New, (long post, sorry)

Hi! I’m new to this site, and am extremely freaked out/worried about my boy, Scout.
He was I n remission 5+ years from diabetes, on Royal Canin rx Venison, which was also controlling his pancreatitis.
In January 2018 dr. advised possible early renal insufficiency, so we moved him very slowly to Hill’s k/d.
Took him in to see his dr. Wednesday as his thirst, urination and appetite have jumped way way up in the last 2 weeks.
So lab results say BC was at 576 and
pancreatitis is back too (FpL # has gone from 9 to 41).
When we got home, started on 1 unit Lantus 2x a day after meals. BG down to high 300’s.
But he won’t eat!! Dr. put him on Mirtazapine but after 24 hours, no improvement in appetite.
Any help or ideas would be helpful.

Thank you.

 

Hills k/d is 27% carb. Not good for any cat. Unless the cat is stage 4 kidney disease he should not eat this food. Low protien at earlier stages just leads to muscle wasting. Instead feed a low carb/low phosphorus wet food.

http://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf

 

Thank you for the link Janet.
Do you have any suggestions for stimulating appetite?

 

Welcome. Janet is right a low carb, low phosphorus food is the best for Scout right now. How is he acting otherwise? Try warming the food and stirring it up to release the aroma. Also try a different food, that may get him interested. Here are some other ideas
http://www.felinediabetes.com/FDMB/threads/suggestions-on-how-to-stimulate-kittys-appetite.130770/

 

Thanks for the link for feeding ideas, it gives me a place to start.
He is really lethargic today but that coujd be due to a pain med for pancreatitis
Thanks for your responses.

 

Hope he feels better soon. Keep us posted.

 

do you have cerenia for nausea? The most common treatment for pancreatitis is cerenia for nausea, bupe for pain, and daily sub q's until the flare has ended.

 

as Janet indicated he may not be eating due to pain and nausea due to pancreatitis...cerenia works wonders...ask vet for an app stimulant in conjunction with anti nauseant (they work together better than seperately)...parm chz works for some sprinkled on top his food....also baby food can be really effective and irresistable (no veggies or fruit and no garlic or onion)...good luck ...what an adorable kitty!oh...yes pain meds have caused lethargy in my cats too....

 

Hi Allison & Janet,
So Scout has acute pancreatitis and diabetes - I took him in to internal med. vet this a.m. and they hospitalized him.
Dr. put in a central line as well as a catheter for fluids, appetite stimulant, anti-nausea and CRI (which is some type of continuous infusion of insulin to get his numbers down from the 400’s.)

She’s planning on putting in a feeding tube as he’s stopped eating & syringe feeding hasn’t worked out too well.

Thank you for your kind words and info, it’s so helpful, and I’ve been learning so much being on this site. I am KICKING MYSELF for changing his diet, as he was on a limited ingredient diet for 5 years that put his pancreatitis & diabetes into remission. I moved him to Hill’s k/d as the vet raised a concern about early renal insufficiency in December, recommending a switch to a low protein, low phosphorus diet. At the time I was worried about how that would affect his pancreas - I so regret that switch, he’s in so much pain now, pancreas is “big and significantly inflamed”.