041.jpg
 
@Tiina and Hugo

The reason it is important to have the reference ranges is because of the variation in equipment used by different labs. For one lab, one test result might be mid range but it could be abnormal for another lab. So just providing the absolute number tells me nothing in respect to that lab.

Now that you've uploaded the results with the reference ranges, it's much easier to tell you if something could be remiss.
Thank you for doing that!

I'm looking at his labs now.
 
Labs look really great other than the specfPL.

His SDMA is on the high end of normal and so you might want to take in a first of the day urine sample and see what the urine specific gravity is. His creatinine and BUN look fine but, before the SDMA, the early indicator of potential kidney disease was a USG less than 1.030 for the first urine of the day. USG can vary during the day but if the sample is taken first thing in the morning with first pee, it will tell you whether he's able to concentrate his urine. If he can't, with that SDMA number, I think it would be wise to keep an eye on his kidney values.

If he's not having symptoms of pancreatitis, there's not much you can do. His liver enzymes are fine formthe ones shown but they did not include a GGT or alkaline phosphatase. If those are elevated, it could be why his specfPL is elevated.

In the future, I would recommend you have a full superchem, CBC, and urinalysis done. They usually have a senior panel which includes all of that for less money.

Pls let me know if you have questions! :bighug:
 
Thank you @Marje and Gracie. They did take a urine sample from him, with the help of an ultrasound with a needle through the abdomen.

All I can see from the results was that:

U-Prot 28mg/dl
U-Krea 82,5 mg/dl
U-prot/krea 0,34 (range <0,36)
Protein in urine: 6,8mg/kg/24h

Those results tell me nothing either, when they didn't give ranges (except for the one).

ph was 8.0
 
Tiina and Hugo said:
Thank you everyone. Hugo is actually really tall and has the longest tail of all my cats :)
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Ok, now we must see picture that has the tail :p.

In my signature there is a link to pancreatitis (just fyi). Watch for vomiting and white foam throw up (stomach acid). Frequent, smaller meals are best and plenty of water. Raised food and water bowls are good too. If you have any questions in the future you can tag me. Gizmo has been hospitalized 3x's with pancreatitis.

Glad the bloodwork looks good.:bighug::bighug:
 
Thank you Lizzie :) Luckily Hugo hasn't vomited and seems to have a good appetite, but I will continue to keep a close eye on him. I hope to be able to save money to take him for a dental this year. It's been a crazy year so far with my other cat's hemolytic anemia relapsing and he has to have monthly check-ups.
 
Hi Tiina:bighug::bighug::bighug:
Lovely to see Hugo looking so fine, you are doing a great job with him, I especially like how he's not bouncing through the rafters. (antijinx)
Try not to let your vets words discourage you, there are number of people here whose cats went OTJ after a year, Amy's Trixie and Sandy's BK are a couple that spring to mind as well as Carla's furball. Focus on how well he is doing now, a look back to last years numbers and you'll see how much progress you are making.

Tiina, if you want I can try and post some needles out to you, not sure about the postage/cost. Send me a PM if you want me to look into it for you.

Tiina and Hugo said:
Also I wonder if the "omp (specific gravity)" in his results is the same as your USG. Hugo's was 1.020
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When was the sample taken Tiina? was his appointment in the middle of the day/afternoon? Ideally as Marje said you want the first pee of the morning as this is the most concentrated.
You don't need a sterile sample to do the USG (urine specific gravity), and it's something that you can also do at home (I know how expensive your vet fees are in finland) if you have a refractometer, they are not expensive, I think this is the sort of thing that you can get, though you might want to double check with Marje if you decide to buy one, I haven't used one, but I know that Marje used one to monitor Gracie. I've been meaning to get one to monitor George.
https://www.amazon.co.uk/Clinical-R...ific/dp/B01N4PN1P7/?tag=felinediabetesfdmb-20
 
Hi @Gill & George :) The urine sample was taken at 2pm, so not in the morning. It would be great to find that refractometer (never heard of it, hope I spelled it right!). I will have a look online to see how much they are. In this situation when Elvis (my oldest Siamese who has IMHA) keeps going back to the vet, almost anything will break the bank. At the moment I'm good with the syringes, as I just picked one box of 100 today from the post office, but I appreciate your offer and if it's not too expensive to post them, I might get back to you in August. :bighug: Thank you so much for being so kind :)
 
His USG is low but since the sample was taken later in the day, if he drinks a lot of water, it could be that low. Best to try and just get a sample early in the morning free catch and take it in.

Here is the refractometer I have that I got from Amazon. It sure makes it easier to keep an eye on the USG. While Gracie's did vary, it didn't drop as low as 1.020 in the afternoons and she drank a lot of water.

Love the pictures!!! Have fun!!!!
 
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