kse
Very Active Member
Kitty is sick and I would like some thoughts, please.
First a little history-- Kitty is 16.5 and dx diabetic last Feb. She has been well regulated the last 6 months. Her kidney values have been elevated, but remained stable for the last year crt 2.3 bun 52. She has been drinking a lot of water of the last few months, but recent blood work showed no issues-- 6 weeks ago she had blood work performed and her crt was 2.2 and bun was 54. She has been DKA and had pancreatitis flare ups during our dance.
Two weeks ago, I noticed she was not feeling well and I thought she was having a Ptitis flare up. I took her to the ER vet--she was dehydrated and her kidney values were elevated--crt 3.7 bun 102. Her lipase was also high and off the chart. The vet gave sub qs and sent me home with them. I took her to her regular vet two days later for follow up and her crt was 3.4 and bun was 101. She also was anemic and had other values that indicated kidney disease--elevated phosphorus 10.5 and low potassium 3.9. So, we started the crf protocal--sub qs daily, binders, Tumil K, diet change, epogen, B12, iron shots...etc....
I noticed a week ago that she was in respiratory distress-- I took her to the vet school ER. She was dx in heart failure. I had been giving sub qs daily 100 mls per the vet's advice-- obviously not good for her. She stayed in the ICU for two days before coming home on heart meds, lasix, blood pressure meds, etc...... Two days later (this weekend) I knew she still did not feel well, so I took her back to the vet school ER ( I only reference the vet school -- to confirm we are seeking treatment at the best available place in my area). Her abdomen looked bloated and she was tender in it. The vet dx pancreatitis-- no ultra sound, just based on past history and the elevated lipase and amalyse. Yes, I know that does not confirm the dx, but I have suspected ptitis the entire time. So, I feel confident in the dx. We were sent home with Bupe and Cerenia. Fluids are not an option, due to her heart. (note--kidney values have come down crt 2.8 and bun 78)
Yesterday, was the second day of the Bupe, Pepcid and Cerenia and she appeared some better. She ate on her own and even went to her food bowl by herself. I thought the meds were helping. This morning, she is back to not eating. Would this be expected with Ptitis-- to eat one day and they regress back to not eating? She is drinking and I have watered her food down, but she is taking in Very little.
I am willing to admit her back into the vet school hospital, but they encouraged me to treat her at home. This is very discouraging and frustrating--- I want to help her, but I feel like I am fighting a losing battle.
Please give me your thoughts. Is this normal with Ptiits-- to eat one day and not the next, or should we see continued improvement? Is there anything else that I can do? My kitchen counter looks like Walgreens now! I have tried tuna, tuna water, boiled chicken etc......
Any thoughts?
Thanks!
First a little history-- Kitty is 16.5 and dx diabetic last Feb. She has been well regulated the last 6 months. Her kidney values have been elevated, but remained stable for the last year crt 2.3 bun 52. She has been drinking a lot of water of the last few months, but recent blood work showed no issues-- 6 weeks ago she had blood work performed and her crt was 2.2 and bun was 54. She has been DKA and had pancreatitis flare ups during our dance.
Two weeks ago, I noticed she was not feeling well and I thought she was having a Ptitis flare up. I took her to the ER vet--she was dehydrated and her kidney values were elevated--crt 3.7 bun 102. Her lipase was also high and off the chart. The vet gave sub qs and sent me home with them. I took her to her regular vet two days later for follow up and her crt was 3.4 and bun was 101. She also was anemic and had other values that indicated kidney disease--elevated phosphorus 10.5 and low potassium 3.9. So, we started the crf protocal--sub qs daily, binders, Tumil K, diet change, epogen, B12, iron shots...etc....
I noticed a week ago that she was in respiratory distress-- I took her to the vet school ER. She was dx in heart failure. I had been giving sub qs daily 100 mls per the vet's advice-- obviously not good for her. She stayed in the ICU for two days before coming home on heart meds, lasix, blood pressure meds, etc...... Two days later (this weekend) I knew she still did not feel well, so I took her back to the vet school ER ( I only reference the vet school -- to confirm we are seeking treatment at the best available place in my area). Her abdomen looked bloated and she was tender in it. The vet dx pancreatitis-- no ultra sound, just based on past history and the elevated lipase and amalyse. Yes, I know that does not confirm the dx, but I have suspected ptitis the entire time. So, I feel confident in the dx. We were sent home with Bupe and Cerenia. Fluids are not an option, due to her heart. (note--kidney values have come down crt 2.8 and bun 78)
Yesterday, was the second day of the Bupe, Pepcid and Cerenia and she appeared some better. She ate on her own and even went to her food bowl by herself. I thought the meds were helping. This morning, she is back to not eating. Would this be expected with Ptitis-- to eat one day and they regress back to not eating? She is drinking and I have watered her food down, but she is taking in Very little.
I am willing to admit her back into the vet school hospital, but they encouraged me to treat her at home. This is very discouraging and frustrating--- I want to help her, but I feel like I am fighting a losing battle.
Please give me your thoughts. Is this normal with Ptiits-- to eat one day and not the next, or should we see continued improvement? Is there anything else that I can do? My kitchen counter looks like Walgreens now! I have tried tuna, tuna water, boiled chicken etc......
Any thoughts?
Thanks!
Please take heart.