Pig 3/21-22 - +10 280; amps 264; +5 252; +10 196; pmps 192; +1 202; +2 201 !! BLUE! HE HIT A BLUE !!

Discussion in 'Lantus / Levemir / Biosimilars' started by LuvinThisPig, Mar 22, 2018.

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  1. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    Yesterday's

    We are here! I am combining the 21-22 because I basically missed posting on the 21 due to unforeseen work situations, but it is still my 21.. :p The days are very, very long for this bean.

    With that being said, Pig saw his lowest ever number today before I left the house and that was at a +2! I can only imagine that he saw a blue and I missed it because I was busy at my lovely job. ;) All is well, though, and progress is being made! He is doing fantastic! It has been days since he had a sticky puddle of pee around him and that is tremendous!

    Everything is lining out wonderfully for SRT. Just some details to hash out. I am very hopeful, but very nervous as well. I am curious, does the breathing issues and apnea pose an issue with anesthesia? His heart sounds great, strong and steady. His lungs always sound clear with no popping or gurgling. He seems to be in very good health despite everything, but the breathing does bother me a bit. He does snore and he has some apnea...
     
  2. Osha

    Osha Well-Known Member

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    Apr 16, 2016
    I like how Pig's SS is turning more yellow! Good luck with the final details for the SRT. :bighug:
     
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  3. Kathy and TiTi

    Kathy and TiTi Well-Known Member

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    Feb 12, 2016
    I think the apnea might be due to new growth in his throat, caused by the acro. and I'm unsure about anesthesia. Probably pig should be intubated, and if there is a growth, they will need to be ultra careful. I'm glad you're heading out to SRT soon.

    Hugs:bighug::bighug::bighug::bighug:
     
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  4. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    Yes... I knew it was from the Acro because he never use to snore before. He does so now. I did not think about the intubation part, but you are most certainly correct. I wonder, do we know if there is any way to repair some of this excessive tissue growth? That seems to be the only physical feature he has obtained from the acro, besides a slight bit of organomegaly...

    Oh.. Me as well. I cannot wait, but I cannot help but be terrified of the whole thing at the same time. I do not think my nerves will ever calm. I know it is the right thing to do, though. Still very, very scary.
     
  5. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    Thank you!! It is a lovely color. I am hoping he chooses to pick a more masculine blue today, though. Yes, the SRT details will soon be falling all into place.
     
  6. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    He is being very stubborn getting close to blues, per usual. Twice now he has been on the verge or has broken through, but responded with a slight bounce almost immediately. We are beating one down today. I hope to see some progress with the +10 dosing both am and pm cycles.
     
  7. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
    Some acros need kitten sized tubes for intubation. Mention to the vet at WSU - Neko's dental vet measured her pharynx before anesthesia and she could stil use the regular cat sized ones at that time. Some people report the stridor fading or going away after SRT. Neko only had a faint bit at the end. ECID.
     
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  8. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Okay. I have another very odd and slightly nauseating question. I want to tag @Wendy&Neko , @Stacy & Asia , @Phoebes , @Bronx's dad , and @JeffJ in hopes that someone either has or knows of someone who has had experience or success in giving at home kitty enemas... :oops:

    I have heard of doing this, but I am afraid. I will talk to the Specialist when I get the chance. It is just there seems to be some days that no matter how much MiraLax I give and no matter how much I reduce the raw or give only blended up Sheba, he gets these 'blocks'. Poor guy is so uncomfortable. It seems that it might be good to be able to just 'flush' him out every once in a while to get things moving properly. I would not do it often. Maybe once every couple months or so....
     
  9. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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  10. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    Nov 30, 2016
    Never done it either, sorry. Have you tried Lactulose? You need a script but it is relatively cheap. Some natural things you can try is ground flax seed, pumpkin, PetAlive Natural Moves (people swear by it but most cats hate the taste) & Pet Wellbeing Smooth BM gold drops.
     
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  11. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Thank you! The issue with most of those (flax seed and pumpkin, in particular) is that they are what is called bulk laxatives. Megacolonic cats should never receive these as it simply bulks the stools up with fiber. In fact, I have tried the pumpkin and benefiber as well (basically the same thing - just a different plant fiber) and neither seemed to help at all. This is why many vets are pushing the MiraLax as it is an osmotic laxative. He is on the Cisapride, but a lower dose, so maybe increasing that will be an option.

    I have always heard that diabetic cats need to shy from Lactulose as it is a sugar saccharide derived from Lactose. However, if I can not find another alternative that may be the route that we go.. I am very curious about the Smooth BM gold drops, though, as I have heard good things about them before. Worth checking out! Thank you!
     
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  12. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Thank you!
     
  13. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Oct 2, 2017
    No experience either, I can't recall if Darrah does them herself or takes Girlie to the vet to do it, I think the former, either way, this is an issue she has a lot of experience with, unfortunately, so I'll tag her. She's in Australia so she might answer at an odd time for us in the states. @Girlie's mom

    I've also heard of people giving a bit various oils to help things along, olive oil, petroleum jelly (yuck), coconut oil. @rawia is one I can think of that uses this method off the top of my head.
     
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  14. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Oct 2, 2017
    By the way, I looked at Pig's SS yesterday and saw the AMPS and thought "today is the day!" :cool:

    So bummed you didn't get to witness it, but I hope he does it again very soon! :cat:
     
  15. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    Oh yes! I had thought about coconut oil! Thank you! I was hoping someone knew someone somewhere! This is why I just love this place... :)

    Oh I know! I was very tempted to call in sick I wanted to see that blue that bad! He went into a bit of a bounce today, I am thinking, but he is slowly pulling back down. Being able to dose the R at the +10 hour consistently really does help. It is never a drastic pull down, but it keeps the numbers down so the L has less work to do!
     
  16. Carol in Chicago

    Carol in Chicago Member

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    Apr 5, 2017
    This is something I wish I learned a long time ago for the health of my Rosie, and also my wallet. Since her FD Dx, Rose has been to the vet several times for enemas. In total, this has been the most expensive part of her care since Dx. Some times it would take 3-4 days at the vet to "resolve" the problem. After several vet visits, I was trained to do these at home. My vet says most people won't do this, but I don't see any other way...

    In my experience, it is very easy to do at home, but you should have one other person help you. If you have the right supplies, it is also a very simple matter. In my case, the vet gave me a rubber catheter and a large syringe to insert the solution. The solution is made at home with a mix of warm water, lube, liquid dish soap, and lactulose. In my experience, this solution will work within 3 minutes to 1 hour depending on the problem. In terms of additional supplies, you should have a good quantity of puppy pads, disposable gloves, and a small mixing bowl dedicated exclusively to this purpose. 80% of the time after a procedure, Rose will get a bath because the mess is mostly liquid and gets all over.

    In general, once you have everything ready, it takes less than 5 minutes to administer. You would ask someone to hold the cat steady in a standing position while you (using gloved hands):
    Hold the tail up with one hand
    Insert the well lubed catheter using a back and forth motion with the other hand
    Push plunger of syringe once catheter is inserted

    Something should emerge within a few minutes, but might take longer depending on the problem. I keep Rose confined to a small space that is fully lined with puppy pads. I check on her frequently for the next 1 hour to pick up any soiled pads quickly. After about 1 hour she is cleaned-up before she is released from confinement.

    For anyone reading this, I need to clarify that I was specifically trained to do this for Rose by my vet. I would encourage you to please review the option of doing enemas at home with your vet and get specific instructions regarding the indications, equipment, quantities, and frequency based on your cat's specific issues. The purpose of this post is to describe what I do as simple and easy, but not to be a substitute for proper vet care. I see some discussion of megacolon in this post. I have discussed with my vet and do not believe Rose has megacolon. Again, please discuss with a vet because there may be different guidance in this situation.

    There is also some discussion of lactulose. I wanted to mention that Rose gets 1.5 ml lactulose orally BID. In addition it is used as needed in the enema solution. I was worried it would impact her BG. It should not when used in an enema, but might if ingested orally (ECID). Thankfully, I haven't seen that with Rose. She continues to take Miralax, lactulose, cisipride and probiotics daily, but also requires enemas occasionally. I note in my SS when they are done. There was a huge impact to her BG due to constipation over the last week (might be interesting to see both the dramatic color changes and also impact to insulin dose). Again ECID. Rose is known as a rule breaker because I take larger than normal reductions due to deep dives I now believe are related to her constipation challenges.

    Hope this helps you and Pig! Many read your threads daily even if we don't get to comment often - we are cheering you on!
     
  17. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Oh my goodness! Thank you for ALL of this! Very informative and yes, I will consult with my vet before doing any of this. Thank you!

    I am really glad you mentioned the impact to numbers with the constipation. I have noticed this time and time again with him. He will typically gain about 50 points when very constipated and drop very shortly after having several larger movements. I am finding the mega-colon and constipation are the single hardest thing to deal with, even over the Acro side of things. I am glad you mentioned no change to BG with the lactulose for Rose, but as you say ECID. I do think it is worth a conversation with the vet.

    The mess we can handle. Pig has some pretty significant incontinence issues and while a full enema will be even more messy, the poo challenges are entirely normal here. With the MiraLax being the osmotic it is combined with his neurological and digestive issues, he has had runny stools his whole life. Despite the addition of probiotics and everything. He was runny even when eating dry. I am learning now it is because that is moving around the solid matter. So, often, the runny moves and that drips down his leg and because he cannot feel it, he does what I call Pig brushes.. He paints my house with his tailless little butt... :rolleyes: Mess we can handle! :)

    Thank you so much for all of this, though! I have asked a million times from a million people and no one ever had an answer or told me it simply could not be done! I love this! Thank you!
     
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  18. Girlie's mom

    Girlie's mom Well-Known Member

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    Jul 3, 2017
    Hello! One of the joys (not!) in my and Girlie's life: constipation. I have access to a mobile vet in Australia, so they come and do the Microlax enema. I tried to do it once myself, but Girlie made it clear that that was a line that should not be crossed between us. I agreed...

    Here are things that we do:
    • She gets 1/8 tsp of Miralax with food am and pm. I used to give her Cisapride, but haven't for a long time now. I've heard various things that made me a bit leery about it.
    • I boil pumpkin and mash it and freeze it in little ice cube trays; defrost before mealtime and add to food am and pm.
    • I had a brief try of George's Aloe Vera Juice but for some reason never went back to that (not sure why). She was not impressed with either the taste or the texture.
    • I can't get the Eggs thing here in Oz and (to be honest) have been too lazy to make it myself! I know that @Bobbie And Bubba swear by that, though, and they can give you the proper name and website link. If I were in the U.S., I'd give that a try for sure.
    One thing my acupuncture vet said (and I've found to be true for Girlie though I wish it weren't!) is that she's a senior lady; she's not a massive eater; and her gut processes things more slowly, so it's not that strange that she might only have a poo every four or five days. I know that that sounds too long, but I accept that that's what works for Girlie. I don't know if others with old cats (Girlie is almost 19) have heard or found something similar?

    Girlie also has episodes of what (I do not fondly!) refer to as "LPB: leaky poo butt." As she sleeps in bed with me under the covers, there have been some interesting surprises in the middle of the night, as you can well imagine. I bought shower curtains that were actually soft and that I could easily wash to put under and over me when she's in one of these stages. One interesting thing I did find - and didn't expect - is that when she'd had LPB (but not actually poo'd) for several days, and then she got an enema, that stopped her LPB. I don't know why, but now when she leaks more than a few days (hasn't happened for quite some time now), I just get the mobile vet in to give her an enema.

    Hope this helps!

    Cheers,
    Darrah
     
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  19. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    Oh yes this helps a lot! Especially the LPB thing. I have found the same thing, but am so isolated I do not have convenient access to a vet for enemas. It is about 2 hours to any acceptable vet. His regular vet explained to me (through sonography) that the LPD happens when they are so backed up there is just no where else for it all to go. As they relax, the sphincter muscles do as well and this is what causes the leak. Sadly, for Pig, he has limited neurological function in that area as well, so this happens quite a bit.

    I am interested in the 'Eggs" thing because I have never heard of this before... Pumpkin just simply does not work very well at all for him and I have found it actually works the opposite sometimes. I do have some SEB but have no clue how to use it.. Haha

    Thank you!!
     
  20. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    It is very apparent to me now - considering the other day - that the elevated breathing is in direct correlation to constipation. I will again reduce the raw diet. I am sad that I may have to discontinue the use of it, but if he cannot properly manage it... I will need to find a low carb, low phos. option, yet again.. But, I want to monitor the production closer on the venison raw. This beef, even when spaced, is just not working. Perhaps, it is because it is to common of a protein. I will also have to dole it out with and iron fist. No giving in to baleful begging eyes.. :oops:
     
  21. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
  22. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    Ummm.. Could this stuff be any more purrfect?? Thank you! We will be ordering and trying this stuff now!
     
  23. JeffJ

    JeffJ Well-Known Member

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    Jul 7, 2016
    OMG - this almost sounds like an alien might pop out. But actually a good description of the procedure.

    I never gave an enema. Don't take this the wrong way. I'm kinda glad I don't live close to you, so I don't have to help. Phewie.

    The BG values are looking good. Almost into the blues. So challenging with Acros.

    Leo's SRT - I don't think they intubated him. But since getting Acro he snores like a sailor. Sometimes it is even hard taking a nap with sweet Leo because he is so loud. Poor Acro kittehs, they can't help it.:woot:
     
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  24. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    I use to do this for my Sug, GA. I did it in the bathroom as it was such a messy process. If I have to do them again to poor Forrest, I will want a refresher course from the vet as it's been years.....
     
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  25. Bronx's dad (GA)

    Bronx's dad (GA) Well-Known Member

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    Nov 30, 2016
    I never knew that, I will stop the pumpkin & ground flax seed and see what happens. Thanks for this info, learn something new every day on here!
     
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  26. Girlie's mom

    Girlie's mom Well-Known Member

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    Jul 3, 2017
    Wow, this sounds like a real drama! In Australia, the vet just uses Microlax: it's so easy, but I don't think I could do it without someone else holding Girlie's head up and tail up. I'm pretty sure this is mentioned on that wonderful site on constipation; I just don't have access to the link here at work. The vet puts it in, I put her in the litterbox, and off you go: too easy! Can you get/use Microlax in the U.S.?
     
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  27. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

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    Jun 15, 2015
    hmm, I really don't remember what the product was. It has been over 8 years since I did gave an enema to Sug. Bless her little heart. She was the prettiest Blue Point Siamese that was meaner than a rattle snake, LOL. I was the only person in the whole world that she liked. :cat::rolleyes::);)
     
  28. MJW

    MJW Well-Known Member

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    Mar 29, 2017
    Sorry Pig has to find another low carb/low phosphorus food. Sorry so many kitties are having poo issues.
     
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  29. MJW

    MJW Well-Known Member

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    Mar 29, 2017
    Radcat has a lot of egg yolk or egg yolk powder in it already.
     
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  30. Carol in Chicago

    Carol in Chicago Member

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    Apr 5, 2017
    One thing I should have done earlier is share a reference another member shared with me early on in this journey with Rosie. Please see acute treatment in particular regarding a discussion of enemas that are and are not safe for cats. Please note, some human products are toxic to cats!

    This is where I looked to see if Microlax is available in the US. It is and can be administered in pediatric form. Again, please discuss with your vet if this would be appropriate for your cat. My vet was not a fan of prepared enemas or suppositories. This is actually good for me because we "mix our own". I'm therefore not dependent on the availability of any pre-packaged product. I always have dish soap and Rosie takes lactulose every day, so I always have that in the big economy size so we are prepared for almost anything. :rolleyes:
     
  31. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    Really? I did not know this.. Hmm. Well, maybe it would not help as much as I think. At this point, though, most anything is worth a shot. I really think it is down to the at home enema thing. I am going to talk to his vet about this.
     
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  32. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    Yes, thank you for saying this. I have read that pediatric suppositories are OK to use, but I do nothing without a massive amount of research and questions first. I do not trust just anything! Thank you! I am going copy your instructions over to my vet and see if she thinks this is doable for him. I will have to say that I am thinking I will need a very large team to help me accomplish this....
     
  33. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    PIG HAS HIT A BLUE!! HIS VERY FIRST BLUE! :cool::cool::cool:
     
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  34. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    Oh, this sounds like Pig! Well, he is very friendly to strangers, but in reality he is sizing them up. Once he becomes comfortable and aware of how they are, then he begins to push his weight around. For some reason, my Mother is terrified of him and he knows it. Whenever she gets close he will puff, hiss, and advance on her and she just sulks away... It is like an episode of National Geographic in here.. haha
     
  35. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Oct 2, 2017
    Yay, Pig! BLUE! :cool:

    My daughter was so excited, she made this for you:

    IMG_2807.PNG
     
  36. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    Awwww!!! I am going to cry! Oh! This is so, so special! Thank you so, so much! Tell her I said thank you so very, very much!! Best thing in the whole wide world! :bighug::bighug::bighug:
     
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  37. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Oct 2, 2017
    We are fans! :cat:
     
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  38. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    That is so funny! I typically stalk Asia's whenever I can! Your Asia and @MJW testimony for raw are the main reason's why I switched Pig to raw. She is just such a gorgeous girl!
     
  39. Wendy&Neko

    Wendy&Neko Senior Member Moderator

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    Feb 28, 2012
  40. Squalliesmom

    Squalliesmom Well-Known Member

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    Jun 26, 2015
    Hooray for blue!!!!:bighug::cool::cool::cool::bighug:
     
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  41. Kathy and TiTi

    Kathy and TiTi Well-Known Member

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    Feb 12, 2016
    Wahoooooo!! (flinging hat into the air))
     
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  42. LuvinThisPig

    LuvinThisPig Well-Known Member

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    Dec 8, 2017
    Oh thank you all so very much! Pig is so happy for it! I have been walking around with a broken face! This smile just will not quit! I seriously could not have done any of this with out the help of everyone here! This is just the best sort of place!! Pigs says thank you a million bazillion times over!! :bighug::bighug::bighug:
     
  43. MJW

    MJW Well-Known Member

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    Mar 29, 2017
    3 blues!!! I am sooo happy for you!!! I've been waiting for this with you. It is BEAUTIFUL.
     
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  44. Mom2Maverick

    Mom2Maverick Member

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    Dec 15, 2016

    I've been using the Smooth BM gold drops, 10 drops twice per day since Jan 10th. I think they have really helped. He very rarely vomits from straining now. He doesn't love the taste so I have to put freeze dried chicken in with the food and drops. I also think they might raise the blood sugar slightly so I give them when he is getting insulin. He's still getting the transdermal cisapride 5mg 3x per day and 1/8 tsp miralax in all meals (about 8 times per day). Maverick weighs 22lb.
    Congratulations on the blues!!!!
     
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  45. Amanda & Shmee

    Amanda & Shmee Well-Known Member

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    Feb 18, 2018
    New here, just wanted to say congrats and I LOVE the name Pig :)
     
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  46. Shawna & Davidson (GA)

    Shawna & Davidson (GA) Well-Known Member

    Joined:
    Jan 6, 2014
    Nice going on the BLUE....Davidson’s brother Harley had some constipation issues and he had an emema. After that I put him on OTC Restoralax with 1/8 tsp morning and night mixed with food. This is a human laxative and has no carb, sugars, nothing but one product and Glycol 3350 which is what you look for on the package. It will not affect the insulin ad Davidson has gotten into it when they switch foods, however I try to monitor it as it loosens poop and works with Harley exceptionally well, so he no longer has issues and believe its the same as Miralax. I mix his FF with a lot of water as the reason for the constipation is the food is getting separated in the colon and not getting enough water to break it down or let it pass smoothly. Yes, he had pain trying to poop and at times tried pushing so hard he vomited. The vomiting is not from bring constipated - it from pushing so hard to poop, the diaphragm pushed against the stomach and he vomits. There is a great site on feline constipation and if you need it I will look it up...let me know. Also, make sure there is no too much litter as when they try to poop when consitpated they push so hard they loose balance, so with deeper litter its unstable and they are already pushing hard to be off balance, therefore they wont poop in the litter box and will associate it with pain and may poop on the floor. Harley did this and I finally figured it out, now there is 2” and with the Restoralax I have had no issues since.
     
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  47. Stacy & Asia

    Stacy & Asia Well-Known Member

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    Oct 2, 2017
    A blue start for Pig!!! It’s a new trend, he looks adorable in blue! :cool::cool::cool::cool:
     
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  48. rawia

    rawia Member

    Joined:
    Aug 24, 2017
    I just saw tbe tag:cat:

    Yes i used to use olive oile with Meme for both constipation and hairballs it works better than other remedies for me. A full table spoon every day. We still struggling with this issue so far and i do not know what is the problem:arghh:.

    Talking about snoring?? Meme snoring sometime while she is sleeping or set in certain position, my vet told me that this is ok because the breed of some cats. She never had breathing problem but when you now popped that issues you remind me of it. Is it ok for some cat to snore sometimes??
     
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  49. Olive & Paula

    Olive & Paula Well-Known Member

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    Sep 6, 2015
    Yeah for blue !!!!! c23_rah-2.gif
     
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  50. Pamela & Amethyst

    Pamela & Amethyst Well-Known Member

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    Dec 11, 2016
     
  51. Pamela & Amethyst

    Pamela & Amethyst Well-Known Member

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