Hey all! I'm new here.
I have a brown tabby, about 10 yrs old. He is neutered. He is about 17 lbs. His BEAM is as follows:
I was also supplementing his food with some curcumin, krill oil, dehydrated vital essentials food, along with goats milk, and sometimes raw patties. I've been trying to transition him to raw food (ground chicken) with foodfurlife ezcomplete. I haven't begun using ezcomplete yet. Right now, I am going back to the basics - meds and american journey chicken pate food.
He has had vaccines. He's had all of the recommended ones. Right now he's taking b12, budesonide and atenolol.
He has GI issues (ibd or ibs). That's what the budesonide + vitb12 is for. Before it, he would vomit every day, several times a day for years.
He's also had teeth fall out and teeth extracted. It was stomititis. He now has one canine left, and the gum line is receding. We believe it's just a matter of time before it needs to be removed.
Lastly, he has a heart murmur (atenolol). I just saw the vet. recently, and he gave it a 3-4/5.
I believe he is immune compromised from the vaccines he got.
Here are recent tests:
CBC/Chem/lytes/T4/cobalamin/folate/spec fPL - low Cobalamin (244 ng/L). Mild incease in MHC, normal liver values noted. U/S report - thickening of
wall of small intestine and disruption of normal muscularis to mucosal ratio. Enlarged lymph node (pancreaticoduodenal lymph node) noted. R/O IBD, emerging lymphoma, other. Rec. FNA liver to r/o microscopic liver disease and surgical or endoscopic biopsy of intestinal wall.
Plan - continue Cerenia PRN, novel protein diet (Pea, duck, or venison). Continue Vitamin B12 injections q 7 days x 6 weeks, then 1 injection 30 days after last weekly injection, then recheck Cobalamin level 30 days after that injection. Rec. B12 injections rather than oral B12 d/t ease of administration. Offer referral to specialist for second opinion, recommendation after u/s was surgical or endoscopic biopsies of GI tract. Plan to attempt to control symptoms on novel protein diet alone, if well controlled on B12, novel protein, and cerenia, can try to taper cerenia.
2020 -
U/A r/o UTI Suspect lower urinary tract disease. Rec. treat with SQ fluids and NSAID, mini profile, diet change, continue Feliway and environmental modification.
Fluid Therapy - SQ ( x 1 ) Onsior 6mg Tab - NSAID for Felines ( x 7 ) RCVD - Feline Urinary SO 5.8oz Can ( x 14 )
1/2020 -
Procedures or Medications Dispensed: Rabies Feline 3 Year Booster ( x 1 )
FVRCP Booster ( x 1 ) IDEXX Urine Culture and MIC Suscepti ( x 1 )
Simbadol Pain Medication ( x 0.75 ) Clavamox Suspension 15 mL - Zoetis (x 1 )
PHEW!!
So right now he's experiencing diahrea, vomitting, and is not hungry. He may have missed a few doses of budesonide/his meds.
Long-term goal: Get him off of all of his medications. I spoke with the vet. about this, and he felt comfortable with me decreasing budesonide and seeing how that goes. He did not want me to do anything with the atenolol. I heard slippery elm is good for stomach issues, so I have some of that. I heard Hawthorn Berry is good for heart murmur, so researching about that. I am to see a holistic vet here in a few weeks. And all of the vets. are closed today due to the holiday here.
Any recommendations what to do in the mean time? I was able to get him to take his meds by dropping his pills in his Fussie Cat wet food (I use as treats), and he ate that up (only about a spoonful of food), and is now very tired, and sleeping. He does not seem interested in his regular food (American Journey Chicken Pate). If it is the budesonide missed doses, how long will it kick in to make him feel better, if that is the case? will it help with the diahrea/vomiting and non-appetite?
I have a brown tabby, about 10 yrs old. He is neutered. He is about 17 lbs. His BEAM is as follows:
- B - Sleeps quite a bit
- E - Low (see above)
- A - Has been decreasing/non-existent, beginning the past few days
- M - Up and down; grumpy after vomiting, but happy when he's doing/feeling good
I was also supplementing his food with some curcumin, krill oil, dehydrated vital essentials food, along with goats milk, and sometimes raw patties. I've been trying to transition him to raw food (ground chicken) with foodfurlife ezcomplete. I haven't begun using ezcomplete yet. Right now, I am going back to the basics - meds and american journey chicken pate food.
He has had vaccines. He's had all of the recommended ones. Right now he's taking b12, budesonide and atenolol.
He has GI issues (ibd or ibs). That's what the budesonide + vitb12 is for. Before it, he would vomit every day, several times a day for years.
He's also had teeth fall out and teeth extracted. It was stomititis. He now has one canine left, and the gum line is receding. We believe it's just a matter of time before it needs to be removed.
Lastly, he has a heart murmur (atenolol). I just saw the vet. recently, and he gave it a 3-4/5.
I believe he is immune compromised from the vaccines he got.
Here are recent tests:
- BW Results: Proton Drive
- Urinalysis: Proton Drive
- Echo: Proton Drive
CBC/Chem/lytes/T4/cobalamin/folate/spec fPL - low Cobalamin (244 ng/L). Mild incease in MHC, normal liver values noted. U/S report - thickening of
wall of small intestine and disruption of normal muscularis to mucosal ratio. Enlarged lymph node (pancreaticoduodenal lymph node) noted. R/O IBD, emerging lymphoma, other. Rec. FNA liver to r/o microscopic liver disease and surgical or endoscopic biopsy of intestinal wall.
Plan - continue Cerenia PRN, novel protein diet (Pea, duck, or venison). Continue Vitamin B12 injections q 7 days x 6 weeks, then 1 injection 30 days after last weekly injection, then recheck Cobalamin level 30 days after that injection. Rec. B12 injections rather than oral B12 d/t ease of administration. Offer referral to specialist for second opinion, recommendation after u/s was surgical or endoscopic biopsies of GI tract. Plan to attempt to control symptoms on novel protein diet alone, if well controlled on B12, novel protein, and cerenia, can try to taper cerenia.
2020 -
U/A r/o UTI Suspect lower urinary tract disease. Rec. treat with SQ fluids and NSAID, mini profile, diet change, continue Feliway and environmental modification.
Fluid Therapy - SQ ( x 1 ) Onsior 6mg Tab - NSAID for Felines ( x 7 ) RCVD - Feline Urinary SO 5.8oz Can ( x 14 )
1/2020 -
Procedures or Medications Dispensed: Rabies Feline 3 Year Booster ( x 1 )
FVRCP Booster ( x 1 ) IDEXX Urine Culture and MIC Suscepti ( x 1 )
Simbadol Pain Medication ( x 0.75 ) Clavamox Suspension 15 mL - Zoetis (x 1 )
PHEW!!
So right now he's experiencing diahrea, vomitting, and is not hungry. He may have missed a few doses of budesonide/his meds.
Long-term goal: Get him off of all of his medications. I spoke with the vet. about this, and he felt comfortable with me decreasing budesonide and seeing how that goes. He did not want me to do anything with the atenolol. I heard slippery elm is good for stomach issues, so I have some of that. I heard Hawthorn Berry is good for heart murmur, so researching about that. I am to see a holistic vet here in a few weeks. And all of the vets. are closed today due to the holiday here.
Any recommendations what to do in the mean time? I was able to get him to take his meds by dropping his pills in his Fussie Cat wet food (I use as treats), and he ate that up (only about a spoonful of food), and is now very tired, and sleeping. He does not seem interested in his regular food (American Journey Chicken Pate). If it is the budesonide missed doses, how long will it kick in to make him feel better, if that is the case? will it help with the diahrea/vomiting and non-appetite?