Katie not eating much, periodic vomiting still no idea what is going on

kattiekitty

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Hi all,
This is going to be long so bear with me. Anyways, my cat Katie has been somewhat of an unusual cat but we've managed her health issues rather well. She basically has chronic constipation due to an old pelvic fracture that narrowed the pelvic canal so stool can easily build up. She is on miralax and that keeps her regular. She is blind due to a reaction to baytril but she gets along fine, other than that she has been fairly healthy for a 10 year old cat. She has had periods where her appetite has reduced, but usually that is attributed to either getting blocked up constipation wise, or a bad hairball. This has never gone on for more than 2-3 days before she goes back to normal.
About 2 months ago she had a bout of cystitis for the first time ever. We figured it was due to our new puppy causing stress, we have since managed that and she perked right up after a round of antibiotics that cleared it up. She had WBC and blood in the urine and it was moderately dilute at 1.023 so my vet said to watch her and we would do a blood panel to check her kidneys after my vacation. Oh and an aside, my other cat got a bout of cystitis as well a few weeks after Katie and he cleared up just fine same as her.
Fast forward to the beginning of June, Katie vomited food up 2 times in the morning. I though it was odd but she seemed fine otherwise so I left for a few hours to run errands and then came back to two more food vomit piles. This wasn't normal for her so I got her in to my vet and they got a blood sample and sent home some cerenia. She had lost a half pound since her uti in March so that was of some concern. I was thinking kidneys or diabetes, but bloods came back absolutely normal. Nothing out of normal range at all. The vet did mention her thyroid was in the gray zone for an older cat but still not hyperthyroid.
She did perk up again and I felt better as the blood panel showed no changes, but I have noticed her drinking more water. Nothing dramatic but I'll see her at the water dish several times a day compared to my other cat.
Fast forward to last Wednesday, she vomitted again 4 times all food and then she wasn't interested in food. I took her back to my regular vet who wasn't the one that did the bloodwork. She recommended another urinalysis, and an X-ray to start. Her urine showed blood again but no WBCs. Her specific gravity was 1.028 still dilute but better than last time. The X-ray showed a possible enlarged right kidney. My vet said this could be indicative of a kidney infection, could be normal Katie or could be nothing. Not to mention all the baddies like cancer and such. She is recommending an ultrasound as the next step so we can check the kidneys as well as her gastrointestinal system. She said other possibilities for her symptoms could be IBD, pancreatitis, a smoldering infection that isn't showing up in the labs or X-rays yet ( she actually had a patient that had that). The ultrasound is scheduled for Tuesday with the specialist. In the mean time I'm just trying to keep Katie eating. I've bought all kinds of junk food. She normally eats acana dry and wellness canned or other high quality canned but now it is friskies, fancy feast ect. She eats a small amount and then walks away and that's if I'm lucky. Sometimes she will just sniff and walk away. She did vomit once yesterday, but that is it since Wednesday.
She is still coming up for purr cuddle time but she is also sleeping more and sometimes going under the bed which she does if she doesn't feel well. I'm scared to death that this is going to be bad. My old dog was diagnosed with a hemangiosarcoma back in February and we had to put him down because it spread. Again it didn't show up in the bloodwork either. I can't lose two pets in the same year. I feel like I'm going to the vet every week for something. I pray this is something treatable but her symptoms are so non specific, though I am worried about intestinal lymphoma. No idea what to do. I've been giving her slippery elm to help her digestive system. She gets cerenia if needed though sometimes she will vomit the pills as they are bitter. She is on zeniquin as a precaution if it is a kidney infection. So far no real improvement. She isn't getting worse but not better either. Hopefully the ultrasound will give us some answers.
 

micknsnicks2mom

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i'm so sorry you and katie are going through this. sometimes it's the not knowing (what the cause of the symptoms are) that's the worst.

have you tried serving katie some stage 1 jar baby food, meat flavors (like chicken in gravy, turkey in gravy, beef in gravy, or ham in gravy -- beechnut or gerber, the kinds that only have the meat, water, and some have a bit of cornstarch in them)? it's very smooth and very easy to digest/on the tummy for cats who are having gastro upset. i always have baby food on hand for my snick, who has had pancreatitis and has IBD. many/most cats really like or love the jar baby foods.
 
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kattiekitty

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Yeah it's the not knowing part and then the endless google searches that bring up all sorts of scary stuff. I have tried baby food but she doesn't seem to care for it. All she seems to want is her junky treats like temptations or pounce and then she will lift her nose at those too sometimes. I've cooked chicken plain and she ate a little but then stopped. At times she will walk around almost gingerly as if in pain. She is also meat loafing a lot and licking her lips so I know her tummy isn't feeling well. She will get hungry in the early morning and eat a good amount then, but then the rest of the day it is just a bite here and there. I've even tried a quarter tab of pepcid ac regular strength. Nothing seems to be helping though:-( just hoping the ultrasound will yield something so at least I know what we are up against:-(
 

micknsnicks2mom

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Yeah it's the not knowing part and then the endless google searches that bring up all sorts of scary stuff. I have tried baby food but she doesn't seem to care for it. All she seems to want is her junky treats like temptations or pounce and then she will lift her nose at those too sometimes. I've cooked chicken plain and she ate a little but then stopped. At times she will walk around almost gingerly as if in pain. She is also meat loafing a lot and licking her lips so I know her tummy isn't feeling well. She will get hungry in the early morning and eat a good amount then, but then the rest of the day it is just a bite here and there. I've even tried a quarter tab of pepcid ac regular strength. Nothing seems to be helping though:-( just hoping the ultrasound will yield something so at least I know what we are up against:-(
i think most kitty parents do the google searches that bring up all sorts of scary stuff. i know i've done that. it helps me to keep reminding myself that many illnesses have some of the same symptoms, so i don't get more worried until there is something to actually be worried about (as far as a diagnosis).

my snick had an ultrasound a little over two years ago. the vet wanted to see if any thickening of snick's gastrointestinal tract had happened -- snick has IBD. we learned a lot from that ultrasound. we saw signs that she had had pancreatitis at one point, which the vet and i must have thought was an IBD flare-up and treated successfully. and we also saw that snick's kidneys were very small for her age (snick was 11 years old then). while there at the ultrasound, we did a needle draw urine sample and i dropped that off at my vet's to be tested -- the ultrasound was done at a different vet practice, were the ultrasound technician was that day. it was due to this ultrasound that snick's "beginnings of CKD" was caught early. my snick really wasn't upset or stressed by having the ultrasound done.

i'm sure that at the very least the ultrasound will provide more info to the vet about the gastro upset your girl has been experiencing.
 

zoneout

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Sounds like you are doing everything you can for her.   I just went through exactly the same situation with my cat regarding vomiting, then showing a desire to eat but then refusing food.   he lost alot of weight in the process so I had to syringe feed her baby food.   The worst was that she would rapidly dehydrate from the vomiting which just makes them feel much worse.

On top of it all the googling and endless possibilities gets our minds spinning so we lose sight of what needs to be done.

Let me try to help you with a checklist:
  • cerenia - use it.   Cats might feel hunger but then get put off by nausea.  cerenia stops this
  • electrolytes - it doesnt take much vomiting for a cat to become deficient which adds to nausea.  Syringe in unflavored pedialyte - IV will be necessary if vomiting is so heavy that nothing is coming up (dry heaves)  - get to vet ASAP
  • dehydration - this is major battle.  I never could syringe in enough fluid to keep her hydrated.  Only way is thru SubQs.   Have your vet give you the kit to do it yourself.  It will become critical at times.  
  • B12 shots - They perk the cat up and are non-toxic.   You can get these to do yourself as well and it will make the cat feel better.  Feeling better = better chance they eat.
  • Slippery Elm - It is a survival food.   If you can use it great.   Easy to syringe.  My cat enjoyed the taste. 
  • Pepcid - I used it - at times it seemed to help othertimes not.  It is bitter so pillpocket if you can.
  • Hairballs - my cats downturns always seemed to start off with hacking up a hairball and spiraled from there.   Best to prevent them by keeping hair out in the first place.   Furminate as much a possible.   In severe cases shave kitty - its not as bad as you think.
  • Keep a log.   With everything swirling around from the internet and the vet, etc its hard to keep your activities straight.    It also help exactly explain to the vet what has been occurring.  For example 2am vomit medium hairball and 1/4 cup mucous.   6am vomit foamy bile teaspoon.   etc etc
Best wishes,
 
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kattiekitty

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Hmm! The hairball thing is intriguing because it seems that's when her issues start when she has issues getting a hairball out. I do recall that happening before this all started as well. We have been using cerenia and she will eat a little but nearly her normal amount. The last time she vomitted was on Friday morning and it was food, so the vomiting isn't out of control yet, but she never has been a vomiting cat other than the occasional hairball.
I brush her everyday and she gets baths once a month due to allergies. She enjoys the brushing so it is easy to do. Despite than she will still get the occasional hairball being long haired.
I do have a bag of LRS and needles if I need to do sq fluids, but she is drinking so much that her hydration is good despite the vomiting. I am getting the X-rays from the other vet that we went to last year when she became constipated just as a comparison X-ray to her current status. Oh and her urine culture came back negative so I guess a kidney infection is unlikely.
Tomorrow when we go in I think I am going to ask about the b-12 and maybe an appetite stimulant. I've done that in the past when she's been off and it perked her right up. The problem is we never knew why her appetite would be off. I just assumed it was her constipation issues, though she is clear in that respect from the X-ray we took last week.
I have been using the slippery elm and it seems to help a bit. It did really well when I first gave it, but the effects have kind of tapered off in subsequent doses. I just hope the ultrasound yields something so we have a direction to head in. All her other tests have come back negative and normal so no clue yet as to what is the issue. The ultrasound is expensive but a definite next step that is needed. I'm worried but trying to be positive. It's not like she looks like she's on deaths door. In fact my sister came over yesterday, and Katie came up to her purring and wanting pets. Until I told my sister that she's been unwell, she would have never guessed. I guess me being so in tune with my critters I just have that gut feeling when something isn't right:-(
 

zoneout

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Hmm! The hairball thing is intriguing because it seems that's when her issues start when she has issues getting a hairball out. I do recall that happening before this all started as well. We have been using cerenia and she will eat a little but nearly her normal amount. The last time she vomitted was on Friday morning and it was food, so the vomiting isn't out of control yet, but she never has been a vomiting cat other than the occasional hairball.
I brush her everyday and she gets baths once a month due to allergies. She enjoys the brushing so it is easy to do. Despite than she will still get the occasional hairball being long haired.
I do have a bag of LRS and needles if I need to do sq fluids, but she is drinking so much that her hydration is good despite the vomiting. I am getting the X-rays from the other vet that we went to last year when she became constipated just as a comparison X-ray to her current status. Oh and her urine culture came back negative so I guess a kidney infection is unlikely.
Tomorrow when we go in I think I am going to ask about the b-12 and maybe an appetite stimulant. I've done that in the past when she's been off and it perked her right up. The problem is we never knew why her appetite would be off. I just assumed it was her constipation issues, though she is clear in that respect from the X-ray we took last week.
I have been using the slippery elm and it seems to help a bit. It did really well when I first gave it, but the effects have kind of tapered off in subsequent doses. I just hope the ultrasound yields something so we have a direction to head in. All her other tests have come back negative and normal so no clue yet as to what is the issue. The ultrasound is expensive but a definite next step that is needed. I'm worried but trying to be positive. It's not like she looks like she's on deaths door. In fact my sister came over yesterday, and Katie came up to her purring and wanting pets. Until I told my sister that she's been unwell, she would have never guessed. I guess me being so in tune with my critters I just have that gut feeling when something isn't right:-(
How old is she and what food has she been on the majority of life?
 

goholistic

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I'm sorry that Katie is not feeling well. Please let us know how the ultrasound goes. My Sebastian has chronic pancreatitis. If they do suspect this in Katie, even by a little or a lot of inflammation seen in the ultrasound, you can always get the Spec fPL (feline pancreas-specific lipase) blood test done to further aid in diagnosis. This is the more accurate version of the test and the blood would need to be sent out to Texas A&M.

Sending lots of vibes...
 
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