Mal - almost 16, neutered male diagnosed w/ CKD - probably stage 4.
He was actually doing pretty good after being diagnosed. Some of the rapid changes could be coincidence, or directly connected to things.
I need some good suggestions on his nausea, vomiting & enlarged prostate.
Right up till he was recently diagnosed CKD, he was eating & continued for a 7 - 10 days.
But soon after seeing the vet - the 2nd time, & switching to Hill's K/D "with chicken," he lost appetite - started syringe feeding.
He tolerated 78 - 80 ml of pureed home made meat food or the Hill's very well - even gained 1/2 lb. Never a problem throwing up.
Soon started vomiting meals - long after he'd eaten - 6, 8 or more hrs. That part confused me. This was very sudden.
Now, he's been diagnosed w/ enlarged prostate - can also cause nausea. He IS neutered. Likely explain the feces being flattened, with outer oval shape, about 1/4" thick.
Thought he was constipated, but after Miralax & several enemas, appears the prostate was the issue. At least, best guess for now.
But nausea / vomiting meals long after eaten is big problem. Hasn't held a full meal/ completely emptied stomach in several days now.
Vet gave Reglan - called it great for gastric motility & nausea. but many comment there are far better drugs for nausea (really depends on the cause).
He may / may not just have acid reflux. If not, H2 blockers or PPIs won't help. Other than trial, how do you tell?
Vet gave short script for Finasteride 1mg, take 1/2 tab/D off - off label (I think this is Propecia). He said, "no drugs commonly used for feline enlarged prostate."
Does everyone agree w/ that, or have vets prescribed (effective drugs) for enlarged prostate?
It's enough of a problem, needs to shrink some. Of course, a chance of cancer or prostate infection, inflammation. Not sure how they diagnose prostate infection.
Or, if there's a "kitty PSA test" for elevated antigens?
I'm not sure whether to use famotidine / ranitidine (zantac), or a PPI. I used 1/4 tab of Pepcid on him, but not regularly for weeks, because it only suddenly became a (real) problem. Some say PPIs are more effective, but also have more side effects in most humans.
He's on fluids - vet just increased from 100 ml to 200, daily. After the vet visit y'day, & new fluid volume (2 injection sites), he didn't feel too good (not that he'd been feeling great last 4,5 days. Was that coincidence from drive to vet & being prodded a lot? Or, the 2x increase in fluids - latcated ringer's solution? Today, feels much worse.
I did give ~ 5 mg protonix (PPI) today. Waited ~ 1 hr, then gave home made chicken broth. He held it, but then for last ~ week, he'd held the Hill's for 6, 8 or more hrs before vomiting most all back. Often when I'd give him a small syringe of water or some meds. Was apparent that his stomach wasn't emptying.
He was actually doing pretty good after being diagnosed. Some of the rapid changes could be coincidence, or directly connected to things.
I need some good suggestions on his nausea, vomiting & enlarged prostate.
Right up till he was recently diagnosed CKD, he was eating & continued for a 7 - 10 days.
But soon after seeing the vet - the 2nd time, & switching to Hill's K/D "with chicken," he lost appetite - started syringe feeding.
He tolerated 78 - 80 ml of pureed home made meat food or the Hill's very well - even gained 1/2 lb. Never a problem throwing up.
Soon started vomiting meals - long after he'd eaten - 6, 8 or more hrs. That part confused me. This was very sudden.
Now, he's been diagnosed w/ enlarged prostate - can also cause nausea. He IS neutered. Likely explain the feces being flattened, with outer oval shape, about 1/4" thick.
Thought he was constipated, but after Miralax & several enemas, appears the prostate was the issue. At least, best guess for now.
But nausea / vomiting meals long after eaten is big problem. Hasn't held a full meal/ completely emptied stomach in several days now.
Vet gave Reglan - called it great for gastric motility & nausea. but many comment there are far better drugs for nausea (really depends on the cause).
He may / may not just have acid reflux. If not, H2 blockers or PPIs won't help. Other than trial, how do you tell?
Vet gave short script for Finasteride 1mg, take 1/2 tab/D off - off label (I think this is Propecia). He said, "no drugs commonly used for feline enlarged prostate."
Does everyone agree w/ that, or have vets prescribed (effective drugs) for enlarged prostate?
It's enough of a problem, needs to shrink some. Of course, a chance of cancer or prostate infection, inflammation. Not sure how they diagnose prostate infection.
Or, if there's a "kitty PSA test" for elevated antigens?
I'm not sure whether to use famotidine / ranitidine (zantac), or a PPI. I used 1/4 tab of Pepcid on him, but not regularly for weeks, because it only suddenly became a (real) problem. Some say PPIs are more effective, but also have more side effects in most humans.
He's on fluids - vet just increased from 100 ml to 200, daily. After the vet visit y'day, & new fluid volume (2 injection sites), he didn't feel too good (not that he'd been feeling great last 4,5 days. Was that coincidence from drive to vet & being prodded a lot? Or, the 2x increase in fluids - latcated ringer's solution? Today, feels much worse.
I did give ~ 5 mg protonix (PPI) today. Waited ~ 1 hr, then gave home made chicken broth. He held it, but then for last ~ week, he'd held the Hill's for 6, 8 or more hrs before vomiting most all back. Often when I'd give him a small syringe of water or some meds. Was apparent that his stomach wasn't emptying.
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