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Peewee update

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-L. - 16 Sep 2003 21:28 GMT
For those following the sick Pee-wuss...

He has been home since Sunday PM.  Was happy to be home
(puur-machine), but pretty sickly.  Won't each much, but was able to
keep a little down Sun PM. and Monday.  This AM actually pooped
(yea!!) so doesn't seem to be blocked - passed what may be part (or
all) of a soft blockage (sparing you details).  Is still nauseous,
licking lips.  Took fecal sample into a feline specialist, and have an
appointment for this afternoon.  He is such a terrible patient, I am
hesitant to even do x-rays yet, as I'm afraid it will throw him off
the progress he has made so far.  Am planning to continue supportive
care for now (possibly fluids and appetite stimulant and/or nausea
meds), and see how he progresses, but vet may have other ideas.   The
risks are pancreatitis and hepatic lipidosis.   Am hoping the blockage
is out, and that recovery will continue, and that his appetite will
improve.  He drank water this AM, but not much.  His thyroid tests are
borderline hyperthyroidism, but will hold off treatment until he is
over this hurdle.

Thanks to all for your nice words of encouragement, prayers, etc.!
After talking to the vet on Sunday I was sure I would have to euth
him.  We aren't past this hurdle, but looking up, at least </me knocks
on wood>.

Open to suggestions for getting him to eat.  The best success has been
chicken and veggie baby food, cooked chicken breast and chicken broth.
 He licked juice off of some Friskies canned, but won't eat the
chunks.  Won't touch the Iams kitten canned, but did eat some Purina
kitten chow and kept it down (I am trying kitten food because it his
higher protein and fat).  Any other ideas welcome.

Thanks for all the help and support!

-L. and Peewee
Priscilla H Ballou - 16 Sep 2003 21:36 GMT
-L. <k3_e81@yahoo.com> quoth:

>Open to suggestions for getting him to eat.  The best success has been
>chicken and veggie baby food, cooked chicken breast and chicken broth.
>  He licked juice off of some Friskies canned, but won't eat the
>chunks.  Won't touch the Iams kitten canned, but did eat some Purina
>kitten chow and kept it down (I am trying kitten food because it his
>higher protein and fat).  Any other ideas welcome.

Can you get some of that prescription food from the vet?  It's a Hill's
Science Diet prescription one -- with a silver label?  Not K/D.  W/D?  
It's dark brown and gooey and apparently quite yummy, although apparently
there are idiosyncratic cats who turn their noses up at it.  Well, there
would be, wouldn't there?

Priscilla, keeping her fingers crossed for the Peeweester
Cathy Friedmann - 16 Sep 2003 22:01 GMT
Ha - I just posted. ;-)  Do you mean a/d, maybe?

Cathy

--
"Staccato signals of constant information..."
("The Boy in the Bubble")  Paul Simon

> -L. <k3_e81@yahoo.com> quoth:
>
[quoted text clipped - 12 lines]
>
> Priscilla, keeping her fingers crossed for the Peeweester
Priscilla Ballou - 17 Sep 2003 00:10 GMT
> Ha - I just posted. ;-)  Do you mean a/d, maybe?

Probably.  Whatever Caley was given last month.

Priscilla
Signature

The Episcopal Church welcomes you... and you... and you....

Cathy Friedmann - 16 Sep 2003 22:00 GMT
You could try Hill's Prescription Diet a/d; it's available at the vet's.
Most cats find it very tasty, & although it's a canned food, it has no
chunks - it's more of a super-finely minced/paste sort of consistency.  It's
specifically made for ill or convalescing pets.

(My cats only lick wet foods - leaving the chunks, too.)

Cathy

--
"Staccato signals of constant information..."
("The Boy in the Bubble")  Paul Simon

> For those following the sick Pee-wuss...
>
[quoted text clipped - 30 lines]
>
> -L. and Peewee
rrb_041303 - 16 Sep 2003 22:35 GMT
-L. said:

> For those following the sick Pee-wuss...
>
[quoted text clipped - 14 lines]
> borderline hyperthyroidism, but will hold off treatment until he is
> over this hurdle.

Glad to hear that he is home, and doing a bit better. We are pulling for
the little guy.

> Open to suggestions for getting him to eat.  The best success has been
> chicken and veggie baby food, cooked chicken breast and chicken broth.
>   He licked juice off of some Friskies canned, but won't eat the
> chunks.  Won't touch the Iams kitten canned, but did eat some Purina
> kitten chow and kept it down (I am trying kitten food because it his
> higher protein and fat).  Any other ideas welcome.

Maybe try the Nutro Gourmet Classics canned food, or the Nutro Natural
Choice Packets? Also Petsmart sells Sophistacat Supreme Shrimp and Crab
in Jelly canned food. My cats never refuse any of these. Even if he only
licks the gravy of the Nutro food It's better than eating nothing. Good
Luck.

rrb
Sarah - 17 Sep 2003 01:18 GMT
> Open to suggestions for getting him to eat.

You might want to take a look at http://www.assistfeed.com.
Cheryl - 17 Sep 2003 01:56 GMT
> For those following the sick Pee-wuss...
>
> He has been home since Sunday PM.

He sounds better!  Purrs that he keeps recovering and that he is on
the mend.

> Open to suggestions for getting him to eat.  The best success has
> been chicken and veggie baby food, cooked chicken breast and
[quoted text clipped - 3 lines]
> food because it his higher protein and fat).  Any other ideas
> welcome.

I've learned a few tricks since Shadow's worst time last year when I
couldn't get him to eat.  With the feral who was sick she took to
Hills AD mixed with baby food (turkey or chicken) to make a thinner
consistency and spooned to her; just held the spoon under her nose and
let it touch her mouth so she got a taste and she would lick it off
and got enough into her during that time (about 1/2 can per day or a
little more). With Shadow and his bouts of nausea I would have to put
the food in his mouth to get him to eat but I used a tongue depressor
and didn't thin the food at all, just sort of stuck it in and let his
teeth scrape the food off.  He never had a problem keeping the AD down
even when he was nauseous and this didn't seem as stressful to him as
a syringe did. I think at some point the food must be "forced" to get
past the rough part, but you already know that.

Good luck, Lyn.  So worrisome... :(  Purrs to Peewee.
-L. - 17 Sep 2003 19:29 GMT
> > For those following the sick Pee-wuss...
> >
> > He has been home since Sunday PM.
>
> He sounds better!  Purrs that he keeps recovering and that he is on
> the mend.

Thanks to everyone who responded!  And thanks for the links and
suggestions.

I also thought about AD, and the feline specialty vet said that AD,
while it is good for convalescing kitties, is actually somewhat rich
for kitties with GI problems (same goes for kitten food).  She
recommended any kind of pure protein - chicken, turkey, fish - and the
diabetic maintenence diet (d/m) from Purina - which I purchased.  He
gobbled it up!!  So, I'm currently trying to get food down him about
four times a day - as much as he will eat.  I also have measured out
some kitten chow and d/m dry chow, and am monitoring his consumption.
Today he licked gravy off of his Friskies canned and ate about 1/4 can
of the d/m.  Overnight he had eaten about 1/6 c. of the d/m chow, so I
think we are still on the right track.  He's still doing a lot of lip
licking, which is weird (they checked him for string but apparently
there isn't one).  Still no additional poops, but I suspect there may
be one coming soon.  I'm still hoping the blockage has passed.  The
concerns now are pancreatitis, IBD or generalized lymphoma of the
bowel.  She didn't feel any enlarged lymph glands, so if it is
lymphoma, it's not affecting them.  I didn't get his fecal results
back yet.

It's interesting - while the other vet recommended x-rays, barium
series and/or ultrasound, the feline specialist recommended surgery to
look around and biopsy on the intestine and bowel. She said why do the
other diagnostics if you are going to end up in surgery anyway?  In a
way, I think she's right.  Right now, I'm not opting for anything that
drastic since he seems to have resolved the majority of his problem,
and I'm able to treat him symptomatically.  She also said that, based
on his thyroid levels, she would have *not* diagnosed hyperthyroidism
(nor would she have recommended the T4(ed) test), which the other vet
did - and was prepared to treat him for.  <Sigh>  It's just so hard to
find a vet you trust.  It's also hard to decide how far to go
diagnostically and weigh quality of life with suffering - whether the
suffering be from disease, diagnostics or treatments.    If he
continues to be sickly, but still doesn't appear to be blocked, the
next line of treatment is systemic steriods, followed by steroid
treatments that work locally in the GI tract.  I may get an x-ray to
rule our tumors.

Thanks again for all who responded and your continuous care and
support.  And Peewee head-butts and says Meow-meow, and purr-purr,
too!

-L.
Karen Chuplis - 18 Sep 2003 02:03 GMT
>>> For those following the sick Pee-wuss...
>>>
[quoted text clipped - 48 lines]
>
> -L.

I don't think it always so much about trusting a vet but each has different
ideas about diagnostic tests. I wanted to say that I spoke to my mom's vet
when it appeared her cat was very ill. The thing about surgery is that the
vet says there is still no tool as sure as the human eye. It can always look
like possibly something else, and then usually they have to biopsy anyway,
so I just wanted to let you know what one vet said about that. I hope that
it was just a bad obstruction that passed. I know my girl got VERY sick once
from some hair she couldn't get rid of. Keep us posted.

Karen
Karen Chuplis - 18 Sep 2003 02:04 GMT
>>> For those following the sick Pee-wuss...
>>>
[quoted text clipped - 48 lines]
>
> -L.

Oops. P.S. My mom's cat apparently also seems to have recovered without a
biopsy. they gave him a ton of mineral oil, lots of laxatone and a course of
antibiotics. So far, so good. He has been normal for a couple of months.

Karen
-L. - 19 Sep 2003 09:19 GMT
<snip>

> Oops. P.S. My mom's cat apparently also seems to have recovered without a
> biopsy. they gave him a ton of mineral oil, lots of laxatone and a course of
> antibiotics. So far, so good. He has been normal for a couple of months.
>
> Karen

Good to know! Thanks for your support, Karen. :)  Will post updates as I have them.

-L.
Cheryl - 18 Sep 2003 02:17 GMT
> I also thought about AD, and the feline specialty vet said that AD,
> while it is good for convalescing kitties, is actually somewhat rich
[quoted text clipped - 3 lines]
> diabetic maintenence diet (d/m) from Purina - which I purchased.  He
> gobbled it up!!

Fantastic!  Isn't it a good feeling to finally see them eat.  *whew*

[...]
He's still doing a lot of
> lip
> licking, which is weird (they checked him for string but apparently
> there isn't one).

I recognized that behavior when you posted it and it was the same
thing Shadow did from nausea.  It was almost like he was sticking his
tongue out at me even when I said the word "eat".  Nausea.  He also
drooled a lot.

I'm still hoping the blockage has passed.  The
> concerns now are pancreatitis, IBD or generalized lymphoma of the
> bowel.  She didn't feel any enlarged lymph glands, so if it is
> lymphoma, it's not affecting them.  I didn't get his fecal results
> back yet.

I am praying for maybe just IBS and it will pass.  Sounds good about
the glands.

> It's interesting - while the other vet recommended x-rays, barium
> series and/or ultrasound, the feline specialist recommended surgery
> to
> look around and biopsy on the intestine and bowel. She said why do
> the
> other diagnostics if you are going to end up in surgery anyway?

It's nice to hear of a vet who doesn't insist on every test in the
book.  Shadow's new vet is like that and I will trust when she thinks
it is time for an ultrasound or something when he goes downhill.
:(  I think some vets have lost their "instinct" and rely on tests
just because they are available now. (not saying the available tests
are a *bad* thing!!)

[...]
<Sigh>  It's just so hard
> to find a vet you trust.  It's also hard to decide how far to go
> diagnostically and weigh quality of life with suffering - whether
> the
> suffering be from disease, diagnostics or treatments.

I know exactly what you mean.

This is all sounding very positive and continued purrs for Peewee to
keep feeling better.
-L. - 19 Sep 2003 09:14 GMT
> This is all sounding very positive and continued purrs for Peewee to
> keep feeling better.

Thanks so much, Cheryl.  It really means a lot.  So far, so good.  I'm
glad I found a food he will eat.  I will post another update if things
change drastically.  So far, he's eating pretty well.

-L.
kaeli - 17 Sep 2003 13:33 GMT
> For those following the sick Pee-wuss...

Purrs to Peewee for his recovery.

I don't have much to add that others haven't suggested, but have you
tried tuna or sardines to stimulate his appetite? You don't want to give
him too much, as they (especially tuna) can have too much mercury in
them in quantities. Albacore is the best kind of tuna and has (according
to what I've read, anyway) less mercury than the cheaper tuna.

Also, there is a product called Nutrical that helps sick cats. It is
available at Petsmart and other pet stores and has high fat and
calories, vitamins, and minerals. It also acts as an appetite stimulant.
Some cats like it, some hate it.

I hope he gets better...

-------------------------------------------------
~kaeli~
Hey, if you got it flaunt it! If you don't, stare
at someone who does. Just don't lick the TV screen,
it leaves streaks.
http://www.ipwebdesign.net/wildAtHeart
http://www.ipwebdesign.net/kaelisSpace
-------------------------------------------------
Sherry - 17 Sep 2003 14:36 GMT
Purrs to Peewee. Knowing *you*, I'd venture aa guess that PeeWee is going to be
a fighter, because you won't settle for anything less. Purrs and good thoughts
still going out to you both.

Sherry
Karen M. - 17 Sep 2003 18:34 GMT
> For those following the sick Pee-wuss...
>
[quoted text clipped - 30 lines]
>
> -L. and Peewee

Hey,

I'm so glad PeeWee is doing better! When my Harry was really sick
(URI), I had to syringe feed him even after his congestion had mostly
cleared up because he just had no appetite until *finally* some nice
canned tuna got his motor running. Of course, this is not a good
balanced meal. ;) Maybe mixed with the kitten food or baby food? As
stated previously, A/D usually does the trick quite well and I've
known other kitty parents to use some of Cheryl's suggestions with
good results. We (the furries and I) will keep the luck coming your
way...

Karen
 
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