Pancreatitis Questions

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merlotandasti

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Have you had his folate/b12 levels tested? When was the last ultrasound done? What was checked? If he's in pain he will associate the litter box with pain so add a few more litter boxes with cat attract and start feeding only easy to digest wet food (no gums or carrageenan). You could try a balanced raw as well as raw is easy to digest.

I have not had those tested. I would like to have another recheck of his blood levels now that he's actually feeling sort of better. Do normal vets offer b12/folate level tests? I've never done that before. I actually put a towel down in the bathroom & he has been popping on that. Maybe because it's flat & ha can grip on to something? He will always go there instead of just wherever. Always pees in one of his 2 boxes & sometimes trys to poop in there first. & as far as a raw diet, I have him on instinct raw duck diet right now. Is that the same type of raw you're speaking of?


He is anemic. And dehydrated. So his anemia might be worse than it’s showing. What is the Veterinarian’s ideas on the anemia?

The vet seems to think that the anemia is just a normal thing for him since the numbers haven't changed much & he's had this anemia for months now. I would like to do something about it so I will mention it to the vet again when I check in with him again. & how can you tell he is dehydrated? I am not that great at interpreting his blood results yet. He gets fluids every day to stay on top of everything.
 
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merlotandasti

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A little more progress today: he is a purring mess when I pet him or pick him up like his normal self. Also I've only noticed him crouching in pain maybe 4 times today whereas he couldn't walk a few feet without crouching in pain. He is lying on me comfortably as I post this. We are staying positive & hopeful!
 

silent meowlook

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You know the absolute best way to know how he is, is by you, the one who knows him best, saying how he is doing. ( wow, talk about a run on sentence)

One way you can try to check at home is to do a skin turner test and also see if his gums are moist or tacky. But don’t bug him. It doesn’t matter. You should never exceed the Veterinarian’s recommendation on the fluids or you could wind up in trouble.

I think you are doing the best you can with him. He is a complicated cat. I have a complicated cat as well, so I know how it is when you just want to “fix” them.
 

fionasmom

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I see your point about the position he needs to poop and his back pain. Can you put pee pads like a dog uses down for him? At least you can throw them out when he is done. He is just so happy to be with you and that is the most important thing.
 
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merlotandasti

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You know the absolute best way to know how he is, is by you, the one who knows him best, saying how he is doing. ( wow, talk about a run on sentence)

One way you can try to check at home is to do a skin turner test and also see if his gums are moist or tacky. But don’t bug him. It doesn’t matter. You should never exceed the Veterinarian’s recommendation on the fluids or you could wind up in trouble.

I think you are doing the best you can with him. He is a complicated cat. I have a complicated cat as well, so I know how it is when you just want to “fix” them.
When things are more back to his normal, I will be going back down to doing his fluids every other day. It seems to have made one of his kidney levels look normal & he drinks a lot of water on his own so I don't think he is dehydrated. I also check the scruff of his neck to see if the fluids have absorbed & it always goes back quickly so I think we are staying on top of the hydration. I don't want to put a strain on his body by doing the fluids every day unless it's necessary. For now I do it to get him through his flare up. & yes. I try really hard to "fix" him. But I understand that he is older & has some problems that we can't really cure & just have to manage. I can still see in his eyes that he is happy to still be here with me though. So all the meds (if it's not stressful for him) & extra work I have to put into him is totally worth it. 🥰

I see your point about the position he needs to poop and his back pain. Can you put pee pads like a dog uses down for him? At least you can throw them out when he is done. He is just so happy to be with you and that is the most important thing.

I just bought some pee pads today & put it where he usually goes. I'm hoping he will use it. He has been mostly going in his boxes today. I'm very proud of him. I can tell he is still happy despite his health issues.



Last night Asti seemed like he was getting constipated & uncomfortable so I gave him some laxatone. It seems to be doing the trick so far. He is breathing much more normally (I can tell when he starts to hurt because he will breathe more quickly) & sitting near me comfortably. We are still taking things day by day but I'm happy with his progress so far. We only hope for more good days than bad ones.
 
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merlotandasti

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Update:


So I had to bring Asti to an emergency vet today bc we were unable to get in with my normal vet today. I came home on my lunch break & he meowed in pain when I picked him up & he wouldn't move from his spot. I was afraid he might be blocked or something really serious so I didn't want to wait.

They scanned his bladder for stones; showed there was nothing there. He was able to poop (pretty soft/runny) & pee (Dr said normal stream when he tried to feel his bladder). They did blood work. ALL his blood work showed up completely normal including kidneys, liver, pancreas, ect.... EXCEPT his red & white blood cells. His anemia is getting worse. I had them send it off to analyze it further. The vet suggested a shot to get his red blood cells to start producing more but only normal vets have it. I have an appointment with his normal vet on Aug 13th. I discussed his medications & this vet questioned the use of the Metronidazole & Prednisolone. He commented that I should stop using them bc long term use can be more harmful then helpful. I would love to stop using these, especially since I don't see any progress with him on them.

I don't know which vet to believe. I've done research & didn't find too much other than short term usage on them.. I'm worried for my boy. He's bright & alert. Acting like normal other than when I try to pick him up. He always meows in pain now.

Any thoughts??
I've gone to so many vets. Idk who to believe bc they all have their own ways. I can't afford a specialist any more & he has gone through so much. 😔

I'm thinking of seeing how he does without the medications & if he gets worse, to put him back on them.. not sure rn
 

silent meowlook

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I wish I had answers to your questions, but I don't. One thing I will say is that you should not just stop the prednisolone. You have to do a gradual reduction in dose in order to stop it. So, if your giving 5mg once a day, do 5mg every other day for 7 days and then reduce further. But I am not telling you a dose or anything like that, just using that as an example on how to reduce the dose, You really need to talk to your regular veterinarian. When you call there will they let you speak to him or her? I think waiting till 8/13 is a long time to wait with an anemic cat.

Allot of vet hospitals are hard to get into right now. I know it is busy. But, where I work, we always get people in right away if needed. I just don't understand not seeing a cat right away, especially if it is an emergency. Sad. Maybe they don't have the staff, or maybe the staff won't stay late.

I would say if you haven't been able to talk to your vet directly, keep trying. Sometimes things get missed or the front office staff doesn't understand the significance of some things.
 
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merlotandasti

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I wish I had answers to your questions, but I don't. One thing I will say is that you should not just stop the prednisolone. You have to do a gradual reduction in dose in order to stop it. So, if your giving 5mg once a day, do 5mg every other day for 7 days and then reduce further. But I am not telling you a dose or anything like that, just using that as an example on how to reduce the dose, You really need to talk to your regular veterinarian. When you call there will they let you speak to him or her? I think waiting till 8/13 is a long time to wait with an anemic cat.

Allot of vet hospitals are hard to get into right now. I know it is busy. But, where I work, we always get people in right away if needed. I just don't understand not seeing a cat right away, especially if it is an emergency. Sad. Maybe they don't have the staff, or maybe the staff won't stay late.

I would say if you haven't been able to talk to your vet directly, keep trying. Sometimes things get missed or the front office staff doesn't understand the significance of some things.

I was told to do the every other day thing. Thank you.

I'm really worried for him. I know I need to get in sooner. It has been really hard even getting ahold of them recently for questions. I don't understand what is going on but I feel like anything affecting his ability to urinate and anemia that is this bad is very serious. I'm so upset. I really feel like I'm running out of options. Every vet I go to just tells me the same things. He was the first one to even address the anemic situation. They all act like he's totally fine, but when I bring him home, it's so different. I feel like I'm losing him & there is nothing I can do..
 
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