Repeating Rectal Prolapse

[Jabzilla]

It looks raw. Is there anything you could apply to soothe it, such as coconut oil, which is non-toxic?

I have virgin coconut oil and use it to brush his teeth each night. Would putting coconut oil on there cause acne? He already gets acne on top of his tail despite having been neutered and if coconut oil gets on his lower lip then black heads show up the next day. Does that mean he'd get black heads on his bottom if coconut oil is put on it?

I've been spraying the area with this about 3x a day. He got it on Tuesday during the day and I've sprayed it since he's been home. MicrocynAH Wound and Skin Care Liquid Spray | Buy at Homesalive.ca

 

[Jabzilla]

I just got an email from his specialist. She's prescribed Theraderm for Cosmos's bottom and I'll pick it up tomorrow. After sitting at the fridge all day since being home, Cosmos now refuses his dinner. He ate breakfast at the hospital and during the day had enough snacks to add up to a full meal, so hopefully he's just full rather than nauseas. He got up enthusiastically when I took out the food, but only ate the small piece his Gabapentin was in and even that required bribes. He doesn't get another dose of Cerenia until 8am. I've put in a request for some Mirtazapine just in case and am hoping it'll be ready when I pick up the Theraderm. I really wish the appetite stimulant didn't expire after 30 days though. He's only needed it a few times over the years and one dose has been enough to get him back on track with eating.

Cosmos also finally went to sleep two hours ago (rather than taking his 12-4pm nap), so hopefully he's just exhausted from this whole ordeal, as it's unusual for him to sleep through dinner time.

 

[Jabzilla]

Alrighty, Cosmos ate his before bed food last night. Breakfast was a bit slow with him only eating 13g of shrimp and a small clump of ground turkey breast to take his half of a Cerenia tablet. He came back about 20min later and ate 25g more of his shrimp. I'm going to pick up some Mirtazapine along with the Theraderm this afternoon, so I'll be well equipped to deal with any potential food issues. I didn't weigh the turkey breast clump, but if I had to guess, I'd say it was 2-3g. That would bring his total to 40 or 41g of food out of 50g for breakfast, which isn't pretty good. I'm hopefully the Mirtaz wont be needed, but it'll be good to have it just in case.

 

[DeesCats]

Is it the transdermal Mirataz? I'm not aware that it is only good for 30 days after it's been opened, when I used it for previous cats the vet said it was good up to the expiration date.

Recently the ER vet gave me a partial tube to use on a newly adopted cat that was recovering from an injury and she mentioned it can be fine to use past the expiration date if kept under proper storage conditions and still seems to be working well.

 

[fionasmom]

You are doing the right thing to get the Mirataz and the prescribed medication. In the long run, it will hopefully be more effective. I have often used Veterycin which is an OTC pet safe wound care spray, but if it is not strong enough, it just does not work.

 

[Jabzilla]

Is it the transdermal Mirataz? I'm not aware that it is only good for 30 days after it's been opened, when I used it for previous cats the vet said it was good up to the expiration date.

Recently the ER vet gave me a partial tube to use on a newly adopted cat that was recovering from an injury and she mentioned it can be fine to use past the expiration date if kept under proper storage conditions and still seems to be working well.

Yes, its the Mirtazapine that goes on the inside of his ear. It's strange since the one I picked up is the same as previous ones. But for some reason, the technician who gave me the previous ones always said "its good for 30 days once you open it". The expiration date on the box I got is April 2026. It would be fantastic if it's good to use for that long. As its always felt very wasteful to use it once or twice and then have to throw it away due to having been many months since it was last needed.

 

[Jabzilla]

You are doing the right thing to get the Mirataz and the prescribed medication. In the long run, it will hopefully be more effective. I have often used Veterycin which is an OTC pet safe wound care spray, but if it is not strong enough, it just does not work.

Yeah, I used to use Vetericyn as well. Then it became impossible to find in Canada and was replaced with Microcyn. I'm guessing its the same thing but with a different name and bottle color. The ingredients are the same.

 

[DeesCats]

I would double check with your vet on how long an opened tube would be good for especially since I didn't find that info on the Mirataz website. There is a couple pages on the website, one is Product Label and Safety Information and the other is FAQ.

When I was using it, instead of wasting an entire glove, I cut the fingers off and used one of the cut off fingers to apply the Mirataz and took care not to get the medication on anything but the inner pinna (ear).

I also didn't need to apply the recommended 1.5 inch ribbon for my cat so that will also be trial and error and something to discuss with your vet. Every cat is different and reacts differently.

 

[Jabzilla]

I would double check with your vet on how long an opened tube would be good for especially since I didn't find that info on the Mirataz website. There is a couple pages on the website, one is Product Label and Safety Information and the other is FAQ.

When I was using it, instead of wasting an entire glove, I cut the fingers off and used one of the cut off fingers to apply the Mirataz and took care not to get the medication on anything but the inner pinna (ear).

I also didn't need to apply the recommended 1.5 inch ribbon for my cat so that will also be trial and error and something to discuss with your vet. Every cat is different and reacts differently.

It’s weird. The box says it expires in 2026, but then the printed label sticker that was placed on there says to discard it 30 days after opening it. My cat doesn’t need a full dose of the Mirtazapine either. It’s such a waste if the tube truly only lasts for a month.

 

[Jabzilla]

I am very pleased to report Cosmos is back to his normal self, and there hasn't been a prolapse for a whole week! <3 He still has on his cone, much to his chagrin, since the spot he overgroomed is still in the process of healing and getting the Theraderm placed on it.

 

[Sarthur2]

Wonderful! When does he get to drop the cone?

 

[Jabzilla]

Once it's okay to stop using the Theraderm. It says external use only, so I don't want him to lick any of it. I'm supposed to use it until his skin is completely healed.

 

[Twylasmom]

Im the past I have used one tube of Mirataz for over 3 months with no decline in efficacy. As long as you seal it up tightly it should be fine.

 

[Jabzilla]

Thanks Twylasmom. I'm glad I wont have to throw out a perfectly good tube of Mirataz then just because its past 30 days! A quick update, Cosmos's specialist has decided to postpone his recheck appointment for 1 or 2 months from now. She said since he's doing well she doesn't want to stress him out by having him come to another hospital just a week after having been in one. I really appreciate how considerate she is of that. She has the ultrasound report and such from the emergency vet so the inflammation they found must not be a cause for concern since said he doesn't need to come in tomorrow.

As for Cosmos, he's back to his normal self. <3 What I thought was scabs on his bottom where he'd overgroomed was instead dried poop that was smeared onto his skin. I'd asked when he was at the hospital if he'd had diarreah and they told me no. Yet his bottom was covered in dried poop. That doesn't happen when he's at home and I blame the fact that they fed him junk from Hills. I gently washed off the poop and Theraderm, and am reducing his cone time to see if he goes back to the obsessive grooming.

He's also still prolapse free! I truly hope that means things have healed and the prolapsing wont happen anymore.

 

[fionasmom]

As for Cosmos, he's back to his normal self. <3 What I thought was scabs on his bottom where he'd overgroomed was instead dried poop that was smeared onto his skin. I'd asked when he was at the hospital if he'd had diarreah and they told me no. Yet his bottom was covered in dried poop. That doesn't happen when he's at home and I blame the fact that they fed him junk from Hills. I gently washed off the poop and Theraderm, and am reducing his cone time to see if he goes back to the obsessive grooming.

Sheeesh! You have had enough to handle without "help" from the hospital.

I hope that the prolapses have come to an end.

 

[gizzieblue]

Sheeesh! You have had enough to handle without "help" from the hospital.

I hope that the prolapses have come to an end.

Hi - sorry to hear about his troubles ... did the specialist had no comment on segmental inflammation?

Mirataz: you can ask for a prescription for "mirtazapine mini melts" - explain that only for emergencies, since being overweight you're afraid of fatty liver while you're away [ make up some stuff ]. You basically take one pill and place it in his mouth/inside gum and it melts instantly. It's one every 48h. I never had to use more than one ... You can add a silica tiny envelope and store it in a dry place.
Alternatively, there's cyproheptadine [ pills before food - the liquid one has stuff in it that might - actually surely - make him nauseous ]. Another OTC option is zyrtec - I had to use it on Mango. But with appetite stimulants - I was careful to feed my cat something I knew was not making him miserable.

Cerenia: there're saying it helps w/visceral hypersensitivity. It did not help either of my cats. Nausea? I'm not sure. It's an anti emetic. Vomiting - in my idiotic opinion - should not be inhibited before a cause can be found. Of course vomiting / regurgitating is not good.
It's not helping with biliary / silent reflux either. So while it does have use, I think it can masks symptoms.

The hospital would give cerenia [ no vomiting ], mirataz [ compulsive eating ] and a food that specifically over and over I said made him sick because it had salmon. "Eating like a champ" they said - i can post a video taken half an hour later, it's downright animal abuse. So maybe that's why I'm against cerenia, while it is very effective if it's not abused.

Mom had some gallbladder problems -misdiagnosed for a long time - and she would get this horrible headaches, for about 2 years - and all the fancy meds were not helping. And half an hour after throwing up she would be able to stand, talk etc. I honestly think she would have died if not able to vomit.

There is ondansetron - it worked for nausea for my cat - only had to use it once in a while. You can get it cheaper from a pet pharmacy [ in the us ].
Pantoprazole / omeprazole w/raw food - I don't know. It's not good w/prescription food either. It can and will induce bacterial overgrowth. It will take longer to see the changes compared to antibiotics :-(

Protein allergy? I mean - there is no zucchini broth medium ... but there is liver broth culture medium, sheep blood agar, brain infusion etc.

This being said, my cats are not doing well. Miau - same, he put on weight despite a very small portion [ to much scfa ?]. Not covering pee. Sleeping a lot. He gingerly lays down. Mango has flea allergy and some neurological problems [ from experience, I'd say diabetic neuropathy ].

Question: on animal biome, on the appendix or 'other bacteria' - do you have something "eubacterium lente"? Would you mind sharing it?

 

[Jabzilla]

Hi - sorry to hear about his troubles ... did the specialist had no comment on segmental inflammation?

Mirataz: you can ask for a prescription for "mirtazapine mini melts" - explain that only for emergencies, since being overweight you're afraid of fatty liver while you're away [ make up some stuff ]. You basically take one pill and place it in his mouth/inside gum and it melts instantly. It's one every 48h. I never had to use more than one ... You can add a silica tiny envelope and store it in a dry place.
Alternatively, there's cyproheptadine [ pills before food - the liquid one has stuff in it that might - actually surely - make him nauseous ]. Another OTC option is zyrtec - I had to use it on Mango. But with appetite stimulants - I was careful to feed my cat something I knew was not making him miserable.

Cerenia: there're saying it helps w/visceral hypersensitivity. It did not help either of my cats. Nausea? I'm not sure. It's an anti emetic. Vomiting - in my idiotic opinion - should not be inhibited before a cause can be found. Of course vomiting / regurgitating is not good.
It's not helping with biliary / silent reflux either. So while it does have use, I think it can masks symptoms.

The hospital would give cerenia [ no vomiting ], mirataz [ compulsive eating ] and a food that specifically over and over I said made him sick because it had salmon. "Eating like a champ" they said - i can post a video taken half an hour later, it's downright animal abuse. So maybe that's why I'm against cerenia, while it is very effective if it's not abused.

Mom had some gallbladder problems -misdiagnosed for a long time - and she would get this horrible headaches, for about 2 years - and all the fancy meds were not helping. And half an hour after throwing up she would be able to stand, talk etc. I honestly think she would have died if not able to vomit.

There is ondansetron - it worked for nausea for my cat - only had to use it once in a while. You can get it cheaper from a pet pharmacy [ in the us ].
Pantoprazole / omeprazole w/raw food - I don't know. It's not good w/prescription food either. It can and will induce bacterial overgrowth. It will take longer to see the changes compared to antibiotics :-(

Protein allergy? I mean - there is no zucchini broth medium ... but there is liver broth culture medium, sheep blood agar, brain infusion etc.

This being said, my cats are not doing well. Miau - same, he put on weight despite a very small portion [ to much scfa ?]. Not covering pee. Sleeping a lot. He gingerly lays down. Mango has flea allergy and some neurological problems [ from experience, I'd say diabetic neuropathy ].

Question: on animal biome, on the appendix or 'other bacteria' - do you have something "eubacterium lente"? Would you mind sharing it?

Hey Gizzieblue,
Thankfully Cosmos only threw up the one time. I give him the Cerenia he was sent home with. It was only two days worth of it. I stopped the omeprazole after giving it to him twice since I found out it stops acid production, which is bad for raw fed cats. I've only used the Mirataz once, but I'll ask about the mini melts version when he goes to see his specialist. He's not on any medication now and is back to his normal self. Eating, peeing, pooping, and playing. <3 I've added some liquid vitamin B12 to his retinue since I read IBD cats tend to be deficient in it. I dont know if it's doing anything since he was already back to normal before it arrived. But I know it certainly wont cause harm and since its a B vitamin, any excess will come out in his urine.

As for his Animal Biome results, eubacterium lente wasn't on there, but he did have a lot of eubacterium tenue. I'd asked them what that was and they said its one of the families of bacteria that they're working on learning more about. As of January (which is when his test was done and when I had a consult w/ Animal Biome), they don't really know what eubacterium does. I asked why he suddenly had eubacterium tenue when it wasn't there on his November test. Animal Biome said he either had so little of it that their machine didn't pick it up or he got it from some outside source. As to what they source could have been is unknown, since they dont know much about eubacterium as a whole.

I'm sorry to hear Mau and Mango aren't doing well. Was there ever a diagnosis for them? Isn't there something that can be done for flea allergies?

 

[Jabzilla]

I spoke too soon. Cosmos's prolapses haven't stopped completely. I just saw one this evening after he pooped. It was very small though, more like his anus being an overall lump rather than the prolapse consisting of tissue sticking out of his butt. And even that was gone within seconds and his bottom was back to normal, so progress is still being made. Nothing else to report, he's still doing well.

His sister went to the vet for a pre dental cleaning assessment and Cosmos was very curious once she came back. He's not used to her being the one who leaves, lol. It was nice to have a calm vet visit without any emergencies or issues, chronic or otherwise. Her exam and everything was excellent and I'll make an appointment for the teeth cleaning once her lab work results are in.