Chyna CKD nausea

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Rachel & Chyna (GA)

Member Since 2012
Hi Everyone! I usually post in LL, but figured health may be better for this question. Her glucose is still good in remission, yesterday it was 81. But with the CKD I am now having nausea issues with Chyna :cry: Heres my last post after we came home from the vet:http://felinediabetes.com/FDMB/viewtopic.php?f=9&t=97535

Some background: About a month ago she started not eating much and I started one capsule of slippery elm bark (1/2 cap twice daily) and she went right back to eating all her meals. They are split into 9 portions over 24 hours mixed with water and she gets B vitamins as well.

I took her to the vet on Monday for her 3 month bloodwork. They had me bring her back Tuesday since her BUN, CREA and Phos were above normal and she was on IV for 32 hours, I took her home Wednesday evening and her levels were back in normal ranges from the IV. Labs SS are in my signature.

She seemed to be feeling ok, ate food right away. Thursday we started the Azodyl and Epakitin that we were given by the vet, and then Friday she started licking her lips, eating a few bites and walking away, and looking sad. I've finger and spoon fed her some, and she will eat just not much at once or all her meals. No vomiting yet. Finally last night I gave her a 1/4 tablet of Pepcid AC in a pill pocket, I've never given it before. She ate a bit overnight but is still licking lips/washing her face. I spoon fed her breakfast with slippery elm bark in it.

I'm not sure what else to do or why the nausea is suddenly there after the vet/IV or if it's a coincidence? Does Azodyl or Epakitin cause nausea? I think I saw it can cause constipation so I have her some coconut oil. She wouldn't take the Azodyl this morning and I didn't use the Epakitin overnight or today since I thought maybe that was why she was refusing to eat with that in her food, if it has a taste to it. She didn't eat much if anything at the vet, so maybe it's from empty stomach coming back to eating...she did poop since then but not a lot. I'm just hoping maybe someone has used these or has advice, I'm at wits end. I posted on Tanyas support group too. I'm probably going to call the vet to see if he knows but was hoping for words of experience with these first. Thanks :smile:
 
Re: Chyna CKD nausea, is it from Epakiten/Azodyl??

Pepcid only helps with excess stomach acid. It is not an anti-nausea med. Cerinea and Ondansetron (Zofran) are good anti-nausea meds.
Also, Epakitin is not that good of a phosphorus binder. Aluminium hydroxide powder is better.
 
Re: Chyna CKD nausea, is it from Epakiten/Azodyl??

Thanks Larry, I posted on Tanyas support group for CKD as well and they mentioned Ondansetron too. They also said that Azodyl can cause stomach upset...I haven't given her any of either one today (since last night) and she does seem to be feeling a bit better, she just went and ate a bit on her own and is purring again. I did ask the vet for aluminum hydroxide but he didn't like the aluminum in it. I will bug him again about switching to it since everyone keeps telling me that :-D
 
Re: Chyna CKD nausea, is it from Epakiten/Azodyl??

Well you know what I think! Why throw something at them that makes them sick and might not work? I'd get her nausea under control with ondansetron and just give her what she absolutely needs.....the binder, the MultiB and methylB12, pepcid if she has an acid tummy (she should throw up a foamy liquid or sit hunched over like her stomach hurts).
 
Re: Chyna CKD nausea, is it from Epakiten/Azodyl??

I know I am stupid to give her something that would make her sick so I stopped, I just want to try everything that even has a chance of helping :cry: I honestly had no clue there was a difference between acid and nausea treatments, now I do :? :oops:

She just ate a tiny bit more on her own now, so I'm hoping the nausea is getting better now that the Azodyl isn't being given...unless the "human" pharmacy carries the ondansetron I'm out of luck till Monday. I'll keep using the slippery elm bark...
 
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