Hi all,
I'm writing this maybe more as a vent rather than a request for help, but if somebody has any tip on the issue, it will be greatly appreciated.
Around mid-May my cat Pallina had a visit with a University professor to try and understand her issues, mainly the chest fluids that are still there, not increasing and this is a good news, and her gastrointestinal troubles.
During that visit they did an ultrasound scan that revealed the usual amount of fluid in her chest, and a slightly different texture in the right lobe of her liver, but nothing that would worry the doctors. They also took some blood from her and the results were bad.
Cholesterol 423 [95-130]
GGT 10 [<5.1]
AST 100 [12-56]
ALT 289 [30-100]
ALP 305 [25-93]
Total Bilirubine 1.93 [<0.26]
Amylase 1551 [365-948]
Creatinine 2.5 [06-1.8]
BUN 79 [43-64]
SDMA 25 [0-14]
fPLI 37.1 [>5.4 = pancreatitis very likely]
Potassium 3.93 [4.0-4.5]
Sodium 160 [147-156]
Chlorine 124 [112-119]
All these numbers led the professor to the diagnosis of a pancreatitis and cholangiohepatitis.
In the past, several tests made my vets think she has also a very likely IBD.
Pallina was put on some meds. Ursacol to try and lower her bilirubine, Metoclopramide (here sold with the name Plasil, but it's also known with the name Reglan elsewhere) to try to control her vomit, a few days of hypodermo fluids to hydrate her and ease her discomfort.
On my side I added some Vitamin B's supplement, the vet agreed it is good.
The hypodermo fluids course was 5 days long.
The Metaclopramide too was discontinued and replaced by Omeprazole in a gel to be given her once a day for three weeks.
Despite this awful condition, Pallina looked fine and alert.
After four weeks she suddenly started eating less and after a few days I ruled out the hot weather and thought something was wrong.
Pallina was sleepier than usual, not eating and drinking a lot.
On past Friday we had a pre-booked appointment with the same University professor for a follow-up of the visit of May. He saw nothing wrong, apart from some jaundice that was consistent with her hepatic condition. He took some more blood that showed that some levels have worsened a little bit. She had also lost 200 grams over a week time, she's 3.110 kg.
GGT 11 [<5.1]
ALT 297 [30-100]
ALP 288 [25-93]
Amylase 1551 [365-948]
Creatinine 2.43 [06-1.8]
BUN 84 [43-64]
fPLI 39.5 [>5.4 = pancreatitis very likely]
Potassium 4.18 [4.0-4.5]
Sodium 159 [147-156]
Chlorine 119 [112-119]
During the last weekend Pallina was too quiet, and on Sunday she slept a lot, would move slowly and threw up twice!
At 8 pm of Sunday she was in a terrible state, an hour later I was taking to the her regular vet at the 24h clinic. Of course her vet wasn't in, but everybody at the clinic knows her well.
She was alert and fine during the visit, but the vet didn't let her fool him and she was hospitalized for a few days. While there she peed, and her pee was as yellow as a ripe lemon, a consequence of her jaundice.
She was put on a drip right away with also antibiotic. On the following morning, Monday, her regular vet did an ultrasound scan and it was just like the one she had in May at the University. Only the pancreas area was a bit more reactive.
She was held at the clinic for 2 days and released on Tuesday evening with the following prescription:
Before the morning and evening meal:
-Ranitidine 0.2 ml
-Metoclopramide 1 ml
Once a day, after the evening meal:
-Ursacol (I think it's the same thing as Ursodiol)
-Marbofloxacin
Also a liver supplement with Sam-E during the day.
She's a little better now, but not 100% yet. She's slow, looks like tired or weak, don't know. She used to chase our neighbors' cat out of our lawn, now she just looks at her and does nothing.
Last night she threw up the liver supplement tablet..
I know that someone here has said something about Milk Thistle and Vitamin E for cat with IBD and/or pancreatitis.
Any advice?
Thanks to all of you who have read this far.
I'm writing this maybe more as a vent rather than a request for help, but if somebody has any tip on the issue, it will be greatly appreciated.
Around mid-May my cat Pallina had a visit with a University professor to try and understand her issues, mainly the chest fluids that are still there, not increasing and this is a good news, and her gastrointestinal troubles.
During that visit they did an ultrasound scan that revealed the usual amount of fluid in her chest, and a slightly different texture in the right lobe of her liver, but nothing that would worry the doctors. They also took some blood from her and the results were bad.
Cholesterol 423 [95-130]
GGT 10 [<5.1]
AST 100 [12-56]
ALT 289 [30-100]
ALP 305 [25-93]
Total Bilirubine 1.93 [<0.26]
Amylase 1551 [365-948]
Creatinine 2.5 [06-1.8]
BUN 79 [43-64]
SDMA 25 [0-14]
fPLI 37.1 [>5.4 = pancreatitis very likely]
Potassium 3.93 [4.0-4.5]
Sodium 160 [147-156]
Chlorine 124 [112-119]
All these numbers led the professor to the diagnosis of a pancreatitis and cholangiohepatitis.
In the past, several tests made my vets think she has also a very likely IBD.
Pallina was put on some meds. Ursacol to try and lower her bilirubine, Metoclopramide (here sold with the name Plasil, but it's also known with the name Reglan elsewhere) to try to control her vomit, a few days of hypodermo fluids to hydrate her and ease her discomfort.
On my side I added some Vitamin B's supplement, the vet agreed it is good.
The hypodermo fluids course was 5 days long.
The Metaclopramide too was discontinued and replaced by Omeprazole in a gel to be given her once a day for three weeks.
Despite this awful condition, Pallina looked fine and alert.
After four weeks she suddenly started eating less and after a few days I ruled out the hot weather and thought something was wrong.
Pallina was sleepier than usual, not eating and drinking a lot.
On past Friday we had a pre-booked appointment with the same University professor for a follow-up of the visit of May. He saw nothing wrong, apart from some jaundice that was consistent with her hepatic condition. He took some more blood that showed that some levels have worsened a little bit. She had also lost 200 grams over a week time, she's 3.110 kg.
GGT 11 [<5.1]
ALT 297 [30-100]
ALP 288 [25-93]
Amylase 1551 [365-948]
Creatinine 2.43 [06-1.8]
BUN 84 [43-64]
fPLI 39.5 [>5.4 = pancreatitis very likely]
Potassium 4.18 [4.0-4.5]
Sodium 159 [147-156]
Chlorine 119 [112-119]
During the last weekend Pallina was too quiet, and on Sunday she slept a lot, would move slowly and threw up twice!
At 8 pm of Sunday she was in a terrible state, an hour later I was taking to the her regular vet at the 24h clinic. Of course her vet wasn't in, but everybody at the clinic knows her well.
She was alert and fine during the visit, but the vet didn't let her fool him and she was hospitalized for a few days. While there she peed, and her pee was as yellow as a ripe lemon, a consequence of her jaundice.
She was put on a drip right away with also antibiotic. On the following morning, Monday, her regular vet did an ultrasound scan and it was just like the one she had in May at the University. Only the pancreas area was a bit more reactive.
She was held at the clinic for 2 days and released on Tuesday evening with the following prescription:
Before the morning and evening meal:
-Ranitidine 0.2 ml
-Metoclopramide 1 ml
Once a day, after the evening meal:
-Ursacol (I think it's the same thing as Ursodiol)
-Marbofloxacin
Also a liver supplement with Sam-E during the day.
She's a little better now, but not 100% yet. She's slow, looks like tired or weak, don't know. She used to chase our neighbors' cat out of our lawn, now she just looks at her and does nothing.
Last night she threw up the liver supplement tablet..
I know that someone here has said something about Milk Thistle and Vitamin E for cat with IBD and/or pancreatitis.
Any advice?
Thanks to all of you who have read this far.
