Polyps/Feline Orofacial Pain Syndrome

heatherwillard0614

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He is better but tired of being medicated, beginning to hide away...
We're both tired...

He has been able to eat more variety of food, including some harder sticks-treats...

I wonder if he "knows" that meds are helping him to get better?
I'm glad he is able to eat better now. That is great news!
 
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Rysiek

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I have sometimes thought that animals do connect certain things that we do, including medication, as possibly being related to feeling better.
I hope, as we a both very tired of this...and it looks it is going to be long process...😿
 
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Rysiek

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He is much better 😺...

It is so good to see improvement. He is able to eat almost normally...

I bought something to conceal his tablets and last free days have been stress free...

He is ok with metacam and gabapentin as it is chicken flavoured...

I tasted omeprasole three days ago and it was so horrible that on that occasion I did not give him any...was unable to cope with it myself...
Then found this concealing treats 😸
 
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Rysiek

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He has been really good. We will be preparing to tapper his gabapentin...
I am a bit nervous, as unsure if we will get any rebound symptoms...

In the meantime fighting with insurance company and they still have not settled the invoice from hospital(two months!) and I have been asked to pay for this...I also have two other claims with them and expect follow up with a dental clinic in October...ouch...
 
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Rysiek

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I was thinking about tapering gabapentin, but will postpone this.
He was doing so well, until today evening and I am unsure what triggered it. He had an attack with rolling his tongue and distress, for a short time, around 3 times.
We have not changed anything...Around two weeks ago tapered buprenorphine, which went well.
He was really good, happy and no signs of pain...Last few days he was hiding under the bed at the time of medication...
Unsure what to make of it. Unsure what could have triggered this.

I sent email to my dental vet...
 

fionasmom

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Does he not want to take the medication? That is a cat response and does not mean that anything is wrong, such as hiding from pain. Even if he has been good about taking the meds, I have had cats who have figured out that something is in their food even if it has been disguised. If you have enough of the gabapentin, you might continue it and see if he feels better before you start to taper it. Good that you let your vet know.

I have had trouble with insurance, but in the end they always paid their share. It was more dumb stuff like they could not find a certain part of the documentation, so held up the claim. In this general area, there is only one insurance that most vets will bill and everything else is paid up front and then the owner is reimbursed. If it gets bad, you might check to see if there is an agency or governing board who oversees insurance.
 
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Rysiek

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Thank you ever so much.
I think he is fed up with his meds
He is still on metacam in the morning, twice a day gabapentin (both liquid form) and omeprasole in evening (tablet)...

I have not seen him so distressed for weeks...Unsure what might have triggered it...
Hopefully, this was just one off incident...

With the insurance, I complained already, so this is ongoing...Just frustrating...as you said they appear as if they have list some documents...
 
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Rysiek

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Answer from my vet:

As we think the lingual ulceration is the cause of his pain, it could be that he used/moved his tongue in a way that triggered the pain and behaviour. When he has an attack like this I am happy for you to give him the oral buprenorphine as a rescue medication to ease the immediate pain and calm him down. Its a shame he had this relapse as he was doing so well.

*****
this makes sense, as he was playing with a toy that has a bit rough surface...ouch...
 
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Rysiek

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He has been much better, almost normal. We are tapering gabapentin with no problems, each week by 0.5ml...so he is now on 0.3ml twice a day...
He is still on metacam and omeprasole...

I had a shocking response from the insurance as they rejected the claim, stating he had a pre-condition prior to taking the policy ...by precondition they actually mean anything, and in our case he was seen by the vet for head shaking, which was formulated as a behaviour rather than condition...
But they said that this was linked!
I wrote a complaint but I doubt I will get anything...

Additionally he has been scratching his ears a bit, perhaps some allergy ...I cannot see anything in his ears...and tos weeks ago the vet said they appeared healthy...

We will be having a dental vets follow up in December...
 
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Rysiek

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Problem again, he was ok with taking his omeprasole tablet hidden in a small putty ball...he refuses them now...I tried liquid omeprasole, it is extremely bitter!
Yesterday I tried to give him his tablet manually, unsure if I managed as he wriggled off and dashed under the bed. He is too strong for me to give him the tablet 😿...
Afterwards he vomited twice, all the food and possibly the tablet...
Past night and today morning he did not urinate...

Is this possible that he is just dehydrated after yesterday's vomiting???

We have managed to tapper gabapentin completely...no additional issues...

He is now on 0.5ml of metacam in the morning and omeprasole in evening...

I ordered some device for inserting tablets to cats, as the liquid seems really bitter...
Don't know what to do..
 

fionasmom

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Yes, he may be dehydrated, but keep an eye on him and see if he drinks and pees. I have been through this more times than I can remember. Something successfully masks a tablet for a while, and then it is as if the light bulb comes on and the cat figures it out and is over it.
 
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Rysiek

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Yes, he may be dehydrated, but keep an eye on him and see if he drinks and pees. I have been through this more times than I can remember. Something successfully masks a tablet for a while, and then it is as if the light bulb comes on and the cat figures it out and is over it.

He is ok today re: eating and urinating 😸...

This is how you described, as if a "light bulb" moment...He just figured it out, and refuses it full stop, I tried a putty with no tablet, he is just over it completely!
Someone told me that soft cheese can mask the tablet as well, so I will try today...
I did not give him his medication last night, as we are both tired of it...

Generally, he has been much better. No gabapentin anymore 😸...

He is a big, strong cat and also does not like being held, neither sits on the lap, also does not like too much touch...I can only stroke him for a moment...
So I do not have any possibility to administer this apart from getting him on a floor and wrapping him in a towel...
When I tried to give him omeprasole manually he just felt really traumatised and wriggled himself away with some additional strength, I was unable to keep him steady...and then he vomited it all...

The liquid omeprasole is extremely bitter, I tasted it!

But he needs to get his meds...unsure for how long...
I think metacam is going to be tapered next...
I am a bit concerned about any rebound symptoms...
We have a follow up on 8th December...I am in an ongoing email contact with the vet...In her view his oral ulceration is related to esophagitis, so omeprasole was prescribed to control it. And, yes we have seen a major change...
Chronic Gingivostomatitis with Esophagitis in Cats
 
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Rysiek

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Additionally, we have only tapered his gabapentin, over the period of five weeks, each week by 0.1ml...
He seems to be more sleepy and his appetite decreased...unsure if this is a sign of rebound pain or kind of withdrawal response...
He was on 0.5ml twice a day since July, as I said tapered last month, really tiny decrease...
 

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