Help/support. CKD sugar cat not doing well.

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Heytherr said:
I think in the poop position.
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If he's trying to poop he may go to the litter box again so keep an eye on it to watch the position he takes. If he manages to pass any liquidy poop that may not be diarrhoea but watery faeces managing to work its way around a 'stuck' stool.

If constipation is the issue you must get Felix rechecked by the vet before starting any home treatments to make sure that there's no obstruction in the gut.

Again, if constipation is the problem then the anti-nausea meds won't really work until the constipation is dealt with. An enema might be needed to help clear the problem stool. Treatment with metoclopramide (Reglan) for a few days after that can help normalise gut motility (NB: Metoclopramide does nothing for nausea in cats, see IDEXX document above. Felix would need ondansetron and/or Cerenia as well.)


Mogs
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Critter Mom said:
If he's trying to poop he may go to the litter box again so keep an eye on it to watch the position he takes. If he manages to pass any liquidy poop that may not be diarrhoea but watery faeces managing to work its way around a 'stuck' stool.

If constipation is the issue you must get Felix rechecked by the vet before starting any home treatments to make sure that there's no obstruction in the gut.

Again, if constipation is the problem then the anti-nausea meds won't really work until the constipation is dealt with. An enema might be needed to help clear the problem stool. Treatment with metoclopramide (Reglan) for a few days after that can help normalise gut motility (NB: Metoclopramide does nothing for nausea in cats, see IDEXX document above. Felix would need ondansetron and/or Cerenia as well.)


Mogs
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What is Metoclopramide?
 
tiffmaxee said:
Another name for it is flagyl. It’s for diarrhea. You would want the lowest Dose and stop as soon as you see a normal formed stool.
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Flagyl is metronidazole. (For the longest time I had terrible trouble trying not to confuse the names of the two.)

Reglan's the branded version of metoclopramide.


Mogs
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Heytherr said:
What is Metoclopramide?
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The branded version is called Reglan. It's used to treat nausea, delayed stomach emptying and gastro-oesophagal reflux disease in humans. It also helps improve passage of digested matter along the gut (improves gut motility).

Some vets prescribe it for nausea in feline patients but cats have very few of the receptors it works on so it doesn't help much. That said, if the nausea is due to poor gut motility then the metoclopramide can help get things working more normally and then ondansetron and cerenia can work properly to help the cat start eating properly again.


Mogs
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Unfortunately I do not. My fiance will be home soon I have to head to work, he doesn't know how to check Felix's BG it was last at 238 and it's usually around the 400s about 6 hours after his insulin so I'm thinking that he should probably give only half the dose if any at all? I doubt dosing advice is allowed here but I'm waiting to hear back from the vet.
 
Pity about the baby food.

I suggest keeping up the litter box poop watch.

If it was the pee that made Felix cry, could he maybe have cystitis? (That hurts like the bejeezus...)

It might make him not want to drink for fear of having to pee again. (Speculating wildly here...)


Mogs
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The vet is going to send out the blood work and said I should have it back in the morning she is worried about pancreatitis?? I'm not really familiar with pancreatitis. She said that if they send out the labs it'll be more accurate than if they do it in house.
 
tiffmaxee said:
We cross posted. Too bad. That makes things trickier.
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I don't have any readings because my meter is not working right. The last curve I did a day or so ago he goes from 200s up to high 400s insulin runs out around maybe the 6-8hour mark. Today it's been super low because he hasn't eaten anything. He's still in the 200s and usually he would be up by 300-400 by now.
 
Heytherr said:
The vet is going to send out the blood work and said I should have it back in the morning she is worried about pancreatitis?? I'm not really familiar with pancreatitis. She said that if they send out the labs it'll be more accurate than if they do it in house.
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Pancreatitis is what my boy had before he became diabetic. It’s treated with all the things mentioned: nausea medication, pain medication, fluids.
 
Heytherr said:
I don't have any readings because my meter is not working right. The last curve I did a day or so ago he goes from 200s up to high 400s insulin runs out around maybe the 6-8hour mark. Today it's been super low because he hasn't eaten anything. He's still in the 200s and usually he would be up by 300-400 by now.
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I think he should get something but a half dose might even be too much.
 
Heytherr said:
The vet is going to send out the blood work and said I should have it back in the morning she is worried about pancreatitis?? I'm not really familiar with pancreatitis. She said that if they send out the labs it'll be more accurate than if they do it in house.
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Grrrrr. Right now, all you need to know is whether the pancreas is inflamed or not so that the vet can prescribe the necessary treatments, and the in-house Snap fPL test will give an immediate Yes/No answer to that. The lab assay, Spec fPL, gives an indication of the level of severity of any inflammation. It provides extra information, not more accurate information, and it doesn't change the basic treatments needed to start helping a kitty feel better and be able to eat.

Your vet seems very thorough, and that's a good thing. :)


Mogs
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Call and ask for the Snap if they still have blood but still have it sent out. My vet wouldn’t do the Snap either.
 
@tiffmaxee - I can't suggest anything about the insulin, Elise:

- No data.
- Vetsulin in use.
- Cat not eating so can't 'front-load' with carbs.
- Even tiny doses have the potential to tank BG levels, even from quite high preshot BG levels.
- No BG monitoring this cycle.


Mogs
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Of course
Critter Mom said:
@tiffmaxee - I can't suggest anything about the insulin, Elise:

- No data.
- Vetsulin in use.
- Cat not eating so can't 'front-load' with carbs.
- Even tiny doses have the potential to tank BG levels, even from quite high preshot BG levels.
- No BG monitoring this cycle.


Mogs
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Of course everything has to go wrong. I was relying on my relion to store the data correctly also their customer service was not very helpful they just had me prick my finger to see if it showed the date and time right. They didn't have any idea why the meter stopped displaying the date and time. I may call back next week and try to talk to someone different.
 
Heytherr said:
Of course

Of course everything has to go wrong. I was relying on my relion to store the data correctly also their customer service was not very helpful they just had me prick my finger to see if it showed the date and time right. They didn't have any idea why the meter stopped displaying the date and time. I may call back next week and try to talk to someone different.
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I had an issue with my first one and they sent a replacement free of charge.
 
Heytherr said:
Yes at the vet. He got his normal dose. 1u. I think it's BG was in the upper 200s almost 300s. I can't really remember.
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The best I can do is refer you back to your vet about what to do regarding insulin tonight, Heytherr, for the reasons I listed above. Also, 200-300mg/dL isn't that high and Felix hasn't been able to eat anything to provide carbs for the insulin to work on when it hits.

When you're speaking to the vet I suggest letting them know the full situation, confirm that he hasn't eaten anything and that this doesn't look like changing tonight. Stress that there's no way to test Felix tonight to make sure he doesn't go too low if insulin were to be given (even a small 'token' dose).


Mogs
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Critter Mom said:
The best I can do is refer you back to your vet about what to do regarding insulin tonight, Heytherr, for the reasons I listed above.
Stress that there's no way to test Felix tonight to make sure he doesn't go too low if insulin were to be given (even a small 'token' dose).
Mogs
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Thank you for the advice.
I did explain everything to the vet when she told me that I could give half a dose and she told me that I should not give the full dose so I'm thinking that I could give a little bit less than half.
 
tiffmaxee said:
I had an issue with my first one and they sent a replacement free of charge.
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yeah they didn't seem like they were interested in sending me a free one because when I picked my finger the date and time came up but the thing is I'm pretty sure it came up on the previous readings but it disappeared later on. I will probably be calling them again. If I have any further issue.
 
What concerns us is that he’s not eating and no way to check to know if you need to intervene. That risks a hypo. I too think you need to skip. I also would get another meter tomorrow.
 
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