Hello! My name is Margarida and I'm a new member. I'm her to find help for my almost 5 years old Nikita. She was diagnosed with CKD last August but since her medical issues started when she was around 18 months old: idiopatic pancreatitis, colitis, overgrooming and subsquent hairballs, etc. I did my best to have them all adressed, but one thing that was always in the air was stomach upset, inflamation and obstipation. She is on Enalapril so that kidneys receive more blood and she is eating renal diet (Hills K/D kibble and Royal Canin Renal Wet pouches/ Kattovit Renal pouches/Purina Pro Plan Renal NF RX morsels - it varies accordingly her willing). My original thread is here: http://www.felinediabetes.com/FDMB/threads/new-member-nikita-puzzled-and-lost-tutor.231668/ Now, the update from 3 days ago (Wednesday): "Update on Nikita: Today at the vet an abdominal x-ray was done since due to gas the ecography was not showing more than already did. With the x-ray the vet found impacted stools across all intestine! Also evidence for gastritis. The vet , due all Nikita history, is more inclined for IBD then pancreatitis. He gave Nikita 5ml of rectal lactulose to see if the stools would come out on their own. She will still getting 1ml twice a day of lactulose and, if needed 5ml of rectal per day. He also advised to keep the Enalapril since it allows the kidney to receive more blood and work more effortlessly. Also, 1/4 of Cerenia 24mg for more 4 days. When we arrived home Nikita went straight to the litter and was able to evacuate She also ate a bit of wet and, now that I arrived from work, I know that she licked a bit more of wet and nibbled on her Hills K/D. She seems a bit less lethargic but she is still weak. At least she came meet me at the door ♥️ I've discussed further bloodwork, fluids and B12. The vet didn't want to stress her more and, by the x-ray evidences, he states that we should watch for 24h more and only then decide for more blood drawing. As for the fluids no signs of dehydration*, so no IV for now as well. As for the B12, since there are no neurological issues, he does not see the need for it but he is open to give it within a few days if her gastritis, and mostly overall condition, won't improve. We will try to get more clues on IBD (by all her medical history since ever, her eating habits/etc). We will also keep an eye on glucose. As for cetosis, the vet says her breath is mainky caused because she was not eating/drinking and the obstipation reached the stomach (my poor baby). What are your thoughts regarding this? Is there anything particular I should be paying attention to? (*The white coating on her tongue and the dry nose could've been caused by her impacted feeces and gastritis. And since she was not eating/drinking this also concurred for it. When pinching her scruff the skin goes back in place quicly and her gums don't get white after pressing.) I'm so grateful for finding this message board and all the caring people on it. Thank you all for being here with me on this cloudy days ♥️♥️♥️" On Thursday she hasn't pooped, took her Enalapril with a tad of syringe fed wet food. During the day she bate close to nothing and vomited her Cerenia 30min after taking it at night.She was more alert, but she is still loosing wheight (obviously). She was given rectal lactulose and was syringe feed again at night (not much, but I just needed to get something on her stomach). Vet told I could try to give her a senior food just to see if she eats. I'm working 7AM until 11PM, so I only bem able to get new food on Sunday :'-(. Yesterday (Friday): Syringe fed pate in the AM. She nibbled on her snack ball a little after taking Enalapril. Had a bowel movement. During the day she tried to eat but wasn't able to, like she had nausea (I was at work, it's my Mother feedback). She drank water. I syringe fed at night (once again not much), she took her Cerenia but still not eating. Today (Saturday) she asked for some oat grass (she was a heavy nibbler of her grass before this week, I think it has something to do with her belly and not so much with hairballs now that I think about it). Since she does not eat (but seems to be hungry) I syringe fed pate again. She is now sleeping on my lap and I will give her Enalapril within a moment. Her energy is obviously low. Tomorrow (if not sooner) we'll go to the vet again. I know this is a long post, but I really need some advice on this. Since she has kidney disease and possible IBD/gastritis what can I feed her to get her eating? I insisted on B12 but vet was not willing to at this point. Tomorrow I will insist again on the B12, see if Cerenia helped with inflamation but will ask for something else regarding nausea and appetite. If you read it all, thank you so much! Her bloodwork is posted on the original thread.