02/13 Kabosu 455 AMPS Refuses to eat for 10 hours. PM shot?

Hi all,

Kabosu spent the whole day today lying on the bathroom floor, only waking up three times to drink and pee. He ate A LOT last night (woke us up at least five times), and was active in the morning and ate chicken breast before his 4.5U injection this AM.
Since then he's been lying on the bathroom floor, looking very weak. It's been almost ten hours since he last ate, and he just vomited a lot of food.
His BG was very high the whole day.

Should I take him to the emergency vet now? I'm really worried, it is very unlike him to not eat for the whole day. He is refusing even his favourite foods.

Previous post: https://www.felinediabetes.com/FDMB...adirs-dose-increase-pancreatic-enzymes.243019

 

@Wendy&Neko @Marje and Gracie @Sienne and Gabby (GA) @Chris & China (GA)

 

Sorry, if I am misusing the 911 tag!

 

No I just tagged the MODS to help you @carfurby @tiffmaxee

 

I'm sorry he's not doing well

Are you checking for ketones? Good info on them here: Ketones, Ketoacidosis, and Diabetic Cats: A Primer on Ketones

 

What kinds of food have you tried to entice him with? Is he a tuna lover?

 

I would go the ER. Sounds like in pain from pancreatitis. Maybe nauseous too.

 

Susanne asked a really good question. Lethargy and high numbers are a concern. I agree with Elise, a vet visit is in order. In case it's pancreatitis: A Primer On Pancreatitis and Article on Pancreatitis for UK residents

More on getting food into him:

• Suggestions on How to Stimulate Kitty's Appetite
• Syringe/Assisted Feeding (Video and Tips)
• THE '~LIVER SHAKE~' FOR SICK CATS

 

I haven't yet. Just got the strips but did not manage to get a sample when he last peed. Will try when he pees again!

Tried everything: chicken broth, boiled chicken breast, his favourite wet foods, even one in gravy, salmon - he's not interested. I did not have any cat tuna, but just tried to give him some canned tuna (for human consumption) and he refused.

He's been treated for pancreatitis already a couple of weeks ago, that time he did not even have any inappetence. I'm really hoping he'll eat soon!

Do you think this is something that can wait until morning or should we take him right now? There is just one emergency vet open at the moment.

 

Do you have ketones test strips? Anything above trace means a vet now.

 

Pancreatitis cones and goes if chronic. It’s treated according to symptoms that can return. This could very well be due to ketones but if negative it could still be pancreatitis.

 

If he's suffering from ketoacidosis, it's important to get him treated as soon as possible with IV fluids, anti-nauseal and appetite stimulants to get him to eat to prevent hepatic lipidosis. Since you haven't been able to test for his ketones, I would bring him to the ER to be extra cautious.

 

Just tested for ketones, and it was negative (I hope the strips are fine, the first time I am using them).
He just vomited again, and then went back to the bathroom. Still refusing tuna. I gave him 12ml subcutaneous fluids now.

 

Should I give him insulin now? It's time for his evening shot. He has not eaten since morning, but his BG is very high.

 

If you can't get him to the vet today, do you have any meds to give him for pain and nausea? inappetence meds?
Butters had a severe episode of pancreatitis a few months ago and her first sign that time was inappetence. I hope you can get Kabosu to the vet soon.

Sorry I can't advise on whether to give insulin or not. I see the numbers have been high, but I'm worried about the not eating. That's concerning for other reasons too, like hepatic lipidosis (fatty liver). Cats need to eat. If he were my cat I'd take him to the ER.

 

I only have gapapentin for pain, but I don't know how to give it to him, as he's not eating.. Usually, I'd mix it with food.

 

I agree with Lyla. Tge first sign of pancreatitis for Max was inappetence. Always. Other signs not as consistent were loose stool and vomiting.

 

Could I maybe give him a smaller dose of insulin today? Not sure what to do. He is 400+ right now despite not having eaten for 12 hours. On the other hand, I will fall sleep and won't be able to monitor him very well

 

I would definitely give insulin. At least half should be fine.

 

Thank you! I gave him 3.5U (instead of 4.5U).

 

Would you please remove the 911? Of course put it back if needed. Thanks.

 

Any news? Sending positive thoughts for Kabosu!

 

Thank you! He started eating again! Looks like that was a pancreatitis flare.

 

Thanks for the update. I am glad he is feeling better!