New years eve we took our 12 year old cat Cream Puff to an emergency vet
because she threw up 9 times in 7 hours that night. There she was had IVs
for antibiotics and pain control while they waited to give her an ultrasound.
She showed enlarged kindey, liver, pancreas as well as some intestinal abnormalities.
Her BUN and CREA were pretty high that night, 62 BUN and 3.7 CREA.
She also showed signs of increased liver values.
ALT 221
GGT 7
four days later she returned to her normal vet for more blood work
and her BUN/CREA values dropped significantly, 38 BUN, 2.6 CREA. Still high but better.
However this newer test showed her liver values where significantly higher.
ALT 403
ALKP 151
GGT 5
AMYL 1,804
The vet believes the elevated kidney values could have been a kidney stone passing
as her urine culture showed no UTI of any kind, which is a good sign.
In order to diagnose the liver problems a biopsy would be needed, but I feel that is a bit too
invasive, especially when she has all these other underlying issues.
At this point the only thing we are doing is managing her pain as she has some pain in her
kidneys still, she would fight back when being examined.
The vet suggested all sorts of medication for nausea, intestine, liver, and pain.
We were also instructed to giver her SubQs at home, 100cc a day for a week, which I think I am gonna
lower that as it seems waaaaaay too high. What would be appropriate? 100cc every other day? 80 every other day?
She sleeps most of the day, which is normal for her I suppose. Eats well. Drinks, urinates.
We started giving her some Wet Prescription K/D which she seems to like, for now at least.
Has some diarrhea but that could be from the recent antibiotics she was given.
My question is, because she has so many problems that will only get progressively worse, when do you draw the line?
I'd hate to put her through all the drugs, especially the side effects, only to keep her comfortable.
I know this is a difficult choice, I don't want to be guilty about forcing her to go through all this just to delay her illness for another day.
because she threw up 9 times in 7 hours that night. There she was had IVs
for antibiotics and pain control while they waited to give her an ultrasound.
She showed enlarged kindey, liver, pancreas as well as some intestinal abnormalities.
Her BUN and CREA were pretty high that night, 62 BUN and 3.7 CREA.
She also showed signs of increased liver values.
ALT 221
GGT 7
four days later she returned to her normal vet for more blood work
and her BUN/CREA values dropped significantly, 38 BUN, 2.6 CREA. Still high but better.
However this newer test showed her liver values where significantly higher.
ALT 403
ALKP 151
GGT 5
AMYL 1,804
The vet believes the elevated kidney values could have been a kidney stone passing
as her urine culture showed no UTI of any kind, which is a good sign.
In order to diagnose the liver problems a biopsy would be needed, but I feel that is a bit too
invasive, especially when she has all these other underlying issues.
At this point the only thing we are doing is managing her pain as she has some pain in her
kidneys still, she would fight back when being examined.
The vet suggested all sorts of medication for nausea, intestine, liver, and pain.
We were also instructed to giver her SubQs at home, 100cc a day for a week, which I think I am gonna
lower that as it seems waaaaaay too high. What would be appropriate? 100cc every other day? 80 every other day?
She sleeps most of the day, which is normal for her I suppose. Eats well. Drinks, urinates.
We started giving her some Wet Prescription K/D which she seems to like, for now at least.
Has some diarrhea but that could be from the recent antibiotics she was given.
My question is, because she has so many problems that will only get progressively worse, when do you draw the line?
I'd hate to put her through all the drugs, especially the side effects, only to keep her comfortable.
I know this is a difficult choice, I don't want to be guilty about forcing her to go through all this just to delay her illness for another day.