? 8/23 Jessi, appetite sporadic, vomiting, urinary distress, needing general guidelines

Stefania S

Stefania S

Member Since 2023
https://www.felinediabetes.com/FDMB...eding-while-urinating-skip-dose-right.280735/

I realize we can't give dosing advice if there aren't recent numbers on the spreadsheet, so I am asking for general, non specific guidelines on what to do in case a cat is experiencing temporary (in this case post Ct scan) problems like loss of appetite, eating inconsistently, vomiting, urinary bleeding and urgency, and overall unwellness.

I can't get into the reasons now, but we haven't had a sensor for a while so we don't have the data. BG testing is nearly impossible. I only succeeded the night of the Ct scan because she was still not fully alert after anesthesia. Tried again yesterday, and it didn't happen.

I just need some general advice on what you usually do in a situation where eating frequency and quantity is suddenly unpredictable and vomiting is happening much more than normal. Is the priority to keep getting some amount of insulin into her AM and PM, so giving at least a token dose, and how much is that? or is it better to decrease insulin based on how much she is eating, so giving her half the normal dose if she is eating about half as much, something like that? or is it better just to skip.

If I had known surgery would be postponed I would have had them put a sensor on after the Ct scan, but everything is so unpredictable these days...

I am hoping all these symptoms clear quickly so we can go back to the maintenance, pre-surgery dose until they put on another sensor. Right now, if I could get some general guidelines, I would really appreciate it.

Thank you
 
What was she having op and ct scan for?

Has she had dka?

All these symptoms are after the anaesthetic?
Maybe speak to vet? Possible side effects of anaesthetic?
If she's feeling nauseous, perhaps they can prescribe something for nausea.
 
Gill & George said:
What was she having op and ct scan for?

Has she had dka?

All these symptoms are after the anaesthetic?
Maybe speak to vet? Possible side effects of anaesthetic?
If she's feeling nauseous, perhaps they can prescribe something for nausea.
Click to expand...

The surgery will be for an SCC tumor removal. (I will post the thread for that here) Ct scan was excellent, the best scenario possible. We are very happy about that. Who knew the meds for the Ct scan could cause so much distress.

Ketones are fine, just checked two days ago at the Vet before Ct scan. I believe the contrast medium is to blame for the urinary inflammation. Anesthesia could of course also be still having some effects. She may feel nauseous on and off and some acid reflux. She has chronic digestive issues to begin with but no history of UTI or FLUTD. In fact a urinary analysis was done recently and it was clean.

She is eating sometimes with appetite, other times not at all, so the appetite is inconsistent but she is eating at least every few hours, sometimes more, just much less than normal and not as often.

I will wait one more day before asking for medication to see if this clears. What I think she needs more than anything is for her bladder/UT to normalize, so if anything maybe a medication for that, but that could mean anti-inflammatories, which are often steroid based, right?
 
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