Maybe its time for a second opinion?
I've sorta been going to Dr. Kris too, but he was away for a bit and just got back.
Maybe its time for a second opinion?
Interesting. I read somewhere yesterday that a short term treatment of pred won't do any good, because as soon as it's stopped the inflammation returns......seems to me that if the cause is removed, then it would be a good thing to get the inflammation down and it should stay down. (?)
When Patches had flares things like Pepcid and anti-nausea meds never seemed to help. The flares would last anywhere from several days to well over a week, when they were especially long he would be hospitalized on an IV and it was always a chore to get him eating again. The only thing which brought him out of his last big flare and has kept things under control is the steroid.
He has been on a steroid for almost four years now. There is definitely a difference in steroids. He started on Prednisolone, then there were supply issues that lasted quite a while and he was switched to dexamethasone. We kept him on the dex until on his last biannual blood work his blood sugar was high, not diabetic high but higher than normal. He went back to the pred and on a blood sugar test a month later his blood sugar was normal.
Update on Krissy, nothing new sadly.
I am living life everyday now, holding my breath basically, it's been 2 weeks and 3 days since she started on the BB basics turkey/potato dry food.
I did chat with my vet about it being acceptable to give her fancy feast turkey/giblets classic, she looked up the ingredients and thinks it should be fine.
Fish and chicken are eliminated completely.
I see my girl, still feeling the same.
Occasionally, (like last night again) I hear her vomiting, but often times there is nothing that comes up, unless of course she goes and eats a blade or two of grass, which she did this am, sure enough, barfed up water and the blade......just telling me she is still not on the mend.
I am barely holding out with this waiting crap, oh, how I feel like I am waiting for nothing. Why is it that I believe just changing her dry food (she was already on grain free but with chicken) is going to make her well again?
I keep thinking, maybe we should not have gone the turkey route if it is chicken that's the allergen causing diet. Granted, they are different, but not that much, I mean they are both poultry, birds, and how do we know that turkey isn't part of the allergy? We don't.
So hurry up and wait is very frustrating to me............
I wonder if I should make a gradual switch to another protein, like rabbit or venison?
[/quoteIf your cat goes out like mine used to when she vomited, keep her in and try worming her and use the revolution drops for worms and fleas. Try switching to to pride rabbit (rabbit & pork) no carageen. My girl stopped vomiting almost immediately. Most important I stopped ANY dry food. Prior to worming fecal samples were negative. I wormed her and changed to revolution anyway. She does not go out now, eats no dry, and never vomits.
Not sure, she hasn't mentioned it at all to me.......
@catwoman707
I know I asked this vefore, but looking back i didn't see a clear answer. Have you tried Cerenia? And if not, would you and your vet consider this?
Really? That she doesn't get worse is a good sign?
@catwoman707 -- i understand, the waiting and watching (and hoping to see progress) is very hard. i would say that it's a very good sign that your krissy hasn't had worsening of symptoms.
you might want to discuss switching to a novel protein with your vet (again?). it may take a month or longer on a new diet to start seeing krissy's gastro system settling down -- it took my two a full month for me to start seeing gastro systems settling, lessening of symptoms. but that's only a possibility if your krissy will eat it. on the other hand, it sounds like krissy definitely doesn't like the BB canned so maybe she would like rabbit or venison. it might help distract you and help you feel like you're working on something (towards a solution) if you were to start looking into different brands of canned/dry rabbit and venison cat foods.
oh, i'm sorry if what i said wasn't helpful. i try to look at the positive side of things, because that helps me deal with upsetting or stressful things better. so i would tend to think of symptoms not getting worse as a good sign. but i'm sure that not everyone else looks at things the same way i do. i'm sorry if i offended you.
Not sure, she hasn't mentioned it at all to me.......
Really? That she doesn't get worse is a good sign?
I can tell you one thing for sure, unknowingly I have actually done her harm rather than good, several nights ago Krissy was in the kitchen yelling at me for some baked chicken, I've been worried about her not eating enough sometimes, so I gave her a bit of white meat, she loved it.
The next day she had a not feeling well day......that was the point where I realized it may very well be chicken that is the culprit. Which in turn helps me think that turkey is NOT necessarily the go-to protein for her to get right on.
I wish I could get a clear answer that chicken and turkey are too similar, or not similar at all. My vet says not similar, but my brain says otherwise, plus someplace I read that when you are working on fixing an allergy, that it is best to eliminate all birds for instance, or all fish.
Okay I found it!
http://healthypets.mercola.com/site...012/05/07/protein-diets-for-pets-allergy.aspx
This is a very clear, helpful page, this is where I read that about chicken allergy means it's best to avoid all fowl.
I'm also thinking that if I go rabbit, she might like the canned. Now to find a good rabbit dry and canned......................ugh! NOT easy.
Oh my gosh no!! I wasn't being sarcastic at all! Actually was thinking since you know more about this than I do, that maybe not getting worse IS a good thing! Okay cut it out )) Your advice is extremely helpful!
oh, i'm sorry if what i said wasn't helpful. i try to look at the positive side of things, because that helps me deal with upsetting or stressful things better. so i would tend to think of symptoms not getting worse as a good sign. but i'm sure that not everyone else looks at things the same way i do. i'm sorry if i offended you.
ahhh, dr becker. i'm a fan of hers, her thinking. many times, i'll bring to my vet's attention and discuss other options/possible treatments for my snick. yes, that's a very clear, helpful page! it does make sense (to me) to avoid all fowl. but reading that page further, it also suggests to not stay on one novel protein for too long (because a sensitivity/allergic reaction could develop with that new/novel protein too, so suggests to rotate novel proteins) and to add a probiotic.
there are several brands of rabbit canned cat food that i found when doing a quick search, but you're looking for ones that also don't have any fowl in them. the two i found in my quick search were natures variety instinct rabbit and ziwipeak rabbit and lamb. the ziwipeak rabbit and lamb has two different proteins in it, and in dr becker's page she said something about lamb not being considered a novel protein these days (like it used to be) -- if i remember what i read correctly, because lamb is an ingredient in more cat foods these days.
@catwoman707 -- i didn't think you were being sarcastic. it's just sometimes hard to know the feelings behind things that are posted/written, as opposed to when the same things are spoken. like i said, i look for the positives in situations.
Oh my gosh no!! I wasn't being sarcastic at all! Actually was thinking since you know more about this than I do, that maybe not getting worse IS a good thing! Okay cut it out )) Your advice is extremely helpful!
Yeah I liked the way she looks at things and describes.
I have def. read on several different sites about not staying with one for too long as it may create a reaction in time as well.
But if I can get her settled down and normal on one type of food then I will be very grateful, and surely she will be too.
So for now, or at least the next several to 6 months, I'm hoping to get her all better with her diet change.
I sure hope that is realistic. IDK......this inflammation is surely from an unfixed allergic reaction, but over a period of time to make her this messed up inside.
Right, I found just what you did, the only dry food is natures variety limited ingredient rabbit. Looks like a goodie though!
Their canned has another protein though So still need to do some digging around to find one, and then see if she will even think about eating it...................thanks!
Oh! Also, the probiotic? My vet thought she should be on fortiflora too, but this is for her poop, and that is still okay. So not sure what the benefits are other than that. (?)
What I think bothers me the most about Krissy these days is how she acts like a loner. I've been closing the doors to the other bedrooms otherwise she will go and lay in there, and after dark will just be in there alone in the dark.
Hate it...:/
That's interesting and good to know!
Ok three things:
- My vet told me that companies that make OTC novel protein diets use the same cooking vats for their regular foods and that DNA testing has shown contamination of non-novel proteins in the novel protein formulations and for that reasons she suggests only prescription diets that come from companies that do not mix the two.
- Have you ever tried a hydrolyzed protein diet (kind of smashed beneath molecular recognition by the gut) like Z/D? It sometimes causes diarrhea in cats but when it doesn't it can be very effective.
- Back to the Cerenia question - it may not be indicated in Krissy's case, but it is a miracle drug for nausea that is due to things like inflammation or "feeling poorly", but if the root cause of the nausea is allergy, then it may not be indicated. But my IBD/Pancreatitus cat hasn't thrown up once since he's been on it 7 days a week. And its been weeks.....
Okay so you have convinced me I need to get her on fortiflora. Thanks! I really thought it was more of a balancing out thing when there is diarrhea present.
@catwoman707 -- i didn't think you were being sarcastic. it's just sometimes hard to know the feelings behind things that are posted/written, as opposed to when the same things are spoken. like i said, i look for the positives in situations.
i think it's good to have a goal and to work towards that. i'd caution that setting a time frame may or may not be helpful, or realistic.
my two IBD cats ate a mixture of several grain free dry cat foods, including natures variety instinct rabbit, for many years and did well on it. currently i've got snick and jasper (our new foster, who is being transitioned over to the dry food snick eats) on a 50/50 mix of natures variety instinct grain free duck and turkey and holistic select grain free indoor health and weight control dry cat foods. it's not the weight control part of the holistic select that i like, it's the proteins/flavors -- turkey, chicken, and herring.
you might want to make a list of the canned rabbit cat foods you find that are close to what krissy needs. and make notes next to them about what else they have in them that aren't exactly what she needs, like the natures variety instinct rabbit canned has a second protein in it. then discuss what you found and the pro's and con's with your vet.
an excerpt from purinaveterinarydiets dot com --
Dietary Considerations
FortiFlora[emoji]174[/emoji] is a nutritional supplement for cats and has been formulated to achieve the following characteristics:
- Contains a special strain of probiotic that has been proven to promote intestinal health and balance
- Contains a guaranteed amount of live active cultures
- Promotes a healthy immune system
- Contains high levels of antioxidant Vitamins A, E, and C
- Excellent palatability
How does FortiFlora work?
FortiFlora may help nutritionally manage cats with diarrhea in many situations, including:
The probiotic in FortiFlora, Enterococcus Faeceium SF 68 , has been shown to promote immune health. Situations where FortiFlora may help include:
- Stressful situations such as boarding or change in home environment
- Diet change or consumption of inappropriate foods
- Soft stool in kittens
- Antibiotic therapy
- With young kittens before and during immunizations
- With aging pets with weakened immune systems
- With pets experiencing weakened immune systems due to illness or treatment
Ingredients (Dry)
Animal digest, Enterococcus faecium, brewers dried yeast, L-ascorbyl-2-polyphosphate (source of Vitamin C), Vitamin E supplement, beta-Carotene, zinc proteinate, taurine, salt, manganese proteinate, ferrous sulfate, copper proteinate, calcium iodate, sodium selenite. D-4583
D-4583
Contains a source of live (viable) naturally occurring microorganisms. *Not recognized as an essential nutrient by the AAFCO Cat Food Nutrient Profiles.
i believe it was on dr lisa pierson's website that i read that she uses fortiflora just for the taste of it (that her cats like).........ahhhh, found it --
an excerpt from catinfo dot org --
FortiFlora is a probiotic that I use to entice cats to eat. I do not use it as the label states since I am not using it for its probiotic properties. Instead, I am using it as I would if I wanted to season my own food with salt and pepper. As little as 1/10th or 1/20th of a package sprinkled on top of food can go a long way to entice a cat to eat something new. This is because FortiFlora is formulated using animal digest which is the same substance that pet food manufacturers coat dry food with to make it very palatable for cats and dogs.
for your krissy, fortiflora could be used as both the probiotic it is (i think of a probiotic as something to keep the gastro system "happy", promote "good" bacteria in it -- not sure if i'm correct in thinking this) as well as a flavoring (to help entice your girl to want to eat the food). but it will depend on krissy's tastes, if she likes the taste of fortiflora. my snick gets a cosequin sprinkle capsule mixed into her wet food every morning, and snick absolutely loves the taste of it -- it's tuna and chicken flavored. fortiflora isn't flavored like tuna or chicken, but (per dr pierson) it's the animal digest that cats like.
i understand. i really hate seeing my snick isolate when she's having a flare up too. you have been and continue to work on easing your krissy's symptoms. and you're not just going by what your vet suggests without thinking about that being the best option either, you're looking into things further/researching. by doing that, you're making sure that the most effective treatment(s) are being considered.