this is the second time my cat is dealing with pancreatitis in a 6 month period....same symptoms both times....my cat started having bad diarrhea for 3 days and stopped eating and was drinking water like every 10 minutes...so this time when he stopped eating for 2 days i knew that its probably pancreatitis again. he urinates larger amounts but he's not making extra trips to the litterbox than usual. and he hasn't been vomiting at all... went to the vet and they did a spec fpl test and his result was 9.8 ug/l. the first time and this time the spec fpl test result was 6.8 ug/l...
the vet prescribed him antibiotics, some pepcid AC and that prescription canned food "I.D.". well my cat wont touch the prescription food so i've been giving him fancy feast...he seems to be feeling better and his poops are close to being completely solid. but i'm not sure about the pepcid since he isn't vomiting...should i still give it to him? his kidney values are still in the normal range but at the very high normal side... this treatment was the same as last time but i'm wondering if he ever really recovered from it the first time.. is there any food other than the i.d. that i could feed him. i don't think fancy feast is ideal so if anyone knows of any other brands that would be okay for pancreatitis?
here are his lab results:
SENIOR SCREEN w/ SPEC fPL : CHEM 25
Test Result Reference Range Low Normal High
ALK. PHOSPHATASE 27 0 - 62 U/L
ALT (SGPT) 50 28 - 100 U/L
AST (SGOT) 23 5 - 55 U/L
CK 371 64 - 440 U/L
GGT 1 0 - 6 U/L
ALBUMIN 3.6 2.3 - 3.9 g/dL
TOTAL PROTEIN 8.1 5.9 - 8.5 g/dL
GLOBULIN 4.5 3.0 - 5.6 g/dL
TOTAL BILIRUBIN 0.1 0.0 - 0.4 mg/dL
DIRECT BILIRUBIN 0.1 0.0 - 0.2 mg/dL
BUN 34 15 - 34 mg/dL
CREATININE 2.2 0.8 - 2.3 mg/dL
CHOLESTEROL 225 82 - 218 mg/dL HIGH
GLUCOSE 134 70 - 150 mg/dL
CALCIUM 9.6 8.2 - 11.8 mg/dL
PHOSPHORUS 5.0 3.0 - 7.0 mg/dL
TCO2
6
13 - 25 mEq/L LOW
(BICARBONATE)
CHLORIDE 118 111 - 125 mEq/L
POTASSIUM 4.7 3.9 - 5.3 mEq/L
SODIUM 154 147 - 156 mEq/L
A/G RATIO 0.8 0.4 - 0.8
B/C RATIO 15.5
INDIRECT BILIRUBIN 0.0 0 - 0.3 mg/dL
Page 1 of 4
NA/K RATIO 33
HEMOLYSIS INDEX N 1
LIPEMIA INDEX N 2
ANION GAP 35 13 - 27 mEq/L HIGH
Comments:
1. Index of N,+,++ exhibits no significant effect on chemistry values.
2. Index of N,+,++ exhibits no significant effect on chemistry values.
SENIOR SCREEN w/ SPEC fPL : CBC COMPREHENSIVE
Test Result Reference Range Low Normal High
WBC 6.9 4.2 - 15.6 K/uL
RBC 7.17 6.0 - 10.0 M/uL
HGB 10.8 9.5 - 15 g/dL
HCT 37.1 29 - 45 %
MCV 52 41 - 58 fL
MCH 15.1 11.0 - 17.5 pg
MCHC 29.1 29 - 36 g/dL
% RETICULOCYTE 0.9 %
RETICULOCYTE 65 3 - 50 K/uL HIGH
RETICULOCYTE In nonanemic cats, a reticulocyte count of greater than 50 K/uL of
COMMENT blood may be a transient physiologic response or evidence of bone
marrow response to an increased peripheral demand. A persistent
reticulocyte count >50 K/uL may indicate occult blood loss,
underlying
hemolytic disease or disorder that causes an absolute
erythrocytosis.
Serial monitoring of the erythrogram and reticulocyte count may
help
determine the significance of this finding.
The following chart can be used as a guideline to determine the
degree
of regenerative response.
Degree of bone marrow response (K/uL):
Mild 50-75
Moderate 75-175
Marked >175
Please note: For information about our new reticulocyte reporting,
please see the Diagnostic Update on Vetconnect.com or call the
internal medicine consulting team at 1-888-433-9987, option 4,
option
2.
NEUTROPHIL SEG 83.5 35 - 75 % HIGH
LYMPHOCYTES 9.4 20 - 55 % LOW
MONOCYTES 3.6 1 - 4 %
EOSINOPHIL 3.5 2 - 12 %
BASOPHIL 0.0 0 - 1 %
AUTO PLATELET 355 170 - 600 K/uL
POLYCHROMASIA SLIGHT
REMARKS SLIDE REVIEWED MICROSCOPICALLY.
Page 2 of 4
ABSOLUTE
5762 2500 - 12500 /uL
NEUTROPHIL SEG
ABSOLUTE
LYMPHOCYTE
649 1500 - 7000 /uL LOW
ABSOLUTE
MONOCYTE
ABSOLUTE
EOSINOPHIL
ABSOLUTE
BASOPHIL
248
242
0
0 - 850 /uL
0 - 1500 /uL
0 - 100 /uL
SENIOR SCREEN w/ SPEC fPL : T4
Test Result Reference Range Low Normal High
T4 1.8 1 0.8 - 4.7 ug/dL
Comments:
1. Interpretive ranges:
<0.8 Subnormal
0.8-4.7 Normal
2.3-4.7 Grey zone in old or symptomatic cats
>4.7 Consistent with hyperthyroidism
Cats with subnormal T4 values are almost exclusively euthyroid sick or
overtreated for their hyperthyroidism. Older cats with consistent
clinical signs and T4 values in the grey zone may have early
hyperthyroidism or a concurrent non-thyroidal illness. Hyperthyroidism
may be confirmed in these cats by adding on a free T4 or by performing
a T3 suppression test. Following treatment with methimazole, T4 values
will generally fall within the lower end of the reference range
(0.8 - 2.3).
SENIOR SCREEN w/ SPEC fPL : URINALYSIS
Test Result Reference Range Low Normal High
COLLECTION
METHOD
FREE-CATCH
COLOR YELLOW
CLARITY HAZY
SPECIFIC GRAVITY 1.017
GLUCOSE NEGATIVE
BILIRUBIN NEGATIVE
KETONES NEGATIVE
BLOOD TRACE HIGH
PH 6.0
PROTEIN NEGATIVE
WBC 2-5 0 - 5 HPF
RBC 0-2 0 - 5 HPF
BACTERIA RARE (<8/HPF) HPF
EPI CELL RARE (0-1) HPF
MUCUS NONE SEEN
CASTS NONE SEEN HPF
CRYSTALS NONE SEEN HPF
Page 3 of 4
OTHER AMORPHOUS DEBRIS
UROBILINOGEN NORMAL
SENIOR SCREEN w/ SPEC fPL : SPEC fPL
Test Result Reference Range Low Normal High
SPEC fPL
6.8 1 ug/L
Comments:
1.
< or = 3.5 ug/L - Serum Spec fPL concentration is in the normal range.
It is unlikely that the cat has pancreatitis.
Investigate for other diseases that could cause
observed clinical signs.
3.6 - 5.3 ug/L
- Serum Spec fPL concentration is increased. The cat
may have pancreatitis and Spec fPL should be
reevaluated in two weeks if clinical signs persist.
Investigate for other diseases that could cause
observed clinical signs.
> or = 5.4 ug/L - Serum Spec fPL concentration is consistent with
pancreatitis. The cat most likely has pancreatitis.
Consider investigating for risk factors and
concurrent diseases (e.g. IBD, Cholangitis,
Hepatic Lipidosis, Diabetes Mellitus). Periodic
monitoring of Spec fPL may help assess response to
therapy.
Page 4 of 4
the vet prescribed him antibiotics, some pepcid AC and that prescription canned food "I.D.". well my cat wont touch the prescription food so i've been giving him fancy feast...he seems to be feeling better and his poops are close to being completely solid. but i'm not sure about the pepcid since he isn't vomiting...should i still give it to him? his kidney values are still in the normal range but at the very high normal side... this treatment was the same as last time but i'm wondering if he ever really recovered from it the first time.. is there any food other than the i.d. that i could feed him. i don't think fancy feast is ideal so if anyone knows of any other brands that would be okay for pancreatitis?
here are his lab results:
SENIOR SCREEN w/ SPEC fPL : CHEM 25
Test Result Reference Range Low Normal High
ALK. PHOSPHATASE 27 0 - 62 U/L
ALT (SGPT) 50 28 - 100 U/L
AST (SGOT) 23 5 - 55 U/L
CK 371 64 - 440 U/L
GGT 1 0 - 6 U/L
ALBUMIN 3.6 2.3 - 3.9 g/dL
TOTAL PROTEIN 8.1 5.9 - 8.5 g/dL
GLOBULIN 4.5 3.0 - 5.6 g/dL
TOTAL BILIRUBIN 0.1 0.0 - 0.4 mg/dL
DIRECT BILIRUBIN 0.1 0.0 - 0.2 mg/dL
BUN 34 15 - 34 mg/dL
CREATININE 2.2 0.8 - 2.3 mg/dL
CHOLESTEROL 225 82 - 218 mg/dL HIGH
GLUCOSE 134 70 - 150 mg/dL
CALCIUM 9.6 8.2 - 11.8 mg/dL
PHOSPHORUS 5.0 3.0 - 7.0 mg/dL
TCO2
6
13 - 25 mEq/L LOW
(BICARBONATE)
CHLORIDE 118 111 - 125 mEq/L
POTASSIUM 4.7 3.9 - 5.3 mEq/L
SODIUM 154 147 - 156 mEq/L
A/G RATIO 0.8 0.4 - 0.8
B/C RATIO 15.5
INDIRECT BILIRUBIN 0.0 0 - 0.3 mg/dL
Page 1 of 4
NA/K RATIO 33
HEMOLYSIS INDEX N 1
LIPEMIA INDEX N 2
ANION GAP 35 13 - 27 mEq/L HIGH
Comments:
1. Index of N,+,++ exhibits no significant effect on chemistry values.
2. Index of N,+,++ exhibits no significant effect on chemistry values.
SENIOR SCREEN w/ SPEC fPL : CBC COMPREHENSIVE
Test Result Reference Range Low Normal High
WBC 6.9 4.2 - 15.6 K/uL
RBC 7.17 6.0 - 10.0 M/uL
HGB 10.8 9.5 - 15 g/dL
HCT 37.1 29 - 45 %
MCV 52 41 - 58 fL
MCH 15.1 11.0 - 17.5 pg
MCHC 29.1 29 - 36 g/dL
% RETICULOCYTE 0.9 %
RETICULOCYTE 65 3 - 50 K/uL HIGH
RETICULOCYTE In nonanemic cats, a reticulocyte count of greater than 50 K/uL of
COMMENT blood may be a transient physiologic response or evidence of bone
marrow response to an increased peripheral demand. A persistent
reticulocyte count >50 K/uL may indicate occult blood loss,
underlying
hemolytic disease or disorder that causes an absolute
erythrocytosis.
Serial monitoring of the erythrogram and reticulocyte count may
help
determine the significance of this finding.
The following chart can be used as a guideline to determine the
degree
of regenerative response.
Degree of bone marrow response (K/uL):
Mild 50-75
Moderate 75-175
Marked >175
Please note: For information about our new reticulocyte reporting,
please see the Diagnostic Update on Vetconnect.com or call the
internal medicine consulting team at 1-888-433-9987, option 4,
option
2.
NEUTROPHIL SEG 83.5 35 - 75 % HIGH
LYMPHOCYTES 9.4 20 - 55 % LOW
MONOCYTES 3.6 1 - 4 %
EOSINOPHIL 3.5 2 - 12 %
BASOPHIL 0.0 0 - 1 %
AUTO PLATELET 355 170 - 600 K/uL
POLYCHROMASIA SLIGHT
REMARKS SLIDE REVIEWED MICROSCOPICALLY.
Page 2 of 4
ABSOLUTE
5762 2500 - 12500 /uL
NEUTROPHIL SEG
ABSOLUTE
LYMPHOCYTE
649 1500 - 7000 /uL LOW
ABSOLUTE
MONOCYTE
ABSOLUTE
EOSINOPHIL
ABSOLUTE
BASOPHIL
248
242
0
0 - 850 /uL
0 - 1500 /uL
0 - 100 /uL
SENIOR SCREEN w/ SPEC fPL : T4
Test Result Reference Range Low Normal High
T4 1.8 1 0.8 - 4.7 ug/dL
Comments:
1. Interpretive ranges:
<0.8 Subnormal
0.8-4.7 Normal
2.3-4.7 Grey zone in old or symptomatic cats
>4.7 Consistent with hyperthyroidism
Cats with subnormal T4 values are almost exclusively euthyroid sick or
overtreated for their hyperthyroidism. Older cats with consistent
clinical signs and T4 values in the grey zone may have early
hyperthyroidism or a concurrent non-thyroidal illness. Hyperthyroidism
may be confirmed in these cats by adding on a free T4 or by performing
a T3 suppression test. Following treatment with methimazole, T4 values
will generally fall within the lower end of the reference range
(0.8 - 2.3).
SENIOR SCREEN w/ SPEC fPL : URINALYSIS
Test Result Reference Range Low Normal High
COLLECTION
METHOD
FREE-CATCH
COLOR YELLOW
CLARITY HAZY
SPECIFIC GRAVITY 1.017
GLUCOSE NEGATIVE
BILIRUBIN NEGATIVE
KETONES NEGATIVE
BLOOD TRACE HIGH
PH 6.0
PROTEIN NEGATIVE
WBC 2-5 0 - 5 HPF
RBC 0-2 0 - 5 HPF
BACTERIA RARE (<8/HPF) HPF
EPI CELL RARE (0-1) HPF
MUCUS NONE SEEN
CASTS NONE SEEN HPF
CRYSTALS NONE SEEN HPF
Page 3 of 4
OTHER AMORPHOUS DEBRIS
UROBILINOGEN NORMAL
SENIOR SCREEN w/ SPEC fPL : SPEC fPL
Test Result Reference Range Low Normal High
SPEC fPL
6.8 1 ug/L
Comments:
1.
< or = 3.5 ug/L - Serum Spec fPL concentration is in the normal range.
It is unlikely that the cat has pancreatitis.
Investigate for other diseases that could cause
observed clinical signs.
3.6 - 5.3 ug/L
- Serum Spec fPL concentration is increased. The cat
may have pancreatitis and Spec fPL should be
reevaluated in two weeks if clinical signs persist.
Investigate for other diseases that could cause
observed clinical signs.
> or = 5.4 ug/L - Serum Spec fPL concentration is consistent with
pancreatitis. The cat most likely has pancreatitis.
Consider investigating for risk factors and
concurrent diseases (e.g. IBD, Cholangitis,
Hepatic Lipidosis, Diabetes Mellitus). Periodic
monitoring of Spec fPL may help assess response to
therapy.
Page 4 of 4
Last edited: