After hairball surgery

[vansX2]

I'm a bit confused by what your meaning is, vansX2 ?

Irmik is only 2 years old.

The steroid, prednisolone has only just started, and there are still other medications to try, if this one does not work.
Not to mention giving Irmik a lion cut in the summer months.
And allowing Irmik's digestiive system to heal...from an initial ulcer that was already seen.

Why would you think that Sevilay28 ...would not continue to advocate for her cat?
and Why would it be such a difficult decision for you...
What alternative would you have?
Sorry, but I'm not following or understanding your post...at all.

If Imrik health doesn't Improve can you afford too continue your current health regiment? Medications can be all that inexpensive .

 

[cat nap]

If Imrik health doesn't Improve can you afford too continue your current health regiment?

Oh, okay, so you were just considering financial budget.
Thanks for clearing that up.

 

[IndyJones]

Can we maybe not let the fur fly?

 

[cat nap]

Can we maybe not let the fur fly?

Yes, for sure.
I'll have to take a little break,...since I am very attached to Irmik.... and Sevilay28 trying everything possible for her cat.
I got a bit too defensive there.
apologies to vansX2 ...for any 'defensive tone' on my part.

 

[Sevilay28]

It seems like this night won't end. She vomits every 3 - 4 hours. Just like in the old days. Steroid hurt his stomach? I will write to the doctor in the morning.
vansX2 everything about this cat is hard but unless someone tells me "we tried everything to try, it's done" I'll try.
C catnap thank you for caring about us.

 

[Sevilay28]

She vomited again and again.
I'm going to give her an injection of Cerenia, it doesn't stop with metoclopramide.
I'll also ask for some vitamin supplements.
I insist on endoscopy again, let's see what the doctors say.
Because I'm sick of trial therapy. It could be gastritis, try this. Might be ibd, try this. It could be, try this.
My cat is really not well. Could it be Fip+?

 

[cat nap]

She vomited again and again.
I'm going to give her an injection of Cerenia, it doesn't stop with metoclopramide.
I'll also ask for some vitamin supplements.
I insist on endoscopy again, let's see what the doctors say.
Because I'm sick of trial therapy. It could be gastritis, try this. Might be ibd, try this. It could be, try this.
My cat is really not well. Could it be Fip+?

No not Fip. She would have more pronounced symptoms, different than what you are describing.

I would ask for the 'barium x-ray series, first'...and then the endoscopy.
Something is triggering her 'vomiting reflex'...and then causing a 'cascade of vomits'

Could you ask the Vet if any type of 'small sedative' would help Irmik,...if it is stress related?

Also, read this recent thread:
Endoscopy
Especially post #33
The member G gomie gave their cat a 'broad spectrum dewormer'...on the advice of a Vet Specialist.

It would be worth it to ask your Vet about this, since fleas and parasites, can be easily picked up from just a cat being at a Vet clinic, or humans carrying fleas, parasites, inside on their shoes.

Also ask about the prednisolone dosage that they gave you for Irmik.
It sounds like it was way too high.
And you could ask if giving it as an 'ear gel', would be easier on her.

 

[IndyJones]

I would ask for the 'barium x-ray series, first'...and then the endoscopy.
Something is triggering her 'vomiting reflex'...and then causing a 'cascade of vomits'

You mean a CT scan? that's definitely a good idea, maybe an MRI might work too. IDK if either would be affordable or even available for the OP though both machines would be located at a specialist and require a referral most likely.

 

[cat nap]

You mean a CT scan? that's definitely a good idea, maybe an MRI might work too. IDK if either would be affordable or even available for the OP though both machines would be located at a specialist and require a referral most likely.

Your ideas of MRI and CT scans are even better, but yes, I would think they would be expensive. Though maybe if done at Vet universities, or specialist clinics,...it might be a possibility.

I was talking about 'upper G.I.barium xray series', that specifically looks for defects or abnormalities during the process of swallowing and partial digestion.
Barium Studies (Barium Series) For Cats - Cat-World.

 

[Sevilay28]

Your ideas of MRI and CT scans are even better, but yes, I would think they would be expensive. Though maybe if done at Vet universities, or specialist clinics,...it might be a possibility.

I was talking about 'upper G.I.barium xray series', that specifically looks for defects or abnormalities during the process of swallowing and partial digestion.
Barium Studies (Barium Series) For Cats - Cat-World.

Where i will go is a university hospital. Unfortunately, the tomography instruments are broken, she said. Moreover, our doctor, who took care of us and tried to answer all our questions, was also leaving there. Bad things never leave me.
I called the hospital and said that we wanted an appointment for an endoscopy. He said come Friday. He said'' there are risks Of doing endoscopy research them.''I already know the risks, but when you hear from them, you are even more afraid.
But there is nothing left for me to do. I've been treating gastritis for 23 days, she's vomiting. I'm starting steroids for ibd, she's throwing up.
Electrolyte disturbances are also very dangerous. The vet we always go to for the cerenia injection today said she lost so much weight. I agreed, but at that moment I was holding back my tears.

 

[Sevilay28]

We got the Cerenia injection and came home. Since morning her movements are very slow, she just lies like this. She began to swallow, as she had just done before vomiting again. What could have happened in 2 days? She never vomited when Cerenia was present.
What did steroids do to her?

 

[silent meowlook]

I am sorry you and your kitty are having problems still. When was the last blood work done? I am worried as you are that there is more going on than is known.

I am not a Veterinarian. I have worked for Veterinarians decades and worked 9 years for an internal medicine specialist and a boarded surgeon. I worked for a feline only specialist the last 6 years and now work ER. Of course this still doesn’t make me a Veterinarian or qualified to give you advice about your kitty. I can only tell you what I have done for my cat and what I would do if my cat suffered the same symptoms. Side note, I do have a 13 yr old cat with IBD that became suspected intestinal lymphoma, hyper thyroid, heart disease, asthma, and before I got her on the right food and steroids and chlorambucil, and fluids, and vitamin B injections, and Famotadine , and Cerenia injections and got her stabilized for now hopefully, she suffered from chronic vomiting, weight loss, constipation, and looking just horrible at home. …..I am sure you understand.

Your cat had the hairball removed. That is good. As far as the Veterinarian that did the surgery knows, did the intestines look normal and healthy? Cats should be able to process hair, so that can be a red flag that there is more going on. I know you said they didn’t get biopsies and while it would have been great to have them, it may have not been done due to them wanting to stop the anesthesia sooner. If it was my cat, I wouldn’t want to have her anesthetized again unless absolutely needed. Anesthesia and sedation are always a stress to a cat’s internal organs. You mentioned doing an endoscopy to get some answers, but often times you won’t because you are getting a very limited sample of the intestines and stomach etc because you can’t get a full thickness biopsy with an endoscope. Even if you get a surgical sample you are still only getting the results of that particular area. There can still be problems in other areas of the GI tract.

I don’t think that Reglan (Metaclopramide) works well in cats and in my experience it does more harm than good. It also cannot or should not be given with a variety of medications and I think Sucralafate is one of them. It is always a good idea to do a medication interaction check on any and all medications you are giving your cat. I don’t usually worry about the mild interactions but the more severe ones I focus on and adjust what I am giving with the guidance of the vet. Cerenia is a good medication for cats that are vomiting. I like to use the injectable due to that it might not be getting absorbed completely if the stomach and or intestinal tract is compromised. I give it when I give my cat her sub cutaneous fluids. If my cat has breakthrough vomiting, I also give Odansetron injectable which works well. If I am concerned about acid reflux I will give Famotadine injectable. I also do this while doing the Sub Cutaneous fluids so there is only one time I have to stick her with a needle. The fluids help to keep my cat hydrated much better than drinking can do. Of course with my cat I only give 50 mls of fluids due to her heart disease and size. I give my cat Visbiome probiotic on her food and I introduced it into her diet gradually. If the Metaclopramide is being used for GI motilitly, I think Cisipride works better. But of course, you want to be sure there isn’t another obstruction or the Reglan or any GI motility drug can cause major problems.
Since most of the GI issue cats I have known are not able to process their Bvitamins I supplement Vitamin B12 weekly with and intermuscular injection. I do give my cat prednisolone daily and that I do as a tablet. I put it in a gel capsule to give it so it doesn’t touch anywhere in the mouth. If they taste the pill they will salivate and be miserable for a while. But there are injections you can give as well. I also give my cat Chlorambucil with is a chemotherapy medication for her suspected GI lymphoma.

I would use a great deal of caution giving a rad diet to an immune compromised cat. It can be done, but you must be careful with it. I do a novel protein source canned cat food for my cat, the Royal Canin Venison diet in canned only. I think you had mentioned feeding dry food. I cannot stress enough how important it is to get your cat from dry food. So many cats cannot process all the carbs in the dry food and many cats do have food allergies so it should be strongly considered.

I know that these GI issues in cats are painful so don’t hesitate to ask your veterinarian for some Buprenorphine for pain for your kitty.



I hope some of this might be helpful to you. I have to get some sleep before work in several hours.

 

[Sevilay28]

If it was my cat, I wouldn’t want to have her anesthetized again unless absolutely needed. Anesthesia and sedation are always a stress to a cat’s internal organs. You mentioned doing an endoscopy to get some answers, but often times you won’t because you are getting a very limited sample of the intestines and stomach etc because you can’t get a full thickness biopsy with an endoscope. Even if you get a surgical sample you are still only getting the results of that particular area. There can still be problems in other areas of the GI tract.

I don't want to have an endoscopy either, she'll get anesthesia after all. But there is nothing I can do anymore. She cannot live like this. If there's any chance the problem will show up on the endoscopy, I'll have to use it even if im gonna lose her. Because she can't live like that either. She can't eat, she vomits. Almost all of us are sure that there is a problem with the stomach. But what?

I don’t think that Reglan (Metaclopramide) works well in cats and in my experience it does more harm than good. It also cannot or should not be given with a variety of medications and I think Sucralafate is one of them. It is always a good idea to do a medication interaction check on any and all medications you are giving your ca

I am aware that metoclopramide is not that effective. But my vet insisted that I should not apply more than 5 doses of cerenia. Of course, I control drug interactions, it cannot be the other way around.

Since most of the GI issue cats I have known are not able to process their Bvitamins I supplement Vitamin B12 weekly with and intermuscular injection. I do give my cat prednisolone daily and that I do as a tablet. I put it in a gel capsule to give it so it doesn’t touch anywhere in the mouth. If they taste the pill they will salivate and be miserable for a while. But there are injections you can give as well. I also give my cat Chlorambucil with is a chemotherapy medication for her suspected GI lymphoma.

Unfortunately I was not told this. Also, I have a lot to learn from you if she ever gets diagnosed with lymphoma.

I know that these GI issues in cats are painful so don’t hesitate to ask your veterinarian for some Buprenorphine for pain for your kitty.

I'll ask about it, I hope the side effect is not vomiting.

 

[Sevilay28]

Terrible thoughts run through my head. What if she doesn't come out of anesthesia? What if it kills her? Where will we bury her , how will it be, how will this pain end?

 

[Sevilay28]

She is so sluggish that she has just been sleeping since she arrived. She can't open her eyes. I don't understand if steroids made her so bad.

 

[silent meowlook]

I don’t think this is because of the steroids. These aren’t side effects. Can you get her to a specialist or university? Maybe you already have. But she needs a second opinion and I think she should be seen ASAP if she is feeling this bad.
I know how hard it is to watch your baby waste away in front of you. I really think she should be seen ASAP. I’m sorry you are going through this. I know you love her.
Also, trust your gut instincts. She is your cat and you know her better than anyone.
The b vitamins are for all GI absorption issues. But right now don’t think about that. She sounds like she needs help now.

 

[cat nap]

I've been treating gastritis for 23 days, she's vomiting. I'm starting steroids for ibd, she's throwing up.
Electrolyte disturbances are also very dangerous. The vet we always go to for the cerenia injection today said she lost so much weight. I agreed, but at that moment I was holding back my tears.

We got the Cerenia injection and came home. Since morning her movements are very slow, she just lies like this. She began to swallow, as she had just done before vomiting again. What could have happened in 2 days? She never vomited when Cerenia was present.
What did steroids do to her?

Terrible thoughts run through my head. What if she doesn't come out of anesthesia? What if it kills her? Where will we bury her , how will it be, how will this pain end?

She is so sluggish that she has just been sleeping since she arrived. She can't open her eyes. I don't understand if steroids made her so bad.

What did your Vet actually say today?
About Irmik, and what she recommends that you do next?
Did she take any blood work from Irmik, to check her electrolytes, ...since you've started her treatment...23 days ago?

Did your Vet give you instructions to do...on a daily basis?
Times to give her food, and times for medications being given.

*(make a list of all the medications that you tried...what the outcome was.
all the foods given...what the outcome was.
all the supplements...outcome.
vitamins...outcome.)
Write out the dates...with days...and that way you will see..all the things you have tried.

You can then bring this List to your Vet...even without Irmik there...and ask her to look at it.
So she can see everything on one paper...and see what she recommends.

The only way a cat can be treated...is by a knowledgeable Vet...or Vet Specialist...who specializes in the digestive system of cats...to have the experience and training, knowledge,...to know what to pursue.
They can get her stable, and then give you instructions to do at home...regarding food and medications.

You did mention that there was a 'short period of days'...when Irmik was not vomiting.
You mentioned the food to vansX2 ...and that it was a fish type food.
If that is the only food that agrees with Irmik...then feed her this.

(I don't agree with everyone who says that 'dry is bad'...since if it is the ONLY food a cat will eat...then you have to feed the cat.)
She has to eat something, and keep it down, to get better.

At this point in time...the only other options would be asking your Vet to place a feeding tube, either nasal or E-tube...but even that may not guarantee that Irmik will not throw up. It may only help to get nutrients into her, if you cannot syringe feed her, small portions, and if it by-passes any esophgus problems. Since you don't actually know where the problem causing the vomiting reflex being triggered is happening,..then only your Vet, or Vet Specialist can recommend what you can do next.

So many of us here, can empathize with you, since we've all had sick cats,...but we can only offer you support, and encouragement...since only the real Vets in Turkey, can offer real tangible treatments.

Write down your 'terrible thoughts'..so they are 'contained in another notebook'...and not constantly having to think about them.
Once written down...don't think about them any more.
'Worse case scenarios'...are already here.
Your Irmik is sick.
You're trying to get her as much help as you can, both financially what you can afford, and also realistically what you can daily do.
You're not going to be able to treat this over-night,...so you have to prepare yourself...and Accept that it may take another 21 days...to see any results.
Hopefully, less days,...but go with your own instincts...your own realistic decisions...on what you TOGETHER with your Vet can do.
Ask your Vet, if Irmik were her cat...what could she possibly do, on a daily basis,...to help her.

Sending you Mega Health Thoughts for your Irmik.
(I wish that all our cats would not get these awful illnesses, or situations that cause them pain,...but realistically I know that they will, and that they do...so all you can really do...is take it day by day, and get professional Vets to help us.)
We have to follow Vet's instructions...even if it does mean...trying different medications...or foods...until something helps.

PPS...just saw S silent meowlook ...post above.
I would totally agree with it.
That the best thing to do would be to take Irmik in to a Vet Asap...because she is feeling so badly.

 

[Sevilay28]

Something is really wrong with her.. Just stands like this, cant drink water

 

[Sevilay28]

I found an article named '' Peptic Ulcer Perforation Associated With steroid use''
Could this have happened? I'll take her back to the vet here tomorrow

 

[cat nap]

I found an article named '' Peptic Ulcer Perforation Associated With steroid use''
Could this have happened? I'll take her back to the vet here tomorrow

God, I hope not.
Yes, definitely take Irmik back. poor girl.

See if she will eat any baby food, (with NO onions or garlic.)
even goat milk, if you can get any.

Just place the soft baby food, on a flat plate...and maybe she will lick it.
If not, then give it to her, from a spoon.
Even some soft wet fishy food, mixed down into a mushy soft slurry.

PS. the drinking glass may be a little small...if her whiskers touch the sides...a wider bowl may be better, to not cause 'whisker fatigue'.
I don't know if she would throw up any water, though.
But I would have it near her, in case she wants to drink it.

Sending major Prayers, for your beautiful Irmik.
Hang on there beautiful cat, Irmik, your cat guardian is trying everything to get you well again.