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Unread 02-19-2011   #11 (permalink)
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Oh no, I am sorry to hear about the mass on the spleen, but at least you know about it now. I'm glad Dusty is on the antibiotics, which one? (I am very interested in cat pharmacology)

So have you taken Dusty off the Azodyl too?

Wow, this vet wants you to give even higher doses of sub q on a daily basis. Well I don't understand it, but they are the ones looking at Dusty's numbers, so I won't fuss about it.

Just remember to check for any sign of a fluid pouch before starting the next dose, and don't give it if there is one.

Yes I always just put the bag in a pan of warm water for a little while, then check the temp by running it over the inside of my wrist or inside of my forearm before administering. I'm glad the warmed fluids is helping Dusty be more accepting of the procedure. Remember the treat after, too!

Hope the diarrhea clears up with the antibiotic.

How is Dusty's appetite?

Ah yes, that he slept with you last night is an excellent sign. My Tolly has a "sick/safe spot" too where he goes. If he's on his cushion under the bed I know he's not feeling well.

I'll be watching for updates.
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Unread 02-20-2011   #12 (permalink)
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Gail, The Vet put Dusty on Flagyl for his inflammed bowel. His BUN is at 50. I have his report, but not sure what numbers are the important ones. That is just one that the vet pointed out to me. Not sure if that tells you anything. It's all pretty much greek to me...wish I understood more about it. Now that we know Dusty has a growth on his spleen, I feel more like we just have to get him comfortable and hope the Flagyl does that (with the SubQ). Once this is past I want to go in and talk with the Vet more about the spleen issue and what we can expect. Dusty is doing okay, he still had dirreah behind the couch today. It's so odd that he is peeing in his box, but doing this on the floor. And his appitite is fine. He's eating his dry (prescription) food and I give him some canned (prescription) in the morning and night while I"m giving him his subQ. He's been out visiting with us a bit more today. Funny that your Tolly also has a "sick room". I guess it's just a quiet spot they feel they can be safe and alone.
Oh and I am not giving him the suppliments the other vet sold me. He doesn't need more stuff in his body right now especially! If you have any insight about the antibiotic he's on, please share it. I don't know alot about this stuff! Thanks, Sara
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Unread 02-20-2011   #13 (permalink)
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Flagyl is the antibiotic I mentioned earlier, I am glad this is what they gave him, though it may take some time for you to see results.

BUN means Blood Urea Nitrogen. BUN is a ..waste product from the protein that is filtered out through the kidneys. When the kidneys begin to fail they can't keep up and the BUN builds up in the blood.

The normal range for BUN is around 15-34 (depending on the lab used)

Azodyl is thought to help absorb some of this waste from the blood and take it out through the intestinal tract, which is why the other vet prescribed it. Kind of like Dialysis in a pill form. Because of the side affects I opted not to use in in my CRF kitty Ootay (rb 5/09 )

Creatinine is the other measurement used in diagnosing kidney failure. Creatnine is also a waste product the kidneys filter and an elevated creatinine is an indication of dehydration and kidney problems.

These elevated numbers can sometimes be simply from stress or dehydration, though of course I don't think that's the case with Dusty, he obviously does have CRF.

<edit> the reason for the fluids is to keep kitty hydrated and to take pressure off the kidneys. With more fluid flushing through it helps the kidneys filter out the creatinine and BUN.

Poor Dusty, the diarrhea probably makes him feel so uncomfortable that he blames the litter box for it, and that is why he is going in other places around the house.

You might try getting him a brand new box, and maybe put a different kind of litter in it, and put it where he is most often having the diarrhea (behind the couch?) Or even just lay a thick layer of newspapers back there for him. Once the flagyl kicks in he most likely will begin using his box for pooping again.

Hope I am helping a little, I know how confusing it all can be. As for the mass on his spleen I tend to agree with you about not putting him through any heroic measures. When Ootay developed a dangerously high blood calcium the specialist we saw wanted to do an ultrasound and possible biopsy of her parathyroid gland to check for cancer. While there wasn't much I wouldn't have done for her, I didn't think I wanted to put her through that. As it turned out the cause of the elevated blood Ca turned out to be the laxative she was taking, once we took her off that her Blood Ca went back to normal.

Anyway....please keep us posted on Dusty. Do you have a picture of him?
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Unread 02-21-2011   #14 (permalink)
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Gail, Just wondered if you know what this means. I think I meantioned before that Dusties third eye lid is up and has been staying up. Very freaky looking, it's white...he's never done this before last week. He is stronger, I know because of the fight I had this morning with the fluids and pill. Ugh. Also, is dirreah is better, getting firmer but he still just seems to feel miserable. My question is about the eyes. They look glassy to me and that third eye lid never seems to go away anymore. Does that mean something??
Oh and I did up load a picture of Dusty, but for some reason it doesn't show up by my name. I'm not the most computer savy.haha

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Unread 02-21-2011   #15 (permalink)
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The third eyelid showing often indicates tummy or intestinal illness. So, what with the diarrhea, it could be from that, but also Dusty may be feeling some nausea from the flagyl, OR from the CRF.

You might ask the vet if s/he thinks some pepcid (famotidine)would help him feel better. 1/4 tablet (10 mg) of pepcid ac once a day, or maybe twice for a big cat, but ask the vet first.

Do you want some tips on pilling technique?

I don't know what to say about the glassy eyes, that can sometimes mean fever, but I am guessing. I'd give the vet a call in the morning about it.

Is he eating? Other than the eyes, and fighting the treatments, how is he acting? Glad to hear the stools are starting to firm up. Sometimes the flagyl can take a while to work, so this is good news.

I see the picture of Dusty in your profile, you uploaded it as your profile picture. I can tell you how to put him in your Avatar if you want.

Thanks for the update, I've been thinking about him and wondering how things were going.
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Unread 02-21-2011   #16 (permalink)
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Thanks Gail, I guess with the knowledge of his tumor on his spleen, I'm wondering about every little thing. Up until today, his appitite has been good. Today we noticed he wasn't chowing down on his canned food he gets twice a day. (he also has dry to munch on). He was leaving some in his bowl, very unlike him. He rarely leaves the heating pad now that I have on my bed for him, but he did come out and join the family for a bit tonight, but after about 10 minutes headed back into the bedroom. He reminds me of a kid that is sick, but trys to play, wants to feel good, but can't. You know? He gave a half hearted attempt to use the cat scratching post. Sat on the couch with us, then headed back to solitude and the heating pad. Poor guy.
Thanks again! Your knowledge and support are very appreciated. Sara
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Unread 02-26-2011   #17 (permalink)
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Hi--I'm really glad that you took Dusty to a second vet. It may make all the difference in the world. All paws crossed for Dusty. Let us know what happens, poor kitty.
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Unread 02-26-2011   #18 (permalink)
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Hello Gail, Just thought I'd give you a Dusty update and see what you think of what the Vet is doing. I took him back on Friday. He had been on the Flagyl for 7 days and his dirreahea was not any better. There was one day I thought it was, but it wasn't. So the vet is worried he may have cancer in his digestive system. In a younger healthier cat he would open him up to see, but that wouldnt' be smart with Dusty. So he's put him on Steriods, small dose to see if the dirreah clears up. He said if the Dirrehea is due to intestional inflammation, the steriods will help it. If it doesn't help it, we can start to assume he has cancer of some sort.
He seems to be feeling better, but his dirreah is still pretty bad. The good news is the steriods pill is tiny and round, very easy to get down him.haha
Hope your Tolley is doing good after his proceedure!
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Unread 02-27-2011   #19 (permalink)
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HI Sara, thanks for the update on Dusty! I hope the steroid helps him to feel better. If it's going to help, you should know in a few days, it works pretty quickly.

Flagyl can take more than a week to take effect sometimes, but it sounds like you have taken him off that? An ultrasound can often pick up a mass in the intestines, if you feel the need to know for sure what is going on.

How is Dusty tolerating the fluids? Is he eating? Is he still spending most of his time on his heating pad? Ootay (rb) did that too alot in her elderly sickest time, she loved to curl up where it was warm on her old bones.

Do you brush Dusty? Is he keeping himself clean?

All paws crossed here that the steroid helps Dusty feel better, even though it may mean he has a mass in there, if it improves his quality of life, that is the most important thing.

Keep us posted, okay?
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Unread 02-28-2011   #20 (permalink)
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Gail, To answer your questions. Dusty is eating alot and he grooms himself. He's feeling better on the steriods. His eyes are not looking so funky and he's getting up off the heating pad a bit more. HOWEVER his dirreahea is worse. ugh. AND he's stopped useing the second box I"ve put out. I really do not know what to do with him. I have towels laying out all over house in the places he's gone before and I wake up or just walk out into a room and there will be a small pile of dirreahea on the towel or unfortunatly, NOT on the towel. HE was in the den with my husband and myself yesterday rubbing up against my leg, being very lovable.... that is where his origional box is. He left the room, I walked out behind him and found him pooing in the hallway right outside the door. I just wish I understood why he's doing this. I'm going to call the vet and let him know the dirreahea seems worse that it was last week.
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