? Pancreatitis NEWLY DIAGNOSED need advice for diabetes and pancreatitis management

Ok guys here it goes it's a long one .
Jelly was rescued 2017 after being abandoned while super sick with neuropathy. I found him and after winnipeg humane society said they were going to euthanize him I said no and assumed responsibility.
This very page saved me and him. We went through hi and lows many PJ parties testing the curve to finally reach remission.
Fast forward now he suddenly gets sick.. At a awful time in my life personally (never a good time to get sick) well after scrapping funds I got him to vet to be diagnosed with pancreatitis. He was sent home with meds and a plan.....he worsened and ended up in emergency in a Edmonton animal hospital.

Well needless to say that didn't go well and after iv fluids antibiotic and the worst experience with a vet and assistant. I ended up leaving without proper care or follow up instruction

Let me be clear for no judgments to happen.. I left because of mistreatment of my 15 year old senior cat. They were man handling him unnecessarily rough and when I pleaded with them if they couldn't handle him let me... The situation worsened to point I was shaken up angry and felt I had to record interaction it was awful I wouldn't wish any pet be handled that way nor any person be treated with such disservice and disrespect.

Jelly is not an aggressive cat and today he was and extremely mistreated/handled I was very concerned for his ability to calm down and be stress free enough to eat in that environment and I couldn't trust to leave him there. After a heated tension filled exit I removed my cats IV and walked out. I had to fight for meds I previously paid for from another vet and left disheartened and with ZERO INSTRUCTION OR FOLLOW UP CARE.

I have no resources now to take him anywhere else nor do I feel I know a vet I trust here( input here helpful too)

Please help
He's home hiding but not growling or hissing like he was at vet

Ate tiny bit kibble I know terrible but he's kibble feen and figured if none of the soft I offered he seriously wouldn't try I decided better something then nothing...

Now what we need resources for more vetting if needed in Edmonton Alberta and trusted vetted

Second what kind of foods do I feed him they said my fancy feast particularly fish caused pancreatitis and that diabetes doesn't matter now rather the pancreatitis...so what is our food options now and what does that mean for sugars and remission?

Please please advice needed
Meds sent home were
Famotidine 20 mg/ml for 7 days

Buprenorphinne 0.8 mg/ml 4 days sublingual

Rebound supplement 24 ml 3 doses evry 8 hours

Any advice routine and food suggestions needed and appreciated

 

Hi

I can see from the lab work he had high globulin, and that is not related to pancreatitis.
He also had high kidney crea values and that too is not related to pancreatitis.

 

Rochelle,
I'm not even sure where to start.

Have you seen our "Pancreatitis: A Primer On Pancreatitis" article?

Second, famotidine is the generic name for Pepcid.
It is an acid reducer, available over the counter here in the USA. Not sure about Canada.
If you need more, you may be able to buy it at your local drugstore, pharmacy, supermarket or another store.
Dose is 1/4 of the regular strength Pepcid (or generic version), given 2 times a day.
The pills are tiny, so splitting them requires a very sharp thin blade knife. I use my paring knife.

Third (although this should have been first). I'd like to give those vets and vet techs a good swift kick in the behind.

Fourth, no the fish Fancy Feast did not "give" Jelly pancreatitis. Chris R over in our sister facebook group told you that a couple of days ago.

 

Added pic of pancreatic test

 

Yes I read that article and am trying my best

 

I see you had a Snap fpl done.
But even when I zoom my screen up to 200%, the word is too blurry for me to read.

Would you just tell me what it says?

 

The problem with pancrea inflammation is that it doesn't budge in the first place.

My Simba's pancreatit lasted from August to November. It is very painful and besides the blood test for it we followed it with USC to see how much/largely the inflammation was and he had a very severe one. But it was not any kind of food that brought it on, it was mainly an unregulated diabetes.

 

I think it says "abnormal"....but the SNAP test isn't a very good one in the first place. It only gives a basic "yes or no" answer.....the Spec fPL result is more accurate and gives you a better idea of how bad it is.

 

Who knows what to do for pancreatitis better than I do?

Who might know some vets in the Edmonton area?

 

We know you are hon.

It's just that there are 2 areas where my knowledge is weak.
Pancreatitis and DKA. Learning, but not the best person to help you.

Learning more about DKA. Getting more knowledgeable about that.

I think you want cerenia for the pancreatitis. Another member had their non-diabetic cat to the vet today and got a pancreatitis diagnosis. Her cat got cerenia and perked right up.

There may be a limitation to how many days you want to give the cerenia. Think it's a limited amount of time, but don't remember the specifics.

Anyone?

Getting your cat to eat is very important with pancreatitis. I do know that. If they have pancreatitis, are not eating enough and there is the inflamed pancreas, and they are not getting enough insulin, that can lead to the development of ketones.

Which can lead to DKA (Diabetic ketoacidosis). Not usually treatable at home, extremely expensive to treat at the vet. Usually > $1000 per day USdollars.

So you need to ketone test at home. Please go buy some ketone urine test strips at your local drug store. And test your cats urine for ketones. Every day.

 

The problem is the vet she had Jelly at was very rude and abusive ….she had to fight with them to get the medications she has (since they'd already been paid for) so without going to another vet, she has to make due with what she has.

The famotidine may help since it's a tummy med so she told me she'd give it about 30 minutes before his next meal time. Hopefully that will help him feel better so he'll eat better too.

 

But his sugars are controlled I test 3x or more a week

 

I see on the other thread you have said that Jelly is not eating at all. That is most likely because he is nauseated. I know Chris said you had problems with the vet getting medications but really you need some cerenia, preferably an injection of cerenia and then some tablets to bring home.
It is really important he eats otherwise you will run into other problems.
Have you tried putting some grated Parmesan cheese on top on the food or trying some tuna. Even dry food would be ok as long as he eats at this point.

 

Here are some other suggestions on how to tempt him to eat. If they don’t work, you may have to go back and demand cerenia. It is ridiculous that the vet will not give you some antinausea meds.
keep posting and asking questions
http://www.felinediabetes.com/FDMB/threads/suggestions-on-how-to-stimulate-kittys-appetite.130770/

 

Where can I get this without seeing another vet ???

 

Unfortunately you need to see a vet to get the cerenia.

 

He ate a few hours ago so that's good.....as long as he eats a little every few hours, he should get enough calories to prevent anything like hepatic lipidosis (fatty liver)

If he'll eat some more treats, that's OK too. Don't worry so much about what he eats for now...it's just important that he eats something

 

An alternative to Cerenia is Zofran (ondansetron). It's a human medication that's used to treat nausea/vomiting. It's likely available over the counter in Canada. Usually, you dose 1 - 2 mg every 8 - 12 hrs with a max of 4mg/day.

The advantage of Cerenia is that it has an anti-inflammatory component. Zofran has been around for a long time. It's a drug that's frequently prescribed to help deal with the nausea and vomiting related to chemotherapy.