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diarrhea

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Betsy - 14 Sep 2004 18:34 GMT
What can I give my cat who has been on a month of antibiotics and has
explosive runny diarrhea?

Would yogurt or the acidophilus supplements help?  If so, how much, and how
to administer?

Thanks.
zuzu22@webtv.net - 14 Sep 2004 18:56 GMT
>What can I give my cat who has been on
>a month of antibiotics and has explosive
>runny diarrhea?

Yogurt will help. I find my cats like vanilla. You can also get some
plain canned pumpkin and add a teaspoon or two to her food at each meal,
although she may like to eat it by itself.

Megan  

                                   
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---MIKE--- - 14 Sep 2004 19:59 GMT
For yoghurt to work it MUST be the live culture type.  If the cat won't
eat it then try the acidolphulis.  Get the capsules in the refrigerator
section of a health food store.  Open a capsule and mix the powder in
some canned cat food.  DON'T get the product unless it's refrigerated
and don't get it in pill form and try to crush the pills. I tried to use
some that was outdated and it didn't work.  The acidolphulis should
correct the problem in less than two days.

                 ---MIKE---
jamie - 14 Sep 2004 22:56 GMT
> For yoghurt to work it MUST be the live culture type.  If the cat won't
> eat it then try the acidolphulis.  Get the capsules in the refrigerator
[quoted text clipped - 3 lines]
> some that was outdated and it didn't work.  The acidolphulis should
> correct the problem in less than two days.

You can get much better quality of refrigerated lactobacilli by asking
a pharmacist for refrigerated lactobacilli.  The ones they sell,
such as Lactinex tablets, are regulated to contain what the label
says it contains.  Supplement/health food types are unregulated, and
when tested by independent labs, usually contain only a fraction of
the live cultures claimed on the label, if any.

I don't see what the problem is with crushing tablets.  Lactinex
chewable tablets are fairly soft and easily crushable.  It's possible
that the cat might even like the tablet itself -- they sort of taste
like cheesecake.

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Josh - 15 Sep 2004 03:47 GMT
> What can I give my cat who has been on a month of antibiotics and has
> explosive runny diarrhea?
>
> Would yogurt or the acidophilus supplements help?  If so, how much, and
> how to administer?

Yes, they would help, but why the antibiotics for so long?
Betsy - 15 Sep 2004 04:45 GMT
He has been through testing for more than a year because of severe weight
loss, diarrhea, and vomiting.  Blood work was consistently normal, but a
little high on the white blood cell count (indicating an infection of some
type).

I finally asked my vet to refer us to an internist.  She felt "masses" in
his abdomen.  I had the ultrasound done, and it showed masses.  The next
step was exploratory surgery.

The surgical referral was out of my range cost-wise.  The internist felt
that my regular vet could handle this.  My regular vet agreed.

He found only many enlarged lymph nodes, and a slight thickening of a
certain part of the stomach.  All was sent to pathology.  The only
significant finding was "helicobacter off the charts".  So it was assumed he
had something similar to an ulcer, and he was started on amoxicillin.

I went away on vacation in the middle of the first antibiotic course, and
left someone in charge of administering the pills.  My cat, Willie,
successfully hid from the pill givers!  Even though I spent a small fortune
on the cell phone trying to help them find him, they were unsuccessful in
catching him!

So when I came back I explained this to the vet, that he'd missed 4 days of
pills, and we lengthened his course of treatment.

Meanwhile, I think I'm going to go back to the internist, because the cat
has lost still more weight and has this horrible diarrhea.  I explained this
to my regular vet, and at first he was unwilling to give him anything for
it!  I was finally able to convince him that it was a serious problem and he
prescribed something (centrine?), which I don't think is helping.

This whole thing has been so upsetting.  Last night he couldn't make it to
the litter pan and let loose on the dining room rug.  I'm so worried about
my kitty--I don't know how he can lose any more weight and survive!

>> What can I give my cat who has been on a month of antibiotics and has
>> explosive runny diarrhea?
[quoted text clipped - 3 lines]
>>
> Yes, they would help, but why the antibiotics for so long?
Steph - 15 Sep 2004 14:34 GMT
When you say blood work, did they run at T4?

> He has been through testing for more than a year because of severe weight
> loss, diarrhea, and vomiting.  Blood work was consistently normal, but a
[quoted text clipped - 39 lines]
> >>
> > Yes, they would help, but why the antibiotics for so long?
Betsy - 15 Sep 2004 15:09 GMT
Yes, twice.

> When you say blood work, did they run at T4?
>
[quoted text clipped - 50 lines]
>> >>
>> > Yes, they would help, but why the antibiotics for so long?
---MIKE--- - 16 Sep 2004 00:09 GMT
The advantage of using the powder from acidolphulis capsules is that it
has no taste so a cat will tolerate it mixed in their food.  The tablets
are usually flavored and the cat might reject the food if a foreign
taste is detected.

                 ---MIKE---
Josh - 15 Sep 2004 23:55 GMT
>> I finally asked my vet to refer us to an internist.  She felt "masses" in
> his abdomen.  I had the ultrasound done, and it showed masses.  The next
> step was exploratory surgery.

Did the ultrasonagrapher not attempt to get needle aspirates?
Betsy - 16 Sep 2004 04:34 GMT
Yes, the aspirates were inconclusive, and that is why exploratory surgery
was the next step.  They showed only lymph tissue and intestinal type
tissue.

>>> I finally asked my vet to refer us to an internist.  She felt "masses"
>>> in
>> his abdomen.  I had the ultrasound done, and it showed masses.  The next
>> step was exploratory surgery.
>>
> Did the ultrasonagrapher not attempt to get needle aspirates?
Josh - 16 Sep 2004 22:41 GMT
> Yes, the aspirates were inconclusive, and that is why exploratory surgery
> was the next step.  They showed only lymph tissue and intestinal type
> tissue.

It sounds to me like this needs further workup.  The yogurt can help, but
not if the initial problem continues and you have to keep giving
antibiotics.
buglady - 16 Sep 2004 23:30 GMT
> It sounds to me like this needs further workup.  The yogurt can help, but
> not if the initial problem continues and you have to keep giving
> antibiotics.

...........Continuous antibiotics can create diarrhea problems.  Kill
everything and the bad guys move in - give more antibiotics - kill
everything and the bad guys move in again.  Personally I thik that for some
animals who are sort of on the cusp of functionality as far as gut goes, the
antibiotics can tip them over the edge if the gut is not repopulated with
good guys fast.  I'd give this a chance for a couple of weeks - acidophilus
powdered cultures 2X a day and L-glutamine to help heal up the gut, maybe
even a bit extra Vit A and E.  Can't hurt - might help.

buglady
take out the dog before replying
Betsy - 17 Sep 2004 05:08 GMT
Thank you all for your responses.

Last night Willie, or something, woke me up at about 3 a.m.  I visited the
john, and Willie jumped up to get a drink from the faucet, his routine.  But
then he started crying.  I panicked and went downstairs to get him something
to eat and decided to start him on some prednisone I had left over from
another cat, another illness.

I tried to go back to bed, but then I just couldn't sleep.  I went looking
for Willie and gave him some hamburger I'd bought for him.  Then I fed him
some kitten food.  Then I got out the tube of Nutrical.

Then I realized this was nuts, so I resolved to call the internist today.
The receptionist was going to defer us to the "return visit" priority list,
but I begged her to listen to my tale, which she did, bless her, and she
immediately gave me an appointment for tomorrow at 2:00.

I'm on board with buglady--antibiotics can certainly be lifesavers, but I'm
a bit irritated with my regular vet, or maybe with myself, for not realizing
that a cat who ALREADY had serious diarrhea and vomiting problems and was a
shadow of his former self should NOT receive a prescription for something
that would prophylactically mitigate against that if he was going on a
course of long term antibiotic treatment!  Phew, what a mouthful!

Anyway, I hope to get some more answers tomorrow and some relief for this
poor guy.  And some sleep!

>> It sounds to me like this needs further workup.  The yogurt can help, but
>> not if the initial problem continues and you have to keep giving
[quoted text clipped - 14 lines]
> buglady
> take out the dog before replying
Josh - 18 Sep 2004 00:40 GMT
> Thank you all for your responses.
>
[quoted text clipped - 3 lines]
> something to eat and decided to start him on some prednisone I had left
> over from another cat, another illness.

GAAHHHHH!!!!!  NO!  BAD IDEA!

> Then I realized this was nuts, so I resolved to call the internist today.
> The receptionist was going to defer us to the "return visit" priority
> list, but I begged her to listen to my tale, which she did, bless her, and
> she immediately gave me an appointment for tomorrow at 2:00.

Better idea.  Let us know how it turns out.
Betsy - 18 Sep 2004 02:17 GMT
Not good.

The internist is convinced he has lymphoma.  He's lost another 1 1/2 pounds
and is down to 8.5 lbs.

She feels everything is symptomatic of that.  My choices are to have him
"explored" surgically again (out of the question financially and I really
don't want to do that to him); do an endoscopy (also prohibitive right now
at around $1200 and of course there will be other affiliated costs).

Or I can just start him on steroids and a "novel" protein source in the
hopes it is IBD.  But then chemo is forever ruled out.

Having a chronic illness myself right now, and having spent a huge amount on
2 other cats and a dog last year, I opted for the steroid treatment.  She
said that the chemo would buy him 6 months to a year, and the steroids maybe
3 months.

We did decide to send the slides of the biopsies to a specialist
pathologist, hoping to get a more definitive diagnosis, so we are holding
off on the steroids until we get that report.

So here I was foolishly hoping to get away from the vet at under $100 (I
won't even tell you the figure) and I was presented with a bill for
$400--$130 for the return visit, $50 shipping for the slides, $$ for the
re-interpretation, and $$ for the bloodwork done today.  Jeesh.

My poor little buddy.  And my poor pocketbook.

Can anybody give me hope?  If the slides don't definitively show lymphoma,
then she will not authorize chemo.  So even if I decide I can afford it, the
absence of further exploratory surgery which I canNOT afford will rule out
the option!

If it is lymphoma, and we do treat him with steroids--is 3 months typical in
your experience?

It seems to me she's read me a death sentence already, and I don't
understand why chemo would be so horrible (having been through it already
with another cat, who actually acted more energetic than normal during
chemo!)

My head is just swimming.

>> Thank you all for your responses.
>>
[quoted text clipped - 12 lines]
>
> Better idea.  Let us know how it turns out.
MacCandace - 18 Sep 2004 21:11 GMT
<< My head is just swimming. >>

I'm sorry.  I can imagine.  I know you've been through a lot.

<< Or I can just start him on steroids and a "novel" protein source in the
hopes it is IBD.  But then chemo is forever ruled out. >>

Why is it forever ruled out once steroids are started?

Keep us posted, plese.  And I will keep Willie in my thoughts and prayers.

Candace
(take the litter out before replying by e-mail)

See my cats:
http://photos.yahoo.com/maccandace

"One does not meet oneself until one catches the reflection from an eye other
than human."  (Loren Eisely)
Betsy - 19 Sep 2004 05:29 GMT
Evidently once a cat gets on steroids chemotherapy is very hard on their
system.

Thanks for the good thoughts.

> << My head is just swimming. >>
>
[quoted text clipped - 16 lines]
> other
> than human."  (Loren Eisely)
mbk@webtv.net - 19 Sep 2004 10:38 GMT
Betsy,
This may sound like strange advice but you should join the Yahoo
newsgroup for feline megacolon. Tell them your situation and ask about
slippery elm bark. It can be used for both constipation and diarrhea. If
you do a google search you can find out more about it. The people on the
newsgroup have directions for its use with cats. Also you can check the
archives.

If you have a holistic vet in your area you might check him/her out.
Four years ago my regular vets had no other options for my megacolon cat
other than to remove 90% of her colon.That's when I discovered the
holistic vet that successfully treated Patches with acupuncture and
holistic meds. She has not needed the surgery yet.

I hope you find the answers you need soon. I know how distressing the
search for the right treatments and meds can be.

Michele,
(N.C.)
Betsy - 19 Sep 2004 16:14 GMT
This sounds very interesting.  I will check into it.  Thank you for the
lead.

> Betsy,
> This may sound like strange advice but you should join the Yahoo
[quoted text clipped - 15 lines]
> Michele,
> (N.C.)
mbk@webtv.net - 19 Sep 2004 18:12 GMT
Betsy,
I hope you do join the group at least for a while. Some of the folks on
the group know a lot about GI problems so be sure to let them know how
urgent your situation is.

Last Jan. one of my other cats was not doing well. An x-ray revealed a
mass around his abdomen. My regulars vets felt that there was a good
chance of cancer. They suggested exploratory surgery with a slim chance
of a good outcome.  My holistic vet was out of town. I was pretty
frantic. He is my snuggle kitty and is 16.5 years old. I decided not to
put him through the surgery because I didn't think it would be fair to
him. If I wasn't going to have him much longer I at least wanted him to
be as comfortable as possible. I am very glad I didn't opt for the
surgery. It turned out not to be cancer but pancreatitis. Now more than
half a year later you would never know what a scare he gave me.  

I hope you will have a similar experience.

Good luck,
Michele
 
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