Cat misdiagnosed

sos2484

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Hi.. I posted back in November about Oliver *Reposting* help! IBD/lymphoma questions!

I don’t understand what’s happening and I can’t seem to get to the bottom of it.
7 days after I took Oliver to the ER and they diagnosed him with IBD/lymphoma, despite telling them that he had never had one symptom of IBD his entire life, the reason he threw up was because he was in the potting soil. He threw up two times and was a little nauseous so he wouldn’t eat. They told me to take him to an oncologist.

being that it was COVID, I had to give my cat to someone that I’ve never even seen to do ultrasound number 2. ( If you read my first post, I thought Oliver had a horrible reaction to the prednisolone and to this day I believe it did something to his intestines.)

when I got my cat back, this dr (who I have a hard time discussing because of the horrific way I was treated) told me Oliver, perfect health 14 years, not even a day of diarrhea, had either FIP or hystiocitic sarcoma. She told me I needed to do a biopsy. I told her I wasn’t comfortable with that (Oliver is 14) and she said that was the only way to tell. I said so if I don’t do a biopsy, then you won’t treat him, sheLAUGHED and said what do you want me to treat him for? I said I think he’s declining because of the prednisolone, she said he’s declining because he’s declining. She gave me NO other options, no advice, nothing. A $2,000 bill, clavamox and fortiflora. Not even a phone call to follow up.

my gut told me something wasn’t right. I went back to the only vet I have and will ever trust that I left because I moved an hour away. Turns out, an hour is not that far when you really need someone you can trust.
I gave him all of the reports and he seemed confused. Things weren’t adding up for him either. We decided to take him off of all meds.

oliver gained a pound back and was acting more like himself, not 100% but I saw an amazing change for the better. But something was still a little offwith his stomach. Very loud gassy noises and they sawA LOT of gas in his intestines on a previous X-ray.

that was November and everything was going in the right direction. Last weekend, Oliver throws up a hairball which is rare for him. And then another one last Monday. And then threw up food on Tuesday and Wednesday some liquid.
Thursday morning he threw up the ribbon from a toy I left out. They were very short and I compared to the toy so I am positive he got it all out.

i thought we were out of the woods…. But Oliver had other plans. He threw up his food once and then later just liquid. I could see he was definitely nauseous.
Friday morning I took him to the ER to get another ultrasound. He didn’t throw up on Friday.
no sign of cancer. No Fip. No IBD. No lymphoma. I am still trying to process these words because for the last three months, I have been thinking, I don’t think it’s true but I cannot argue with science.
I’m soooooo sorry this is so long!! So basically, he was diagnosed with diffuse gastroenteritis, gastric stasis and ileus. Sent home with zofran.
In the morning, he wants to eat and even played with a toy. Then as the day goes on, he doesn’t really want to eat. But he he does. I still see he’s nauseous and he vomited clear after eating. I called the ER because it looks to me like some sort of acid reflux. But I also feel that the gas in his stomach is a major contributing factor. Oh, they gave him sills ID which I swore I would never give. He ate 2 cans and won’t go near it now which is kind of fine with me.
mid anyone (who actually read this whole thing) has any experience, ideas, anything, I’d love to hear them!!!
 
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sos2484

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* I also have him on Proviable and Pepcid. I know Proviable isn’t the best but I’m so overwhelmed at how many probiotics there are.
 
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fionasmom

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I am sorry that this has been so complicated for you both. Given all the imaging you have done, was pancreatitis ruled out? It is possible that he has the conditions you mention at the end and those would be enough to cause digestive upset. Who is handling this now? The vet you trust?

One complication you may be running into is that gastritis and gastroenteritis can be general terms which mean that something is not right in the intestinal tract but, in itself, might not be the final answer. Often there is something else causing these conditions which is why they are so frustrating. Pancreatitis, for one, can fly under the radar of many tests. You did get some good news in what was ruled out by the ultrasound, fortunately. Can you continue to work with the vet you like, or take his suggestion for a specialist who might be able to help you?

Gastroenteritis In Cats | VCA Animal Hospitals
Gastritis In Cats | VCA Animal Hospitals
Lack of Intestinal Motility in Cats - Symptoms, Causes, Diagnosis, Treatment, Recovery, Management, Cost
 

FeebysOwner

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Hi. I agree with the above! And, I really don't have much to offer but did want to ask you how frequently you give Oliver the Zofran. I don't know the dosage either but did want to tell you that the posts I have read on some other sites related to Zofran is that it is typically given every 8 - 12 hours. If you are not doing that, you might ask the vet about the dosage and if Oliver would do better on a more frequent administration of it. It isn't the 'be-all' answer, but it could help him while you continue to search for a permanent solution.
 
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sos2484

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I am sorry that this has been so complicated for you both. Given all the imaging you have done, was pancreatitis ruled out? It is possible that he has the conditions you mention at the end and those would be enough to cause digestive upset. Who is handling this now? The vet you trust?

One complication you may be running into is that gastritis and gastroenteritis can be general terms which mean that something is not right in the intestinal tract but, in itself, might not be the final answer. Often there is something else causing these conditions which is why they are so frustrating. Pancreatitis, for one, can fly under the radar of many tests. You did get some good news in what was ruled out by the ultrasound, fortunately. Can you continue to work with the vet you like, or take his suggestion for a specialist who might be able to help you?

Gastroenteritis In Cats | VCA Animal Hospitals
Gastritis In Cats | VCA Animal Hospitals
Lack of Intestinal Motility in Cats - Symptoms, Causes, Diagnosis, Treatment, Recovery, Management, Cost
Thank you for replying! I just looked at the report again and it says cholangitis mild and pancreatitis moderate. They never mentioned pancreatitis to me. Now I’m worried.
I will be doing all treatments with the vet I like. I’ll call first thing in the morning and I’m sure we’ll get a treatment plan in place asap.
my theory was that when he got into the soil, it was contaminated, maybe something toxic in there and he was not given the proper/treatment and this is the result. They didn’t want to hear that the soil may have had fertilizer or something in it.
 
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sos2484

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Hi. I agree with the above! And, I really don't have much to offer but did want to ask you how frequently you give Oliver the Zofran. I don't know the dosage either but did want to tell you that the posts I have read on some other sites related to Zofran is that it is typically given every 8 - 12 hours. If you are not doing that, you might ask the vet about the dosage and if Oliver would do better on a more frequent administration of it. It isn't the 'be-all' answer, but it could help him while you continue to search for a permanent solution.
Hi… I give him 2 mgs every 12 hours. They didn’t tell me that, I just assumed it was 12 hours apart.
 
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sos2484

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I also just remembered that the ER vet said he’s either having bad diarrhea or is going to have explosive diarrhea at some point. He’s never had explosive diarrhea. It may be soft serve as I’ve heard it called but never watery and it only happened a few times. His poop has been mostly perfect. I’m still so confused. I can’t wait to talk to his dr to sort this all out.
 

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I have a cat who has a very sensitive tummy and will develop gastroenteritis if he's not fed a specific diet. He will get diarrhea and poop anywere EXCEPT the litter box, and it's very stinky. Usually, he is put on an antibiotic as well as metronidazole (for the diarrhea) and Cerenia for the upset tummy. Sadly, the gas is just something that has to work its way out of their systems since they don't normally pass gas or have flatulence. We are currently into week 3 of this with my boy. So far, the metro is working, but we also give him saccharomyces boullardii (a human probiotic) which helps firm up poops and clean up the gut.
 
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sos2484

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I have a cat who has a very sensitive tummy and will develop gastroenteritis if he's not fed a specific diet. He will get diarrhea and poop anywere EXCEPT the litter box, and it's very stinky. Usually, he is put on an antibiotic as well as metronidazole (for the diarrhea) and Cerenia for the upset tummy. Sadly, the gas is just something that has to work its way out of their systems since they don't normally pass gas or have flatulence. We are currently into week 3 of this with my boy. So far, the metro is working, but we also give him saccharomyces boullardii (a human probiotic) which helps firm up poops and clean up the gut.
Oliver wouldn’t eat the hills so he’s back on his soulistic, petco brand with normal poops. I thought he should’ve had an antibiotic or something. The first ER vets and the oncologist wouldn’t hear about anything other than cancer and surgery. Oliver has actually had the same reaction about 7 years ago when he ate soil the first time. I gave him a few days and he was back to normal. I only wish I hadn’t panicked and brought him to the ER. I feel like none of this would’ve happened.
I ordered the s boulardii. I’m familiar with it but something was holding me back from giving it to him. I heard it’s amazing stuff though. I read that it helps with inflammation of the intestines.
how long do the episodes usually last? Do you give Pepcid for the gas?
 

stephanietx

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It takes about 3-4 weeks to get over the flare. We give Cerenia from the vet, but you can give plain Pepcid for nausea. We usually try to give it at night, once a day, as needed.
 
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sos2484

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It takes about 3-4 weeks to get over the flare. We give Cerenia from the vet, but you can give plain Pepcid for nausea. We usually try to give it at night, once a day, as needed.
Thank you for the info. I hope your guy is feeling better soon!
 
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