Maury - Starting Lantus

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He had a tiny bit of diarrhea this morning as I posted on my Lantus condo. Realized I had forgotten the 2 hour window with SEB :facepalm:. That may be the cause. Made notes on SS not to give them same cycle. I'm just baffled about him throwing up breakfast.
 
I thought that was a typo. So he thew up his food from this morning? Like it didn't digest all day? Do you think maybe he has a blockage/constipation? Was it just a little diarrhea this morning? Or was it a full poop with a bit of diarrhea? (oh, the things we talk about around here!)
 
Like it didn't digest all day?
I could still identify it was his dry food.
Do you think maybe he has a blockage/constipation? Was it just a little diarrhea this morning? Or was it a full poop with a bit of diarrhea? (oh, the things we talk about around here!)
I thought about that possibility. He had pooped earlier (before I woke) then this morning after breakfast he had a little diarrhea.
 
He had a tiny bit of diarrhea this morning as I posted on my Lantus condo. Realized I had forgotten the 2 hour window with SEB :facepalm:. That may be the cause. Made notes on SS not to give them same cycle. I'm just baffled about him throwing up breakfast.
Bupe is a narcotic and, as such, could possibly affect GI motility. If motility is impaired it can lead to nausea, vomiting, delayed gastric emptying, etc.
 
He had pooped earlier (before I woke) then this morning after breakfast he had a little diarrhea.

Well, at least things have moved in the last 24 hours. Hopefully it's just what Kris said (thank you, Kris!) and his stomach was just delayed in its emptying today.
 
I've only seen Chuck do that when he ate too much young again. By too much I mean 3 days worth in one sitting. I tried free feeding him and it was a huge failure.
I hope he feels better. Sorry I haven't been on much today and just saw this now.
 
I imagine your vet will likely be closed tomorrow for the holiday? Hopefully the cerenia will do the trick tonight and he'll be able to eat in the next couple of hours. I'm going out for a bit, but will be back in an hour or so, and up late since I'm three hours behind you.

By too much I mean 3 days worth in one sitting. I tried free feeding him and it was a huge failure.

LOL! Poor Chuck!
 
It's ok Steph :). Yeah once I saw how Maury liked YA I knew we couldn't try free feeding. So he gets <3/16 cup with each meal. I usually make sure he finishes his wet food but when he shows me he's not interested / nauseated, I give it to him right away.
 
I imagine your vet will likely be closed tomorrow for the holiday? Hopefully the cerenia will do the trick tonight and he'll be able to eat in the next couple of hours. I'm going out for a bit, but will be back in an hour or so, and up late since I'm three hours behind you.
Oh crap! I forgot about holiday :facepalm:. They are closed tomorrow :(. I really can't afford an ER visit but I know if push comes to shove, we'll be headed to one. Almost anything for my baby. I hope it does not come to that.
 
Thank you all for your support
grouphug2.gif
 
Do a search here on FDMB for adverse reactions to bupe and you'll find some threads that discuss it. That might not be the issue but it's worth a look, Yong.
 
I wish I had more to offer than just support and healing vines! :bighug::bighug::bighug:
My vet has told me in the past, if needed give another 1/4 cerenia in the evening. She told me this after several years of dealing with pancreatitis, Buddy always gets loose stools with pancreatitis. If Maury has chronic pancreatitis just make sure you give him all his meds, do not introduce anything new until this eases up. If you have cerenia do you have an appetite stimulant, if so give him an appetite stimulant about 1 1/2 hrs. before time to eat and make sure he has the cerenia so he will not be nauseated. If giving a shot depends on food, give him MC or HC and like Kris says dose around it.
 
Thank you Teresa for all of your input! It means a lot :bighug:. Wish I could help you more with Buddy sometimes.

I was hoping it wasn't chronic pancreatitis since his symptoms were mild compared to what I was reading. Vet wants to do a SPECfpl at his followup appointment this week (haven't scheduled yet). Originally just did SNAPfpl to confirm it was pancreatitis. Things looked like they were easing up for the 2 days he didn't get any meds but then the nausea returned so I resumed Cerenia and Bupe. Haven't given appetite stimulant 24 June. Only new thing was Slippery Elm Bark yesterday morning and this morning. Makes me feel worse because I may have caused him not feeling well because I forgot no meds 2 hours before or after SEB :facepalm::banghead::(.

Plan: Keep an eye on him until bed time. I might wake up since I'm worried about him, so will check if I do.
If Cerenia is still working for AM meal, no meds, just meal and insulin.
Resume 1/4 Cerenia in the evenings.
Give SEB Wednesday morning by itself. I won't be home Wednesday until PMPS :nailbiting:
I have some Bupe if needed.
Add-on: Thursday evening, B12 injection.

I don't think I can dose around his food with Lantus.
 
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Thank you Teresa for all of your input! It means a lot :bighug:. Wish I could help you more with Buddy sometimes.

I was hoping it wasn't chronic pancreatitis since his symptoms were mild compared to what I was reading. Vet wants to do a SPECfpl at his followup appointment this week (haven't scheduled yet). Originally just did SNAPfpl to confirm it was pancreatitis. Things looked like they were easing up for the 2 days he didn't get any meds but then the nausea returned so I resumed Cerenia and Bupe. Haven't given appetite stimulant 24 June. Only new thing was Slippery Elm Bark yesterday morning and this morning. Makes me feel worse because I may have caused him not feeling well because I forgot no meds 2 hours before or after SEB :facepalm::banghead::(.

Plan: Keep an eye on him until bed time. I might wake up since I'm worried about him, so will check if I do.
If Cerenia is still working for AM meal, no meds, just meal and insulin.
Resume 1/4 Cerenia in the evenings.
Give SEB Wednesday morning by itself. I won't be home Wednesday until PMPS :nailbiting:
I have some Bupe if needed.
Add-on: Thursday evening, B12 injection.

I don't think I can dose around his food with Lantus.
This may not be chronic pancreatitis, he may be having a flare, which happens.
Do not stop the Bupe and Cerenia at the same time, when you think he is feeling better take one away at a time, this way you can test the waters. He does not have acute pancreatitis, which is awful and he may not have chronic either. Sometimes for unknown reasons they can have a bout of pancreatitis and never have it again. Let's hope that is what Maury has.
 
Will definitely only take 1 away. Wasn't planning on stopping the meds last time but he surprised me by following through our morning routine and I didn't even think to still give 1 med. Last Bupe was given Sunday morning. Can a flare really last this long, @wolfey ? I keep trying to find answers :bookworm: but there's no rough time of how long these things can last. I guess it's ECID but I'd even take a range, it would be something.

Update this morning: I did not wake up to alarm to pick up food but it looks like he did not touch it again after the few bites before bed. I did wake up twice during the night but he was nearby so I fell back asleep. He had some fluid vomit, smelled like the broth from his wet food. Another tiny diarrhea that he didn't make it to the box in time. I'm not upset with him at all, he wanted to be upstairs with me. I'm sure each step didn't help him hold it :oops:. He made it to the rug (have hardwood floors) which I can wash :). Probably the reason for his higher AMPS. :(

Gave 1T MC wet food with water added to see how he'd do. He ate it all :cat: so about 10 minutes I gave him about another 1T an he ate most. Few pieces of YA. He's now downstairs with me sleeping on his bookshelf. No meds until tonight as plan states. Trying to send him healing vines :bighug:
 
Will definitely only take 1 away. Wasn't planning on stopping the meds last time but he surprised me by following through our morning routine and I didn't even think to still give 1 med. Last Bupe was given Sunday morning. Can a flare really last this long, @wolfey ? I keep trying to find answers :bookworm: but there's no rough time of how long these things can last. I guess it's ECID but I'd even take a range, it would be something.

Update this morning: I did not wake up to alarm to pick up food but it looks like he did not touch it again after the few bites before bed. I did wake up twice during the night but he was nearby so I fell back asleep. He had some fluid vomit, smelled like the broth from his wet food. Another tiny diarrhea that he didn't make it to the box in time. I'm not upset with him at all, he wanted to be upstairs with me. I'm sure each step didn't help him hold it :oops:. He made it to the rug (have hardwood floors) which I can wash :). Probably the reason for his higher AMPS. :(

Gave 1T MC wet food with water added to see how he'd do. He ate it all :cat: so about 10 minutes I gave him about another 1T an he ate most. Few pieces of YA. He's now downstairs with me sleeping on his bookshelf. No meds until tonight as plan states. Trying to send him healing vines :bighug:
If he is eating that is a good sign. Give him a little more time, sometimes it just takes longer.
 
Found some cases of chronic pancreatitis with kitties needing a feeding tube. Most had aggressive treatments and greatly improved in 1-2 weeks. More guilt trip on myself that maybe I'm missing something with his treatment :(:(:(. If Spec fPL test doesn't show signs of improving, then I'll have to consider the more aggressive treatment with a clinic stay for at least a day. Just remembered the Vet saying IV fluids, can't remember what else.

Trying to see silver lining: He was preening himself a little while ago; his pantaloons are a little messy from the little diarrhea :oops:. I try to give him as much time to clean it himself before stressing him with a toosh bath.
 
You're doing everything right.:cat: One step at a time. See what the tests show and then you can make you're next move.
:bighug: to Maury
 
Found some cases of chronic pancreatitis with kitties needing a feeding tube. Most had aggressive treatments and greatly improved in 1-2 weeks. More guilt trip on myself that maybe I'm missing something with his treatment :(:(:(. If Spec fPL test doesn't show signs of improving, then I'll have to consider the more aggressive treatment with a clinic stay for at least a day. Just remembered the Vet saying IV fluids, can't remember what else.

Trying to see silver lining: He was preening himself a little while ago; his pantaloons are a little messy from the little diarrhea :oops:. I try to give him as much time to clean it himself before stressing him with a toosh bath.
If Maury is eating he does not need a feeding tube and I doubt if you could find a doc that would put one in him at this time. Mainstays of pancreatitis are pain control, control of nausea and to keep kitty eating & taking in fluids. Sounds like you are doing all of these things.
 
Oh I don't want to put one in him, just saying those other cases I read about had them and still seemed to do better after a week or so :oops:. I did get more Bupe for pain control but main medicine I'm keeping him on is the Cerenia. I will need to get more of that, I just cut the last tablet into 1/4 pieces. Trying my best to keep him eating, he isn't drinking more than usual (about 3/16 cup), added water to wet food (as usual). Just re-checking to make sure I was not missing anything. Thank you for confirming, Teresa :bighug:

TV had a baby cry and he put on his curious face and went to check it out, so he does seem in better spirits today. I think the tummy upset was my goof up afterall :(
 
We've ALL goofed up at times, Yong. You were trying to do what was best for him and this is all new territory for you and Maury, so experimenting to see what works best is what you have to do. You'll figure it out! Maury will get better from this flare I believe and next time (if there is one, which I hope there isn't!) you'll have a better idea of what to do. :bighug::bighug::bighug:
 
I'm really hoping for no next time, Rachel :).
Other good news, if I can't become friends with the MD member who lives nearby / or she can't do it, there is a pet hotel below our Vet clinic. They would follow my instructions / requests of specific BG tests and not charge me an arm and a leg for Maury. Looking at about $170 for four days. I have 2 months to make that extra money ;). I will try to check it out when we go to the Vet this week and take Maury with me, of course because he'll be with me already.
 
LOL....yes, you do have to go to your sister's wedding!!! Maury will be fine. That's great that there is a place you can board him that will do the testing and shots!
 
Yong I'm sorry you're dealing with all of this! I know nothing about any of the things that are happening, so I haven't said anything. But I wanted to let you know I'm rooting for you both! :bighug:
 
Maury threw up a little hair ball and some of his dry food breakfast. Maybe he had a hairball contributing to all this mess and he will start feeling better again :cat:. Getting Cerenia tonight and I'm going to parents for dinner. Should be home by his usual before bed test range.
 
Maury just can't seem to catch a break lately! Hopefully the hair ball clearing will help him keep his food down a bit better. :confused:
 
Can I get my boy off this roller coaster already? :(. Maury had another little bit of diarrhea but went on the rug like he did last night. Box is clean, making sure to keep extra clean since last night. No interest in wet food or YA so gave Mirtazapine. I have to go to my parent's. I hate leaving him in this time :(. Gave him 1 really HC old diet treats (can't believe he used to get those all the time :facepalm:) so he can get his insulin. Hoping Cerenia and Mirtaz will kick in and he'll eat some food by the time insulin starts kicking in.
 
Can I get my boy off this roller coaster already? :(. Maury had another little bit of diarrhea but went on the rug like he did last night. Box is clean, making sure to keep extra clean since last night. No interest in wet food or YA so gave Mirtazapine. I have to go to my parent's. I hate leaving him in this time :(. Gave him 1 really HC old diet treats (can't believe he used to get those all the time :facepalm:) so he can get his insulin. Hoping Cerenia and Mirtaz will kick in and he'll eat some food by the time insulin starts kicking in.
Fingers crossed, Yong. Didn't you say in an earlier post that he has a vet appt. later this week?
 
Guess Mirtazapine kicked in while I was typing that. He was digging as I gathered my things to head out. Came home to clean bowls and he was asking for his bedtime snack. I know it's probably still the meds but at least they're helping him :). I have to make him an appointment once I figure out which day I can do it. Think his before bed test is my price for that HC treat I gave :oops:.
 
He ate! That's great news...I wouldn't even worry that much about BG right now. He'll get over this flare and you can go from there, but for now, what's important is he is eating and feeling okay. :bighug:
 
Update: Tried covering his wet food (usually means he's not going to eat it) so gave him his YA first, then shot. Got my lunch ready and noticed the angle of him to bowl changed in my peripheral. He was eating his wet food! and finished :). Forgot to make his frozen lunch last night though :oops: so will just leave some fresh and hope he doesn't eat it right away, if he does that's how it will go today. Won't be back until PMPS so will check in tonight :cat:

Thank you ladies again for all of your continued support :bighug:
 
Update: Tried covering his wet food (usually means he's not going to eat it) so gave him his YA first, then shot. Got my lunch ready and noticed the angle of him to bowl changed in my peripheral. He was eating his wet food! and finished :). Forgot to make his frozen lunch last night though :oops: so will just leave some fresh and hope he doesn't eat it right away, if he does that's how it will go today. Won't be back until PMPS so will check in tonight :cat:

Thank you ladies again for all of your continued support :bighug:
Huge relief, Yong! I'm so happy he's eating, whether drug-induced or not. It'll get him feeling better. :)
 
Update tonight: Maury didn't eat his lunch foods, I am thinking he doesn't like this type. Since they're expensive I don't mind not buying more :p. I've bought a couple things for him to try and they are like $1.25 so I'm OK if he would rather have FF ( still pricey for those tiny cans) or his Friskies but wanted to give him some options. Gave Cerenia tonight, he ate all his foods :cat: and was washing his face and paws up like usual :). Scheduled follow up appointment for Friday, hope it goes well. Poo update: wasn't complete diarrhea but more soft serve (sorry if no one wants soft ice cream now :p).
 
Update tonight: Maury didn't eat his lunch foods, I am thinking he doesn't like this type. Since they're expensive I don't mind not buying more :p. I've bought a couple things for him to try and they are like $1.25 so I'm OK if he would rather have FF ( still pricey for those tiny cans) or his Friskies but wanted to give him some options. Gave Cerenia tonight, he ate all his foods :cat: and was washing his face and paws up like usual :). Scheduled follow up appointment for Friday, hope it goes well. Poo update: wasn't complete diarrhea but more soft serve (sorry if no one wants soft ice cream now :p).
So happy to hear he's eating!! Boo on soft serve. I'm sticking with Italian ices the rest of the summer :joyful:
 
Update: Ate all his foods and got his SEB in wet food. Relaxing after breakfast. Trying to catch a ketone test today but will be gone for part of the day. Hoping his PS numbers will start coming back down as depot starts stabilizing. Almost got a blue for before bed test so he may have had one last night :)
 
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