Newly Diagnosed

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Critter Mom said:
@tiffmaxee -

Elise, do you know whether or not bupe is contraindicated when a cat has hepatic lipidosis? (Just wondering whether or not it could be given to help with the pancreatitis.)


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Bupe is given because for many pancreatitis is painful. It’s not for HL. I actually just looked it up. Getting nutrition into the cat is essential. I looked in a vet book article. I’m going to find something less complicated. Be right back.
 
tiffmaxee said:
Bupe is given because for many pancreatitis is painful. It’s not for HL. I actually just looked it up. Getting nutrition into the cat is essential. I looked in a vet book article. I’m going to find something less complicated. Be right back.
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I read that Blitzey's been diagnosed with comorbid pancreatitis after the ultrasound, hence the question. :)


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Actually I was just wondering why the vet gave insulin at 2:30 when they told her to shoot morning and night. I reread and figured she was talking about the Bupe.
I was going to say not to shoot again tonight.
 
This is almost exactly Minnie’s journey. The diagnosis after the biopsy was IBD. She’s on budesonide once a day to control it which is a compound med so she gets .2mls. Also on ondansetron for the nausea and metoclopramide. She had the feeding tube for 2 weeks but things improved considerably after she started on the budesonide. Keep me posted about the tube as I can be a resource for you. Having been there, done that. The main thing is cleaning the site once a day. Did the vet mention if it wound be esophageal or stomach?
 
she would start with a esophageal tube, but for now he is eating.. hoping he stays that way, I also think the pain meds are helping him eat. It seems after she started him on pain meds tues. He has been eating more.. I am hoping for ibd and not lymphoma. Which tube would be better? And thank you, I will definitely get with you about the feeding..
 
schlania said:
she would start with a esophageal tube, but for now he is eating.. hoping he stays that way, I also think the pain meds are helping him eat. It seems after she started him on pain meds tues. He has been eating more.. I am hoping for ibd and not lymphoma. Which tube would be better? And thank you, I will definitely get with you about the feeding..
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I was told the stomach bit Minnie had the esophagus and it worked well. I actually think that on that location it made it easier for her to be able to lie down and be comfortable. It can be a god send when they’re not eating and you have to give them meds. So hang in there! If it comes to that, it’s fairly easy to handle :cat:
 
So the aspirate she did on his spleen was negative for lymphoma, it is just regrowth.. So my question is she seemed to to think that if it was positive for lymphoma, that would cause the thickening in his intestines, if it was negative then it would be ibd/ so do i get a test separately for this, He has been thru so much in the past week.I feel selfish for putting him thru all of this. Also she put him on hills prescription diet m/d or she daid to feed purina d/m or royal canin glycobalance, are these good foods...
 
Purina DM wet is under 10% carbs. The others are higher than 10%.

Most members in the US feed commercial low carb foods like Fancy Feast Classics. There's a food list in the sticky posts at the top of the Feline Health board. I'd be cautious about any diet changes at the moment because they can trigger GI upsets at the best of times. I'd suggest giving a little bit of time for Blitzey to get past the HL and pancreatitis and stabilise properly first.

Good news on the test result. Regarding the intestinal issues, there's a good site called ibdkitties.net. You might find more information there to help you.

How's Blitzey eating today? Are his energy levels getting better?


Mogs
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Critter Mom said:
Purina DM wet is under 10% carbs. The others are higher than 10%.

Most members in the US feed commercial low carb foods like Fancy Feast Classics. There's a food list in the sticky posts at the top of the Feline Health board. I'd be cautious about any diet changes at the moment because they can trigger GI upsets at the best of times. I'd suggest giving a little bit of time for Blitzey to get past the HL and pancreatitis and stabilise properly first.

Good news on the test result. Regarding the intestinal issues, there's a good site called ibdkitties.net. You might find more information there to help you.

How's Blitzey eating today? Are his energy levels getting better?


Mogs
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My mom said this morning he was playing with my other cat which he has not done in a few weeks, was just laying around, he also is begging for food. He cries at her door. He will only eat half of the can at a time but he does this a few times a day,, but I think he is feeling much better..
 
jt and trouble (GA) said:
Ugh deleted my post thought you were talking about insulin .My bad
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schlania said:
So the aspirate she did on his spleen was negative for lymphoma, it is just regrowth.. So my question is she seemed to to think that if it was positive for lymphoma, that samples cause the thickening in his intestines, if it was negative then it would be ibd/ so do i get a test separately for this, He has been thru so much in the past week.I feel selfish for putting him thru all of this. Also she put him on hills prescription diet m/d or she daid to feed purina d/m or royal canin glycobalance, are these good foods...
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The samples she took should have answered that. IBD causes thickening too. The foods she suggested aren’t the best for diabetes. Sometimes a novel protein, one never eaten before, will help with IBD. You would feed only that for a month and see if it helps. Some go on budesonide which is a steroid but many can be on it without raising the bg. There’s a FB group for IBD kitties. Maybe @Wendy&Neko can tell you more and point you to the right one.
 
Hi. A few housekeeping notes.

Can you start a new thread for Blitzey? This one is getting awfully long.
You can make note of this thread in the new thread by copying and pasting https://www.felinediabetes.com/FDMB/threads/newly-diagnosed.233624/ of this thread in the first post of the new thread.
Perhaps add a brief synopsis.

I cannnot access your spreadsheet. Can you set it for sharing?

You are doing a great job so far. Feline diabetes is a steep learning curve. It will all become second nature faster than you think.
 
The only way to confirm IBD is with an endoscopy and biopsy. It’s invasive and expensive to say the least. If you’re not planning on having a biopsy at all, it’s safe to go on budesonide to see if it helps. It’s a localized steroid that acts on the GI tract only so it should not affect the bg levels @Wendy&Neko can explain better than I can! I’d discuss budesonide with your vet as a treatment option. Minnie gets the compound version so it’s a tiny amount I syringe feed her once a day. I’d stick to the anti nausea meds as well
 
Aleluia Grugru & Minnie said:
The only way to confirm IBD is with an endoscopy and biopsy. It’s invasive and expensive to say the least. If you’re not planning on having a biopsy at all, it’s safe to go on budesonide to see if it helps. It’s a localized steroid that acts on the GI tract only so it should not affect the bg levels @Wendy&Neko can explain better than I can! I’d discuss budesonide with your vet as a treatment option. Minnie gets the compound version so it’s a tiny amount I syringe feed her once a day. I’d stick to the anti nausea meds as well
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Will talk to vet again. Thank you
 
tiffmaxee said:
There’s a FB group for IBD kitties. Maybe @Wendy&Neko can tell you more and point you to the right one.
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Sorry, I avoid FB like the plague. :p You might find it on the ibdkitties website or the one on Raw Feeding or IBD Cats. I think it's the same peeps on FB, link is on the bottom of that web page I linked.
schlania said:
So the aspirate she did on his spleen was negative for lymphoma, it is just regrowth..
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Was a sample taken of the intestine too, or just the spleen? Typically to differentiate SCL (small cell lymphoma) from IBD, you need a sample of the intestine, taken either via surgical biopsy or an endoscopy. An aspirate is not differentiating by itself, though it can be sent for a PARR test (test for clonality) that can help with the diagnosis. Treatments for SCL and IBD are different - so you want to make sure you've treating the right condition. Just a side note from someone on her third SCL kitty (sigh!), it's not that bad. With the right med protocol, the vast majority can go into remission. I give a daily chew treat for one med, and the other gets hidden in pill pockets once every two weeks, though can be compounded in the US. I also have to manage nausea for a couple days after the every two week pill - that's just more pill pockets. Plus fussiness, I'm one of the lucky one with a SCL cat that also has IBD. :banghead:
 
He is eating, from what my mom says he is begging her to eat, be is more active.. his readings were in the 398 range and with the insulin 129. He is going for a curve on Tuesday. I finally will get to go home Friday to see him.. i can't wait. I hope he continues to do well, he has so much going on.. but he is eating and drinking. Will see the vet recommendation on Tuesday.
 
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