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Artie and his Issues

post #1 of 1066
Thread Starter 

First, I am loving thanking everyone for their concern, support and prayers.. it means a lot.. 

Artie is still with us..

 

I am going to break up this thread with a couple of postings because it is lengthy.

 

He has not been diagnosed with lymphoma. He does seem to have a lot of issues as of this moment.

 

 I will list them as they currently are:

 

  IBD (does not get diarrhea--gets constipated)

diagnosed last week with a neurological motility issue with his bowels,

constipation, and a

Grade IV heart murmur which was a functional one on his echo about 4 years ago.

Dental issues-- currently gingivitis

He is also allergic to chicken--vomits immediately after eating it.. 

 

Artie sees a regular Vet and a Specialist at the hospital. 

 

He has had 3 IBD flares since this summer. He loses weight, inappetance, and gets constipation. He never seems to regain the weight he loses.

His daily medication was prednisolone, miralax, cisapride, provable probiotic, and cerenia during a flare.

 

At his last Vet Visit he was at 10.3 lbs. The specialist said she did not want him to lose any more weight. That was in late October. 

 

I noticed him cutting back a bit on his food but did not think that much. I noticed he was down to 10.2 lbs, but that did not seem bad to me..

 

On Dec 1, he had an annual appointment with his Regular Vet. This is a new Vet because my awesome Vet moved to a different practice which is closer to her home, but so far from mine. This new Vet is really great--young, but so caring, compassionate, nice...

She (I will refer to her as R. Vet) found his weight at 9.9 lbs.. a big weight loss

She suggested I contact Specialist (S Vet).. 

S Vet ordered Cerenia to be taken daily forever...

 

On Dec 10, I noticed he was really constipated. He tried several times to go and could not. His weight was around 10.1.. Took him to RVet the next day, who palpated him and found constipation. She gave him an enema, and also hydrated him sub-q's because she did not want him to be depleted of fluids.. 

 

He really messed out a lot.. all over his carrier, him and the bathroom where his litter box is. I could not contain him because he goes nuts in a closed room, even when I am in there. I took all my spare towels out and covered everything I could, still I had dribbles and pools all over. I have laminate in the great room, so that was good. I covered my bed with a sheet, and he did sleep with me..

 

Dec 12, His appetite went downhill again, and he was lethargic.. back to the RVet..she hydrated him and gave him a dose of Valium to act as an appetite stimulant. Artie gets very antsy and paces when he takes Mirtazapine.  She also did an x-ray because she still felt him to be constipated. I saw the x-ray.. He was still filled with poop in the proximal large bowel and into the small bowel.. no wonder he had not appetite.. the poop was backing up..and it seemed like calcifications --very strange...

She did not want to give him another enema because it was too high up.. she prescribed lactulose.

The Valium really did the trick with his appetite...

 

I filled the script the next day, when he did not poop..Lactulose twice a day, 1-2 mg...

 

The R Vet even called the S Vet to update her about Artie.. The S Vet seemed to think the lactulose would push things out.. and she doubled the dose of cisapride..three times a day

 

He pooped small pudding poop for a couple of days..

 

Dec 17, he seemed off again.. appetite bad, and not much poop coming out.. The 

R Vet wanted to see him again.. She felt that with the lactulose given twice daily at 2 mg each dose along with sub-Q's would do the trick..It did seem to work. He was pooping a bit more pudding stuff.

 

I do want to say that his R Vet is awesome. She wanted DAILY updates on him, and even returned my calls after 9PM... she is so good...She did tell me that IBD with Constipation is not very common.. We agreed that Artie needed an ultrasound soon.. to see what was happening.. at this point she did mention possible lymphoma.. it was not something I did not hear before..so I made an appointment with the specialist for a visit along with an ultrasound.

 

(Continued on next post because this is so long)

post #2 of 1066
Following. Where is the second post?
post #3 of 1066
Thread Starter 

Continued:

 

12/22 Artie pooped a large amount of soft poop, formed about 6 inches. I was feeling good, he was eating so-so, but not bad..I was trying all different kinds of food at this point. He decided he like lamb now. I had a couple cans of Natures Variety Lamb, he ate it up.. ran to the store to pick more up.. I was also trying to get him to eat Solid Gold Tuna with Mackerel..he loves that stuff. That is my 'go to" food for him when he is sick..

 

12/22 Specialist Vet.. weight was at 10.2 lbs. a gain. Ultrasound showed no progression of IBD, however a ton of bowel gas. They did an x-ray.. he was still constipated!! so they did an enema.. did not give sub-q's.  I forgot to demand that they do so.. it does help. That is one thing I learned from his R VEt.. surprised the specialist did not do it...I think they are all very afraid of his heart murmur.. 

S Vet also prescribed Reglan 1.5 mg to be given 2-3 times a day..

Told me the Radiologist and the S Vet got together and feel he has an ileus in the right upper quadrant... they feel he has a neurologic motility transport issue with his colon which can lead up to MegaColon.. the Reglan was deemed crucial ....

 

Of course I was in shock!! I thought he was cleaned out and was expecting an enlarged lymph node or masses, but to be throw with MegaColon!! I could not believe it.. I was flabbergasted and not quick on my feet with questions..

 

Artie never really recovered from that enema. I think it was because of the lack of sub-q's.. The R Vet wanted to teach me to do it.. I am in agreement, but the specialist did not feel it was necessary... Well, she is wrong! I am going go ask the R Vet to show me and give me the supplies to have on hand..

 

Since Thursday 12/22, Artie has been really bad.. no eating, just curled into a meatloaf, with very sad eyes.. pleading eyes.. really shut down...I have been so scared that it was his time..I did not want him to suffer.. but he was.. but he is still alert, can follow me, can use his litter box, was cuddling, purring.. just not eating..I was certain I would have to make 'that ' decision, but did not want to do it prematurely.. yet, I did not want him to suffer.. I was so scared.. I was crying all day.. and some tears the day before also.. I kept crying..I was doing him..

 

I also had an idea. I keep wondering what the calcifications were on the x-ray.. I am feeding Artie Natures Variety Food. It is the only one he likes. It does contain some of that monomnite clay for thickening.. I wonder if the clay is contribution to his constipation.. which would mean that I was doing this to him.. but he refuses all other food. He has to be on a novel protein diet. I have tried a ton of them.. I have Hound & Gatos lamb, and dome H &G pork, Wild Calling Rabbit, Prescription Rabbit, in addition to the Pride Rabbit, NV Rabbit, and NV lamb....and Solid Gold Tuna.. He refuses all except for the NV and Pride line...

I was really doubting myself and needed so much support. Of course, I turned to my friends on here in PM's.. you guys know who you are.. I did not want to trouble everyone with my own issues.. but I did drop some lines when I was at my worst..

@StephenQ

@Margret

@Columbine

and @Margd

thank you so much.. 

 

On Christmas Eve, 12/24 it really got to me.. He refused all his food. I had 5 dishes of food out for him.. I did not know what to do.. I was scared..

 

By the time I decided he needed help, it was already noon.. I tried to contact the RVet for sub-q's and another dose of Valium, but the office closed early.. 

I called the speciality hospital to see if by chance the specialist would be in, she was so I left a message. She was leaving early.. I needed some ideas what to do..

By the time I got a return call from her Tech, it was after 1pm. The message was that if I could get there by 1:30, she would take an x-ray and do another enema because she felt that Artie was not eating because he was still constipated.. I was not going to have him go through another enema in this condition.. besides, I could not get there in 30 minutes. It normally takes me just over 30 minutes..On Christmas Eve afternoon, it would take me over an hour.. so I stayed home and worried. 

Artie stopped purring, he was meat loafing.. he did not want to be touched..

I ran out and tried to get some pedialyte thinking that he dehydrated..I never tried it, but it is nasty!! I tried to give him some.. he spit it out all over the place. I do not blame him..

I gave him about 30 mg of water during the day..syringing it..

 

I decided on Friday, not to give him anymore Reglan because I felt he was having some side effects to it.. very lethargic, out of it.. sad eyes..

 

I had to leave for Christmas Eve at my Cousins. I could not go under these circumstances. I remember I ordered a set of feeding syringes, a long time ago.. I took out my mini food processor, a can of Pride Rabbit, pureed it with some water mixed with miralax.. I was able to syringe feed about 20 mg of food into him.. He did fight a bit.. but he had some..

 

I got home around midnight.. no food eaten, he was drinking water.. I was devastated..ened up with an asthma attack..I actually felt I was going to have to put him down.. but he was still alert and had life in him. 

 

Decided to go to the ER Vet, at the speciality hospital, right after Christmas morning Mass.

Was in tears during the mass. 

I called them before I left the house, they pulled his chart and were expecting me.. however, it was a very busy day.. a lot of animals coming in to be put down, I discovered while I was waiting..

 

I was there from 10 am and came home at 1pm...

 

Artie lost almost an entire pound since Thursday.. he was down to 9.4 lbs.. that is a huge amount..They did not feel him to be constipated. He was so alert, and investigating everything in the exam room. I asked for him to be hydrated and to be given another Valium injection.. They refused the Valium because it is a 'controlled' substance.. OMG!! I am not asking for myself!! I am asking for him.. because it helped with his appetite.. No way...

 

I had to wait while they hydrated him.. it is an assembly line. OMG-so many babies either going to or have already gone to the bridge. It was really sad...

 

They were really stressing his heart murmur.. I had it checked out 4 years ago and was told it was a functional murmur.. I was there for the ultrasound and the cardiologist went over everything with me. I was an ultrasound tech..and did some basic fetal cardiac ultrasound..

 

I insisted on Artie being given Valium or something else which is an alternative to Mirtazapine.. Finally, the ER Vet asked one of the Critical Care Vets about a substitute.. They suggested cyprohepadine (spelling)... so they gave it to him there and sent me home with  4 pills.. one half pill once or twice a day..

 

When we came home, Artie went over to his food and licked a bit of it.. kept going over to lick a bit.. but not much.. so I decided to syringe feed him again. I took a can of Wild Calling Rabbit, pureed it with some water mixed with miralax. I gave him 40 mg.. and another 60 mg later that night. Surprisingly, Artie was very easy to feed .. he did not fight me.. the hardest part was the mess with getting the food into the syringe.. 

 

I felt better, but exhausted. I missed Christmas Dinner with my family. I stayed home..and lied down with him for a bit..

 

During the night he tried to wake me twice. When I got up, I saw that he had pooped a small bit of pudding and had eaten 1/2 can of food. I was so happy.. I am continuing the cyprohepadine twice a day, no more Reglan for him..

 

He has been going back and forth to the food all day.. He has eaten about 1 small can...

 

I tried to contact the R Vet, but the office is still closed for Christmas. I made an appointment with the S Vet for late Tuesday afternoon, but I do not want to stress him out again.. I want to talk with her first.. before it is necessary to take him in.. I think he gained a bit of weight..but who knows. I did weigh him, but I am not sure..

 

I am so wiped out.. and Artie is also.. he has been going through a living Heck this entire month, especially the past week..

 

I am again thanking everyone for their concern and support.. 

 

Artie is now hiding again.. he is refusing the NV plain rabbit.. I have dresser 3 drawers filled with food he will not eat!! and another one with food he will eat.. 

I am exhausted..

 

so now all of you know Artie's story and my concerns.. I have been very emotional.. it is that time of year..My dad died on January 3, but I relive the days leading up to it. I try to decorate and really do love the holiday but this year is different. 

 

Artie was given to me for a reason.. he has been so good to me.. I call him my unofficial 'therapy' cat.. we have been through so much in the almost 5 years I have had him.. he is my buddy. 

It is so strange that a 'little one' can take up so much of your heart and give you so much love in return.. when they get sick, it is as if a piece of your heart is broken.. I really do not know how I would have gone through a lot of the junk that happened to me, if it were not for Artie's love, companionship, and his ability to make me laugh.. just holding him, having him on your lap--feeling his heart beating, is such a joy.. 

 

ok.. I am being maudlin here.. 

But that is the story.. I still do not know what to expect tomorrow when I call the specialist..

 

A friend of mine, from the humane society had a cat with Megacolon. She did not give him much medication because she does not feel cats should have all that medicine without some side effects.. she is telling me to discontinue the cisapride because of the side effects it created in human.. it is not allowed for human use.. so I am so confused.. 

 

any advise is appreciated..

thank you again for reading this.. that is if you get this far...

 (((hugs)) to all...

post #4 of 1066
I'm sorry I can't help much on the medical side of things but have you ever looked into tikicat cat food. It is cat food but it is actually human grade quality. It is literally just the meat listed and then added nutrients. There are no preservatives like guar gum or carrageenan that can upset the gi system. It is a very palatable food. I know people that keep it on hand for when their cats are sick. It does not have many options for land animals but they have A LOT of fish varieties. It might help get him through this rough patch. I'm not sure the exact number but it's in the 90% range for protein.
As far as the medicine that's not meant for humans. Cats and humans metabolize different drugs in different ways. If it has been prescribed by a vet then it's most likely safe. You will know best what meds you cat responds well to and what ones are bad for him. Trust your instincts with the medications. I am so sorry you are going through this.
post #5 of 1066

I'm so sorry for all that you and Artie are going through right now!  hugs.gif  I know well how certain "anniversaries" can affect everything going around you too, it just amps up all that's happening. I'm so sorry about losing your dad too.  Forgive me for not knowing if you've done this already, and I'm sure you have tried everything imaginable, but have you already tried a raw diet for his IBD?  Would it be contraindicated with a grade IV heart murmur? @missmimz is a good person to ask about that, also there may be some Facebook closed groups that you could join that she might know about.  I even read on this site where a lady tried everything except raw, then finally gave in and raw was the one thing that helped her kitty.  I would talk to missmimz first though.  I'll see if I can find that thread. 

 

Artie, please get better!!!  Hugs to you both!

post #6 of 1066

I did read it all, & am following with you. It reminds me of all the daily logs I typed up after Angel was diagnosed w/ lymphoma, & went through chemo for two months. I did it on google docs. It was a way for me to keep tract of everything & how much he ate, & when, & all the meds, as well as litter box visits. It was also an easy way for my vet to check it & read them any day she wanted, as I gave her the link.

So I understand. 

I have been praying for the two of you, & will continue to do so.

I am sending you big fat hugs & lots of love!  Give that baby a kiss for me! :Tilt Heart:

 

Kelly

post #7 of 1066
Thread Starter 
Quote:
Originally Posted by Angels mommy View Post
 

I did read it all, & am following with you. It reminds me of all the daily logs I typed up after Angel was diagnosed w/ lymphoma, & went through chemo for two months. I did it on google docs. It was a way for me to keep tract of everything & how much he ate, & when, & all the meds, as well as litter box visits. It was also an easy way for my vet to check it & read them any day she wanted, as I gave her the link.

So I understand. 

I have been praying for the two of you, & will continue to do so.

I am sending you big fat hugs & lots of love!  Give that baby a kiss for me! :Tilt Heart:

 

Kelly


thank you...

 

I have 2 calendars for Artie.. One for poops and one for the amount of food he eats. I go in a 24 hour period. I write it on scratch paper and then on the calendar. I take these to the Vet.. 

I can get confused very easily.. my mind has turned to mush!!

 

 

Quote:
Originally Posted by Ginny View Post
 

I'm so sorry for all that you and Artie are going through right now!  hugs.gif  I know well how certain "anniversaries" can affect everything going around you too, it just amps up all that's happening. I'm so sorry about losing your dad too.  Forgive me for not knowing if you've done this already, and I'm sure you have tried everything imaginable, but have you already tried a raw diet for his IBD?  Would it be contraindicated with a grade IV heart murmur? @missmimz is a good person to ask about that, also there may be some Facebook closed groups that you could join that she might know about.  I even read on this site where a lady tried everything except raw, then finally gave in and raw was the one thing that helped her kitty.  I would talk to missmimz first though.  I'll see if I can find that thread. 

 

Artie, please get better!!!  Hugs to you both!


Thank you.. 

No, I have never tried raw. Artie has always been free fed, so I am afraid of leaving raw out for him..

post #8 of 1066


thank you...

 

I have 2 calendars for Artie.. One for poops and one for the amount of food he eats. I go in a 24 hour period. I write it on scratch paper and then on the calendar. I take these to the Vet.. 

I can get confused very easily.. my mind has turned to mush!!

 

Yes, I understand. It is a lot to keep up with, so recording it all helps, & will help you to see any patterns too. :nod:

post #9 of 1066
Quote:
Originally Posted by Angels mommy View Post
 

Sorry, I don't know why that posted twice??


The site has issues.  It just happens.  My personal "best" was three copies of the same message posted.  :lol3:

 

Margret

post #10 of 1066

I read both your posts and though I have no advice I will keep you and Artie in my thoughts. My Dad also passed away in early January (will be 3 years) so I also know how hard this time of year can be. 

 

Hugs to you and Artie. hugs.gifhugs.gif 

post #11 of 1066

Okay, the Cerenia is for nausea, and online research indicates that it's available in an injectable form.  I wonder whether injections would be easier for Artie to handle?  The vet could train you so you could do them at home.  Get the training in that at the same time as you get the SubQ fluids training.

 

In the What's on your mind? thread, you thanked me for pointing out that cats can build up a resistance to drugs (as can we all, BTW).  I was specifically talking about cats and Valium.  And I only know about that one because our vet used the Valium trick to help Sweet Thing regain her appetite when she was dying from kidney failure, and it only worked twice.  The vet explained that this is common, and is why vets try to save Valium for a real emergency, so that it will be available when the emergency arrives.

 

You mentioned calcifications that showed up in the X-rays.  Where were they?

 

All animals, like all humans, are unique.  Our bodies react differently sometimes.  You have asthma attacks when you're upset; my blood sugar rises when I'm upset.  It's important to listen to your own body, and to convey your observations to your doctor.  With animals, it's tougher because they can't verbalize the way we can.  But you are the expert on Artie, on what works for him and what doesn't.  I'm not saying that you should ignore the vet's advice; after all, you're paying her for it, presumably because you trust her.  What I am saying is that it's your job to translate for Artie when communicating with the vet.  On Artie's behalf, you need to let the vet know what is and is not working for him.

 

Paper and pencils and pens are marvelous inventions.  You may want to start keeping a small notebook close at hand so you can write down your questions and observations as they occur to you.  That way you won't have to worry about whether you remember everything when you're tired or feeling overwhelmed.

 

Margret

post #12 of 1066

No advice, you are 100% on top of Artie's care and have been diligent in doing everything in your power to both treat him and make him comfortable.hugs.gif

My heart goes out to you in so many ways.  I have been down that road and it is all consuming.  I hope that your appointment with the S vet goes well and gives you more insight.  I'll be thinking of you and sending tons and tons of healing vibes.:vibes: 

post #13 of 1066

I don't have any advice, either, but wanted to let you know I am following your new thread and am very concerned about you and Artie. I wonder how Artie is doing all day. Take care.

post #14 of 1066
Thread Starter 

The calcifications were within his bowel..kind of looked like hard pieces of poop with white dots.. 

 

I am wondering if I should syringe feed him again. He has been eating really good all day--nibbling.. I do not want to get him used to syringe feeding; not if he is able to eat on his own, and is doing a fair job of it.. about 2 cans today, which is a lot for him.. 

 

Artie is so skinny. so frail looking.. his bones are sticking out. It really pains me.. and the bowel softeners, Miralax and lactulose has to be working because he left a couple of smears on my lap throw when he sat on my lap tonight..

 

One more medicine to give tonight.. I am half asleep. I am trying to combine the meds, to decrease my bothering him, but it is not working out. Pepcid and Cisapride first thing in morning. Lactulose and either steroid, or food stimulant together.. or maybe all at once.. then the other one,, then around 2:30pm the cisapride again; then at night: the lactulose plus food stimulant and then before bed the cisapride..I am always after him...
 

I am just thinking too much.. I have to relax.. too much time on my hands and too much on my mind. I think I will keep busy tomorrow while waiting for phone calls from the R Vet and the S Vet.. and before the appointment in late afternoon.

 

just rambling right now..

post #15 of 1066

It's okay to ramble. We're listening. His eating sounds much better. Maybe the meds are working. :vibes:

post #16 of 1066
Quote:
Originally Posted by Artiemom View Post
 

Snip ✂️

 

A friend of mine, from the humane society had a cat with Megacolon. She did not give him much medication because she does not feel cats should have all that medicine without some side effects.. she is telling me to discontinue the cisapride because of the side effects it created in human.. it is not allowed for human use.. so I am so confused.. 

 

any advise is appreciated..

thank you again for reading this.. that is if you get this far...

 (((hugs)) to all...

 

 

I just looked up cisapride and from what I understand, it was withdrawn from human use because of cardiac side effects. http://www.pharmaceutical-journal.com/cisapride-withdrawn-because-of-cardiac-side-effects/20002355.article  This is a UK paper, but it's banned in the US as well as many other countries. 

 

Here is some information on using cisapride in cats:  http://blog.petmeds.com/pet-pharmacy/cisapride-use-in-cats/   The cardiac side effects apparently occur when used in conjunction with anti-fungal medications, which Artie isn't taking.  Still, I'd ask the specialist about this, in light of Artie's heart issues.  

 

I'm so glad to hear he's doing a little better - there are so many of us worried about both of you!    

 

About your comment at the end about not reading to the end - you have a very clear writing style and the way you break it up into short paragraphs really helps. I don't think you need to worry about people not getting to the end.  :catguy:

 

 

Quote:
Originally Posted by Artiemom View Post
 

The calcifications were within his bowel..kind of looked like hard pieces of poop with white dots.. 

 

I am wondering if I should syringe feed him again. He has been eating really good all day--nibbling.. I do not want to get him used to syringe feeding; not if he is able to eat on his own, and is doing a fair job of it.. about 2 cans today, which is a lot for him.. 

 

Artie is so skinny. so frail looking.. his bones are sticking out. It really pains me.. and the bowel softeners, Miralax and lactulose has to be working because he left a couple of smears on my lap throw when he sat on my lap tonight..

 

One more medicine to give tonight.. I am half asleep. I am trying to combine the meds, to decrease my bothering him, but it is not working out. Pepcid and Cisapride first thing in morning. Lactulose and either steroid, or food stimulant together.. or maybe all at once.. then the other one,, then around 2:30pm the cisapride again; then at night: the lactulose plus food stimulant and then before bed the cisapride..I am always after him...
 

I am just thinking too much.. I have to relax.. too much time on my hands and too much on my mind. I think I will keep busy tomorrow while waiting for phone calls from the R Vet and the S Vet.. and before the appointment in late afternoon.

 

just rambling right now..

 

Since he's been eating well all day, it seems to me you can skip the syringe feeding tonight.  You are so tired from all of this that if anything seems non-essential, you should give yourself a break.   

 

Kisses to Artie and hugs to you!  

post #17 of 1066

Prayers!!!

post #18 of 1066

Well, you're probably already asleep by now so this is gratuitous, but two cans of food sounds huge to me.  I doubt that Artie can handle any more than that!  Jasmine gets 1/2 can, twice a day, and almost always doesn't finish it.  In all fairness she also gets all the grain-free dry food she wants, but even without that I can't imagine her eating two whole cans in a single day.

 

Just to make sure I understand correctly, the calcifications are inside his bowels?  Not, for instance, embedded in the intestinal wall?

 

The reason I ask is that when they found calcifications in a routine breast X-ray, they wanted to do a biopsy, because in the breast calcifications can be caused by a tumor.  If they're basically something loose in his bowel, my only concern, off the top of my head, would be whether they're rough and might be painful for him to pass.  At least they're not kidney stones.  But I really can't figure out where they would have come from.  This is the disadvantage of basically knowing nothing about it.  The areas of medicine that I know anything about are rather limited.  The proper way to use a cane or crutches, how to climb stairs with a bad knee, the correct way to treat a sprain, managing diabetes, basically all inapplicable.  (But if they ever prescribe a cane for Artie, let me know.  After I get done swearing at the idiot who wrote the prescription I'll be happy to tell you the proper way to use a cane.  For a human.)

 

Good night, all.  Margret

post #19 of 1066
Sending a ton of vibes.gif for you and Artie. I hope the S vet visit goes well today, and that you can develop a plan to move forward. vibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gifvibes.gif
post #20 of 1066
Been following this thread and wanted to let you know that I am thinking of you and Artie and hope you are both doing ok.
post #21 of 1066
Thread Starter 
Quote:
Originally Posted by Margret View Post
 

Well, you're probably already asleep by now so this is gratuitous, but two cans of food sounds huge to me.  I doubt that Artie can handle any more than that!  Jasmine gets 1/2 can, twice a day, and almost always doesn't finish it.  In all fairness she also gets all the grain-free dry food she wants, but even without that I can't imagine her eating two whole cans in a single day.

 

Just to make sure I understand correctly, the calcifications are inside his bowels?  Not, for instance, embedded in the intestinal wall?

 

The reason I ask is that when they found calcifications in a routine breast X-ray, they wanted to do a biopsy, because in the breast calcifications can be caused by a tumor.  If they're basically something loose in his bowel, my only concern, off the top of my head, would be whether they're rough and might be painful for him to pass.  At least they're not kidney stones.  But I really can't figure out where they would have come from.  This is the disadvantage of basically knowing nothing about it.  The areas of medicine that I know anything about are rather limited.  The proper way to use a cane or crutches, how to climb stairs with a bad knee, the correct way to treat a sprain, managing diabetes, basically all inapplicable.  (But if they ever prescribe a cane for Artie, let me know.  After I get done swearing at the idiot who wrote the prescription I'll be happy to tell you the proper way to use a cane.  For a human.)

 

Good night, all.  Margret


The calcifications are inside the bowel.. looks like something embedded inside the retained poop.. at least that is what the R Vet and I thought.. was not able to talk to the S Vet or Radiologist about it.. 

 

I was wondering if it was from the food I am feeding him.. I am giving him Natures Variety. That food has some of the monomite clay in it as a thickening agent. It is a health food thing.. I am wondering if that is clumping inside of Artie causing the constipation?  but I cannot find any evidence of issues like that, on the web.. and he refuses to eat any other food.  Lord know that I have tried.... sigh.. I am thinking too much.. it is getting too much for me.. 

 

I need to just give it up and go with the flow.. I cannot, in my limited experience, handle all of this.. it is really doing a number on me.. Artie is just lying there.. His life exists of: medications, litter box, medications, Vet Visits, medications, sleeping, eating a bit of food, ..

 

sorry, just feeling sorry for myself and him...

kind of at a low point, again.. and it is first thing in the morning..

 

I guess if he ate more and had formed poops I would feel better.. and he would too. that is what we are trying for.. 

 

I am almost ready to throw out a lot of this medicine.. but I do not know what to do......

 

thanks for listening to me..

 

What kind of a life is that for a cat.. He is alert, he purrs occasionally, he is so skinny...

post #22 of 1066
Don't know if this is of any help but when my old cat wouldn't eat I tried Sheba Soup Pouches and Gourmet Classic Soup. She loved them both and it got some food and a lot of liquid into her. I live on UK so don't know if you can them in US.
post #23 of 1066
Quote:
Originally Posted by Artiemom View Post
 


 

@Artiemom

Sorry for the delay.  I have 2 thoughts, one more optimistic and the other a bit less so.  Also has he been tested for pancreatitis (fPLI test)?

 

Reading everything, the cycling of constipation, gas, enemas, soft stool, loss of appetite, and recent finds that he is not constipated.  What if we blame the lack of appetite on simple nausea?  Chronic nausea not unlike my simon with his advanced IBD and flare ups of pancreatitis. If this were the case he could potentially obtain great relief from Cerenia in a bolus of sub q fluid to prevent the sting, and a sub q injection of zofran (need not be with fluids, but can be).  And pepcid AC.  Cerenia and zofran are 2 very effective and differently acting neural blocks for nausea.  If this worked, he'd be eating well very quickly, and it would be diagnostic for the problem.

 

The zofran has to be given every 6 hours like clockwork.  The cerenia once a day.  If he's eating he could take the cerenia by pill.  I agree that your vet could teach you how to give fluids.  If artie is calm and not prone to jumping around, its quite easy once you learn the tricks of getting the needle in (not hard, just don't be squeemish about it, he won't feel it), and then adjusting the drip, keeping everything sterile, and pinching off and holding the injection site so he doesn't leak.  If he he doesn't mind a carrier (top opening) this can help confine him and i found makes it easier for one person to do.

 

If this worked, then oral cerenia and possibly pepcid ac could be a daily part of his life, and sub q cerenia, fluids and Zofran for flare ups.

---

Here's part 2:  He's tired, your tired, and you are fighting for him because not only do you love him, but he loves you and loves life.  Artie only knows today, never thinks about tomorrow, and so if the bad days start to outweigh the good ones, with no improvement or new options in sight, it may be helpful for him to contemplate the idea that sometimes rather than reach for one more treatment, that it can become time to recognize the hard to accept concept that eventually all treatments fail us all.  I'm not saying he's there yet, and none u]of us here can, but it is important that with all the treatments he is going through, that he maintains his loving relationship with you, and that if that were threatened without reasonable hope of improvement, I might elect to pull back on treatments, and if possible give him some happy remaining time with him and with me.  

 

I would still want to talk to my vets about 1) cerenia daily, 2) fluids, 3) pepcid ac, 4) Zofran for a couple of days and see if that jump starts his appetite.  And i just want to repeat my question about pancreatitis testing, using the fPLI test.  "The most common clinical signs of feline pancreatitis include lethargy, anorexia, dehydration, and low body temperature. “Cats with this disease typically don’t vomit,” says Dr. Goldstein, “and they typically do not have obvious abdominal pain. They just lie there like any other sick animal—they’re lethargic and they don’t want to eat....“So pancreatitis is very hard to pick up in the examination room,” he says. “But you always have to have a suspicion of it. If you don’t, you’ll never be able to diagnose it and move forward with treatment.” from http://www.vet.cornell.edu/fhc/Health_Information/pancreatitis_serious.cfm  and also http://www.2ndchance.info/pancreatitiscat.htm

 

If you do a round of anti nausea meds with fluids and they work and even if they don't, its diagnostic as it will tell you if nausea is at work.  He has very complicated bowel issues which appear to be in opposition to each other, megacolon on the horizon which is constipating, IBD while not causing diarrhea in his case is complex in itself, eating issues, food intolerances.....

 

That's all I have for now.

Big hug.

stephen

post #24 of 1066
Quote:
Originally Posted by Artiemom View Post
 


The calcifications are inside the bowel.. looks like something embedded inside the retained poop.. at least that is what the R Vet and I thought.. was not able to talk to the S Vet or Radiologist about it.. 

 

I was wondering if it was from the food I am feeding him.. I am giving him Natures Variety. That food has some of the monomite clay in it as a thickening agent. It is a health food thing.. I am wondering if that is clumping inside of Artie causing the constipation?  but I cannot find any evidence of issues like that, on the web.. and he refuses to eat any other food.  Lord know that I have tried.... sigh.. I am thinking too much.. it is getting too much for me.. 

 

I need to just give it up and go with the flow.. I cannot, in my limited experience, handle all of this.. it is really doing a number on me.. Artie is just lying there.. His life exists of: medications, litter box, medications, Vet Visits, medications, sleeping, eating a bit of food, ..

 

sorry, just feeling sorry for myself and him...

kind of at a low point, again.. and it is first thing in the morning..

 

I guess if he ate more and had formed poops I would feel better.. and he would too. that is what we are trying for.. 

 

I am almost ready to throw out a lot of this medicine.. but I do not know what to do......

 

thanks for listening to me..

 

What kind of a life is that for a cat.. He is alert, he purrs occasionally, he is so skinny...

 

You asked what kind of life that is for a cat.

My mom used to work at a care center for severely disable and medically fragile children - I'm talking wheelchair bound, feeding tube, unable to speak, etc.  Many would think these kids have absolutely no quality of life.  While I agree that life was difficult for them, when they smiled or giggled, it lit up the room like you wouldn't believe.  Regardless of their issues, they could still find joy and that is a beautiful thing.  My sister and I used to talk to them and play with them when mom took us with her to pick up her check or during the Christmas party or when we were helping out with their special olympics.  Making them happy was one of the greatest feelings ever.  My mom worked there for 10 years.  In all that time, they only lost 2 kids - every one of them had outlived their life expectancy by years.  I have a feeling that you feel just as much joy when Artie is happy and purring.  Am I right?

post #25 of 1066
Thread Starter 

@StephenQ  Artie is taking daily pepcid AC and Cerenia.. he has had sub-q's several times lately.. that does pick him up a bit.. I do have some zofran in the house... wondering if I should try it...but he has so much medicine.. 

 

I will ask about the pancreatitis test, next time he goes in.. perhaps tomorrow.. until then, I am on my own.. I cannot keep bothering everyone with all my anxieties, questions...

 

I just gave him some tuna water with some tuna.. he gobbled it down and then regurgitated it.. It was Star Kist Tuna..people food..

 

I spoke with the Vet Tech thru to the S Vet..He is not going in today. I did take the last available appointment for tomorrow.. I have to update them tomorrow morning. He is to cut back on the amount of  lactulose, continue with the cerenia and the cisapride.. 

 

I also specified that I am concerned about his quality of life--revolving around medicine, and vet visits.. his feeling horrible and lethargic.. I told her that I am concerned that this may be his time.. She assured me that the S Vet would definitely not delay in advising me about that.. I am very anxious.. I do have an anxiety complex so this is really hard for me..The Tech also told me that it is up to him if he improves.. some cats do not.. so we are all getting on the same page.. I think it may be soon...

 

Artie is going to hide in his tent now.. I still have more meds to give him.. oh how I hate to torture him with them.. I guess I should just start writing a journal about my feelings instead of letting it all out to you.. it is not fair to any of you...

 

It seems that everything I try to do for him is backfiring.. I can not do anything to make him better..

 

He loved the tuna water and some of the tuna I gave him, yet he regurgitated it.. I may try to syringe feed him later today.. but I am wondering if that is really going to help in the long run..if the eventuality of life will just win out...

 

He did want to be brushed this morning. He slowly came over for it. He did follow me around as I was putting the clothes away. He is peeing a lot.. oh ph--digging again in the box--nothing.... 

 

Oh, how I love this little boy.. it really pains me to see him so sick.. I sound so selfish because all of you have gone through this, and I am focusing on me...

 

I feel, in my heart, to decrease the dose of cisapride to what it was before.. wondering if I should do that.. I do not want him to shut down completely but at this point. I am just wondering..and questioning..

Wondering if he is reacting to side effects of the cisapride also...

 

I am crying now.. I do not want to cry in front of Artie or for him to see me upset.. but I cannot help it.. he is everywhere with me.. 

 

such a little creature who can give us so much love.. and so much hurt when they are sick..

 

I am trying to keep busy, but it is not easy.. 

 

thank you...

post #26 of 1066
Quote:
Originally Posted by Verna davies View Post

Don't know if this is of any help but when my old cat wouldn't eat I tried Sheba Soup Pouches and Gourmet Classic Soup. She loved them both and it got some food and a lot of liquid into her. I live on UK so don't know if you can them in US.

 

We have Sheba in the U.S..  The problem is that Artie needs novel sources of protein -- things like lamb, rabbit, etc..

 

Quote:
Originally Posted by StephenQ View Post
 
Quote:
Originally Posted by Artiemom View Post
 


 

@Artiemom

Sorry for the delay.  I have 2 thoughts, one more optimistic and the other a bit less so.  Also has he been tested for pancreatitis (fPLI test)?

 

Reading everything, the cycling of constipation, gas, enemas, soft stool, loss of appetite, and recent finds that he is not constipated.  What if we blame the lack of appetite on simple nausea?  Chronic nausea not unlike my simon with his advanced IBD and flare ups of pancreatitis. If this were the case he could potentially obtain great relief from Cerenia in a bolus of sub q fluid to prevent the sting, and a sub q injection of zofran (need not be with fluids, but can be).  And pepcid AC.  Cerenia and zofran are 2 very effective and differently acting neural blocks for nausea.  If this worked, he'd be eating well very quickly, and it would be diagnostic for the problem.

 

The zofran has to be given every 6 hours like clockwork.  The cerenia once a day.  If he's eating he could take the cerenia by pill.  I agree that your vet could teach you how to give fluids.  If artie is calm and not prone to jumping around, its quite easy once you learn the tricks of getting the needle in (not hard, just don't be squeemish about it, he won't feel it), and then adjusting the drip, keeping everything sterile, and pinching off and holding the injection site so he doesn't leak.  If he he doesn't mind a carrier (top opening) this can help confine him and i found makes it easier for one person to do.

 

If this worked, then oral cerenia and possibly pepcid ac could be a daily part of his life, and sub q cerenia, fluids and Zofran for flare ups.

---

Here's part 2:  He's tired, your tired, and you are fighting for him because not only do you love him, but he loves you and loves life.  Artie only knows today, never thinks about tomorrow, and so if the bad days start to outweigh the good ones, with no improvement or new options in sight, it may be helpful for him to contemplate the idea that sometimes rather than reach for one more treatment, that it can become time to recognize the hard to accept concept that eventually all treatments fail us all.  I'm not saying he's there yet, and none u]of us here can, but it is important that with all the treatments he is going through, that he maintains his loving relationship with you, and that if that were threatened without reasonable hope of improvement, I might elect to pull back on treatments, and if possible give him some happy remaining time with him and with me.  

 

I would still want to talk to my vets about 1) cerenia daily, 2) fluids, 3) pepcid ac, 4) Zofran for a couple of days and see if that jump starts his appetite.  And i just want to repeat my question about pancreatitis testing, using the fPLI test.  "The most common clinical signs of feline pancreatitis include lethargy, anorexia, dehydration, and low body temperature. “Cats with this disease typically don’t vomit,” says Dr. Goldstein, “and they typically do not have obvious abdominal pain. They just lie there like any other sick animal—they’re lethargic and they don’t want to eat....“So pancreatitis is very hard to pick up in the examination room,” he says. “But you always have to have a suspicion of it. If you don’t, you’ll never be able to diagnose it and move forward with treatment.” from http://www.vet.cornell.edu/fhc/Health_Information/pancreatitis_serious.cfm  and also http://www.2ndchance.info/pancreatitiscat.htm

 

If you do a round of anti nausea meds with fluids and they work and even if they don't, its diagnostic as it will tell you if nausea is at work.  He has very complicated bowel issues which appear to be in opposition to each other, megacolon on the horizon which is constipating, IBD while not causing diarrhea in his case is complex in itself, eating issues, food intolerances.....

 

That's all I have for now.

Big hug.

stephen

 

yeah.gif

 

Quote:
Originally Posted by Artiemom View Post
 
Quote:
Originally Posted by Margret View Post
 

Well, you're probably already asleep by now so this is gratuitous, but two cans of food sounds huge to me.  I doubt that Artie can handle any more than that!  Jasmine gets 1/2 can, twice a day, and almost always doesn't finish it.  In all fairness she also gets all the grain-free dry food she wants, but even without that I can't imagine her eating two whole cans in a single day.

 

Just to make sure I understand correctly, the calcifications are inside his bowels?  Not, for instance, embedded in the intestinal wall?

 

The reason I ask is that when they found calcifications in a routine breast X-ray, they wanted to do a biopsy, because in the breast calcifications can be caused by a tumor.  If they're basically something loose in his bowel, my only concern, off the top of my head, would be whether they're rough and might be painful for him to pass.  At least they're not kidney stones.  But I really can't figure out where they would have come from.  This is the disadvantage of basically knowing nothing about it.  The areas of medicine that I know anything about are rather limited.  The proper way to use a cane or crutches, how to climb stairs with a bad knee, the correct way to treat a sprain, managing diabetes, basically all inapplicable.  (But if they ever prescribe a cane for Artie, let me know.  After I get done swearing at the idiot who wrote the prescription I'll be happy to tell you the proper way to use a cane.  For a human.)

 

Good night, all.  Margret


The calcifications are inside the bowel.. looks like something embedded inside the retained poop.. at least that is what the R Vet and I thought.. was not able to talk to the S Vet or Radiologist about it.. 

 

I was wondering if it was from the food I am feeding him.. I am giving him Natures Variety. That food has some of the monomite clay in it as a thickening agent. It is a health food thing.. I am wondering if that is clumping inside of Artie causing the constipation?  but I cannot find any evidence of issues like that, on the web.. and he refuses to eat any other food.  Lord know that I have tried.... sigh.. I am thinking too much.. it is getting too much for me.. 

 

I need to just give it up and go with the flow.. I cannot, in my limited experience, handle all of this.. it is really doing a number on me.. Artie is just lying there.. His life exists of: medications, litter box, medications, Vet Visits, medications, sleeping, eating a bit of food, ..

 

sorry, just feeling sorry for myself and him...

kind of at a low point, again.. and it is first thing in the morning..

 

I guess if he ate more and had formed poops I would feel better.. and he would too. that is what we are trying for.. 

 

I am almost ready to throw out a lot of this medicine.. but I do not know what to do......

 

thanks for listening to me..

 

What kind of a life is that for a cat.. He is alert, he purrs occasionally, he is so skinny...

 

  1. Take a deep breath.  Take another.  When you're calm again, keep reading.
  2. Artie purrs.  As of yesterday, he was eating enthusiastically.  He's playful.  He sleeps a lot.  Right?  So, what kind of life is that for a cat?  Answer: That's a cat's life.  Perfectly normal.
  3. It sounds to me as if there are two things worrying you right now.  Artie has lost so very much weight, and he hates his medications.  So let's take those in order.
  4. Yes, Artie has lost a dangerous amount of weight.  Yes, that's very frightening.  And Artie ate two whole cans of food yesterday, enthusiastically.  'Nuff said about that (she says, dusting her hands off).
  5. I know that the Cerenia is for vomiting.  I also know that it's available in injectable form.  If Artie doesn't like taking it by mouth (and I've never met a cat who likes oral medications), please ask about injections instead.
  6. Cyproheptadine is an antihistamine and an appetite stimulant.  This is the appetite stimulant that got him eating yesterday; therefore it's necessary.  And if that means he has to take a pill a few times a day, he'll get used to it.  I have diabetes.  Do I like sticking my fingers every day to check my blood sugar?  No, of course not.  Do I do it?  Yes.  Am I suicidal over it?  Heck no!
  7. Mirtazapine is another appetite stimulant, apparently one that doesn't work for Artie.  Check with your regular vet first, in case it's needed to make the Cyproheptadine effective, but if not, dump it!  (i.e., ask your vet to dispose of the remainder in a safe manner so it doesn't enter the water supply for all of us.)
  8. Prednisolone is a steroid, and I'm not at all sure why Artie is on it.  I believe it's sometimes used for diarrhea in cats, but Artie's IBD manifests as constipation, so that doesn't seem to make sense.  And steroids are very scary drugs.  They can play all kinds of havoc with the body.  However, prednisolone should never be withdrawn cold turkey.  http://pets.thenest.com/can-just-stop-using-prednisone-cats-6535.html  Ask your regular vet whether there's any good reason for Artie to be on this, and then ask her how to get him off of it safely.
  9. Lactulose is a laxative.  Artie obviously needs a laxative, but there's a chance that there's a different one that's more palatable.  Ask.
  10. Reglan is for Artie's upset tummy, and is also available in injectable form: https://www.vetinfo.com/treating-gastritis-cats-metoclopramide-reglan.html  I think you should ask your vet about this.
  11. It should be possible to get a probiotic that gets sprinkled over Artie's food or mixed in with it.  There's no reason in the world (that I know of) why it needs to be a pill.
  12. And that leaves the various antacids.  I think the Reglan should be doing the job and am not certain why Artie is on so very many things for upset stomach.  I think you need to ask about that.
  13. Tell me if I've missed any of the drugs.

 

I'm disturbed by the sheer number of things that have been prescribed for Artie.  Drugs frequently have interactions, and I think these need to be looked at.  I also think that part of the problem is the number of vets Artie has.  I understand the need for a specialist, but primary care falls to his regular vet, and she's the one who needs to be aware of all of Artie's meds and deciding how to manage them.

 

Regarding the calcifications, if they aren't inside of hard poop then I really wonder what it is that they are inside of, and I suspect your vet does as well.  As for being caused by the one brand of food, I think you need to ask her that question as well.

 

There is something I discovered the hard way with Sweet Thing that all pet parents need to be aware of: Vets will not tell you that it's time to consider euthanasia unless you specifically ask them!  Before you make the drastic decision that you've been considering, you need to ask your regular vet, the one you really trust, "If Artie were your cat, would you decide that it's time to put him to sleep?"

 

Margret


Edited by Margret - 12/27/16 at 9:18am
post #27 of 1066
Quote:
Originally Posted by Artiemom View Post
 

@StephenQ  Artie is taking daily pepcid AC and Cerenia.. he has had sub-q's several times lately.. that does pick him up a bit.. I do have some zofran in the house... wondering if I should try it...but he has so much medicine.. 

 

I will ask about the pancreatitis test, next time he goes in.. perhaps tomorrow.. until then, I am on my own.. I cannot keep bothering everyone with all my anxieties, questions...

 

I just gave him some tuna water with some tuna.. he gobbled it down and then regurgitated it.. It was Star Kist Tuna..people food..

 

I spoke with the Vet Tech thru to the S Vet..He is not going in today. I did take the last available appointment for tomorrow.. I have to update them tomorrow morning. He is to cut back on the amount of  lactulose, continue with the cerenia and the cisapride.. 

 

I also specified that I am concerned about his quality of life--revolving around medicine, and vet visits.. his feeling horrible and lethargic.. I told her that I am concerned that this may be his time.. She assured me that the S Vet would definitely not delay in advising me about that.. I am very anxious.. I do have an anxiety complex so this is really hard for me..The Tech also told me that it is up to him if he improves.. some cats do not.. so we are all getting on the same page.. I think it may be soon...

 

Artie is going to hide in his tent now.. I still have more meds to give him.. oh how I hate to torture him with them.. I guess I should just start writing a journal about my feelings instead of letting it all out to you.. it is not fair to any of you...

 

It seems that everything I try to do for him is backfiring.. I can not do anything to make him better..

 

He loved the tuna water and some of the tuna I gave him, yet he regurgitated it.. I may try to syringe feed him later today.. but I am wondering if that is really going to help in the long run..if the eventuality of life will just win out...

 

He did want to be brushed this morning. He slowly came over for it. He did follow me around as I was putting the clothes away. He is peeing a lot.. oh ph--digging again in the box--nothing.... 

 

Oh, how I love this little boy.. it really pains me to see him so sick.. I sound so selfish because all of you have gone through this, and I am focusing on me...

 

I feel, in my heart, to decrease the dose of cisapride to what it was before.. wondering if I should do that.. I do not want him to shut down completely but at this point. I am just wondering..and questioning..

Wondering if he is reacting to side effects of the cisapride also...

 

I am crying now.. I do not want to cry in front of Artie or for him to see me upset.. but I cannot help it.. he is everywhere with me.. 

 

such a little creature who can give us so much love.. and so much hurt when they are sick..

 

I am trying to keep busy, but it is not easy.. 

 

thank you...

 

 

 If Artie gobbled down his tuna, the reason he threw it right back up might be because he ate it too fast, and not for any scary reason.  Cats do this all the time.  Try lifting his bowl up a couple of inches off the floor to slow him down.  

 

About your posts not being fair to us - no one is complaining.  Also, this is The Cat Site and the extraordinary stress of dealing with a sick cat is part of life with a cat, so posting about your feelings is completely appropriate.  I think it is probably very helpful for people dealing with these  issues for the first time to read your posts and recognize that their own feelings are perfectly normal.  The point is - don't worry about what you write.  Not only is it useful information, it is a  way for you to cope and everyone here is in favor of that.  Seriously, if you ever started being inappropriate (which frankly I can't imagine), one of the Mods would PM you about it.  So, please don't worry so much about the number or nature of your posts.  They're absolutely fine!

 

I'm not sure I understood something you wrote.  You said Artie is peeing a lot but it sounds like when you checked out his box, there was nothing there?  Did I understand that right?  Because if so, I'm sure you know the drill - time to check for an UTI.  I'm hoping I misunderstood that because the absolute last thing poor Artie needs now is another medical issue.  

 

Hugs to you and our boy and please keep your posts coming.  grouphug2.gif

post #28 of 1066
Quote:
Originally Posted by Margret View Post
 

 

 

  1. Prednisolone is a steroid, and I'm not at all sure why Artie is on it.  I believe it's sometimes used for diarrhea in cats, but Artie's IBD manifests as constipation, so that doesn't seem to make sense.  And steroids are very scary drugs.  They can play all kinds of havoc with the body.  However, prednisolone should never be withdrawn cold turkey.  http://pets.thenest.com/can-just-stop-using-prednisone-cats-6535.html  Ask your regular vet whether there's any good reason for Artie to be on this, and then ask her how to get him off of it safely.
  2.  

 

Excellent post.  I do take issue though with the prednisolone/steroid part.  Corticosteroids are generally very well tolerated in cats, the exception being a risk for diabetes, and long term decreased immune system, and its specific use in IBD cats is to reduce inflammation of the intestines and while the inflammation usually leads to diarrhea, the inflammation's biggest effect is to make it increasingly difficult for a cat to absorb nutrients which leads to wait loss.  But i do agree that any drug should be evaluated for long term use, and yes Artie is on a lot of meds..... 

post #29 of 1066
Quote:
Originally Posted by StephenQ View Post
 
Quote:
Originally Posted by Margret View Post
 

 

 

  1. Prednisolone is a steroid, and I'm not at all sure why Artie is on it.  I believe it's sometimes used for diarrhea in cats, but Artie's IBD manifests as constipation, so that doesn't seem to make sense.  And steroids are very scary drugs.  They can play all kinds of havoc with the body.  However, prednisolone should never be withdrawn cold turkey.  http://pets.thenest.com/can-just-stop-using-prednisone-cats-6535.html  Ask your regular vet whether there's any good reason for Artie to be on this, and then ask her how to get him off of it safely.
  2.  

 

Excellent post.  I do take issue though with the prednisolone/steroid part.  Corticosteroids are generally very well tolerated in cats, the exception being a risk for diabetes, and long term decreased immune system, and its specific use in IBD cats is to reduce inflammation of the intestines and while the inflammation usually leads to diarrhea, the inflammation's biggest effect is to make it increasingly difficult for a cat to absorb nutrients which leads to wait loss.  But i do agree that any drug should be evaluated for long term use, and yes Artie is on a lot of meds..... 


As I said, I'm not sure what the point of the prednisolone is.  That's why I keep saying "Ask."  There's a whole slew of questions that need to be answered, and this is one of them.

 

I was aware of the diabetes risk, and I'm hypersensitive on the issue of diabetes, for some odd reason.  dontknow.gif  If Artie needs prednisolone, then he needs it.  I just want to be sure that he actually needs everything he's taking.  My feeling is that the vets have been throwing every drug they can think of at him, looking for what works.  Well, now that they have some data, it's time to start withdrawing a few things and then see what works.

 

Margret

post #30 of 1066
Thread Starter 

Artie is just curled up on his bed, next to me.. I saw that he had pooped all over his quilt tent last night, so he must have had bad diarrhea from the meds.. I cut back on the amount of  miralax today.. perhaps I was giving him too much..

 

I completely agree that he is on too many meds.. but the S Vet is the one prescribing them.. I hate to do it, but I think I am going to keep that appointment for tomorrow..

 

Artie is now meat loafed on his pillow bed.. it is normally his nap time, but  I am taking everything to heart. 

 

I can understand giving the steroid for the inflammation.. the probiotic to help with his bowels, the cisapride was because he would not poop very often--perhaps a few times a week and it would be hard. But to double the dose seems a bit drastic in addition to all the other drugs he is taking..She is insisting that I take him off the cisapride because it of all the side effects..

 

Artie always had a hard time with poop...never diarrhea.. always on the verge of constipation, but I was always able to remedy that with miralax..When it got to be too bad, that is when they prescribed the cisapride.. 

 

I am so confused.. 

 

Artie is not purring today..

he did follow me for a bit, but then just curled up and hid. 

He ate only 1/4 of a small can this morning. not much last night. 

This is very different from yesterday.. the appetite stimulant caused him to constantly go over for food.. today, nothing.. and I know he took the pill.. 

 

If he does not perk up and eat something, I will syringe feed him again.. I hate to do so, but...

He is acting almost the same as he did on Christmas Eve.. His gums do not feel sticky, so I do not think he is dehydrated.. I am giving him water.. and will try the tuna water again, soon...

 

The lactulose was ordered by his Rvet because he was constipated. The Reglan was ordered by the SVet because he was still constipated and seemed to be on track for megacolon.. this was supposed to help with the peristalsis action (muscle action of the colon)... The Reglan really seemed to put him over the top.. he hates it, and I discovered perhaps it was just a coincidence with having the second enema, of really effecting him with lethargy.. I think he was exhausted and his belly was inflamed and hurting. I think it still is because of all the drugs to make him poop..

 

Now that he has diarrhea, it has to be time to stop some of them.. that is why I decreased the lactulose, on my own.. I do not want to stop anything cold turkey because dire results could happen..

 

The Cisapride is something I am concerned about.. My friend researched it for her cat and found tons of side effects to this drug. That is why it is banned from human use.. But it is supposed to be safe for cats.. It seems to be a 'go to' drug for megacolon and constipation.. I think I will cut back on it, a bit.. 

 

I started writing a journal.. 

 

I may call my friend and ask her stuff. I know the more people I ask, the more opinions I get, the more confused I get....

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