Bubba 2/13 AMPS=93 , +3.5=64

@Bronx's dad @LizzieInTexas @Olive & Paula

It seems there is some confusion regarding B12 so I hope I can clarify a bit.

There are two basic forms:
Methylcobalamin: important in CKD (along with small amounts of multi B Complex) to minimize the drop into anemia which almost all CKD cats experience; important in diabetics to counteract neuropathy
Cyanocobalamin: important for intestinal absorption

Normally, methylcobalamin has been given orally for CKD and diabetic neuropathy although, as Lizzie indicated, an injecttable form is now available. Cyanocobalamin is given as an injectable primarily in cats with IBD or any intestinal absorption issue.

The B12 tests done by TAMU target small intestine function. It wouldn’t be the test for CKD- associated anemia or neuropathy.

Paul....has your vet ever done an ultrasound to see if Bronx has a kidney infection? Blood in the urine and excessive thirst are symptoms and bacteria does not typically show up in urinalysis, even culture and sensitivities. My GA kitty Gus had a kidney infection on two occasions a year apart. He had blood in a routine UA, no bacteria in the C&S.

Thanks @Bobbie And Bubba for not minding the condo hijack.
 
Paul....has your vet ever done an ultrasound to see if Bronx has a kidney infection? Blood in the urine and excessive thirst are symptoms and bacteria does not typically show up in urinalysis, even culture and sensitivities. My GA kitty Gus had a kidney infection on two occasions a year apart. He had blood in a routine UA, no bacteria in the C&S.

Thanks so much for chiming in Marje. Bronx did have an ultrasound last year and kidneys were fine. That's why the vet suspects Sterile Cystitis, but the only way to know for sure is getting a sample from the kidneys and we both agreed that it's too invasive to do at this point.
 
Thanks so much for chiming in Marje. Bronx did have an ultrasound last year and kidneys were fine. That's why the vet suspects Sterile Cystitis, but the only way to know for sure is getting a sample from the kidneys and we both agreed that it's too invasive to do at this point.
Recently last year? Because kidney infections can come on quickly.

Does he have symptoms of sterile IC? I ask because Gracie has this before FD and the symptoms were very observable. She did not drink a lot of water with sterile IC.
 
Recently last year? Because kidney infections can come on quickly.

Does he have symptoms of sterile IC? I ask because Gracie has this before FD and the symptoms were very observable.

U/S was June 2018. He was going into the LB a lot with sometimes very little pee and other times a lot of pee. Blood in urine but no infection present. Started drinking a lot again a few months ago. Also hangs out next to the LB. How can I treat Sterile IC? Should I do another U/S? His belly hair finally grew back :facepalm:
 
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U/S was June 2018. He was going into the LB a lot with sometimes very little pee and other times a lot of pee. Blood in urine but no infection present. Started drinking a lot again a few months ago. Also hangs out next to the LB. How can I treat Sterile IC? Should I do another U/S? His belly hair finally grew back :facepalm:
If it is sterile IC, you are giving D-Mannose already and from what I understand, that’s the best treatment to date.

Gracie’s stopped immediately when I took her to a new vet for us who does Nutrition Response Testing and she found Gracie had high levels of aluminum in her system probably from her mother being over vaccinated as Gracie’s IC started as a kitten. Our vet started an Al detox and Gracie never had another IC issue.

Bronx’s symptoms certainly sound associated with IC except the drinking part and Gracie also never hung out near the LB. I think a decision on the U/S is yours to make. It’s possible that this is IC but I was just brainstorming other potential things for you. I know how frustrating IC can be; we dealt with it sporadically for three years. I certainly empathize.
 
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