Cat is Sick. Urine & BW results

Hello.

I've got an almost 5 year old cat who is sick.

Since early may he has puked very liquidy almost clear green bile with specks of hard red/brown in it, most likely blood. He's done this probably about 8-12 times now. Last week he hid at night time for about 3 nights straight (not normal for him).
His urine out put and feces are as normal as they have been. Though his feces are on the hard side (it's the diet, low fiber content.) and he doesn't drink much water since we moved no matter what I do. (I have water dishes and a cat fountain, tried recently to add a little water to his food, made him puke his food up.)

Right now the doctor doesn't think it's directly diet related, but feels stress is playing a culprit (we recently moved in early May and we were on vacation out of the country for 9 days as well.)

At the moment she mostly suspects IBS.

Anyone have any thoughts on his blood work and urinalysis? They are in the process of running a urine culture and fecal.

Urinalysis:
PH: 6.5
SPECIFIC GRAVITY (verified by repeat analysis.): 1.060
APPEARANCE: CLEAR
COLOR: AMBER
PROTEIN: TRACE
GLUCOSE: NEG
KETONE: NEG
BILIRUBIN: NEGATIVE
BLOOD: NEG
WBC: 4-10 (H)
RBC: 0-3
BACTERIA: NONE
EPITHELIA: NONE
EPITHELIA, RENAL: NONE
EPITHELIA, TRANSITIONAL: NONE
TRIPLE PHOS. CRYSTALS: NONE
AMORPHOUS PHOSPHATES: NONE
CALCIUM PHOS CRYSTALS: NONE
CALCIUM CARBONATE CRYSTALS: NONE
AMMONIUM BIURATE CRYSTALS: NONE
AMORPHOUS URATE: RARE (H)
CALCIUM OXALATE CRYSTALS: NONE
URIC ACID CRYSTALS: NONE
MUCOUS: NONE
WBC CASTS: NONE
BUDDING YEAST: NONE
SPERM: NONE
OVAL FAT BODY: NONE

SUPERCHEM/CBC/T4
GLUCOSE: 154
UREA NITROGEN: 24
CREATININE: 2.5 (H)
TOTAL PROTEIN: 7.2
ALBUMIN: 3.5
BILIRUBIN, TOTAL: 0.2
ALKALINE PHOSPHATASE: 24
ALT(SGPT): 42
AST(SGOT): 22
CHOLESTEROL: 156
CALCIUM: 9.5
PHOSPHORUS: 5.1
SODIUM: 154
POTASSIUM: 4.1
CHLORIDE: 120
A/G: 0.9
BUN/CREATININE: 10
GLOBULIN: 3.7
LIPASE: 18
AMYLASE: 948
TRIGLYCERIDES: 46
CPK: 205
GGTP: 5
MAGNESIUM: 1.9
OSMOLALITY, CALCULATED: 311
(Comments, Hemolysis 1+, the following results may be affected by this degree of hemolysis

ALT may be increased by 15-20%
AST may be increased up to 10%
LDH may be increased up to 20%

Direct Bilirubin may be decreased up to 80%

COMPLETE BLOOD COUNT
HEMOGLOBIN: 12.5
HEMATOCRIT: 37.4
WBC: 17.2 (H)
RBC: 7.80
MCV: 48
MCH: 16.0
MCHC: 33.4
PLATELET COUNT: 385
PLATELET EST: ADEQUATE
BLOOD PARASITES: None Seen
ABSOLUTE POLYS: 10492 (H)
ABSOLUTE BANDS: 0
ABSOLUTE LYMPHS: 3612
ABSOLUTE MONOS: 344
ABSOLUTE EOS: (I can't read it well but looks like 2752 (H)).
ABSOLUTE BASOS: 0
T4: 2.3

MANUAL DIFFERENCE
PLATELET EST: ADEQUATE
BLOOD PARASITES: None Seen

If it were IBS wouldn't his feces be more affected? I've never had a cat with IBS, but it sounds more like some kind of intestinal upset - nerves affecting his stomach and not his "lower" intestines? They may want to do an ultrasound to see what is really going on in there....

Karen

Kittylove1:
That is just one of the theory's she is going with right now. A UTI at this point is also possible with the existance of WBC in the urine, she also saw a rare crystal in his urine but that it almost might have just been artifacts.
Right now he's on Pepcid AC, not to mask/solve the problem, but just to help him from wrecking himself on vomiting even more until we figure out what's really going on.

He's also "slightly" dehydrated but at this point the doctor is not concerned by the amount but we are keeping a close eye on him.

X-rays and Ultrasounds are also in the works, as well as a biopsy via endoscopy.

If kitty were human I would say viral infection

Sounds like your vet is checking all angles....if he continues to vomit maybe they could also give him some anti-nausea medication.....

what is a normal amylase for cats?

do you feed your cat any people food?

pancreatitis?

nevermind... lipase looks normal...

i say steroids and a GI antibiotic and see what happens...

My cats are not fed any people food. They are fed a raw diet, and the occasional hairball remedy.
When I get the results back on the fecal and the urine culture depending on that we will most likely start a round of some kind of antibiotic at least.

He puked his food up last night... and hid in the laundry room all day while I was at work until I came home, even though my s/o was home. Now he's sleeping on my lap.

Originally Posted by blue Ash

My cats are not fed any people food. They are fed a raw diet, and the occasional hairball remedy.
When I get the results back on the fecal and the urine culture depending on that we will most likely start a round of some kind of antibiotic at least.

He puked his food up last night... and hid in the laundry room all day while I was at work until I came home, even though my s/o was home. Now he's sleeping on my lap.

Click to expand...

What part of the food was thrown up?? DO you make you own raw or by prepared ??

sharky:

Him throwing up food is not normal by any means. My 3 cats get fed the same food from the same batch/patty.
This is a premade frozen food by Nature's Variety.

http://www.naturesvariety.com/conten...7D98jioT6B1292

My cats doctor isn't in today, she'll be in tomorrow. But the vet tech told me the results of the fecal were negative.

I personally am not fond of Natures variety and have found many Raw foods both better and far more cost effective...
But since I forgot to find out where you are here are a few links..

www.omaspride.com this is one my vet turned me on to

www.columbiarivernaturals.com


www.bravo.com not sure if that link is right as I am not home

Until now I've had great results on this food, for both cats and dogs. I'm hesitant to change at this time, but I will if needs be later on. My other 2 cats remain to do great on it.

My problem is that I'm limited locally by what raw foods are out there. And I just do not have the time to make my own at home. The only other raw foods that are pre-made and near me contain fish products. I don't feed that to my gang.

Originally Posted by blue Ash

Until now I've had great results on this food, for both cats and dogs. I'm hesitant to change at this time, but I will if needs be later on. My other 2 cats remain to do great on it.

My problem is that I'm limited locally by what raw foods are out there. And I just do not have the time to make my own at home. The only other raw foods that are pre-made and near me contain fish products. I don't feed that to my gang.

Click to expand...

Ahh That is a good reason..

cheack here
www.barfdirect.com I got lucky and didnt have to use the link but Kai Bengals uses the Bravo ... My vet started carring nearly everything imaginable...lol.. i have BBQ mackeral for the girls ( I like fish and that stinks)

The only fish I'll eat personally is raw. I love me some various sushi's! Alright I'll stop before I make myself miss Japan again.

Originally Posted by blue Ash

The only fish I'll eat personally is raw. I love me some various sushi's! Alright I'll stop before I make myself miss Japan again.

Click to expand...

I only like lox...lol.. lightly smoked salmon

Hmm doesn't Ikea sell something like that? o_o

Originally Posted by blue Ash

Hmm doesn't Ikea sell something like that? o_o

Click to expand...

likely...lol.. i live in the sticks IKEA is high end for us

I'm having problems getting into this site more often then not.

But I got a voice message from my vet around 8:30 tonight. She said that since he is still puking she now wants to do x-rays will will be $130 for them. I don't mind spending the money, I will do anything for my family.
Can anyone think of anything else I can do in the mean time while he's there?
She wants me to drop him off tomorrow morning, or Friday.

The problem... this cat is obsessed with ME and only me. When he is away from me, specially when he's already sick it's like with holding the very life from him. While I realize more testing needs to be done, I am concerned about just leaving him there for a whole day.
I would actually like to take him to work with me now adays if I actually had a place to put him.
He's more stressed sitting at home with out me, then he is sitting in a new environment with me.

What could an ultrasound tell me? Or would a biopsy be the only other route if x-rays fail? I'm trying to not spend thousands and spare my cat the pain from being away from me as much as possible.
If an x-ray or ultrasound could be set up, I could be there. A biopsy would be a different story as he would be put under and I would not be allowed to stay the whole time at the vet office.

My work is pretty laid back, but we are a cabinet company and many of the cabinets are preserved with things like fermaldihyde, and the doors are constantly opened and closed. I'd worry about him sneaking out, and I couldn't just leave him in a carrier all day to be with me.
Right now, stress seems to be his ultimate enemy. I work 3 jobs. Have several animals, and I work in rescue and have my independant studies on top of it all. What more can I do to help relieve his stress? He's stressed out unless he's sitting on my lap.

Rescue remedy should help

an ultrasound would help idetify something that would show in a xray .. you could call it a clearer picture

Have you considered getting another cat to keep him company. I have to admit I never ever considered having more than one cat at a time, but since our daughter moved back home with her Mika I am amazed at how much she and Bijou love each other and play and chase each other, then curl up and sleep together in one big beautiful fur ball.