Very oddball question

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Maresydotes

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This is a sort of strange question, but.......I am trying my best to find an answer to my girls relapse and subsequent numbers.
Background: Missy was dx'd in March 2011 and started on Lantus. She was OTJ in April. Missy is very overweight, but once on canned food, lost regularily. The beginning of August 2011, she started to ask for more food. I hadn't tested her for a couple weeks and so checked her BG. Sure enough, she was back up. So, after talking to the vet, we started her bak on Lantus and put her on Clavamox to try to clear up her chin acne. (which is FINALLY responding to Betadyne after trying multiple treatments) Missy has had diarrhea (quite smelly) since around this time. I don't know if she had it when she relapsed (she prefers the outdoors to the litter box). I didn't notice it until she was put on the Clavamox, but I was looking for it then. I have tried yoghurt, FortiFlora, probiotics, DiaGel, different OTC kitty anti-diarrheal's, the vet put her on metronidazole for it..... FortiFlora and yoghurt did nothing. The rest of the treatments worked, but only transiently.
Oh, and she had blood work done and fecal samples examined for parasites, including Giardia, at the same time she was on the metronidazole.
Fast forward to the end of December 2011 and she is still having problems with diarrhea. I researched a bit on Giardia, because we have raccoons and possums in the back yard and Missy loves to lick water off anything, so it is a definite possibility. Apparently, it is difficult to diagnose because they have to be shedding the cysts at the time the stool is checked......and Giardia is becoming resistant to metronidazole. I brought this to my vet's attention. So she put her on a course of Panacur. That worked great....no smelly stools, no diarrhea. Whew! Then a few days later, back to loose stools. So, back on Panacur for and extended course, in case she had a resistant strain. She did very well while on Panacur. But, once off it, back to the loose stools.
At the same time she relapsed and had the loose stools, she stopped losing weight. These all may not be connected, but I tend to think they are. I also think I see a relationship to her BG levels and diarrhea.
Also....and this is where it gets a bit odd, Missy gets NO contraband. She is in a 6 ft. chain link fence and does not get out. The only thing she eats besides freeze dried chicken and her EVO cat food is the dragonflies she catches. (yes, my fat cat catches dragonflies) They are particularly abundant starting around July in my part of the world. I think it is far fetched, but feasible that maybe she got some kind of 'bug' from the bug. :lol: I have tried to do some research on what diseases dragonflies might carry, but since they don't bite humans, I haven't really found anything. The most was a thought that since they eat mosquitos, she maybe could have a mosquito borne disease.
What I am wondering is if anyone has any idea of how I might research more on 'dragonfly-born' diseases? I am sort of at a loss as to where to look other than the little I saw on the internet. Any thoughts would be welcome.
And, if you don't have any thoughts on dragonfly research, any thoughts on other causes of diarrhea I might explore.....I doubt she has IBD, as she has no other symptoms.....no biting at her belly, no tenderness, no vomiting. I know that EVO is high in fat, but she ate it for 4-5 months with no problems. I have not tried changing foods yet, as my vet wants me to stick to one change at a time, so we can narrow down what does work, if we can find it. That might be my next step after I hear back from the vet.
Sorry this is so long, but I wanted to be sure I had all the information included. Thanks to anyone who has any input in to this! I really appreciate it!!


PS. We are still on Lantus insulin, but I haven't posted her numbers recently, as I have been trying a different dosing schedule. We were on 10 hour dosing until my vet convinced me to try TID dosing.
 
Maresydotes said:
Fast forward to the end of December 2011 and she is still having problems with diarrhea. I researched a bit on Giardia, because we have raccoons and possums in the back yard and Missy loves to lick water off anything, so it is a definite possibility. Apparently, it is difficult to diagnose because they have to be shedding the cysts at the time the stool is checked......and Giardia is becoming resistant to metronidazole. I brought this to my vet's attention. So she put her on a course of Panacur. That worked great....no smelly stools, no diarrhea. Whew! Then a few days later, back to loose stools. So, back on Panacur for and extended course, in case she had a resistant strain. She did very well while on Panacur. But, once off it, back to the loose stools.

Maybe she's just being reinfected once she finishes her meds since they worked while she was taking them.
 
It is possible she has developed inflammatory bowel disease (IBD) - which will cause urgent, loose, stinky poohs. Some antibiotics have anti-inflammatory effects in the GI tract which is why metronidazole and/or cyclosporin may be given to cats with IBD.

If the fenced in area is one where raccoons can get in, you might try spraying the area with a dilute bleach solution (1 quart water + 1 oz bleach = close to 3%), waiting an hour, and rinsing. I have heard that may help disinfect a grassy area; I have not personnally tried it.

As far as internet searches - try searches with this phrases - "vector borne disease", "vector borne disease control" and "mosquito control". You'll find a lot of info on mosquito control as it is a cause of many human outbreaks (ex. malaria, encephalitis). Most importantly, reduce standing water near the home. Mosquitoes only need 1/2 cup of water to reproduce and often find that in flower pots, gutters, or old tires.
 
Thanks for the thoughts!! I was concerned about reinfection, also, but she really has not been outdoors much since going off the Panacur the last time. She is a fair-weather girl and it is winter in Seattle. :lol:
I like the thought of spraying down the yard. At least I will try the area she spends time in. We have 1/2 acre, so can't get it all, but she doesn't wander the whole yard, so I can try that.
I appreciate the input......thanks very much!
 
You can feed pumpkin (canned/plain) for the diarrhea but it won't fix the problem, but at least might make her feel a little better. I've never heard of dragonflies as a vector but you could research the term "dragonfly vector." If it is giardia, it is easy to reinfect. You want to wash her bottom and litter boxes 2-3 times during the course of treatment so she isn't reinfecting herself through grooming or fomite transmission (contact with non-living objects). I don't think you need to disinfect your yard, just make sure there is no free-standing water.

I think chronic pancreatitis and IBD would be something I would at least check on given the length of time this has been going on. A new food trial would also be at the top of my list.

Good luck,
Little Orange Cat
 
Chin acne ... just use Scope. Yes, the ordinary mouthwash.
My Shadoe had a big flare of it and my vet said no meds needed, just use those thin makeup removal pads and Scope.... wash down her chin and surrounding area a couple times a day.
Within a week, ALL of Shadoe chin acne was gone. I don't think she liked the taste (who does), but she healed nicely.

About trying TID dosing with Lantus.... don't do it. You are going to run into big issues when the nadirs for each cycle start clashing. You are going to increase the odds of hypo incidents, and just end up putting her on a rollercoaster. As I can't see your BG numbers, it's impossible to look for a pattern and give suggestions.
Many cats get better curves by the use of food manipulation, but without seeing numbers, it's hard to say something like try upfront frequent snacks, etc.

For meds, quite often it's best to test after one rx has been completely taken because many times it's not long enough and a 2nd round is good to start to be sure all of the health issue has been resolved.

And sorry, I have no clue where we can find carbs etc info for fireflies!
 
I have a cat that's allergic to chicken. He used to be okay, then one day he started having diarrhea that would temporarily respond to some treatments but never completely and then would come back. After three months of trying everything the vet and I could think of, I put him on a turkey/pumpkin diet (just luck here) and his diarrhea cleared up completely. Two weeks later I ran out of turkey, so I used chicken and the diarrhea came back. After a bunch of experimenting, we confirmed that yes, he had developed an allergy to chicken.

Maybe he's developed an allergy?

Heidi and Frodo, with Sampson (the allergic civie)
 
Again, thanks to you all for your suggestions. My vet has mentioned food allergies (thank you, Heidi for telling me your cat's appeared out of nowhere...just like Missy's) and IBD, so I just went out today and got some Natures Variety raw rabbit. I HOPE she will eat it...she is so darn picky, esp for a fat cat! Got some canned vennison and lamb to try as well.
Gail, thanks for the input on the Scope and chin acne! My DH had athletes foot and we did the OTC stuff and then started buying him the expensive prescription stuff, to no avail. I read an article in the 'people's pharmacy' about using Listerine on athletes foot....and in no time he was cleared up. I have to think Scope is right up there with Listerine. I would do anything to get her over it!! It it so much better, but still hanging around.
Hope we get her sorted out......you can see that spark of who she would be if she felt better, off and on. I have MS, so I relate to good days and bad days. I just can't get the pictures out of my mind of how she was in remission. I want to see that again. My mission is her remission!! :smile:
Thanks for all your thoughts and input!! It means a lot.
 
I'm wondering with all this liqui-poo going on and some other things you listed, have you had her thyroid checked recently? She may well be hyperthyroid which with my experience, is easy to deal with. Next time she goes in for blood work you should has the vet to do a T3 suppression test to see. And if you massage the front of her throat, does it feel like she's got an Adam's apple thing going? V
 
I was reading your post b/c I just came through 7 days (still going, but getting better) of liqui-poo and projectile vomit, no appetite with TEN cats.....was hoping your post would have an answer for US! LOL!

Anyway, just wanted to chime in to transition the food gradually if you are not already....75% old food w/25% new food for a few days to a week....then 50/50 few days to week, then 75% new food and 25% all food few days to a week until you are feeding all the new food or a mix thereof that you are comfortable with.

Fast food transistion causes tummy upset, too.

If it were my cats on the antibitotics, I would want to make sure I am offering a probiotic along with- that is, a few hours seperate or the AB may kill the probiotic, but during the course of AB and after...

Good luck. I hope things clear up for you guys.
 
Thanks, Melissa!
I have to agree with Vesla! I think it us bad with Missy, but 10 cat's! OMG! And Miss doesn't have the pukies. I haven't started the transisition, yet, because my very bad cats got in to contraband!! I haven't had dry food in the house for almost a year. I got some from the vet as a part of her promotion for pet dental month when Miss went in for her cleaning. I put it in the pantry, to pass on to my DMIL and her cats. Well, Phoenix, Missy's civvie brother had his dental yesterday. He was hungry when he got home and apparently I didn't feed him enough. (they said to go light on food that evening) I heard him pawing at the pantry door, but didn't give it any thought, as the dry food had been in there for 2 weeks. Well, apparently, he was REAL hungry, as he pawed the door open and chewed a hole in the bag!!! :o and, of course his sister had some, too! :shock: :shock: She was high all day. :cry: Thank God she is coming down, now. Little carb kitty!! So, I thought I would let her belly settle down a bit from that change before I introduce the rabbit.
Vesla,
She just had a thyroid check 2-3 weeks ago when she had her blood work done for the dental. Her thyroid showed as low, So they ran the free T-4 test and it is normal. So the vet said it was just the 'sick thyroid' syndrome associated with chronic disease, like FD. So, not hyperthyroid.
I am really happy ( :roll: ) to hear the food allergy can just appear out of nowhere. She has been on the EVO Chicken and Turkey since last March and I thought it odd she could develope an allergy out of nowhere.....I was so focused on parasites or maybe an infection.
I guess I will think about introducing her to the rabbit in a day or two after this carb fiasco!
Thanks everybody!!
 
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