Please help- Dennis seems very sick.

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Regardless of what the current cause or diagnosis of his tummy troubles, it sounds like you really need some help. Please DO contact DCIN, they are a wonderful organization and may well be able to help you.

I hope Dennis' tummy troubles resolve themselves soon. Please keep us posted! :bighug::bighug::bighug:
 
An idea just came to me: try crowdfunding.


Mogs
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Like GoFundMe? I did that when he was in the ER with DKA..... Unfortunately, it wasn't as successful as I had hoped. But we did manage to raise about $130 which certainly helps. Every penny does. If you have any other ideas please do share them with me. Thank you!
 
Hi there. He's still looking uncomfortable and bloated. He is also acting like he's starving. He's particularly grumpy; growling and scratching his "sister", which is not normal. He's purring (I've heard cats do that when they are in pain though??)...... The vet opens in 15minutes and I'm going to call them. I stayed home from class so that I can take him in. One piece of good news: He *JUST* pooped in the box. I'm glad but also concerned because it was very firm, almost too hard to be healthy. That's a sudden change from absolute diarrhea, to not pooping at all, then to very hard pooh.
I have noticed that he's also shaky/unstable. You can't really tell unless you're really looking for it.....I tested his urine for ketones yesterday and it didn't show any traces. Can it still be present if his BG drops into an acceptable range after insulin?
 
He *JUST* pooped in the box. I'm glad but also concerned because it was very firm, almost too hard to be healthy. That's a sudden change from absolute diarrhea, to not pooping at all, then to very hard pooh.
Happy Poop Dance!

How long since the previous poop?


Mogs
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He's a bit dehydrated and eating less than usual, I'd say it's expected that his poop would be pretty hard. When cats are dehydrated, they take all the moisture they can from the food in their bowels, leading to hard, dry poops.

It does sound likely that he's still in pain. :(

I'm very glad he's going to the vet today.


I have noticed that he's also shaky/unstable. You can't really tell unless you're really looking for it.....I tested his urine for ketones yesterday and it didn't show any traces. Can it still be present if his BG drops into an acceptable range after insulin?

I don't know. Hopefully someone else can help. Definitely something to bring up to your vet.
 
Before this morning the last one was about 48 hours ago which is very strange for him. He's a multiple poops per day kind of guy.
If you're going to the vet insist on his doing a physical exam of the abdomen - specifically looking for any signs of too much stool backed up in the colon.

If there is backed-up faeces your vet may be able to deploy an enema or other intervention to get things moving again. (Again, I recommend reading through www.felineconstipation.org to learn more about potential problems and how to monitor a cat with GI issues better.) If not backed up, perhaps a very limited period of Reglan (metoclopramide) treatment might help as it can improve gastric emptying speed and give a boost to gut motility in the short term. (NB: Reglan has some nasty side effects which can harm motor function - potentially irreversibly - if used longer term but it can be a very useful treatment for acute conditions provided it is used only for a brief period to get things moving again.)

If you can at all stretch to some blood tests, I suggest a general panel (esp kidney markers) plus B12/folate and pancreatitis (either SNAP fPL or Spec fPL). If circumstances mean that only selective testing is manageable, if it were me I'd opt to test for pancreatitis (SNAP fPL would do - subject to availability at a given vets but gives the most significant and perfectly adequate Yes/No result for initial diagnosis of the condition) ; B12/folate and then kidney markers. (Based on the clinical signs you describe, I've put these tests in order of priority and potential usefulness when a budget is tight. Other members may suggest better ideas. You also need to take on board any advice from your vets. (We're all lay people here, regardless of how experienced some members may be in various feline health issues. That said, there are some extremely knowledgeable and experienced members here who have walked similar paths to the one that Dennis and yourself are currently treading. If you get good suggestions here and yet the vet doesn't make similar suggestions then please don't be shy about bringing along some notes about treatments suggested here as a basis for discussion. So many vets, while well-intentioned, don't have the luxury of the time we here can devote to education about all the potential treatment avenues available.

If constipation is the issue and you can get the gut moving again properly then treatments such as slippery elm bark, plain canned pumpkin and perhaps Miralax can help keep Dennis regular going forward and hopefully resolve any inappetence/nausea issues.

I'm sending prayers and positive thoughts for Dennis to get back to normal and feeling much better very soon.

:bighug:


Mogs
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There's also a condition called megacolon that can develop in some cats. The colon fills with poop and the colon walls are too weak to push it out. They also stretch out to enlarge the colon diameter, hence the name megacolon. The condition usually requires surgical excision of the dilated section of colon. It should show up on X-ray. Maybe something to ask the vet about.

http://www.petmd.com/cat/conditions/digestive/c_ct_megacolon
 
Hi everyone. So we don't have too many answers but the vet said that Dennis' system has "slowed down" which caused the vomit and lack of poop. She does not think he has a complete blockage at this time however, if we do not treat it now she thinks it will turn into a complete blockage. He was put on an OTC anti gas medication (called Little Remedies). He was also put on Metoclopramide which should help his system start digesting properly again. The vet has asked me to stop checking his BG (I KNOW, I KNOW). Her reasoning is that she thinks inconsistant dosages are preventing him from becoming regulated. I disagree but I'm willing to step away from the meter if she truly thinks it's for the best.....I'm just not on board with not testing before shooting!!
Oh, they also gave him some fluids.
I also asked about the pancreas- she does not think that is an issue right now and due to my financial restraints she did not want to run a blood panel. She also thinks that although he is not regulated, his numbers are good enough to keep him away from being DKA (I'm always paranoid about this).
The vet wants to see him again next week.....so we are just hoping it's as simple as giving meds and watching him get back to normal...... *fingers crossed*

If he stops eating then we know there is a larger issue. Thank you everyone for all of your thoughts, ideas and advice. It truly means the world to me that you all care so much.
If anything changes I'll update you. <3
 
. He was put on an OTC anti gas medication (called Little Remedies). He was also put on Metoclopramide which should help his system start digesting properly again. The vet has asked me to stop checking his BG (I KNOW, I KNOW). Her reasoning is that she thinks inconsistant dosages are preventing him from becoming regulated. I disagree but I'm willing to step away from the meter if she truly thinks it's for the best.....I'm just not on board with not testing before shooting!!


I am glad the vet is giving supportive treatment. HOWEVER I do disagree with not testing. You need to test before each shot...which I am sure you will do and one test in between, around +3 hours after the shot, to see how low the dose is bringing Dennis. Once Dennis is feeling better it is possible that his glucose numbers could start to drop and you would want to be able to catch that.

Sending lots of healing energy for Dennis and :bighug: :bighug: for you
 
I am glad the vet is giving supportive treatment. HOWEVER I do disagree with not testing. You need to test before each shot...which I am sure you will do and one test in between, around +3 hours after the shot, to see how low the dose is bringing Dennis. Once Dennis is feeling better it is possible that his glucose numbers could start to drop and you would want to be able to catch that.

Sending lots of healing energy for Dennis and :bighug: :bighug: for you

I agree 100% ! If he was too low and I gave him his dose and anything happened to him, I'd never forgive myself. In the morning I shoot and leave for work. I don't get back until a half hour before he's due for insulin again! If something was wrong I would never know. At night I shoot him and 3 hours later I go to bed. Not checking the BG just doesn't sit right with me.....
 
One thing I'm wondering is why Dennis is shaky. If I pay close attention I can see that his front legs are shaky. When it comes to his back legs, he often he has to "catch himself" if he tries to turn around too quickly, or if he rubs against my legs he will lose his balance.
Would that be because his BG is high before insulin (even though it comes down to a decent number after insulin) or should I be worried about DKA even though the vet said not to be? He's in the low 200s right now (+4) but he's shaky.....What could cause that??
Looking back, I don't know if she did any tests that would have shown ketones.......I use the ketodiastix but the results have been a weird color that's between "negative" and "trace"......
 
One thing I'm wondering is why Dennis is shaky.


From the sounds of what you are describing it could be either neuropathy or low potassium. If you have had a complete bloodwork done recently it would show if there was a problem with the potassium levels. Diabetic neuropathy causes a muscle weakness, usually in the hind legs, but it can also affect the front legs. If Dennis seems to be walking on his hocks, rather than his toes this is one of the signs of neuropathy. It can be treated with B12 METHYLCOBALAMIN which is available as Zobaline:

51NvDRABObL.jpg



Once the glucose levels are under better control and supplementing with B12 is started there should be some signs of improvement. It can take weeks or even months to reverse the neuropathy, depending how bad it is.
 
From the sounds of what you are describing it could be either neuropathy or low potassium. If you have had a complete bloodwork done recently it would show if there was a problem with the potassium levels. Diabetic neuropathy causes a muscle weakness, usually in the hind legs, but it can also affect the front legs. If Dennis seems to be walking on his hocks, rather than his toes this is one of the signs of neuropathy. It can be treated with B12 METHYLCOBALAMIN which is available as Zobaline:

51NvDRABObL.jpg



Once the glucose levels are under better control and supplementing with B12 is started there should be some signs of improvement. It can take weeks or even months to reverse the neuropathy, depending how bad it is.
That's good to know. He's still walking on his toes but sometimes it seems like he sits down to avoid feeling a little unstable. Would it hurt to give him the B12 even if he doesn't have the condition? I don't think he's ever been checked for it and I can't remember the last time he had a full blood work panel.
 
That's good to know. He's still walking on his toes but sometimes it seems like he sits down to avoid feeling a little unstable. Would it hurt to give him the B12 even if he doesn't have the condition? I don't think he's ever been checked for it and I can't remember the last time he had a full blood work panel.

You ca give the B12 METHYLCOBALAMIN , which is what Zobaline is without a problem. It is a water soluble vitamin and whatever is excess is secreted out in the urine. At the recommended doses there is no problems with taking it.
 

This is a video showing a kitty with advanced neuropathy and the improvement with using B12.
Oh wow that's amazing. I think that's worth a shot. The one feature I noticed that Dennis has in common with the video is that he will sometimes put his back feet together and point his "toes" outward (like a balarina would put her heels together and point the feet outward). I'm not sure if it's for stability, or if he doesn't have a lot of energy....but you might be on to something here.
 
One of my FD kitties had definite neuropathy...he is very hard to regulate and often runs in higher numbers. Using the B12 has made a big difference with him. He also had the feet pointing outward, and would only walk a short distance before having to sit down and rest. He is not 100% but that is largely because with his other health issues, he runs in higher numbers more often than I would like.

It is certainly worth a try. :bighug:
 
Thank you for checking in :)
He's pretty shaky still- until Friday I can't afford to buy the B12 that was suggested.... I hope that will help.
I called to ask the vet why she thinks Dennis is so shaky and she said it's due to the fact that he's been straining to poop; she said that causes fatigue and shakiness.....I' e never heard that before.
But other than the shakiness and bloating after eating, he hasn't vomited, which is good news.
I just can't help but feel that something isn't quite right... I'm not sure if that's "kitty mom" instinct, or paranoia. It's a fine line!! Lol
 
He's also been breathing fast :/
Apparently the vet doesn't think that's too big of a deal but I do.
If anyone has any thoughts that would be appreciated as well.
 
Sorry that I don't have any info for you regarding Dennis's issues, but I do have some leftover Zobaline (20 tablets) that my Cootie didn't finish before she passed away. They've been kept in a cool dark space & don't expire til 2017. The Zobaline works great but I think you can only get it online & it's kind of pricey.

I would be happy to send them to you right away tomorrow if you want to PM me with your name & address.
Nancy
 
If Dennis is having breathing problems and is still experiencing the bloated belly, he should be seen by a vet ASAP. There could be fluid in the abdomen, or an enlarged organ. I would not simply dismiss it because the vet does not think it is a problem.
 
If Dennis is having breathing problems and is still experiencing the bloated belly, he should be seen by a vet ASAP. There could be fluid in the abdomen, or an enlarged organ. I would not simply dismiss it because the vet does not think it is a problem.
Would that be something the vet would have noticed during his physical yesterday?

*i wouldn't say it's a breathing *problem* but he's breathing faster than usual. This has happened before when his BG was cknstantly high. He's walking around pretty normally....he's eating, peeing, he's not lethargic. It's not like his breathing is labored....but it's faster than usual.
 
If he's a bit dehydrated add a few tablespoons of water to his food and a spoonful of canned pumpkin that is plain with no spices. I've used pumpkin several times with my cat with great success.
 
I'd suggest not adding any pumpkin to Dennis' food till you know for definite what's going on with his GI tract (and always discuss any such additions with your vet first before trialling something new). But as Janet suggests above a couple of teaspoonfuls of water with each small meal could help hydrate him better. Don't add too much because it can water down the flavour of the food too much and he might not eat it. If you're trying anything new (e.g. adding water) do it while you're at home in the evening so that you can make sure he eats the food reliably (vital that he eats it with insulin in the picture and that you know he will eat while you're away from the house during the day).

:bighug:


Mogs
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I'd suggest not adding any pumpkin to Dennis' food till you know for definite what's going on with his GI tract (and always discuss any such additions with your vet first before trialling something new). But as Janet suggests above a couple of teaspoonfuls of water with each small meal could help hydrate him better. Don't add too much because it can water down the flavour of the food too much and he might not eat it. If you're trying anything new (e.g. adding water) do it while you're at home in the evening so that you can make sure he eats the food reliably (vital that he eats it with insulin in the picture and that you know he will eat while you're away from the house during the day).

:bighug:


Mogs
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Thank you, I usually add quite a bit of water to every meal and he doesn't seem to mind. Yesterday, the vet recommended via phone call that I add pumpkin to his food to help him poop incase he is constipated. He strained to poop yesterday (pushing a lot and lots of noisy gas came out) so I'm guessing he is at least a little constipated. So far no progress since eating pumpkin.

If he's a bit dehydrated add a few tablespoons of water to his food and a spoonful of canned pumpkin that is plain with no spices. I've used pumpkin several times with my cat with great success.
The vet suggested the same thing. I'm glad to hear it's helped you in the past. I hope it works for Dennis!
 
Thank you, I usually add quite a bit of water to every meal and he doesn't seem to mind. Yesterday, the vet recommended via phone call that I add pumpkin to his food to help him poop incase he is constipated. He strained to poop yesterday (pushing a lot and lots of noisy gas came out) so I'm guessing he is at least a little constipated. So far no progress since eating pumpkin.


The vet suggested the same thing. I'm glad to hear it's helped you in the past. I hope it works for Dennis!
The loose stools before could actually be constipation related. If there's a dry poop stuck, some of the watery stuff can squeeze past it. My cat would get diarrhea a little and that's our signal it's time for pumpkin.
 
Not to update you all too much- but Dennis just pooped. He was clearly straining but when he did poop it was solid and it was pretty normal looking until I REALLLLLY looked at it and I could see a little bit of blood on the outside of the "sample"......

I have called the vet and I am waiting for a call back but can anyone tell me how bad is it to find a little bit of blood in the poop when they're straining to poop?

(He's still on a OTC anti-gas med, Metoclopramide to help "move things along" (not a stool softener as far as I know), pumpkin, and he's been eating his old diet that he tolerates well)
 
Not to update you all too much- but Dennis just pooped. He was clearly straining but when he did poop it was solid and it was pretty normal looking until I REALLLLLY looked at it and I could see a little bit of blood on the outside of the "sample"......

I have called the vet and I am waiting for a call back but can anyone tell me how bad is it to find a little bit of blood in the poop when they're straining to poop?

(He's still on a OTC anti-gas med, Metoclopramide to help "move things along" (not a stool softener as far as I know), pumpkin, and he's been eating his old diet that he tolerates well)
If he had to strain and the poop was more solid than normal, the blood could be from a mild anal abrasion.
 
Yay for the poop! (We like good poops round here. ;) )

Metoclopramide to help "move things along" (not a stool softener as far as I know),

From www.drugs.com:

What is metoclopramide?
Metoclopramide increases muscle contractions in the upper digestive tract. This speeds up the rate at which the stomach empties into the intestines.

Metoclopramide is used short-term to treat heartburn caused by gastroesophageal reflux in people who have used other medications without relief of symptoms.

Metoclopramide is also used to treat slow gastric emptying in people with diabetes (also called diabetic gastroparesis), which can cause nausea, vomiting, heartburn, loss of appetite, and a feeling of fullness after meals.

Source: https://www.drugs.com/metoclopramide.html

It can't be used long-term because it messes around with dopamine levels and can have some nasty (potentially non-reversible) side effects.


Mogs
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Not to update you all too much- but Dennis just pooped. He was clearly straining but when he did poop it was solid and it was pretty normal looking until I REALLLLLY looked at it and I could see a little bit of blood on the outside of the "sample"......

I have called the vet and I am waiting for a call back but can anyone tell me how bad is it to find a little bit of blood in the poop when they're straining to poop?

(He's still on a OTC anti-gas med, Metoclopramide to help "move things along" (not a stool softener as far as I know), pumpkin, and he's been eating his old diet that he tolerates well)
If it was bright red then it's most likely just from straining. Keep giving pumpkin. I wouldn't worry unless it continued
 
Yay for the poop! (We like good poops round here. ;) )



From www.drugs.com:

What is metoclopramide?
Metoclopramide increases muscle contractions in the upper digestive tract. This speeds up the rate at which the stomach empties into the intestines.

Metoclopramide is used short-term to treat heartburn caused by gastroesophageal reflux in people who have used other medications without relief of symptoms.

Metoclopramide is also used to treat slow gastric emptying in people with diabetes (also called diabetic gastroparesis), which can cause nausea, vomiting, heartburn, loss of appetite, and a feeling of fullness after meals.

Source: https://www.drugs.com/metoclopramide.html

It can't be used long-term because it messes around with dopamine levels and can have some nasty (potentially non-reversible side effects).


Mogs
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Wow! Awesome info! Thank you. I've been running around like crazy and didn't even think to google that medication. Thank you!! :) :)
 
If it was bright red then it's most likely just from straining. Keep giving pumpkin. I wouldn't worry unless it continued

You're right, it was red. The vet called me back to say that she doesn't think it's an issue. I'll watch him closely though :) Thank you!
 
How is your kitty today?
Hi. Thank you for asking. His BG has come down to 350 tonight which is a wonderful surprise (I have to update his SS).
He just pooped again (finally) but it's bloody :/ The vet still doesn't seem concerned but I certainly am...... Something just isn't right.
 
Hi. Thank you for asking. His BG has come down to 350 tonight which is a wonderful surprise (I have to update his SS).
He just pooped again (finally) but it's bloody :/ The vet still doesn't seem concerned but I certainly am...... Something just isn't right.
That certainly is disconcerting, but he may be just reopening cuts from yesterday. Is it more than a few spots?
 
Hi. Thank you for asking. His BG has come down to 350 tonight which is a wonderful surprise (I have to update his SS).
He just pooped again (finally) but it's bloody :/ The vet still doesn't seem concerned but I certainly am...... Something just isn't right.
Usually bright red blood comes from trauma right around the anus or lower rectum. Hard stool or straining could cause this. Stools that are tarry black are a sign of something more serious that has caused bleeding further up inside the digestive tract.
 
That certainly is disconcerting, but he may be just reopening cuts from yesterday. Is it more than a few spots?

I have to look carefully to see it. But then I wipe the "sample" with some toilet paper and I can see that there is blood there. It is not a lot, but it seems to be strictly on the outside of the stool....and again, it's not extremely noticeable but it is certainly there.
 
Usually bright red blood comes from trauma right around the anus or lower rectum. Hard stool or straining could cause this. Stools that are tarry black are a sign of something more serious that has caused bleeding further up inside the digestive tract.
Thank you. Yes, it's red. His stool WAS black but that was due to the venison he was eating (since I changed the diet, his stool is anywhere from light to dark brown and solid- yay!).
I hope this is just from straining but he's been on a gentle diet, medication, and pumpkin for a few days now.......shouldn't he be better by now? :(
 
Thank you. Yes, it's red. His stool WAS black but that was due to the venison he was eating (since I changed the diet, his stool is anywhere from light to dark brown and solid- yay!).
I hope this is just from straining but he's been on a gentle diet, medication, and pumpkin for a few days now.......shouldn't he be better by now? :(
He might still have raw, abraded areas from his episode of constipation that bleed when he poops. They need time to heal.
 
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