Hi Karen,
You sound like how I felt a few months back when Saoirse had all those scans and tests done.
I can't comment on the significance of Rudy's Spec fPL because the lab that did your report uses a different reference range to the lab that does Saoirse's. I do know that from seeing posts here and in my reading elsewhere that just because a Spec fPL result is very high it does not necessarily correlate directly with severity of symptoms. For example, I remember reading here about a cat whose Spec fPL result was more than twice as high as Saoirse's. The other cat was fairly OK at the time but Saoirse was really poorly. For pancreatitis, the
IDEXX treatment guidelines are very helpful.
Recommendation: A course of B12 injections can
really help with pancreatitis - both in terms of a general boost, but also it can help with appetite as well.
What are Rudy's clinical signs/symptoms like at the moment? Is he nauseated/inappetent? If yes, then ondansetron may help more with nausea than famotidine (though famotidine is good for stomach acid due to CKD issues - both can be part of a treatment plan); and an appy stimulant such as cyproheptadine can help with that (usually only tiny doses are needed - too large a dose and it can make the cat drowsy/depressed).
Saoirse also had low thyroid results. The specialist said that this can be a knock-on effect from the pancreas problem (look up euthyroid sick syndrome).
For the kidney issues, I'd recommend joining the support group at
Tanya's Site. There are some very experienced members of the group and they routinely look at lab work for other members. (They're very friendly and helpful, too.)
I hope that's OK for now, Karen. (On new meds here and struggling with side effects.) I'll check in again hopefully tomorrow to see how you're getting on.
Mogs
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