Hospitalized Cat, No Clear Diagnosis, Please Help! (not eating, blood in urine, newly diagnosed diab

mewcatmew

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Thank you in advance for reading my post.

My cat went into the vets office for a routine physical/increased drinking and urination on Wednesday. They ran blood work and sent me home with a urine collection kit.

On Thursday, the called back with his lab results indicating he had diabetes (blood sugar of 500) and scheduled him to come in on Friday to begin insulin and create a glucose curve. I was able to get his urine on Thursday and submit that as well. By Friday morning before his first day of insulin, he appetite began to decrease. 

We brought him in on Friday, they did a glucose curve, and monitored his insulin all day. His urine results came back that day as well showing blood in his urine, but there was no evidence of bacteria infection in it. They prescribed Zeniquin. He was not eating at all by friday night so I gave him 1/4 tab of pepcid to see if maybe that would help. It did nothing.

By Saturday morning, he was not eating at all. He began his first dose of Zeniquin and I syringe fed him a little food with the medication. I also gave him some cerenia (anti-nausea cat medication) which did nothing. He was back at the vets on Saturday where they gave him fluids, some vitamins, and an appetite stimulant.

Sunday he is not eating at all, his pupils have become very dialated. I brought him back to the vet, they did an x-ray which showed some constipation but nothing more. They gave him an enema and some pain medication with some sub q fluids. His blood pressure was a bit high, but normal range.

Monday he was taken to a veterinary specialty center, still not eating. His liver numbers from last week shot up almost 100 points (most likely onset of fatty liver from not eating). They took a urine sample, there was still blood in the urine and did an abdominal ultrasound. They ruled out ketoacidosis, pancreatitis, urinary blockages or stones. His liver looked enlarged but nothing super out of the ordinary. They admitted him into the ICU where they began giving him fluids, pain medication, anti nausea medication and pain medication.

As of today nothing has changed. He is still not eating, and they are sending him home with a feeding tube. I am really concerned that they do not have any idea why he stopped eating to begin with, and now he is worse than ever with his liver numbers elevating from the anorexia. 

If anyone has any ideas or help, it would be appreciated more than you know. 

On a side note, he is a male cat, under 10 years, but exact age not known.
 

denice

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Did they get a clear diagnoses for diabetes?  I know kitties blood sugar can be high as a result of stress.  I don't remember what it is but there is another indicator from complete blood work that is a better indicator for diabetes than just high blood sugar.

I think it is possible that all of this began with a UTI.  Of course now your getting into liver issues because of the anorexia
 

Sarthur2

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Did your cat ever receive insulin at all? How are they treating the diabetes?

Have they tried an antibiotic to treat a possible URI or kidney infection?

Since you will now be feeding him, try some Gerber turkey baby food. Cats usually love it, and I have used it with great success over the years with weaning kittens, and with getting ailing and geriatric cats to eat.
 
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mewcatmew

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All of this started to happen before his first insulin dose. He received insulin a few times, but ever since he has been hospitalized his blood glucose has been low enough on its own where he didn't need glucose. They are treating him with Zeniquin antibiotic for a possible UTI infection, but no bacteria was found in the urine sample so there is no definitive infection going on. His liver is now enlarged and abnormal liver ALT, but his blood was taken last week and his liver numbers were very normal.
 

Sarthur2

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I surely hope he will begin eating soon. When is he scheduled to come home?
 

LTS3

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Try posting on the FelineDiabetes.com message board The members there have dealt with diabetic cats with multiple complicated other issues before. Someone there may be able to help you out.

Was a fructosamine done to diagnose the diabetes? A simple blood glucose test only tells what the blood gluocse levels is at that very moment. Your cat may test over 500 at the time (usually caused by stress in most cats. Illness can also elevate levels) but at home his blood glucose level may be normal. The fructosamine gives an average blood glucose level over the past few weeks.
 
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mewcatmew

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He is home now, it is just wait and see I guess...it is just very concerning that there is no diagnosis as to why he just stopped eating to begin with.
 
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mewcatmew

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Thank you so much, I will post there as well.
 
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