Chronic Vomiting .. Pancreatitis? .. In Dire Need Of Insight

sadisticookie

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Hi everyone ..

Last year in August/September I posted about my 8 year old male orange tabby Baby Kitty who went through a long bout of vomiting that neither he nor I could get under control. He went for about one week of going to the vet, being given shots to calm his tummy along with several enemas and treatments for potential hairball blockage. He had x-rays and blood work done which basically gave the vets very little to go on in terms of finding out the problem. Finally after about 7-9 days he stopped vomiting and went back to normal, holding down food and water.

It has been over one year with no major problems. Baby rarely ever threw up and when he did it was a one-time occurrence. Just a few weeks ago, however, the "chronic" vomiting started back again. Baby Kitty did not show any signs of lethargy or pain (even when the vets did a thorough massaging of his entire tummy region he did not scream or show any strong sign of pain aside from wanting to jump off the examining table), he would vomit roughly once every hour or so and he constantly sought me out for company. X-rays showed nothing abnormal, the blood work showed slightly elevated amylase but that was about it. He was running no fever nor has he had diarrhea or any other outward signs of illness. Nothing to go on that would help them diagnose his chronic vomiting (I call it chronic because once he throws up the first time it is frequently repeated thereafter when he is in one of these bizarre spells). The vet said she believes Baby just has a very sensitive stomach and that he "may" have pancreatitis.

When I asked questions about whether his diet is causing these flare-ups the vet basically said it could be anything but that Baby does need to lose weight (he weighs 11.8 pounds and has a small-medium frame for a male cat). I feed him dry food with occasional treats of Gerber turkey baby food.

So a few weeks ago when Baby was going through his bouts of vomiting the vet gave him a shot to calm his tummy. While the shot stopped his vomiting and he was able to eat and drink a little bit the vomiting started back once the shot ran it's course. It took two shots and 5 Baytril antibiotic pills over the course of a 5 day period for Baby Kitty to overcome his vomiting and get better. There was no sign of hairballs in any of his vomit.

This past Friday Baby threw up one time (scared the heck out of me for fear of "here we go again") but he showed no more signs of illness and continued to eat and act normally. By Sunday I finally began to try and relax, thinking that maybe not every time he throws up will it lead to a major crisis. It's so hard to let your guard down when you love your cat like your child and the vet has no clue what the underlying condition is.

Then this morning around 5am Baby Kitty threw up again. This time there was a one inch tubular hairball in the throw-up. I do treat my cat for hairballs on a weekly basis, usually every 2-3 days since he has thrown up hairballs periodically in his 8 years of life. It didn't take 20 minutes for him to vomit again after the first time. Since then, he has been throwing up all day (clear frothy liquid) and even though he "wants" to eat and drink he only ends up getting his tummy worked up within minutes of sitting in front of his bowls and ends up vomiting before he even drinks or eats anything.

I plan to take Baby right back to the vet tomorrow since I am pretty sure he is going through another one of them chronic spells. We will do the whole song and dance with the shots to calm his tummy and maybe more antibiotics but I am sick of this being a mystery illness. I'm sorry for posting such a long rant but has anyone else reading this had to deal with a feline illness that causes frequent vomiting that lasts for several days with no fever, no x-ray warning signs, no bad blood work results and a very perplexed vet? The slightly elevated amylase seems more alarming to me than it was for my vet (I did some reading on pancreatitis but still don't know what needs to be done to help Baby through the flare-ups). I'm so frustrated. I would be more relieved if I had an actual diagnosis so I would know that it definitely can or cannot be treated. With him being overweight it scares me when he does not hold down food or water for several days (I have had to literally force feed one of my other cats to save her life one time after fatty liver set in following a surgery she underwent). But I cannot force feed a cat who vomits up anything that enters his stomach. Right now Baby is laying down sleeping. I have noticed when he is calm and laying down he does not get the urge to vomit. It does tend to happen more when he is alert and moving around.

Anyone have any advice, stories to share, tips or positive vibes to offer us? Because right now I need all of the above and then some. Baby Kitty is my best friend and I love him more than words can say. It tears me apart watching him suffer through this. Even more frightening, this being the third time he has had prolonged vomiting spells, I fear every single time that he may not get better. It's so difficult going through all these x-rays and blood work and still being unable to figure out what is causing his vomiting. I'm emotionally drained :((
 

carolina

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Have you biopsied him for IBD? Has he been on prednisolone before?

Sent from my BlackBerry 8900 using Tapatalk
 

farleyv

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My kitty Arthur had to have a sonogram done.  They found he had a gall stone and a tiny stone in the bile duct.  If the gall bladder is always contracting, they can get excess bile in the bowel which is very irratating.  Arthur had been vomiting quite a bit.  He was put on meds to disolve the stones.

I am just saying that my vet sent me to have the sonogram done because so much more information can be obtained by it.  Maybe you could suggest a sonogram to your vet.

Good luck.
 
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sadisticookie

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What dry food do you feed him? What happens if you feed him only wet food?

Last year I was feeding Baby Kitty (and my 19 year old cat Sammy) Iams dry food but Sammy quit eating it and was losing weight so I hesitantly switched them over to what I consider a junkie food, Meow Mix, because Sammy was declining in health due to old age and we just wanted her to eat something that she enjoyed during the little time she had left. It did not adversely affect Baby Kitty. I have had cats that would throw up the cheap foods on an almost daily basis such as Meow Mix and Friskies but they would not get sick from Iams. After Sammy was finally put to rest over this past Summer I tried getting Baby to eat the Iams again (some say Iams is just as poor in quality as the other cheap types, though) but he wasn't having it. So this past weekend I went to a new pet store in town (PetSense) and bought Hill's Science Diet dry food for sensitive stomachs. Baby does eat this food but since he began to vomit again so soon after the switch it is currently too soon to tell if it will help him. I don't know if my vet is assuming that I am too poor to afford it or what but she has not made an issue out of food at all. In the past I have had vets tell me that they sell specific types of foods that would help my cats with their particular problems but I literally had to ask her earlier today if she offers anything that might be more suitable for Baby's needs. She sent me home with six cans of Science Diet wet food for gastrointestinal health. It sat well on his tummy when he was sick a few weeks ago and so far today he has not thrown it up.

As for what happens when I feed him only wet food .. his diet has always consisted of mainly dry food but I would give him wet food as a treat every 2-3 days. He never throws up the wet food. It's always the dry that gets purged. Hmm ..
 

carolina

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Well... if he never throws up on wet, I would just feed him wet only instead of doing all the tests and worrying myself crazy.... Wet food is far healthier for a cat, especially for a male cat (due to urinary tract issues) anyways, and it is far easier to digest too.

The foods you listed above are high in grains, colorants and artificial ingredients, and there could be any number of issues causing the tummy problems - it can be a simple food intolerance....

I think the simpler route here, honestly would be to put him on wet only for a while and see what happens - if there are no issues, problem solved.

If you want a dry, start with a Limited ingredient Diet - has one starch, one protein, and build the proteins and grains from there to see what is making him sick - but that's later, once he is stable.....

If it was me, that's what I would do :vibes::vibes::vibes::vibes::vibes::vibes::vibes::vibes:
 

carolina

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Thank you very very much for the vibes. I would scream from the rooftops for everyone to send positive vibes if I had access to a rooftop :) I am beginning to think a second opinion just might be the best thing to do. So far my current vet seems just as perplexed and frustrated as I am
Yeah..... I think you might need a second look here... IMHO your vet is not addressing your kitty's needs properly.... :vibes::vibes::vibes::vibes::vibes::vibes:
 
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sadisticookie

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My kitty Arthur had to have a sonogram done.  They found he had a gall stone and a tiny stone in the bile duct.  If the gall bladder is always contracting, they can get excess bile in the bowel which is very irratating.  Arthur had been vomiting quite a bit.  He was put on meds to disolve the stones.

I am just saying that my vet sent me to have the sonogram done because so much more information can be obtained by it.  Maybe you could suggest a sonogram to your vet.

Good luck.

She finally recommended I go to a specialist today (well, yesterday .. it's now past 3am here). I know it varies from one location to the next but could you give me an idea of how much the sonogram cost you? I have an emergency kitty fund but with the health care industry being as expensive as it is these days I will admit it scares me when I hear the words "go to a specialist". Last year an overnight stay at an emergency animal hospital added up to $1200. That experience helped to save Baby Kitty's life and this is all that matters to me. But the bill was a major shock just the same.
 

farleyv

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I so hear what you are saying...."specialist"  is a scarey word..

Here in western New York State it ran just about 300.00.  That was doable....barely.

I sure hope you find out what is troubling your kitty.  Keeping you in my thoughts and prayers.
 

denice

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My cat went through the exact same pattern only it started with he was 18 months old.  Sometimes he would have several episodes close together and sometimes he would go as long as a year between episodes.  I took him to several vets that would just check him for blockage and keep him on an IV until he got over it.  I also had a vet say it was pancreatitis and I never did find a food that triggered it.  He then went about 3 years with milder shorter episodes that he got over on his own.  Last year he got sick and couldn't get over it on his own.  I took him to a cats only vet clinc on the other side.  Because I had waited so long to take him he had two types of hepatitis one of them being fatty liver disease.  She kept him for several days and done a lot more in the way of diagnostics.  She did a needle biopsy on his liver, an ultrasound, and a battery of blood tests.  She sent blood to Texas A&M for a definitive test for pancreatitis which was negative.  She put him on prednisolone which he still takes and he had no more problems.  He didn't have a biopsy done on his intestines which is the definitive test for IBD but it also involves major surgery.  It was expensive at $1800.  That included staying at the clinic several days, all the diagnostics, and inserting a feeding tube.   He now goes back every 6 monthes for a liver panel.  The office call, liver panel, and a six month supply of medicine comes to $120.
 
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