my 14yr old cat was diagnosed with megaesphogus

sloan

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At the moment he has a feeding tube. He barely moves. Pretty much just to go to the kitty litter. I sit with him and he purrs but he does not seem well at all. I took him back to the vet and they did another x-ray. He had stool so they gave him an enema and I have had to give him one as well. I hope I am doing the right thing by him.

I am wondering what I will feed him when the feeding tube comes out? I am going to have a little feeding table build for him because I have read they need to eat elevated.

I am wondering if anyone else's cat has this and how they did after the tube came out. What foods you feed and or any medications. I would really appreciate it.

Thank you
 

denice

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How old is your kitty?  To be honest I have only heard of this as a birth defect and even then it is more common in puppies.  I know with the birth defect it is a wait and see as to rather or not they will outgrow it.
 
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mrsgreenjeens

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We have had a few, not many, cats with this condition here on TCS.  Here is a thread that has some links that might be helpful.  I do know that, yes, they need to eat sitting up, and then if possible, STAY, sitting up or standing, for about 15 minutes afterwards.  Quite a task, to be sure, but not impossible. 

http://www.thecatsite.com/t/289960/best-food-for-cat-with-megasophegus

Is his feeding tube currently installed directly into his stomach, bypassing his esophogus, or what?  Is he able to keep his food down ok with it?  Did he develop Hepatic Lipidosis, is that why he is so lethargic? 
 
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sloan

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We have had a few, not many, cats with this condition here on TCS.  Here is a thread that has some links that might be helpful.  I do know that, yes, they need to eat sitting up, and then if possible, STAY, sitting up or standing, for about 15 minutes afterwards.  Quite a task, to be sure, but not impossible. 

http://www.thecatsite.com/t/289960/best-food-for-cat-with-megasophegus

Is his feeding tube currently installed directly into his stomach, bypassing his esophogus, or what?  Is he able to keep his food down ok with it?  Did he develop Hepatic Lipidosis, is that why he is so lethargic? 
 
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sloan

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I believe his feeding tube is directly to the stomach? I feed him water and wet food mixed together in a syringe. 30cc per feeding. I administer it 5cc at a time. I count to 30 and give him 5cc more and I keep going likenthat. Then I flush it the same way very slowly.
He keeps it down for the most part. He has vomited some on on the occasional feed.
I took him back to the vet today. He has been moving around. I gave him.an enema. A stitch came lose so when I got him back the tube was placed differently. Now when I feed him air is bubbling up in the syringe. I left a message at the vet but it is late and I will hear from him in rhe morning now. I am just so worried.
 

mrsgreenjeens

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How is he this morning?  Are you putting any medication into his food that you put into the syringe? Even something for the constipation?   You can tell if its a stomach feeding tube if the base of it is in his stomach vs in his neck.  My cat had one in his stomach ( a very long time ago).  Most cats get them in their necks, but most cats don't have megaesophagus, which could make an E-tube (esophogial-tube) difficult. 

Honestly, yours is the first cat I've heard of that got a feeding tube for megaesophagus, although it IS rather rare for cats.  That's why I asked if he was diagnosed with Hepatic Lipidosis too.  That's one of the main reasons for feeding tubes, the reason MY cat had one.  Can you give us a little more history on him.

Of course you're worried...it's natural to be
   We're here to worry with you, and help you if we can.  
 
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sloan

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Hi, so kind of you to talk to me. I am a mess. LOL
The tube is in his neck. He was full.of gas. It showed in the xray when in first took him in. I left him for a couple hours don't hey could do a barium evaluation. There was a lot of food stuck in his esophagus. So that is when the vet told me about the mega esophagus.
Last night in woke up at 4 am toncheckmon him and the feeding tube was completely out? So in drive him back to the vet today an dr hey kept him. I just called and left a message. Dr.says he will check his esophagus again but it had only been a week. He may have to put it back in?
Sloan was a perfectly healthy cat until he got a hematoma on his ear. He has surgery and the next day I brought him home, he started the vomitting. I had no idea what it was. It would happen every few weeks and my vet then would give him fluids and anti nausea meds. He got a second hematoma and I had to do surgery again. He kept vomitting. The vet kept treating him for nausea and giving him fluids so I took him to a different vet and he said he didn't know. Gave me pepsid. The very next morning I took him to the vet we are at now because he has been around for years and I knocked on doors and had a friend tell me that he was excellent. I like him. He seems to know what he is doing but I am having a hard time with 5 tube feeds a day and Slaon seems so sick. He is getting antibiotics and a nausea pill in his syringe.
 

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That antibiotics could be what is causing him to act so sick.  Some cats have reactions to certain antibiotics.  One of my cats acted like he was dying every time he took Clavomox, so we had it in his file never to give it to him again.  We really thought we were going to lose him the last time he took it
.  So.....look at the side effects of whatever antibiotic he is on and mention to the Vet what is happening and see if maybe he needs a different antibiotic. 

I did read that antacids (the Pepcid A/C)  can help with discomfort and Reglan might  help with gastrointestinal movement.  This entire article might be helpful:  https://www.petcarerx.com/article/how-do-you-treat-megaesophagus-in-cats/2801

Curious that he was able to pull out an E-tube.  I thought it was stitched in!    Let me know if it gets re-inserted.  There's something called a Kitty Kollar that's pretty neat for an E-Tube.  It pretty much keeps it secure (and out of the way)  A couple of people here on TCS have used them.  Here's their website if you want to check them out.  I'm just not sure where on your guy's neck it's placed, so not sure it would work.  I'm thinking his placement might be lower than norm.  http://kittykollar.com/
 
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sloan

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Hi, I can not thank you enough for your kindness and information. I spoke to the vet this morning. Sloan is eating on his own!! I wasn't actually able to speak to the Vet. The tech told me. I was so over joyed. I will be bringing him home Saturday morning. So I will know better then what meds he'll be on and whether or not he will stay on wet food etc. Thank you for your kindness. So refreshing that a total stranger cares. God Bless You
 

mrsgreenjeens

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Great news
.

And my guess is that he will need to stay on VERY wet food (like a slurry) for the rest of his life, unless this was caused by some sort of infection of the esophagus and goes away as quickly as it came on. 

Keep us posted on his progress.
 
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sloan

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I am thinking the same thing.Staying prayerful that his esophagus is completely healed but I'll be happy with the slurry diet if he is lol He is a great cat! I adore him. I hope that his life from here on in is happier. He has been through a lot and has handled it amazingly. Everyone at the Vets office just loves him and says how nice he is.
 
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