Cat help (local vet is closed due to doctors being sick)

Alldara

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Up his water intake in his food and it will prevent dehydration as well. Cats get most of their water from their food. So if you can increase that by hydrating the dry food before use and adding water to his wet food, then he will be okay with limited to no drinking.

Some water via syringe is good like mentioned above as well.

You can also try taking a warm paper towel and rubbing it against his bum. This stimulates him to poo like a mom cat would.
If he's been eating fairly okay he's definitely needing to poo now. That might be where the pain is from.
 

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Hi. This is going to be disjointed, as I am exhausted. There will be misspellings but if I do more your cat will be 20 by the time you read it.

Alkaline urine is an elevated pH. Acidic urine is a decrease in the pH. A normal urine pH in a cat is 6 to 6,5, You don't want the urine to acidic or to neutral because crystals can form in either, al be it different types. Some amount of struvite crystals can be normal in a cat. A small amount of blood and protein can also be normal. Bacteria and white blood cells in larger amounts can be indicative of an infection. Most cats with FUO or FUS (feline urinary obstruction, or feline urinary syndrome) do not have bladder infections. Antibiotics are overused in these cases. Antibiotics such as Clavamox can destroy the gut bacteria and cause vomiting and or diarrhea. The urine really should be cultured, where they obtain a sterile sample and put into a culture media and either send it to lab for identification, or if they have the kits themselves, run it in house. It takes about 24 hours in house and about 72 hours sent out to the lab.

A cat can have a partial obstruction where the crystals can form and block the urethra temporarily and then for whatever reason shift and move and the cat can pass urine briefly. A cat can also have a complete obstruction where they are unable to urinate at all. Both situations are emergencies and must be treated right away. The longer a cat cannot urinate the more kidney damage is done.

There is also problems that arise from cats holding their urine too long. That is why it is always important to make sure their litter box is clean, and they have access to it. Sometimes after a cat has been blocked or had pain when they urinate, they will get an aversion to that particular litter box and or litter and no longer use it. This can usually be avoided by getting them a new box and litter. Use unscented litter only. Also avoid the crystal urine as the dust from the crystals gets on their paws and is not good for them to lick off.

Cats are naturally desert animals and obtain most of their water from their food when in nature. Cats are also strict carnivores and need a diet that is high in protein with minimal carbohydrates. A good website for diet information is
Catinfo.org.

The more water you can get your cat to drink, the better. Cats can be encouraged to drink more by using water fountains and having several different water sources to drink. Also be sure to use bottled or filtered water.

When feeding a prescription diet for a urinary problem in cats, you must feed that diet and only that diet for the amount of time the cat needs the food. To feed any other diet or food with the prescription diet is just a waste of the prescription. It must be fed only. A cat should not have to remain on the prescribed diet forever. Just until the urine has been rechecked and the problem is resolved. Allot of these diets are high in salt to increase thirst so the cat drinks more. The more the cat drinks the more the urine is diluted and the less chance of obstruction.

It is best to feed canned food even with the prescription diet because there is more water in the canned food and much less carbohydrates. This helps to increase the cat’s hydration. Just remember when feeding the prescription diet for the dissolution of crystals, you should not give anything but that food.

The urine specific gravity on the test results you posted show very dilute urine. Was this test done after he had been hospitalized on fluids? Dilute urine can be kidney disease. Kidney disease is often seen with cats that become blocked. Usually with those cats it does resolve once the cat is on aggressive fluid therapy, after the blockage has been cleared and there is a urinary catheter in place.



Do you have the blood results from when they did blood work on him?



Radiographs show some things but will not show the individual internal organs or their structures and surface area like an ultrasound will. Ultrasounds are very subjective and best left to the specialists to do. Often a regular vet will have a specialist come in to do the ultrasound. Of course, they are not cheap, and I know you mentioned financial concerns at this time. I know you wrote you already spent a $600 so far. I understand.



The vomiting bile is concerning and could lead to believe that there is something going on potentially with the liver, bile duct, or pancreatitis. Once again canned food will help, but these should be looked into. A cat that greatly decreases what they are eating or stops eating is always at risk of hepatic lipidosis.



You cannot syringe him enough water to make a difference. You are also running the risk of him aspirating on the water. Cats can easily aspirate on anything that is syringed into them if they struggle. You said he is growling, so if it was me, I would stop syringing him water. If you absolutely must syringe him food, be extremely careful to not stress him and cause a food aversion. You should probably speak to your vet about an appetite stimulant Mirtazipine. It comes in a transdermal formula you rub on his ear.

I am concerned about the Onisor that he was prescribed. It is a nonsteroidal anti inflammatory NSAID. Those can cause ulcers and I thought your vet showed concern for him having an ulcer.


Also you said at the first visit the vet gave him an anti- viral medication. Do you know what it was?



How is he doing today.

I know it is allot of information to process and I am not done, Just don’t have time to write more.

About the vet saying everything checked out fine: Cat illnesses are sadly very misunderstood, There has not been the kind of interest in them that there are with dogs, although that is slowly changing. But, they are unique animals. When diagnosing a cat it is a process of elimination. The blood work is just one tiny piece in a puzzle of diagnostics that can be done. It also has to be interpreted with other information. Example: A cat with chronic kidney disease can have a normal range BUN and Creatnine, yet still have kidney disease. There has to be a loss of something like 70% kidney function before it will appear in the blood work. That is why a urine specific gravity is another way to help in the diagnosis.



If you want to get more hydration into your cat, ask your vet about doing sub q fluids at home.
 
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catladyky

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Okay, hello this is catladyky's sister, who also takes care of our kitties with the owner of this account, trying to think what could be going on with our cat and wanted to jot some things down if anyone recognizes them it may help:

1. When our regular Vet worked us in on Friday 6/24, we had an exam work up and the vet felt Blondie over, and said he felt NO COLON (?), Blondie did not react painfully to the prodding or the temp being taken, the vet did note that the fever of 103 was a tad high but nothing too worrying in his opinion but sent Blondie home with a dipyrone injection at my request, I let them know Blondie was peeing regularly but not making Bowel Movements since Monday. They gave us clavamox and said take him back if no bowel movement is made in a day.

The dipyrone inj saw Blondie come home and eat on his own, roll around, and mewl happily as he normally does (still not making a bowel movement but urinating regularly). However, after the 24 hr timeframe allowed by the injection came to an end, Blondie was once again not feeling well.

2. Blondie was on his Clavamox up until we made the decision to look for other vets as this began to feel like an emergency, another local Vet opened back up after some reconstruction had finished on the following Monday, so we took Blondie in on 6/30 as an emergency due to the vomiting of yellow to clear liquid and not making a bowel movement in at least 6 days and not eating on his own.

At the secondary emergency visit Vet they did the following:

1657065571283.png


General Physical exam found nothing, xray found nothing, and blood work showed slightly elevated White Blood Cell count, they gave him the enema and Blondie made regular bowel movements and urinated regularly, put to the day we took him home -- so he left the hospitalization with a temp of 100 having made a bowel movement that morning, and was sent off with three days of Onsior to take.

When I asked the Vte what could cause his constipation if not showing up on a physical or x-ray, they said "probably just a bacterial infection of the colon"....I thought this remark was strange but ignored it as I was happy the fever was gone, and Blondie seemed healthy once again.

Blondie came home at 3pm on 7/1 and was acting perfectly fine he urinated regularly and on his own, ate, and acted like he had never been ill, for the next three days he took the Onsior and ahppy to move about, and dig in his bowl for food and eat on his own, even though we still had to encourage him or administer fluids ourselves he was otherwise fine. However, as the hours dwindled and the Onsior began to wear off each day he would vomit once in the morning and sit up with his eyes closed seemingly in pain until he was given his next Onsior, after an hour the Onsior would set in and Blondie was acting fine through the whole day -- rinse and repeat for 3 days until today.


I hope this added some insight to our situation as I may have repeated a few things my sister already noted, but wanted to add things I wasn't sure were mentioned.



The urine specific gravity on the test results you posted show very dilute urine. Was this test done after he had been hospitalized on fluids? Dilute urine can be kidney disease. Kidney disease is often seen with cats that become blocked. Usually with those cats it does resolve once the cat is on aggressive fluid therapy, after the blockage has been cleared and there is a urinary catheter in place.
This Urinalysis/ and subsequent Cytology was done after 3 days had passed from his first exam with the same Vet, at the time he was making this Urine which was done for Cyyology, my sister and I were hour by hour dripping water with pedialyte mix into Blondies inner cheek, as we are both concerned for possibly making him inhale water or swallow in the wrong way -- we opt to dribble the fluid in and encourage him to lick it that way.


Do you have the blood results from when they did blood work on him?
No, unfortunately, the particular vet left me with the feeling they are not very proficient in their job. But I will pursue getting them since I did pay so much for it.


The vomiting bile is concerning and could lead to believe that there is something going on potentially with the liver, bile duct, or pancreatitis. Once again canned food will help, but these should be looked into. A cat that greatly decreases what they are eating or stops eating is always at risk of hepatic lipidosis.
This was also my concern due to him not eating very much, even though we did water down wet food and syringe him what we felt wouldn't upset him too greatly.


You cannot syringe him enough water to make a difference. You are also running the risk of him aspirating on the water. Cats can easily aspirate on anything that is syringed into them if they struggle. You said he is growling, so if it was me, I would stop syringing him water. If you absolutely must syringe him food, be extremely careful to not stress him and cause a food aversion. You should probably speak to your vet about an appetite stimulant Mirtazipine. It comes in a transdermal formula you rub on his ear.
He truly only growls when he is picked up and moved, which he didnt do at all when on the Onsior or after the Dipryone.

I am concerned about the Onisor that he was prescribed. It is a nonsteroidal anti inflammatory NSAID. Those can cause ulcers and I thought your vet showed concern for him having an ulcer.
Yes, I did express a fear of ulcers causing this as it all began when he vomited on 6/20, but when it got him to eat I told myself to trust that the secondary vet knew what they were doing.


Also you said at the first visit the vet gave him an anti- viral medication. Do you know what it was?
It's possible they meant this was the Convenia, but I cant be sure as the secondary vet was very short and unattentive, and seemed annoyed that I called throughout the day to check on Blondie. I would definitely be inclined to call and ask since I did pay a hefty amount.

How is he doing today.
Today, as we feared once there was no more Onsior he wont eat on his own, he rarely moves, and must be syringed/dripped fluids to stay hydrated, he does pee on his own still but he sits in a praying position with a pained look that he had before the hospitalization as well.

He vomited once early on which was some of the food he had eaten, and then a second time at midday which was clear liquid with no bile present, I am arranging to get him a visit with a vet tech tomorrow (so that there is something done at least) since there is no Vet Dr on-site at this time, in hopes that they will offer insight on the Miralax or some alternative maybe

About the vet saying everything checked out fine: Cat illnesses are sadly very misunderstood, There has not been the kind of interest in them that there are with dogs, although that is slowly changing. But, they are unique animals. When diagnosing a cat it is a process of elimination. The blood work is just one tiny piece in a puzzle of diagnostics that can be done. It also has to be interpreted with other information. Example: A cat with chronic kidney disease can have a normal range BUN and Creatnine, yet still have kidney disease. There has to be a loss of something like 70% kidney function before it will appear in the blood work. That is why a urine specific gravity is another way to help in the diagnosis.
1657067456487.png


This was the Cytology our regular Vet sent up to a college for results after we got a Urinalysis done. Not sure why they called it transparent as when I brought it in, I did note that it was the same yellow that his urine normally ranges between -- a slightly dark yellow to average yellow.

If you want to get more hydration into your cat, ask your vet about doing sub q fluids at home.
I am planning to try and do this if they will let me purchase the supplies with them.
 
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catladyky

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IMO, a home enema could be more problematic than a couple of doses of Miralax (yes, human version). As I said before, just start out with 1/8 tsp mixed with a bit of water and then added to whatever food he will eat. And don't give another dose until tomorrow if he doesn't poop by then.

Have you tried adding just a bit of tuna 'juice' (liquid from a can of tuna in water) to a small amount of water to see if he will drink that? And, if he will accept syringe feedings of water, that is good too. Low sodium bone broths might be another thing to try. Any wet food you get him to eat is also attributing to hydration.

Btw, in case it hasn't been mentioned, many pain meds can have a constipation type of effect, so more hydration and Miralax may help immensely.
I think we will do this today, i happen to have Miralax in my house which I bought fairly recently. I am praying that this makes him pass stool and helps him feel good as he seemed to feel when the vet had performed the enema.

1/8 of a TSP in ml or cc, this would be 0.625 CC ? Correct? Blondie's most recent weight was 11.93 lbs if this matters.
 
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1/8 of a TSP in ml or cc, this would be 0.625 CC ? Correct? Blondie's most recent weight was 11.93 lbs if this matters.
Miralax is in 'powder' form, so 1/8 tsp is in that context; but, yes that would be close to 0.616 ml. How much water you add for a mixture is up to you. Ideally, just enough to ensure the 'powder' is a liquid form. Given Blondie's weight, this amount cannot be too much.
 
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catladyky

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Miralax is in 'powder' form, so 1/8 tsp is in that context; but, yes that would be close to 0.616 ml. How much water you add for a mixture is up to you. Ideally, just enough to ensure the 'powder' is a liquid form. Given Blondie's weight, this amount cannot be too much.
Thank you, I have given that to him now and measured the powder at that exact measure, and mixed it until fully dissolved with a bit of water, I am now set to keep an eye on him and hope for the best.
 
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catladyky

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Minutes after I gave him the Miralax mixture, he threw up. It was literally maybe 5 minutes after giving it to him. I should redose him right?
 
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catladyky

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Did you administer the Miralax with food? If not, let him settle some and try again - with food this time.
he really hates being syringed food, so we tried water. but when he threw up he had a pasty liquid that looked like remained of food, so his belly wasn’t entirely empty. we will give him some food in maybe 10 minutes after since it only takes 15-20 mins to absorb
 

silent meowlook

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Hi,
Please don't give him any more miralax.
Is he the kind of cat that when feeling well will play with toys or find things to play with like hair ties? Does he groom allot when he feels good normally before he got sick? Is there any chance at all that he could have consumed something he shouldn't have? I am worried about a GI obstruction.
The vets didn't give you anything for nausea like cerenia?

He is a very ill cat from what you are describing.
I would not have been worried about a temp of 103. Cats can run that warm sometimes.
I honestly haven't heard of anyone using dypirone in cats since the late 80's. It is a very potent medication that can cause a wide variety of side effects. It is mostly used in horses but even that they are not using it much.
I don't think NSAIDS are a good idea for this cat. Even if he feels better, I worry about the damage to his liver, kidneys, gut.

If he was my cat and I was in your situation: I would not waste another penny on either of those veterinarians you have been seeing. I would do everything in my power to get him to the nearest specialist. Be it a university or a specialty group. Or even a feline only veterinarian.
I know funds are short. I would start reaching out to everyone on social media. Start a go fund me. As for transportation, same thing. I am sure you must have some contacts in the cat rescue world, reach out to everyone. Also do the same to get transportation.
 

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My heart is with you. I recently struggled with my cat Banjo. Constipation and vomiting. Lactulose is what the vet gave her after an enema. I also gave her food with plain puréed canned pumpkin. Weruva makes canned food with pumpkin already in it. Banjo likes it. There are so Amy things that cause these symptoms and I spent a lot going to vets and specialists. A vet school ended up being the place where we got a diagnosis and help. Like you, transport is a problem for me but keep working towards figuring this out. We were finally given Gabapentin for pain but I don’t know if this is right for your cat. With Banjo we discovered a mass pushing on her colon. It is not a tumor but a mass of dead tapeworm tissue in her abdomen. Odd and I only found out through persistence. A go fund me is a good idea! It can pay vet bills and transport. Instagram is a place you can post about Blondie too. When you finally get a vet you trust and if no diagnosis appears, maybe tell them about Banjo. Her case was unheard of at present time and not likely to be the same problem as Blondie but if one cat can have it, maybe another can too? I would gladly share info if needed but mainly I want you both to hang tight and keep fighting to get Blondie through this. Try not to get discouraged and hold onto hope for answers. Persistence. As I said, my heart is with you. Maybe ask about the lactulose and pumpkin. Banjo seems to actually like the lactulose! It has kept her bowels working. Fancy Feast broths are nearly liquids and she eats them! :heartshape:
 
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catladyky

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Hi,
Please don't give him any more miralax.
Is he the kind of cat that when feeling well will play with toys or find things to play with like hair ties? Does he groom allot when he feels good normally before he got sick? Is there any chance at all that he could have consumed something he shouldn't have? I am worried about a GI obstruction.
The vets didn't give you anything for nausea like cerenia?

He is a very ill cat from what you are describing.
I would not have been worried about a temp of 103. Cats can run that warm sometimes.
I honestly haven't heard of anyone using dypirone in cats since the late 80's. It is a very potent medication that can cause a wide variety of side effects. It is mostly used in horses but even that they are not using it much.
I don't think NSAIDS are a good idea for this cat. Even if he feels better, I worry about the damage to his liver, kidneys, gut.

If he was my cat and I was in your situation: I would not waste another penny on either of those veterinarians you have been seeing. I would do everything in my power to get him to the nearest specialist. Be it a university or a specialty group. Or even a feline only veterinarian.
I know funds are short. I would start reaching out to everyone on social media. Start a go fund me. As for transportation, same thing. I am sure you must have some contacts in the cat rescue world, reach out to everyone. Also do the same to get transportation.
Taking him to the vet today. I'm not sure if the doctors are there, but I'm going to beg the nurses to check him out at least. My goal is to get him an enema and then I can move him to the strict soft food diet. I understand your frustration about not letting him go to these vets again, but my regular vet is wonderful and so caring to my pets, it's just unfortunate that their lead doctor has been sick. Thank you for your advice about miralax. I won't give him anymore until he's seen by the vet today.



My heart is with you. I recently struggled with my cat Banjo. Constipation and vomiting. Lactulose is what the vet gave her after an enema. I also gave her food with plain puréed canned pumpkin. Weruva makes canned food with pumpkin already in it. Banjo likes it. There are so Amy things that cause these symptoms and I spent a lot going to vets and specialists. A vet school ended up being the place where we got a diagnosis and help. Like you, transport is a problem for me but keep working towards figuring this out. We were finally given Gabapentin for pain but I don’t know if this is right for your cat. With Banjo we discovered a mass pushing on her colon. It is not a tumor but a mass of dead tapeworm tissue in her abdomen. Odd and I only found out through persistence. A go fund me is a good idea! It can pay vet bills and transport. Instagram is a place you can post about Blondie too. When you finally get a vet you trust and if no diagnosis appears, maybe tell them about Banjo. Her case was unheard of at present time and not likely to be the same problem as Blondie but if one cat can have it, maybe another can too? I would gladly share info if needed but mainly I want you both to hang tight and keep fighting to get Blondie through this. Try not to get discouraged and hold onto hope for answers. Persistence. As I said, my heart is with you. Maybe ask about the lactulose and pumpkin. Banjo seems to actually like the lactulose! It has kept her bowels working. Fancy Feast broths are nearly liquids and she eats them! :heartshape:
Thank you so much for your story. I will ask about Lactulose, I will pick up pumpkin today as well as well as look for the broths you suggested. Praying for answers and solutions today. And at the very least, that an enema can be performed on him if they deem it's needed, as well as some fluids (that I hopefully can take home).

Will update later today. Thanks again everyone.
 
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catladyky

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He's been with the vet since 9AM yesterday. They claim he's not constipated, gave him a laxative, said he's drinking normally, said he hasn't pooped but that he "for sure isn't backed up". I asked if he's thrown up with them (he usually does 2 times a day with me) and the nurse said she wasn't sure if he has but that she didn't think the Dr. would give him the OK to come home today if he was throwing up.

So I'm at a complete loss of what to do. When he comes home I know he's going to puke/not eat/not drink. But no vets are giving me any answers. I'm praying that by the time I pick him up tomorrow morning (Friday) that he either displays the symptoms I'm speaking of so doctor can actually figure out what's going on, or that he's over whatever the hell has been going on for three weeks.

I'm so confused. Will update again tomorrow. Maybe whatever answers I find can help someone in the future.
 

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My first cat used to throw up constantly. We tried everything in the playbook; food, environment, meds… When we did ultrasounds, the only thing they showed was intestinal and stomach inflammation. She finally passed away, and the vet asked to do a necropsy because the case had been so difficult. He discovered that she had a tiny tumor near the joining valve between her stomach and intestines. It was tucked in such a way that it was never visible on the ultrasound. It was blocking her ability to process her food, which is why she kept throwing up.
I wanted to share this, because sometimes there is a reason for something happening, but we may not be able to find it.
I’m so sorry you’re going through this. I hope you have better luck in pinning down the issue.
 

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Okay, hello this is catladyky's sister, who also takes care of our kitties with the owner of this account, trying to think what could be going on with our cat and wanted to jot some things down if anyone recognizes them it may help:

1. When our regular Vet worked us in on Friday 6/24, we had an exam work up and the vet felt Blondie over, and said he felt NO COLON (?), Blondie did not react painfully to the prodding or the temp being taken, the vet did note that the fever of 103 was a tad high but nothing too worrying in his opinion but sent Blondie home with a dipyrone injection at my request, I let them know Blondie was peeing regularly but not making Bowel Movements since Monday. They gave us clavamox and said take him back if no bowel movement is made in a day.

The dipyrone inj saw Blondie come home and eat on his own, roll around, and mewl happily as he normally does (still not making a bowel movement but urinating regularly). However, after the 24 hr timeframe allowed by the injection came to an end, Blondie was once again not feeling well.

2. Blondie was on his Clavamox up until we made the decision to look for other vets as this began to feel like an emergency, another local Vet opened back up after some reconstruction had finished on the following Monday, so we took Blondie in on 6/30 as an emergency due to the vomiting of yellow to clear liquid and not making a bowel movement in at least 6 days and not eating on his own.

At the secondary emergency visit Vet they did the following:

View attachment 425297

General Physical exam found nothing, xray found nothing, and blood work showed slightly elevated White Blood Cell count, they gave him the enema and Blondie made regular bowel movements and urinated regularly, put to the day we took him home -- so he left the hospitalization with a temp of 100 having made a bowel movement that morning, and was sent off with three days of Onsior to take.

When I asked the Vte what could cause his constipation if not showing up on a physical or x-ray, they said "probably just a bacterial infection of the colon"....I thought this remark was strange but ignored it as I was happy the fever was gone, and Blondie seemed healthy once again.

Blondie came home at 3pm on 7/1 and was acting perfectly fine he urinated regularly and on his own, ate, and acted like he had never been ill, for the next three days he took the Onsior and ahppy to move about, and dig in his bowl for food and eat on his own, even though we still had to encourage him or administer fluids ourselves he was otherwise fine. However, as the hours dwindled and the Onsior began to wear off each day he would vomit once in the morning and sit up with his eyes closed seemingly in pain until he was given his next Onsior, after an hour the Onsior would set in and Blondie was acting fine through the whole day -- rinse and repeat for 3 days until today.


I hope this added some insight to our situation as I may have repeated a few things my sister already noted, but wanted to add things I wasn't sure were mentioned.





This Urinalysis/ and subsequent Cytology was done after 3 days had passed from his first exam with the same Vet, at the time he was making this Urine which was done for Cyyology, my sister and I were hour by hour dripping water with pedialyte mix into Blondies inner cheek, as we are both concerned for possibly making him inhale water or swallow in the wrong way -- we opt to dribble the fluid in and encourage him to lick it that way.




No, unfortunately, the particular vet left me with the feeling they are not very proficient in their job. But I will pursue getting them since I did pay so much for it.




This was also my concern due to him not eating very much, even though we did water down wet food and syringe him what we felt wouldn't upset him too greatly.




He truly only growls when he is picked up and moved, which he didnt do at all when on the Onsior or after the Dipryone.



Yes, I did express a fear of ulcers causing this as it all began when he vomited on 6/20, but when it got him to eat I told myself to trust that the secondary vet knew what they were doing.




It's possible they meant this was the Convenia, but I cant be sure as the secondary vet was very short and unattentive, and seemed annoyed that I called throughout the day to check on Blondie. I would definitely be inclined to call and ask since I did pay a hefty amount.



Today, as we feared once there was no more Onsior he wont eat on his own, he rarely moves, and must be syringed/dripped fluids to stay hydrated, he does pee on his own still but he sits in a praying position with a pained look that he had before the hospitalization as well.
So between the growling off pain meds and the sitting position it can certainly be determined that he's in pain in his abdomen. A lot, since he's not hiding it.

I wouldn't let your vet give any more onisor though, it is really supposed to be short term and infrequently provided.

Have they done a fecal analysis? Sounds like a good next step: Gastroenteritis in Cats

You might try a unique protein diet to see if he's suddenly developed an allergy.
 

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If he is not constipated and tests are all negative then I did have a cat that got sick and then went into a cycle of vomiting because the stomach was empty and stomach acid is irritating. It is very uncomfortable! If you can find some soft food that kitty can keep down, maybe you can break the cycle?
Also I wonders if he could be getting into something? Exposed to something? Things like an exterminator spraying in or around the house, new cleaning products, newly purchased fabrics or furniture, new carpet or new vinyl times or flooring? Fabrics are treated with dye fixatives, stain protectors and other chemicals. I had to remove new vinyl floor tiles due to the fumes making me and cats sick. Things like Clorox can cause weird symptoms in cats. I have one cat that will chew on lots of soft things. It’s a challenge to keep her away from anything she can ingest that is not edible. I also had a cat who discovered a spider and got bitten. It took time to figure out what made him sick. Cats will find and get into things we never think about being present so maybe you can do a bit of detective work in this direction if you can’t pin down the problem through the normal routes. Food ingredients and even cat litter can also be investigated. Hoping you have some clear answers on something easily solved.
 
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catladyky

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My first cat used to throw up constantly. We tried everything in the playbook; food, environment, meds… When we did ultrasounds, the only thing they showed was intestinal and stomach inflammation. She finally passed away, and the vet asked to do a necropsy because the case had been so difficult. He discovered that she had a tiny tumor near the joining valve between her stomach and intestines. It was tucked in such a way that it was never visible on the ultrasound. It was blocking her ability to process her food, which is why she kept throwing up.
I wanted to share this, because sometimes there is a reason for something happening, but we may not be able to find it.
I’m so sorry you’re going through this. I hope you have better luck in pinning down the issue.
Thank you for telling your story. I'm so sorry your cat passed like that. I'll carry your story with me for as long as I'm a kittyparent.

Thank you so so much everyone. It turns out that the vet said that the constipation was caused by the pain med (Onsior), and that the vomiting was due to the soft (non-urinary specialty) food that I had to give him when he was in pain (because he wasn't eating anything else). The struvite crystals almost blocked him up, so I'm thankful I got him to the vet in time.

Two days at my preferred usual vet, fluids, an exam, laxative, and kitty food, and most importantly, finally a diagnosis. All for $100. My blondie is acting so much better and now at least I know what was causing this was his urinary issues.

I specifically asked if this could be underlying kidney disease related and they said that the uranalysis would have indicated that with high proteins, which he did not show. They said that what COULD indicate that is excessive bathroom use/drinking, so I should keep an eye out for that. But as of now, he does not have kidney disease and the struvite crystal treatment food WILL fix what's wrong.

Thank you all so much for sticking with me through this excruciatingly stressful time, I appreciate all of your knowledge and feedback so much.
 

FeebysOwner

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I am glad to hear that the vet seems to have covered it all and that you have a plan. I hope the urinary care food is canned and not dry - the canned food will contain much more moisture, which is always a plus for cats.

Just so you know for future reference, my cat who has kidney disease never has protein in her urine, unless she has bacteria or an infection in her bladder, so I am not sure that the absence of protein in the urine is a sure-fire way to rule it out. The real indicators of a probable onset of kidney disease are high creatinine & BUN levels in the Chemistry blood panel - but even then, the test needs to be run a few times to ensure it is not just a one-off testing result. There are things that can affect both numbers, such as dehydration and stress, for example.
 
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