hepatic lipidosis & hospice scheduled tomorrow - is it time to stop force feeding or is there hope still??

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J Jenny22 ...if you are keeping the mobile vet appointment...then ask them their professional opinion...on the convenia injection that was given.
There seems to be some controversy with convenia injections...due to side effects...and staying in the cat's body for up to 65 days.

(having said that...my own Vet had given...my previous rainbow cat a convenia injection...after dental extractions...and the most recent new Vet...also gave my recent cat...a convenia injection..after a cheek abscess. Luckily, for me,...there were no adverse reactions.
But I do blame myself...for not telling both Vets...ahead of time...not to give any long lasting injections to my cats.
I prefer using the pill route.)

(It's difficult really, for us pet guardians, to know what to do...in these type of situations...and then learning about the meds...at later dates. Every medication does have potential side effects...so I guess...it comes down to trying to be informed, asking questions...but also remembering to write things down...and remembering to tell our Vets ahead of time...what our cats can and cannot take...in case they forget to read it up in the cat's chart.)

(for instance, my male cat went into seizures from being given ketamine...while undergoing aneasthesia for an x-ray. They were able to control it, and bring him back...but it really frightened me...and made me realize...how one minute.."a 6 year old cat can be okay,...and the next minute they can potentially die"...even from undergoing...something that should be routine.
Now it's in his medical chart...but I have to remember to mention it...each time.)

Total Health vibes...being sent for Lulu and you today. :vibes::vibes::caticon: :heartshape:
 
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I would keep the mobile visit.
I was dead set on euthanizing today. I tried to get Lulu's hospice appointment back. Unfortunately, they were booked until Saturday. So, I did take her to the mobile vet and asked them to evaluate her before putting her through bloodwork. They told me they did not think she was that bad! The mobile vet says she's sick and she sees a yellow cat, but that's it. But then I said, why is she turning more yellow if I am aggressively feeding her? This vet gave me the subq fluids and showed me how to do it, vitamin injection, took more bloodwork, and gave me ursodiol. She said probably because there is bile sludge in the gallbladder. But she said multiple times, 'I would not put this cat down" and that they had seen worse and those cats recovered. I even asked her, but what if it is something more like gallstones - if I let this go one, could her gallbladder rupture?? But she did not see that in the numbers from last week she said. I pray that she gets better and that I am not prolonging something bigger going on...
 
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J Jenny22 ...if you are keeping the mobile vet appointment...then ask them their professional opinion...on the convenia injection that was given.
There seems to be some controversy with convenia injections...due to side effects...and staying in the cat's body for up to 65 days.

(having said that...my own Vet had given...my previous rainbow cat a convenia injection...after dental extractions...and the most recent new Vet...also gave my recent cat...a convenia injection..after a cheek abscess. Luckily, for me,...there were no adverse reactions.
But I do blame myself...for not telling both Vets...ahead of time...not to give any long lasting injections to my cats.
I prefer using the pill route.)

(It's difficult really, for us pet guardians, to know what to do...in these type of situations...and then learning about the meds...at later dates. Every medication does have potential side effects...so I guess...it comes down to trying to be informed, asking questions...but also remembering to write things down...and remembering to tell our Vets ahead of time...what our cats can and cannot take...in case they forget to read it up in the cat's chart.)

(for instance, my male cat went into seizures from being given ketamine...while undergoing aneasthesia for an x-ray. They were able to control it, and bring him back...but it really frightened me...and made me realize...how one minute.."a 6 year old cat can be okay,...and the next minute they can potentially die"...even from undergoing...something that should be routine.
Now it's in his medical chart...but I have to remember to mention it...each time.)

Total Health vibes...being sent for Lulu and you today. :vibes::vibes::caticon: :heartshape:
I heard some terrible things about that injection, too - but 65 days??? I feel awful. The vet asked me and I okay'd it. I figured the pros outweigh the cons for what we thought we were treating at the time. Also, I came down with covid so I wonder if I was also battling covid on top of everything. Lots of things I keep going over in my head. Was she eating less because of the stomatitis??? Was I giving too much egg yolk in her food and that raised her cholesterol? Was I watering her homemade food down too much and inadvertently had her in a deficit? Did the convenia injection make her worse? Did I give her covid and maybe that caused some flare ups in her and resulted in this nightmare? ah...my heads hurts...
 

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Liver enzymes take time to correct themselves. It is not a matter of just giving her more food and expecting a results....this could play out more slowly than you think. I would take the mobile vet at her word and see if there is any improvement, especially in quality of life, not even so much the color in the ears.
 

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Over the course of 2 weeks and despite telling my primary vet that my cat was eating less, she unfortunately developed hepatic lipidosis. I even urged him earlier last week to please prescribe anti-nausea medication to get her to eat, but he didn't want to overload her kidneys. I feel as though he wasn't taking my concerns seriously. After requesting bloodwork, he finally realized what I feared...her liver enzymes were through the roof and she possibly had an infection. The cause of hepatic lipidosis is uncertain as she has mild early stage CKD and IBD that I have been able to manage through diet. I wound up taking her to the ER that night and then she was transferred to another location for the internist and had an ultrasound and fluids. That was last weekend. I felt the whole experience made everything worse as they usually do - she's so fragile and easily stressed by vets. She became jaundiced while there and they did not feed her at all even after the ultrasound. They wanted to put the feeding tube in but it more than tripled the hospital estimate and I couldn't afford it. The ultrasound showed that she had an inflamed gall bladder and bile ducts...no obvious signs of cancer. Bloodwork showed ALT of 882 at the time and also signs of infection plus her gall bladder enzymes were also off the chart. I took her home and began syringe feeding her but she just looked miserable and nauseous the whole time. I fought with the ER to please prescribe ondansetron to help with the nausea as cerenia was preventing her from vomiting but did not help with the nausea. They wanted me to bring her back in for reevaluation and that's where I had to draw a line. This cat has already been through so much in the last few months not to mention I was financially tapped out at this point. Not knowing the extent of her dental/mouth pain I don't know if I want to keep syringe feeding her. She just looks so uncomfortable every time I feed her and I don't know why. And if she gets better, then I have to address the dental stuff (and her heart to be safe beforehand). I did eventually get ondansetron and it did help. I don't know why they would not have given it sooner or why they didn't give any other vitamins or support to me to do this at home. I honestly felt as though I have been completely without the support of both her primary vet and the ER vets in the best way I could do this at home given that I was unable to afford the feeding tube. I just didn't feel like they gave the best medications or any supplemental vitamins to help with her liver...

As a last ditch effort, I bought a bunch of kitty crack foods, and she immediately started eating the fancy feast. She even ate the fancy feast hard treats (she never eats anything hard anymore). Of course, now she is back to her meatloaf stance.

Hospice is coming tomorrow morning at 11:00am to put her down. I change my mind every hour on if this is the right decision or not. I don't know. She's clearly very uncomfortable but I don't know if I'm supposed to push through that and keep feeding her. At one point does one stop and say "this is making her worse"? For the most part, she's usually in a meatloaf position. But she does have moments where she looks more relaxed. Do I need to stop looking for the silver lining in all of this and be more realistic?

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Don't forget to reach out to local rescues, etc. and find out about raising funds to help you. The rescues may either be able to do a fundraiser for you, or may be able to give you advice about it. I always hate to see any decisions for a living creature be based on money.
 
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Don't forget to reach out to local rescues, etc. and find out about raising funds to help you. The rescues may either be able to do a fundraiser for you, or may be able to give you advice about it. I always hate to see any decisions for a living creature be based on money.
I would say it wasn't based on money alone (even though I cannot afford another ER trip). She's just been through so much over the months and so much trauma just last week at the ER that if this turns out to be something that needs surgery or cannot be fixed at home, then I think she would also prefer I let her go than bring her back to a place that terrifies her. I'm not sure where you are located, but the vets are beyond understaffed everywhere in the state I live. It's really bad and it impossible to get an appointment. The ERs are even worse as they are handling the overflow of what the primary's can't handle. And with covid, they are putting restrictions up again. So, what that means is that my little kitty is surrounded beyond capacity by other distressed animals, separated from me, and quickly poked and prodded and maybe even a little neglected in terms of the amount of care that could be provided. I know the vets are doing their best, but I think the cons are outweighing the pros by bringing her back. So, I was trying to monitor to the best of my ability if she stands a chance with the at-home care and to know if she's not progressing and then when to let her go to avoiding any further suffering or if she get's really bad. The other reason I contemplated hospice was because she has other issues I would need to address coming out of this and I feel awful putting her through more stress if she overcomes this. Her teeth for example - which may have been the reason why she was eating less. I'm not sure... But if she pulls through, I will need to come up with another $6K for the cardiologist and dental specialist. So, I will look into a charity for that. I guess, one thing at a time. The mobile vet thinks she will definitely pull through.
 

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I heard some terrible things about that injection, too - but 65 days??? I feel awful. The vet asked me and I okay'd it. I figured the pros outweigh the cons for what we thought we were treating at the time. Also, I came down with covid so I wonder if I was also battling covid on top of everything. Lots of things I keep going over in my head. Was she eating less because of the stomatitis??? Was I giving too much egg yolk in her food and that raised her cholesterol? Was I watering her homemade food down too much and inadvertently had her in a deficit? Did the convenia injection make her worse? Did I give her covid and maybe that caused some flare ups in her and resulted in this nightmare? ah...my heads hurts...
Don't be too hard on yourself, J Jenny22 . :alright:

(I would have probably okay'd it, too. When I'm at the Vets, even just waiting in the car, because we are not allowed to go inside due to Covid restrictions...then I tend to forget many things to say...or ask over the phone. (I basically have to write it down..and often forget to do so...ahead of time.) For instance, they still push Metacam for cats, here. I bought it, took it home, but was too nervous to give it.)

You've done so much, based on just looking at the Blood Work, and then the ER diagnostics, and again the ER Bloodwork.

You have to take care of yourself, too. Gosh. Having Covid must have been a nightmare, as well.
And no, you didn't do anything wrong, with Lulu's care.

We always, as caring humans, go and look back,...and try to find out where we went wrong...in the hopes of not repeating it again.
But I think, that things in Life,...the lessons we learn, all the things our cats teach us...to be Strong, to be in the Moment, to enjoy the days...no matter how many there are...all these things are important.

With any cat, of any age,...there can be problems of illness that come along.
It's true, that as a cat ages...then more things may come up...but still...you are doing your best...to address each issue...one step at a time.

Remember, just take it one step at a time.
Just deal with the 'now'.
Don't worry about the causes of anything, right now.

Just focus on spending some quality time with your girl.
Tell her how much you love her...even if she already knows it. :hearthrob:
And trust me,...Lulu does know it. :bluepaw:
 

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And with covid, they are putting restrictions up again. So, what that means is that my little kitty is surrounded beyond capacity by other distressed animals, separated from me, and quickly poked and prodded and maybe even a little neglected in terms of the amount of care that could be provided. I know the vets are doing their best, but I think the cons are outweighing the pros by bringing her back. So, I was trying to monitor to the best of my ability if she stands a chance with the at-home care and to know if she's not progressing and then when to let her go to avoiding any further suffering or if she get's really bad. The other reason I contemplated hospice was because she has other issues I would need to address coming out of this and I feel awful putting her through more stress if she overcomes this. Her teeth for example - which may have been the reason why she was eating less. I'm not sure... But if she pulls through, I will need to come up with another $6K for the cardiologist and dental specialist. So, I will look into a charity for that. I guess, one thing at a time. The mobile vet thinks she will definitely pull through.
I totally agree with that. Way better to have your cat Lulu at home with you, where you can monitor her.
Not alone, at some ER hospital...whose prices are too astronomical...to begin with.

Don't worry at all about the cardiologist.
Maybe the Dental...but there should be places around...that will do extractions...for much less of a quote.
Some regular vets may even be able to do it.

Like you said...one thing at a time.:grouphug: :hugs: :vibes::vibes::caticon:

How much has she eaten today?
and is she drinking water on her own?
 

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I would say it wasn't based on money alone (even though I cannot afford another ER trip). She's just been through so much over the months and so much trauma just last week at the ER that if this turns out to be something that needs surgery or cannot be fixed at home, then I think she would also prefer I let her go than bring her back to a place that terrifies her. I'm not sure where you are located, but the vets are beyond understaffed everywhere in the state I live. It's really bad and it impossible to get an appointment. The ERs are even worse as they are handling the overflow of what the primary's can't handle. And with covid, they are putting restrictions up again. So, what that means is that my little kitty is surrounded beyond capacity by other distressed animals, separated from me, and quickly poked and prodded and maybe even a little neglected in terms of the amount of care that could be provided. I know the vets are doing their best, but I think the cons are outweighing the pros by bringing her back. So, I was trying to monitor to the best of my ability if she stands a chance with the at-home care and to know if she's not progressing and then when to let her go to avoiding any further suffering or if she get's really bad. The other reason I contemplated hospice was because she has other issues I would need to address coming out of this and I feel awful putting her through more stress if she overcomes this. Her teeth for example - which may have been the reason why she was eating less. I'm not sure... But if she pulls through, I will need to come up with another $6K for the cardiologist and dental specialist. So, I will look into a charity for that. I guess, one thing at a time. The mobile vet thinks she will definitely pull through.
That sounds promising (what the mobile vet told you). Be careful with pulling teeth (if that was what was suggested to you)-my cancer kitty: the vet initially said she wasn't eating because she had bad teeth. He pulled a few of her teeth (you have no idea how that keeps me up at night) & it turned out that she wasn't eating because she had cancer!!

I totally wasn't suggesting you aren't trying everything, I just wanted you to keep in mind that there are funds available, if that plays a part in your decision. A lot of people don't know that & have to make a decision between feeding their kids & a vet bill, without realizing there is help available.

Yes, I'm sure you will find many people here that have had cats with similar issues & can give you specific helpful info.

Yes, I am also in a state where the vets are acting horrific by not allowing the pet owners in with their pets. I spent full days researching & calling every vet office in a 100 mile radius to find specialists that would allow me & my pet in the room together. I have to drive hours in traffic for him to see the cardiologist. There is no way I am dropping my kitty at a curb like a sack of dirty laundry, & allow strangers to take him & poke & prod him. If they believe in science that little, then they sure as hell aren't going to know enough to give medical treatment. Or give that little consideration to a living creature. Totally despicable.

Good for you with all of your research. It's frustrating, but you're doing great!
 
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How much has she eaten today?
and is she drinking water on her own?
She never stopped drinking water (thank goodness) though she slowed down for a day or two. Today the mobile vet gave some Sub Q fluids despite saying Lulu was not that dehydrated. And she looked MUCH better after that. She's not really eating at all, by the way. I hear her in the middle of the night munch on some raw rabbit I leave in her bowl. But last night she threw up and it was not the baby food I've been giving her or at least it was not the right color or texture. So, I'm not sure if it was the raw rabbit. She lets me syringe her the baby food no problem. I don't even have to restrain her. And she's sometimes lick the syringe afterwards and eat more of the baby food on her own if I put it on the lid. That is basically the extent of her "showing interest" in food.
 

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Can you get her to eat any type of wet cat food...like those fancy feast ones, or any others that you mentioned before?
Even if you have to blend it down, puree it, mash it, add a bit of warm water to make it smell more.
If she won't eat it...then try to syringe feed her with it.
Getting Lulu to eat more calories, like she was doing on tuesday, and wednesday...would be good.

I found this video helpful. It's an older one, but still good advice for syringe feeding:
 
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Can you get her to eat any type of wet cat food...like those fancy feast ones, or any others that you mentioned before?
So, here is my concern with canned food... Lulu had a history of chronic vomiting for years. It eventually increased to multiple times a week and vets couldn't find the reason with bloodwork. I switched her to commercial raw rabbit and it was a game changer. NO vomiting for the next 8 months, friendlier, hungrier, more playful, more energy, etc. You can't imagine how bad I felt realizing that she wasn't actually a mean cat that was super picky about her diet; she was just uncomfortable for all those years. Fancy feast is what I had been giving her, by the way. But she became intolerant to it and wouldn't touch any other canned foods, even the good quality expensive ones. After 8 months, the Instinct brand discontinued the raw rabbit line and I couldn't find her food anywhere. I tried to use their chicken version thinking maybe Lulu could tolerate chicken again, but it was a huge mistake. It sent her to the ER with persistent vomiting and that is where she had an ultrasound and the ER assumed it was IBD/lymphoma

An IM vet at her follow up actually believe it was more allergy related as she is responsive and does well if she stays away from chicken but I'm not so sure anymore. So, I began making her food on my own and ordering rabbit from a farm (while adding a meal completer). I tried homemade raw a few times, but she had trouble adjusting. With the home cooked foods, she never really took to it either (she ate it but didn't ever seem excited about it). Nothing worked for her like Instinct's Raw Signature line.... But the thing is that Lulu has not been on canned food in over a year and cannot tolerate the majority of proteins in canned foods. So, I gave her some fancy feast in desperation the other day, but she eventually grew tired of it anyway and never ate more than a few licks and bites. Plus, Fancy Feast uses too many proteins she cannot tolerate. Since I don't know what the HL is secondary too, I am very afraid to cause inflammation or IBD flares by giving her anything that she is not used to or won't tolerate.

I'm pretty torn... :(

As for what I suspect it is secondary too...there are a few possibilities...
My neighbor upstairs moved out and the landlord renovated the entire upstairs which took like 2-3 weeks. It was LOUD. It was stressing me out; it was definitely stressing Lulu out. That was in November. Then when they were done, they actually renovated my bathroom while we were here. So, Lulu stayed with me in the livingroom but it was probably also stressful for her. They finished the remodeling by the first week of December. It was on a week later that I noticed Lulu had been eating less. Not sure if that is coincidence with the lag but the new people creak the floor more I notice which may also have thrown her off hearing so many sounds. Another possibility is that I allowed her to eat some foods she normally shouldn't since she was not wanting her typical home cooked pork. I am wondering if this lead to inflammation in her GI tract with the IBD and that caused her to eat less. Lastly, I think it may have been her teeth/stomatitis which I was planning on addressing for months but her vet had me wait. I think something in general caused widespread inflammation in her (both gastro and mouth). But that is just my guess. I never had the diagnostics to see if the ultrasound missed a bigger issue. Plus it seems as though her gallbladder is affected now (her GTT was normal on the first bloodwork, but high by the time she became jaundiced, so I don't know).

Sorry, I realize I am rambling. But you see with the IBD issue, I am petrified of giving her something that will make her systemically worse. I have been able to get 200 calories of baby food gerber in her. And now added nutri-cal gel. Plus I still put her raw rabbit down at night (I think she eats like a teaspoon to tablespoon at most whereas she would need a full cup for her daily caloric intake). Today, I went to feed her the remaining 30-50 calories of baby food and 15 minutes later, she vomited it up despite being on cerenia and ondansetron. :( That was pretty upsetting. I can try and coax her with fancy feast again, but I need to go out and buy more. The mobile vet also gave me EN (forget what it is - some high calorie canned food). But again - I'm terrified to give her something that will make everything worse...

In general, I will say that Lulu has improved in some ways since I took her home from the ER and regressed in other ways.

The ways that she has regressed is that she is VERY yellow (even though the mobile vet doesn't think she's that bad). She shows no interest whatsoever in playing or anything. And she's not perking up for fancy feast treats anymore. Plus, I think she is eating less on her own whereas she was barely eating on her own to begin with. And she has vomited. She was eating some baby food off the lid but doing less of that this past day. I am most likely going to try more fancy feast as you mentioned but so worried about it. She will not touch any other canned foods on her own.

The ways that she has improved is that she is more affectionate to me and not in the same awful painful and nauseous meatloaf stance as she was when she came back from the ER. I mean, it was horrible to watch. She was clearly suffering and I wanted to just put her down right then and there. She avoided me, tried to hide, was uncomfortable. She has moments on and off where she clearly looks uncomfortable and may groan a bit, but she does not look nearly as bad as she did then. A lot of times, I see her in a more relaxed position sleeping instead of a very uncomfortable one. She has put on weight. The vet weighed her at 9lbs yesterday whereas the first ER had her at 7.9lbs and I'm sure she continued to lose some weight after that. I see her occasionally doing some grooming which she was not doing at all before. She just had a LARGE bowel movement. And I see her scratching the carpet (she uses it like a scratch post) and stretching more which is reassuring. But outside of some of her behaviors returning, she is still miserable, still very jaundiced, still not eating. :(

I am anxious to see the bloodwork we recently took though I know it's going to be way worse than it was at the ER because she went downhill rapidly after the ER - I gather from a combination of both stress and the ER not feeding her for an additional day allowing the fatty liver to progress.
 
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hello - there may be something in this thread if you haven't seen it already;

Any Good Tips To Get Your Cats To Eat? Share Them Here!
Thanks, I may try the grated parm option! There are a few that I have no idea if they will work so I will try them. Most of the suggestions I either know they won't or have already tried. Lulu is VERY VERY VERY picky; ever since she was a kitten. I remember catching her as a stray and giving her fresh cooked salmon and she wouldn't touch it. Below are options I have tried both in the past without much success and now:

- tuna juice on food (she won't touch the food if she smells it under the tuna juice)
- already on baby food (that's how I was coaxing her to eat her home cooked meals as I would use it as a topper)
- tried so many freeze dried treats, she will not touch them
- cannot have chicken at all
- though I add egg yolk to her home cooked meals for motility, she really does not like and won't eat it alone
- am currently sticking nutri-cal on the roof of her mouth (she would not lick it on its own)
- tried coaxing with raw goat milk - she wants nothing to do with it
- wild planet tuna (this sort of worked before we knew she had fatty liver but not very well - I placed a teaspoon on her normal food and she sometimes wouldn't even touch the tuna if it was there)
- Tried a can of sardines and mackeral - some interest but no luck
- Churu is what the vet first had me give her before he realized she was very sick - and it made her throw up (probably because chicken is an ingredient)
- pet brand frozen broth (wouldn't touch it)
- using a flat plate
- finger feeding
- already on Mirataz
- kitty buffet (with 15 different canned foods)

Someone mentioned their cat doesn't smell well and that's why they are picky. I am wondering if this is part of my problem sometimes.
 

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Plus, Fancy Feast uses too many proteins she cannot tolerate. Since I don't know what the HL is secondary too, I am very afraid to cause inflammation or IBD flares by giving her anything that she is not used to or won't tolerate.
Oh, I totally misunderstood.
I thought that maybe something in the raw rabbit was causing her to vomit.

IBD does cause so many issues, with allergies to ingredients and proteins, and so difficult trying to know which are okay to feed...that don't cause potential flare ups and inflammation. (no first hand experience, just from reading threads)
After 8 months, the Instinct brand discontinued the raw rabbit line and I couldn't find her food anywhere. I tried to use their chicken version thinking maybe Lulu could tolerate chicken again, but it was a huge mistake. It sent her to the ER with persistent vomiting and that is where she had an ultrasound and the ER assumed it was IBD/lymphoma
Oh, no. The company discontinued that particular line. :frustrated: :frown: :mad2:
An IM vet at her follow up actually believe it was more allergy related as she is responsive and does well if she stays away from chicken but I'm not so sure anymore. So, I began making her food on my own and ordering rabbit from a farm (while adding a meal completer). I tried homemade raw a few times, but she had trouble adjusting. With the home cooked foods, she never really took to it either (she ate it but didn't ever seem excited about it). Nothing worked for her like Instinct's Raw Signature line.... But the thing is that Lulu has not been on canned food in over a year and cannot tolerate the majority of proteins in canned foods. So, I gave her some fancy feast in desperation the other day, but she eventually grew tired of it anyway and never ate more than a few licks and bites. Plus, Fancy Feast uses too many proteins she cannot tolerate. Since I don't know what the HL is secondary too, I am very afraid to cause inflammation or IBD flares by giving her anything that she is not used to or won't tolerate.
That totally makes sense, to avoid chicken and other proteins...that will cause her problems.
Another possibility is that I allowed her to eat some foods she normally shouldn't since she was not wanting her typical home cooked pork. I am wondering if this lead to inflammation in her GI tract with the IBD and that caused her to eat less. Lastly, I think it may have been her teeth/stomatitis which I was planning on addressing for months but her vet had me wait. I think something in general caused widespread inflammation in her (both gastro and mouth). But that is just my guess. I never had the diagnostics to see if the ultrasound missed a bigger issue. Plus it seems as though her gallbladder is affected now (her GTT was normal on the first bloodwork, but high by the time she became jaundiced, so I don't know).
Teeth, definitely cause issues.
Can you look into Lulu's mouth...and see if there are any 'mouth ulcers'.
But only if this does not stress her out, too much.
(my rainbow cat had them in late stage CKD)
Sorry, I realize I am rambling. But you see with the IBD issue, I am petrified of giving her something that will make her systemically worse. I have been able to get 200 calories of baby food gerber in her. And now added nutri-cal gel. Plus I still put her raw rabbit down at night (I think she eats like a teaspoon to tablespoon at most whereas she would need a full cup for her daily caloric intake). Today, I went to feed her the remaining 30-50 calories of baby food and 15 minutes later, she vomited it up despite being on cerenia and ondansetron. :( That was pretty upsetting. I can try and coax her with fancy feast again, but I need to go out and buy more. The mobile vet also gave me EN (forget what it is - some high calorie canned food). But again - I'm terrified to give her something that will make everything worse...

In general, I will say that Lulu has improved in some ways since I took her home from the ER
and regressed in other ways.
I would try the EN food that the mobile vet gave.

I know that you're worried it may make her worse...but usually those Critical care A/D...or EN foods...are given to cats...who are very sick.
Are there any ingredients on the can...or else online...that you can look up?

High calorie...is what she really needs right now.
(some kitten wet foods are very high calorie...but I don't know how they would affect the gall bladder)

(and "No"...you are not rambling at all. :hugs:
You've explained everything, in a lot of detail. It helps the rest of us understand.)
She has moments on and off where she clearly looks uncomfortable and may groan a bit, but she does not look nearly as bad as she did then. A lot of times, I see her in a more relaxed position sleeping instead of a very uncomfortable one. She has put on weight. The vet weighed her at 9lbs yesterday whereas the first ER had her at 7.9lbs and I'm sure she continued to lose some weight after that. I see her occasionally doing some grooming which she was not doing at all before. She just had a LARGE bowel movement. And I see her scratching the carpet (she uses it like a scratch post) and stretching more which is reassuring. But outside of some of her behaviors returning, she is still miserable, still very jaundiced, still not eating. :(
Since she's just had a large bowel movement...you may see her beginning to eat more. :yess:
(cats don't usually eat when constipated/obstructed, or feeling full in their intestines)
 
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