? Pig 7/09 amps 210, +4 288; +6 316 ? Help withs labs... Please ?

Yesterday's

Not a lot to say today... We started the Bethanochol and it seems to be working fairly well. I imagine it will take some time to build tone back in the bladder walls. But, what I am more concerned about are his labs. Someone, please tell me it is not as bad as it seems? Please, tell me there is hope here...

 

@Wendy&Neko

 

Wonder if the "bladder" issue isn't inflammation from the pancreatitis? Gizmo also has what feels like a larger (full) bladder or stomach when he is having a flare. But you said the U/S showed an enlarged bladder correct?

What did vet say about the labs? Nothing jumps out to me but I only know what I am looking for with Gizmo.

Phosphorus level looks good!

I think @Marje and Gracie is checking tags. She is the expert on reading BW.

 

With those P.PSL numbers that was exactly what I was thinking. It would account for these sudden bouts of uncontrollable BGs. I am already doing all the care that that would require except the anti-nausea meds. However, I believe there is a study that suggests that Cerenia actually helps heal pancreatitis.. It may be something that I will need to keep on hand from now on.

She said that she was worried about his Creatine levels and I am as well. The phos says that there is nothing to worry about, so diet change did the trick there. However, with those Crea levels the bladder becomes a much larger concern.

I am also very concerned about the elevated ALT values... None of this really makes sense. With the Amylase values through roof as well I am really leaning towards the pancreatitis. If that is the case and appetite is not an issue with him, it seems that adding some digestive enzymes to his food would be a worthy investment.

Now, I need to look at adding S. boulardi and the enzymes... They can't hurt.

 

Gizmo's labs are on the labs tab on his SS if you want to look for comparison. BUN/Creat will fluctuate and has been higher with Gizmo during a panc flare and with dehydration. (My understanding) Amylase elevation is tied to panc flares.

Here is the most recent Gizmo labs (not on SS yet)

 

Jarrow Formulas Saccharomyces Boulardii

Animal Essentials Plant Enzyme & Probiotics Dog & Cat Supplement

 

Here is some info on the BW analysis/numbers

http://www.felinecrf.org/diagnosis_blood_chemistry.htm

 

Oh my goodness! Thank you! Yes... this is precisely where we are headed. I have suspected panc a few times, but this time far more seriously. I believe we are on the right track here.

But, really... Their BW looks very similar. Almost all the same values are elevated. Um.. Can I say just how freaking awesome you are????? Oh my goodness...

 

Any chance of entering these labs and the previous ones on the Labs tab of the spreadsheet? That makes trends much easier to spot.

 

I will get right on it.. Let you know when I am done.

 

I have the values plugged in.

 

Thanks for inputting the data. I found it helped to put the out of range values in a different colour or bold.

Did the vet not test for thyroid values? HyperT, plus diabetes, IBD, and p'titis are some of the reasons for elevated ALT. The BUN is a bit higher, but that is often seen on the raw diet, so I wouldn't worry about it. Growth hormone and IGF-1 contrbute to muscle development. Many acros will be described as very muscular. Large muscular cats can have elevated creatinine. Having said that, Pig's is still in normal range, though trending up.

 

These labs were supposed to test for those and I am a bit confused about that. We did not do the in house because of this one reason. I wanted those t-4 values and a few other kidney indicators. I am not sure why they are not here, but that could be an office mistake. She was supposed to send me both Pig and Tail's, but I just got double copies of Pig's. I will call tomorrow morning and ask them about it.

 

Since T4 is an added cost you have to ask for it done (at least with my vet it is)

 

But I did... That was the main reason for sending the labs out and not doing them in house. I suppose I cannot complain overly much. Well, I can't complain at all. She let me charge a $650.00 bill until September sometime and her clinic does NOT do this at all. Still, I would like to see those values.