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Cat Forum / Health and Behavior / February 2006

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P-ing Candace re: Scottie

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-L. - 25 Feb 2006 07:34 GMT
How is your Orange Guy doing?  Please update!

-L.
Candace - 26 Feb 2006 03:27 GMT
> How is your Orange Guy doing?  Please update!
>
> -L.

Lyn, unfortunately, he's not doing very well.  He seemed much better
and had 5-6 days where he ate a lot and didn't regurgitate (that was
while on pred 5 twice a day).  Then it quit working a week ago today, I
think (I can't seem to keep track of it all).  The following Monday I
took him back to the vet where they gave him a long-lasting steroid
injection (methylprednisolone acetate).  On Wed. he ate like a horse
(liquified a/d) and didn't regurgitate.  Thursday he started
regurgitating again.  Friday I took him to the vet where they gave him
solu-cortef as a short-acting steroid and more MPA.  That was
yesterday.  Today he is eating very small amounts of the gravy from
various cat foods.  Won't eat a/d anymore.  Isn't really regurgitating,
although he did a little saliva a couple of times.  He seems to gag on
his saliva 4-5 times a day.  He is up and about and fairly active but
not as active as he was a couple of days ago.

The next thing I may or may not do is have an endoscopy.  It's only
$420 which, compared to what we have already spent, is not much but one
part of me doesn't want to put the poor little guy through any more.
He's been hauled to the vet repeatedly, he hates it, and I hate to have
him go in for an invasive procedure.  They think he may have
megaesophagus or some other condition where his esophagus is flaccid.
I guess it probably isn't an irritation from the feeding tube like I
had originally thought as that has been out for 2 weeks now and I would
think there would be some improvement if it were that.  Instead, he is
worse as he originally wouldn't gag on his saliva.

He now weighs 8 lbs. 12 oz. when he used to weigh almost 11 pounds.  I
don't think he is in pain although I know he is uncomfortable when he
gags and regurgitates.  He kind of has to lay with his head in a
vertical position; if he puts his head to the side for very long, he
seems to gag on his saliva.  It's just so mystifying.  I don't really
know where to go from here.  Maybe it's almost his time.  He's not yet
9 (will be in the spring) and I hate for him to have to die but I also
hate for him to suffer even more.  It's very heartbreaking because he's
such a sweet little guy that enjoys playing and being held; I know he
wants to live (well, I know all animals want to live instinctually but
he seems to have a zest for life).

Thank you for asking.

Candace
cybercat - 26 Feb 2006 03:45 GMT
> He now weighs 8 lbs. 12 oz. when he used to weigh almost 11 pounds.  I
> don't think he is in pain although I know he is uncomfortable when he
[quoted text clipped - 7 lines]
> wants to live (well, I know all animals want to live instinctually but
> he seems to have a zest for life).

Oh, Candace. I'm sorry he's not doing well.
Charlie Wilkes - 26 Feb 2006 05:11 GMT
>> How is your Orange Guy doing?  Please update!
>>
[quoted text clipped - 41 lines]
>
>Candace

This is very sad to hear, Candace.  I'm so sorry for you and for him.

Charlie
mlbriggs - 26 Feb 2006 05:37 GMT
>> How is your Orange Guy doing?  Please update!
>>
[quoted text clipped - 41 lines]
>
> Candace

Purring for Scottie!!!  MB
idontmind@gmail.com - 26 Feb 2006 08:02 GMT
> Lyn, unfortunately, he's not doing very well.

<snip>

sh.t!  Thats'a all I can say...

Some suggestions - take them or leave them:
Have they tried putting him on an acid-reducer (like Pepcid) alone?
That would be one thing I would do.  Pred is anti-inflammatory and
generally just makes you feel better all over (and eat!) so I suspect
he is inflamed someplace in the GI tract.  "But why?" is the question.

I would also see if he will eat cooked meats (chicken, turkey) that you
prepare - pure protein.  They are bland and easy on the GI tract.  If
so, juts feed him that for awhile.

Also, vomiting can be a sign of heart congestion - I am assuming they
have checked that out though.

The endoscopy isn't that invasive - they will knock him out and scope
him.  I doubt you are going to see anything, but it's certainly worth a
try.

Keep us posted - I was worried that he was having trouble.
-L.
Candace - 26 Feb 2006 08:37 GMT
> Some suggestions - take them or leave them:
> Have they tried putting him on an acid-reducer (like Pepcid) alone?
> That would be one thing I would do.  Pred is anti-inflammatory and
> generally just makes you feel better all over (and eat!) so I suspect
> he is inflamed someplace in the GI tract.  "But why?" is the question.

I forgot to mention that I am giving him 2.5mg of Pepcid sub-q twice a
day.  He regurgitates if I give him oral meds and I don't know how to
give IM.  The vet said sub-q would work.

> I would also see if he will eat cooked meats (chicken, turkey) that you
> prepare - pure protein.  They are bland and easy on the GI tract.  If
> so, juts feed him that for awhile.

I really don't think he can eat any solid foods.  If there is just a
little lump of food in the pureed glop I give him, he gags.  I would be
afraid to give him an actual solid food.

> Also, vomiting can be a sign of heart congestion - I am assuming they
> have checked that out though.

Yes.  He isn't really vomiting per se.  It's right as he swallows that
it occurs.  If he goes a minute or so after eating without it coming
back up, I know it's okay.  He gags right as he swallows when it
happens.

> The endoscopy isn't that invasive - they will knock him out and scope
> him.  I doubt you are going to see anything, but it's certainly worth a
> try.

Why don't you think they would see anything?  Are endoscopies notorious
for not providing any info?  The reason I don't want to get him one is
I was reading on the internet that anesthesia alone can cause
esophagitis because of reflux and I also thought (can't remember if I
read it or just thought it) that if his esophagus is damaged from the
feeding tube, having that scope shoved down him might exacerbate it
even more.

> Keep us posted - I was worried that he was having trouble.

Yeah, usually if I'm quiet on this ng for very long, it's because
something is wrong.  Thanks for thinking of my orange baby.

Candace
idontmind@gmail.com - 26 Feb 2006 09:01 GMT
> Why don't you think they would see anything?  Are endoscopies notorious
> for not providing any info?

I should probably rephrase it.  I doubt they are going to see anything
they don't already know - I'm not sure they can tell anything about the
tonation of the esophagus with an endoscopy (I could be wrong).  If he
had a tumor it would have shown on the x-ray.  Megaesophagus should
have shown when they did the barium.  They will be able to see
irritation, but you already know he is inflamed as the pred is making
it better.    It's worth a shot since you don't have a lot of other
options, though.

> The reason I don't want to get him one is
> I was reading on the internet that anesthesia alone can cause
> esophagitis because of reflux and I also thought (can't remember if I
> read it or just thought it) that if his esophagus is damaged from the
> feeding tube, having that scope shoved down him might exacerbate it
> even more.

It probably will, in the short-term.  If you are really worried about
that, I'd say keep him on the pred longer, keep trying different foods
and see how he does.  Chicken broth is a good supplement - it can
stimulate appetite.  Dissolve some Nutrical in it to boost the nutrient
value.  One food that is good for non-eaters is Purina D/M diabetic
diet, canned.  It's high protein without being high fat - you could
puree some in a blender with some chicken broth.

(Sorry about suggesting the meat, I didn't realize he can't eat any
solid foods.)

> > Keep us posted - I was worried that he was having trouble.
>
> Yeah, usually if I'm quiet on this ng for very long, it's because
> something is wrong.  Thanks for thinking of my orange baby.

It's just so frustrating.  One thing is for certain - you are fighting
for him!  I will keep him in my thoughts.
-L.
 
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