11/4 Tiger AMPS 285;+6=227;+8=221;+10=278;PMPS 307;+2=265

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Thanks Deanna, I am so frustrated with pilling that it did me so much good to read your post. Those are good suggestions, I could easily try that with chicken stock too. The vet offered to give Tiger Clavamox shots- a mere $69.00 per shot! :shock: I said no thank you! :shock:

Thank you for your wonderful comments as well Marilyn, you have so much more experience with pilling than I do- those are great suggestions as well! I am going back to the store tonight, have to go and vote anyway, might as well pick up some chicken and lunch meat!

At first, Tiger did not have much of an appetite this morning. I was afraid she had thrown up somewhere and I didn't hear it. Fortunately, upon inspection, no vomit found! :roll: We had pee and a small amount of poop- not completely hard, but definitely not diarrhea and not too soft. ohmygod_smile Because of the iffy-appetite, I did another BCSS, this time I gave her 4.0 units. She did start eating from the spoon I was holding and eventually if i held the food in my hand, then she really started eating much better. But still, she has just barely finished one and a half cans of food since yesterday nailbite_smile

I talked to the ER vet- she gave double antibiotics trying to eliminate any chance of bacterial infection due to the bloody vomit and diarrhea. I told her I have been unable to get the Clavamox down, she said to keep trying but not the end of the world if she wont' take them. She offered shots of Clavamox, for $69.00 a shot- no thanks! So at this point, I gave Tiger the Carafate and Metronidiazole liquid, and I got her to take 1/4 mg of Pepcid via a pill pocket. Boy, the pill pocket must have a lot of carbs though! The vet also said to ask my regular vet about testing again for B12 in a few days. I might call tomorrow and try to get a Rx for Cerenia and maybe Bupe. I don't think Tiger needs to go back to the hospital, but I think she still feels some pain in her tummy area. sorry, I did not need to write an entire novel on this, but it is amazing how cathartic writing can be! I'm trying not to be a Helicopter Mom, but you know, it is what it is! :roll:

To this wonderful forum, again, it makes my eyes water to think that a place like this exists- so much knowledge, caring and kitty love! We don't even have words! And as always, sending tons of healing and comfort vines to all kitties in need and their humans! :YMHUG: :YMHUG:

Re: 11/4 Tiger AMPS 285;+6=227;+8=221;+10=278

Pilling can be tough. At least the Pepcid went down with the pill pocket. Can your vet give you the clavamox in liquid form? I bet Tiger could use the cerenia and bupe still...those are two meds you want to keep going with for a while with p-titis. My vet likes to maintain the meds for several days after normal behaviors have returned.

Trix ate much better when I held the plate, too....unfortunately, though, she loved it so much that that's still how she eats, even though the p-titis is over ohmygod_smile ! Ah, what can ya do? The cat's gotta eat.

Sending more healing prayers your way....feel better, Tiger!

Re: 11/4 Tiger AMPS 285;+6=227;+8=221;+10=278

Good news getting at least one pill down by pill pocket. It's a start and will get easier. Have you tried elevating the plate for Tiger instead of just holding it up?

Clavamox liquid should be easy to give, since you've mastered the liquid meds. Bupe, also liquid is a bit different as you are aiming for the cheek not the throat.

Give Tiger some scritches from me - she's been through a lot lately. cat_pet_icon As have you. :YMHUG:

Re: 11/4 Tiger AMPS 285;+6=227;+8=221;+10=278

You're very welcome!! I know how stressful it can be! I'm so glad that she took the Pepcid in a pill pocket. I'm sending lots of "eat your pill pocket" vines her way. That will certainly make things simpler! I hope she continues to feel better. Give her some scritches from me too. cat_pet_icon

Re: 11/4 Tiger AMPS 285;+6=227;+8=221;+10=278

Hi Ruth

Sending Tiger tons of healing vines.

Just a few IMHO thoughts :lol:

Metronidazole is an a/b for the GI tract so giving clavamox too without knowing if some bacterial infection exists seems like overkill to me. I'd be sure to give Tiger a probiotic such as Renew Life Ultimate Flora. You can give 1/3 capsule a day; Gracie loves it in her food.

For pancreatitis, fluids are good to help the kitty feel better. If Tiger is not vomiting now and the diarrhea is under control, she's probably not dehydrated. But if she starts to feel unwell again, you can give her subq fluids at home.

For pancreatitis, I think ondansetron for nausea, cerenia for vomiting, and bupe for pain are critical. I'd revisit this with the vet and talk about whether it's really necessary to give Pepcid. For me, I think Pepcid is not something to just give if the kitty has an upset tummy. If the kitty has an acid tummy, it might be warranted. But just an upset tummy, in general, i would discuss with my vet again. We all need acid in our tummies to digest food; if you give an antacid, it depletes the tummy of acid. So I'd ask the vet what specifically she's getting it for, why she needs it, etc.

Re: 11/4 Tiger AMPS 285;+6=227;+8=221;+10=278;PMPS 307;+2=26

Thanks Amy, you know, liquid Clavamox was not offered, just the expensive shot. Tonight I wrapped the pill in a pill pocket and she found it. ohmygod_smile So far, I can get 1/4 Pepcid into the pocket and Tiger will eat it. I am going to call tomorrow and see about getting more Cerenia and Bupe for sure! And if I end up hand feeding, so be it- like you said, the poor girl's gotta eat!

Thanks Wendy, If we have to continue Pepcid, I am doing better with that small pill at least. If we do get more Bupe, I think I'll try to get it compounded. The last time it was clear and I think it must have tasted funny, Tiger wasn't real anxious to have it. I bought Baby Food, Sandwich meat and made a roast chicken and tomorrow I will make the stock to try Marilyn and Deanna's suggestions for the Clavamox pill. :roll:

Deanna, it is so comforting to hear from others who have either been through these kind of situations, yeah, it is stressful! I would be a basket case without a place like this to vent, thanks so much!

Marje, thank you so much for your input! If I don't have any luck tomorrow with putting the clavamox in baby food or sandwich meat, I think I will just forget it. I had told the other vet that if I can't get her to swallow it, then I can't get her to swallow it. I myself am not into taking antibiotics unless a culture shows bacterial infection, so if we're only giving one AB, I am good with that. And that is a good idea- I'll need to order the probiotics! Tiger isn't currently vomiting(I thought she had this morning but she did not!) So maybe she does need something like the Ondanestron instead of the Cerenia? But I knew she might need more Bupe, Elise had pointed that out- I wish I had asked the vet on Monday when we were at the hospital! :roll:

I know what you mean on the Pepcid. I know this vet was thinking stomach acid, hence the foamy bloody vomit. But she also gave Carafate, which as I understand, also coats and protects the stomach from acid and bile. Tiger has not vomited since Sunday, and I just discussed this with the vet this morning. Do you think it's worth another phone call- or would you just discontinue it because I suspect if I called again, she will say the same thing.

Re: 11/4 Tiger AMPS 285;+6=227;+8=221;+10=278;PMPS 307;+2=26

Hi Ruth.

I'm so sorry Tiger is having such a rough time. You've been given some great tips, but I just want to point out one thing. You mentioned having the Bupe compounded. Bupe is not intended to be swallowed. You are supposed to squirt it between the cheek and gum or under the tongue, so it will be absorbed. You don't have to get her mouth open - just get the syringe inside her lip and squirt.

Sending tons of healing vines for Tiger and hugs for her worried bean. :YMHUG: :YMHUG: :YMHUG:

Re: 11/4 Tiger AMPS 285;+6=227;+8=221;+10=278;PMPS 307;+2=26

I really think it is overkill with all those meds. Even the carafate I question. You do know it has to be separated from most meds and food? I like ondansetron for nausea as well but it has been pointed out by some vets that cerenia is preferred due to its pain and ant inflammatory capabilities. The meds are enough to make her not want to eat so I do feel a discussion with your regular vet might be a very good idea to sort this all out. :YMHUG: :YMHUG:

Re: 11/4 Tiger AMPS 285;+6=227;+8=221;+10=278;PMPS 307;+2=26

Sending more prayers for Tiger. When I've had to give Furball a pill, I tear off a little piece of the pill pocket and wrap it around the pill (just enough to cover it). Then I tear the rest of the pill pocket into little pieces and give those to her at the same time. That way she's focused on getting all her "treats" and hopefully won't notice the pill. :YMHUG: :YMHUG:

Re: 11/4 Tiger AMPS 285;+6=227;+8=221;+10=278;PMPS 307;+2=26

Hi Ruth - m ore feel better vines,a d take your meds vines for Tiger. it can be so difficult when they will not take pills. We tried all sorts of methods with Mannie when he was so ill: pickets, Baby food, mix in water via syringe to the mouth liquid forms. When he'd tire of one I'd move onto the next. bbay food worked the best for us, after he started to reject the pill pockets. I got very good with pilling by mouth. :roll:

I think the key to P'titis is patience, and time. They do not heal overnight. We made sure Mannie was hydrated, bupe for as long as he needed it, which wasn't too long, cerenia if needed, B12 too. I fed him whatever he wanted, just so he would eat, as he did develop a food aversion to the foods he ate when he came down with the p'titis, we adjusted the insulin to try and keep numbers under control (that proved difficult) . Sometimes I'd give an appy stim if that seemed warranted and he wasn't nauseated. Be well Tiger!!

Take care Ruth, Hugs to you.