Civie dx'd with Stomatitis

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Charliemeow

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My civie who was seemingly healthy went to the vet today. I admit I was neglectful of her teeth lately. She has had 2 dentals, both resulting in bad reactions to the anesthesia (ketaset w/acepromazine). I started brushing instead, but stopped early this year. I was pregnant, caring for my toddler and my newly dx'd acrocat, and selling and buying a house. Excuses :YMSIGH: I feel awful. I haven't even looked in her mouth lately. Her teeth and gumslook awful. Vet says it's likely stomatitis. She also found an abnormal heart rhythm (badada-bum) and enlarged kidneys. Darla still plays, eats her 2 cans of ff every day, nibbles my feet and ankles, runs around. I had no idea she was so sick :cry: They did a full blood panel and we will have the results by wednesday. We have a feline dentist about an hour away that I guess we will likely have to use for the treatment...whatever that is. At least that's what the vet hinted at. I don't think she was comfortable handling it considering the extent of damage :sad: Has anyone been through this? Any suggestions? Any words of advice or maybe a little encouragement? I'm so sad..... I love her so much.
 
There are three main options for stomatitis right now.

1. Full mouth extraction, including root tips. This is expensive and requires a board certified vet dentist because every bit of tooth and root have to be taken out to not give a place for bacteria and plaque to build up. Usually runs $1500 - $2500 There is about a 60% success rate for kitties that have this done.

2. Dallas Animal Dental stomatitis cocktail. Still in the FDA trials. It is a cocktail of already FDA approved meds. The trial is concerning the combination of the drugs and the dosage. For a cat with kidney issues, they will likely start him on a half dose. My Yoda is on this med and is on the half dose and doing great. He got to the point he wouldn't eat anything. We started this cocktail and within 4 days he was back to eating on his own. One month later, most of the inflammation was gone. Requires pre-trial blood work, and bloodwork at 2 weeks, 4 weeks, and 60 days. Runs about $43 a month and shipped to your vet for you to pick up.

3. Low dose Naltrexone. Supposedly kicks the immune system back into line with properly identifying self and non-self particles in the body. I just joined the yahoo group for LDN pet owners. There have been a handful of people on there that use it for stomatitis with success. Primarily used in the vet world right now for cancer, and FIV/FeLV. Might be worth trying. Should run about $30 a month from a compounding pharmacy
 
Thank you Kelly. I'll talk about all those options with my vet once we get darla's bloodwork back. She was thinking the kidney and heart issues may be related to a thyroid problem. Have you ever heard of stomatitis causing heart murmur? It seems plausible since any infection can travel to the heart and damage the valves. Does Yoda have any heart problems? How long has he been on the cocktail? It sucks that now I'm a member of 2 groups I never wanted to be a part of...the acro/dm and now stomatitis. I hope she's strong enough to fight through this.
 
Charliemeow said:
Thank you Kelly. I'll talk about all those options with my vet once we get darla's bloodwork back. She was thinking the kidney and heart issues may be related to a thyroid problem. Have you ever heard of stomatitis causing heart murmur? It seems plausible since any infection can travel to the heart and damage the valves. Does Yoda have any heart problems? How long has he been on the cocktail? It sucks that now I'm a member of 2 groups I never wanted to be a part of...the acro/dm and now stomatitis. I hope she's strong enough to fight through this.

Yoda does not have heart problems right now. He had an infection about a month ago, and his heart raced really really badly. When we first got him a year ago (we were fosters at that point for him), he was very malnourished due to the stomatitis and had just been diagnosed with diabetes due to the depo shots he was getting for the inflammation. He was so malnourished that he literally did not have a fat layer under his skin and the only place we could pull up enough skin to give an insulin shot was his scruff. His initial bloodwork showed kidney problems, liver problems, and anemia. With antibiotics, fluids, insulin, and lots and lots of wet food, he regained his health. His previous owners would only offer dry food to him. He initially ate 6-7 cans of Fancy feast a day - talk about eating me out of house and home!

He has been on the cocktail since early March of this year. After two weeks he got a really bad infection, and we are not sure if it was due to the change in his immune system with the meds or just a fluke. To be cautious, the clinic had us take the dose down to a half dose. We have been fine ever since. I know they had mentioned to me that some cats with existing liver or kidney problems were on half or quarter doses and were doing well. It is very common for them to get back to eating semi normally within the first 7 days.

How old is your civie? The enlarged kidneys and murmur can definitely be to an over load of bacteria from the mouth. If she is eating relatively normally still, then I would push for a strong broad spectrum antibiotic because it is likely the mouth bacteria has spread to other parts of the body. Have your vet call the Dallas Animal Dental Clinic and talk to Jim Seahorn. He worked with the late Dr. Wiggs on developing this cocktail and has treated hundreds of cats with stomatitis with a great success rate. Their phone number is (972) 385-8400. Dr. Wiggs is considered the founder of veterinary dentistry, and the clinic is definitely one to be trusted. Every time I call in, the techs who answer the phone know exactly who I am and who my cat is without having to look it up. Quite remarkable.

Stomatitis can feel like a big battle in the beginning because it can effect so many aspects of your kitty's life. Once you find the med that works, you won't believe the change though. Yoda is a completely different cat than he used to be. Quite the trouble maker now, and every bit of what a 5 year old siamese should be :lol:
 
:YMHUG: :YMHUG: :YMHUG: Thank you, Kelly! You've given me so much information, and a lot of hope. Darla is only 9 and she is eating and acting normally. Hopefully once we can start treating her mouth issues, the others will improve a bit as well. I hope that starting small (abs) will improve things some. I hope she doesn't need all of her teeth extracted. I agree--I'd like to start small (with medicinal treatment) before resorting to a full-mouth extraction since she is still eating and has her 5 p's in place. Hopefully the ab's can help her heart a little. I know that any surgery can really tax the heart. I'm going to print out this thread and take it in to the vet. She seems really good, and really willing to work with me to find a good treatment plan for both of my kitties. Scritches to Yoda cat_pet_icon
 
I am very glad to help :-D Also, just want to add that Yoda has all his teeth too. We didn't want to go with a full mouth extraction because of how extreme and costly it is. Scritches to your Darla too! cat_pet_icon
 
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