Bear's future health is unclear and I am treading water. (Updates with questions?)

Noah & me (GA) said:
I never had what you describe as "overfull with some coming out".
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nslade001 said:
I'm not sure of how you're applying it, but the phrase "stuffed into" made me wonder.
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There is a picture of the directions for the Bupe in post #14. I am applying the Bupe into the inner ear flap which is on the inside lower ear and is a very small compartment and difficult to keep open while smearing the Bupe inside.
It's kind of like stuffing a small soft taco that wants to stay closed. :)
 
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Wendy&Neko said:
Many kitties with GI issues can be off on either their B12 or folate, so a GI panel is a good idea, followed by an ultrasound. What you do after that, depends on what is seen there. I would get an ultrasound specialist to do it if you can, so you get proper measurements and diagnosis. I have now been through three cats and the IBD vs, something else scenario. Ditto what Sienne said about food. Of course, a diagnosis comes first. If kitty has bowel inflammation, an endoscopy can be used instead of surgical biopsy, depending where the inflammation is.
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Recently I haven't had a lot of time to devote to researching IBD but one thing I did read on the Facebook group Sienne recommended was symptoms of IBD are diarrhea with no mention of constipation.
Bear alternates between constipation and diarrhea.

No matter whether constipation or diarrhea they are both GI issues but does that fit the symptoms of IBD?

During both the flares Bear has had he gets diarrhea but as he begins to recover his stools become harder leaning toward constipation.
He has been getting 1/8 tsp of Miralax for 4 to 5 days because his bowel movements are becoming less frequent and harder.

Wendy I want to thank you for taking time out of your vacation to help Bear and I.
You are and have been a terrific friend to us both every step of the way since joining the Lantus forum. :bighug::bighug::bighug:
 
Bear & Lora said:
There is a picture of the directions for the Bupe in post #14. I am applying the Bupe into the inner ear flap which is on the inside lower ear and is a very small compartment and difficult to keep open while smearing the Bupe inside.
It's kind of like stuffing a small soft taco that wants to stay closed. :)
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I believe the "flap" is actually the triangle part of the ear--so inside, but not down inside. I know that's an odd term for it since it isn't very flaplike, whereas there is an actual flap right there on it. I think this will make it easier to apply!

I'm glad he's feeling better!

feline-ear-diagram.jpg
 
It sounds like you're trying to put the bupe into the "Henry's Pocket," which is the odd little pocket near the back base of the ear. (Serious kudos if you've actually been able to do that!)

I think the diagram @Susan&Felix posted is helpful; your target area is the inner "pink" side of the ear, usually toward the middle/top where there's no hair or fur.

Here's a short video that might help:
 
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Bear & Lora said:
Recently I haven't had a lot of time to devote to researching IBD but one thing I did read on the Facebook group Sienne recommended was symptoms of IBD are diarrhea with no mention of constipation.
Bear alternates between constipation and diarrhea.

No matter whether constipation or diarrhea they are both GI issues but does that fit the symptoms of IBD?
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The location of the inflammation in the GI tract can determine the symptoms, either diarrhea or constipation. Also whether there is B12 or folate malabsorption. Note that these symptoms may also be part of small cell lymphoma. Only a endoscopy (if inflammation in right place) or surgical biopsy can provide differential diagnosis.
 
Noah & me (GA) said:
Should Lora think about getting some ear wash to get whatever BUPE may be too far in?
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I haven't been putting the Bupe anywhere near the ear canal in fact I haven't been putting it on or in the inside ear at all.
This Henry's pocket/flap is at the base of the inside ear where there is an actual flap.
 
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Wendy&Neko said:
The location of the inflammation in the GI tract can determine the symptoms, either diarrhea or constipation. Also whether there is B12 or folate malabsorption. Note that these symptoms may also be part of small cell lymphoma. Only a endoscopy (if inflammation in right place) or surgical biopsy can provide differential diagnosis.
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Uhhh, I don't like your note but I would rather hear of the possibility from you so if it comes up I have already processed the possibility and am not floored with shock.

I haven't given Bear anymore Mirtazapine and his appy is still going strong which lends more credence to Bear's recent main problem with loss of appetite being pain.
I have never heard him purr so loudly and want to cuddle so much but ouch on that kneading.
 
Sorry to bring up the possibility. :bighug::bighug::bighug: That is why the vet mentioned possible GI biopsies. Hope it doesn’t come to that, but many SCL cats go into remission. Anyway, still many other possibilities to be considered first. Glad he is eating better.
 
Bear & Lora said:
Uhhh, I don't like your note but I would rather hear of the possibility from you so if it comes up I have already processed the possibility and am not floored with shock.

I haven't given Bear anymore Mirtazapine and his appy is still going strong which lends more credence to Bear's recent main problem with loss of appetite being pain.
I have never heard him purr so loudly and want to cuddle so much but ouch on that kneading.
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BUPE :bighug: :bighug: :bighug:
CANT SAY ENOUGH about how it has become a quality of life Godsend for Nelli :cat:
So happy to hear “haven't given Bear anymore Mirtazapine and his appy is still going strong” :bighug:
 
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