New Member Nikita: Puzzled and Lost Tutor

Discussion in 'Feline Health - (Welcome & Main Forum)' started by Margarida, Jun 30, 2020.

  1. Margarida

    Margarida Member

    Joined:
    Jun 28, 2020
    Hello! My name is Margarida and I'm currently based in Portugal (Europe). I have 2 loves to bits meows: Nikita and Mirinha. Nikita is the one that lead me to this amazing forum

    Nikita is a tabby that was rescued from the streets in October 2015 with unknown age (4/6 weeks probably). At the time I was struggling hard financialy and I never had a cat: now I know how big this impacted Nikitas' life. My heart was in the right place, my knowledge and money weren't.

    I'm here for Nikita since I'm completly puzzled and lost... Só every input will be tremendously welcome

    The background:
    When Nikita was around 18 months old she was admited at ER with low body temperature, lethargy, vomits, night gagging, not pooping, loss of appetite and low wheight.
    She had an exploratory surgery since no blockage was found but there was a big unknown mass on her stomach and intestines. Also there was free fluid on her belly (it was the first time I heard the PiF "word").
    She was diagnosed with idiopatic pancreatitis. The fluid was due to inflamation. The mass was something like sterophoam mixed with clumping litter. Vet told she had anxiety pica (we had a new small kitty and Nikita was not happy; we also had moved to a new home a couple of months before).
    Treatment plan: at the hospital she was on IV, got a convenia shot, anti-inflamatory meds and Primperan for nausea.
    At home we started Hills I/D (kibble) and since the only wet food she ate was Gourmet Gold we stuck with it. For a couple of weeks she got Primperan and lactulose. Also on the first couple of days she took her anti-inflamatory tablet.
    Since this she started to overgroom herself and became a very anxious Kitty.

    Fast forward to 2019, August. Nikita was almost 4yo and we were at a tough spot in life again.
    We moved cities 3 times in 8 months. I was apart from her due work for almost 2 months within this period, although visiting her once/twice a week (she stayed at my parents). When everything seemed to settle things changed without notice and we had to move back to my parents house on August. By the end of May, when everything seemed to run smoothly I got a young tabby so that Nikita would have company while I was at work (14h/day).
    When we got back to my parents house they rejected the new kitty, I had to take her to the lady from whom I had adopted (temporarly, until I find my space).
    When the stress was running wild at home Nikita got sick again: not being able to eat, fever, low body temp, increased thirst, 3rd eyelid showing on both eyes, loss of wheight.

    After ER admission the diagnosis came: CKD and gengivitis. She stayed at the hospital for about a week. She came home when her numbers improved and only with dietary management: Hills K/D (or Advanced Renal) and Royal Canin Wet pouches. A few days after I had to get her at the vet again since her eyes were still showing the 3rd eyelid. Convenia shot, and eye gel and 24h on IV fluids.
    About a week and a half later she had her dental procedure and came home. At that time I had to go abroad for 2 months, ou coming home every 2 weeks.

    Besides the renal diet, the vet advised to give her 1/4 tablet of Enalapril 5mg daily, since she would be under stress again. We also kept the eye gel at least twice a day. A month later her eyes started to improve and her appetite as well!
    In each check up her numbers for CREA were improving, although borderline. They stabilized 4 months ago... And here we go again.

    Yesterday, 29th June 2020: after 4 days of asking and gladly eating wet food (something she never ever did, except on the days that followed her dental procedure), Nikita started to become clingy, a bit lethargic, very hot ears at night, decreased dry food intake and was always begging for snacks (liophylized freeze dried salmon, chicken and duck bits from Cosma).
    Although she was eating wet alot, her wheight dropped in 3 days. On the past 2 she was eating very little, her poop became less and thin (but normal consistency and colour).

    Full bloodwork run: all values are within range, except glucose. She had eaten a bit of dry and 2ml syringe fed wet 3/4h before draw.
    T4 is 1.4
    Liver values ok as well
    No anemia

    Abdomen ECT shows inflamation on the pancreas, and surrounding areas. Kidneys are small, bladder is normal. Lots of gass, no fluids and obstipation.
    She complains when belly was checked by palpation. No fever, no vomits.

    Plan until July the 3rd:
    Keep the renal diet and Enalapril.
    Add 1ml lactulose twice a day and half a sachet of Entero-Chronic per day (probiotics).
    Zero snacks.
    Nothing for her lip smacking since she is still eating, mostly at night time (on the past week she eats about 1/4 of a wet pouch, which is odd since she was never kind of wet!). By day she only nibbles dry and sometimes a lick or two on wet. Water consumption is a bit less than usual for her, but she is hidrated.

    Doctor thinks this might be pancreatitis. The glucose values are just a bit off. He says this can be some inflamatory bout that she is fighting by herself (since bloodwork is ok).
    On Friday we'll have a follow-up. But I'm lost and very concerned (I trust my ver, he saved her life twice and he cares).

    So sorry for the huge post, but I think that background is needed. Her last BW is attached.

    Any ideas to guide me through? I do love my girls to bits and Nikita is so young (I know that her life will be short, but I will do what it takes to keep her comfy and to live as long as she wants).

    Thank you so much for reading ♥️
     

    Attached Files:

  2. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

    Joined:
    Dec 28, 2009
    Hello and WELCOME TO FDMB
    You have a LOT going on all of which is out of my league. But fear not there are other good people here to help you navigate this difficult situation. I didnt read anything about Nikta having diabetes. But then again I may have missed it. (lol you have a lot of info here)
    Hang on for more replies
    @Nan & Amber (GA)
    @Bron and Sheba (GA)
     
  3. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

    Joined:
    May 18, 2016
    I only have a minute. Need to rush out and pick up my food order.

    Wow. You have a lot going on. Thank you for taking in and looking after this little street urchin.

    A few thoughts:
    The k/d dry is over 35% carbs and could be a big factor in the glucose numbers you are seeing.
    There are some EU foods on this UK list. Look for foods with lowest phosphorous and lowest carbs.
    From the bit of lab work I see, there is no need yet for the k/d which is used in late state CKD. Did you have a complete blood panel done and can you post it? There are better alternatives.
    This is the go to kidney site: felinecrf.org.

    Why the enalapril? It is used for high blood pressure in kidney cats.

    If the enalapril is used for stress, your vet is treating a symptom, not a cause. There are other alternatives for anxiety in cats. Feliway infusers, prozac …

    Pancreatitis is serious and painful. It is treated with painkillers, with both anti-nausea and anti-vomiting drugs, and sometimes an appetite stimulant.
    Sorry to have to dash off. Other members will be reading your thread and posting.
     
  4. Aleluia Grugru & Minnie

    Aleluia Grugru & Minnie Well-Known Member

    Joined:
    Dec 21, 2019
    Ola Margarida e bem vinda você e a Nikita! Im Brazilian and a huge fan of the French movie and the tv show :)

    It does sound like pancreatitis to me and that’s common on diabetic kitties. I’m sorry if I missed it, but is Nikita on insulin right now? Which and what dosage?

    We have another member who is also giving his cat lactulose and it seems to raise the BG levels. We also recommend that diabetic cats stay away from dry food as it’s high in carbs and actually not great for any cats but I assume you’re not home testing her blood glucose levels, is that right?

    I’m tagging a few others who may be able to help you better than me since they’re more experienced members @Bron and Sheba (GA) @Red & Rover (GA) @Deb & Wink @Nan & Amber (GA)

    I’m sure with the time difference you won’t be on again until the evening so hang on and you should have more replies but then. Welcome again! :bighug:
     
  5. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

    Joined:
    May 18, 2016
  6. Aleluia Grugru & Minnie

    Aleluia Grugru & Minnie Well-Known Member

    Joined:
    Dec 21, 2019
    Didn’t realize there was more than one. Thank you Red!
     
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  7. Wendy&Neko

    Wendy&Neko Senior Member Moderator

    Joined:
    Feb 28, 2012
    Threads are merged.

    Hello and welcome Margarida. I really enjoyed Portugal when I visited there. I hope we can help you and your kitty.
     
  8. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Hi Margarida welcome.
    You do have a lot going on at the moment.
    Is Nikita on insulin? and if so what type of insulin and what dose.?

    As @Red & Rover (GA) said the K/D is very high in carbs. I would not use that. Apart from being very high in carbs, dry food is not good for any cats.
    You would be much better finding canned /wet food that is low in phosphorus. Look for foods that are 250 mgm phosphorus or less / 100 Kcal. That would be far better for the kidneys and for the glucose.

    Has you vet tested specifically for pancreatitis or is he just guessing it is pancreatitis?
    There is a test he can do called a Spec fPL that will tell you if she has pancreatitis. It will give you a number. There is also a Snap fPL that will tell you if yes/no she has pancreatitis. If you can get one of these tests done that would tell you definitely if she does have it and you can start treatment.

    the treatment for pancreatitis is supportive treatment while the pancreas settles down again. She will probably need some subQ fluids as she will most likely be dehydrated. She will need an injection for pain and some pain medication to bring home. She will need an antinausea injection and some antinausea medication to bring home. Ask the vet if he has cerenia for nausea.
    Nauseated cats won’t eat so the nausea needs treating. It is important she keeps eating.
    Please keep us updated with how she is and ask as many questions as you like. Bron
     
  9. Margarida

    Margarida Member

    Joined:
    Jun 28, 2020
    Thank you all for the warm welcome! ♥️

    Just trying to get all the question/doubts answered:

    - the posted blood planel shows glucose above limits (Nikita ate a little bit about 3h before the blood draw). Vet does not believe she might be diabetic but also hasn't completly outruled it.

    - No insulin for the time being, just trying to get a plan to see what could be going on.

    - Nikita was prescribed k/d food and Enalapril after being admited at the vet hospital last August displaying wheight loss, obstipation, vomits, anorexia, nausea, diluted urine, increased water consumption, 3rd eyelid displaying both eyes, pain and lethargy. Blood pannel showed high BUN, CREA, etc. She was on LR fluids and a few other meds. Renal values dropped and are somewhat below range since then.

    - Enalapril was prescribed to ease the kidneys from high stress circumstances at the time and since her bloodwork was good the vet opted to keep the combo renal food + Enalapril.

    - I'm worried because her ecography showed inflamation. But the vet said the blood numbers are ok, except for the slightly elevated glucose.

    At this point I don't know what to do. Nikita seems a bit uncomfortable at times and I guess I'll be calling the vet again tomorrow since I'm scared that she might be in pain.
     
    Last edited: Jun 30, 2020
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  10. Margarida

    Margarida Member

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    Jun 28, 2020
    @Bron and Sheba (GA)
    Thank you so much as well for caring. Tomorrow I will call the vet and share my concerns. Also, I'll be asking if those type of tests are available in Portugal. The vet is assuming a possible pancreatitis by what he saw on the ecography: inflamation around pâncreas, stomach, etc. He says her kidneys are a bit "shrunk" and also show a bit of inflamation.
    I talked about nausea, vitamins, fluids: he said that for now there's no need to act for nausea, vitamins can mask something that could be trying to show and fluids aren't necessary since her kidney nrs are ok.

    My heart is tiny thinking she might be in pain. She ate about a full tablespoon of wet before going to sleep on her tower bed (she likes to sleep there in warmer days). She is not crouching, just slightly curled with her head resting on the side pillow ♥️
     
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  11. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    I would push for the antinausea meds. It is really important that cats eat. If they don’t they will get other more serious.
    Antinausea tablets could make a big difference. Cats won’t eat if they are nauseated. Some vets are quite resistant to giving antinausea meds and I can’t imagine why they would. Being nauseated is a horrible feeling and I’m sure they would not want to eat either with nausea.

    To test if she is dehydrated, pull up her scruff. If it goes back into place quickly she is not dehydrated. If it is slow to go back, she is dehydrated. Also feel her gums. They should be wet and slippery. If they are tacky she is dehydrated. Giving them some subQ fluids which only takes 10 minutes in the surgery can make a big difference.
    I wouldn’t worry about vitamins at the moment. Getting her over this bout if whatever she has is needed first.
     
  12. Margarida

    Margarida Member

    Joined:
    Jun 28, 2020
    Thank you so very much! I will be calling the vet within an hour and will most certaintly insist on the nausea meds. Gums seem ok and scruff goes back to place quicly.
    Today she is clearly nausiated but I was able to get her some food (with a syringe). She also has eaten from her feeding ball (3 or 4 bits of kibble). She drank water and asked for Cosma treats but I dos not give them (forbidden for now since they are very high in protein and might increase inflamation).

    I also want to thank to everybody that promptly came with wise and warm words. So sorry if I'm not thanking properly but I'm writting on a tiny mobile and since I have carpic tunnel syndrom the pain disables my brain I'm trying my best to keep focused. But I do thank you all, from the bottom of my heart ♥️♥️♥️
     
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  13. Margarida

    Margarida Member

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    Jun 28, 2020
    Olá Aleluia Grugu & Minnie! It's such a surprise to see a native portuguese speaker

    Thank you for your loving post and for the tags. I am not testing Nikita for glucose since the vet only mentioned diabetes as something to be watches for since the glucose were the only off numbers.
     
  14. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    We are very happy to help. We all worry when someone has a sick kitty.
    Please let us know how you get on with the vet and the antinausea medications!
     
  15. Margarida

    Margarida Member

    Joined:
    Jun 28, 2020
    Thank you for taking time to help Nikita ♥️
    I'm a CKD group member so Tanyas Website is part of my readings... Is actually like a Bible, but it's a bit overwhelming to get it all. I'm also on a pancreatitis group as well.
    I've written down some food alternatives to discuss with the vet, I will push for anti-nausea and will try to get painkiller/anti-inflamatory for my girl.
     
    Last edited: Jul 1, 2020
  16. Margarida

    Margarida Member

    Joined:
    Jun 28, 2020
    I will, of course! I'm not the type of post, get answers and ghost off. I believe in the kindness of strangers and value it. I will be here learning, thanking and updating
     
  17. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

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    Dec 28, 2009
    You are not alone in this! It makes e very stressed. ;)
     
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  18. Margarida

    Margarida Member

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    Jun 28, 2020
    It's terrible indeed! Thank you ♥️
     
  19. Margarida

    Margarida Member

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    Jun 28, 2020
    I spoke with the vet and he prescribed Cerenia

    Today Nikita is not feeling better. No appetite, lack of energy, not drinking, only urinated twice, no poop. Her tongue sees to have a white coating. Her belly rumbled, like she was sick (Monday doctor told she had gás on her belly when he did the eco that showed inflamation).

    In the morning I gave her a bit of pate with a syringe.
    When I came home from work and my parents told me how she'd been for the day my heart started racing so hard :-(

    She does seems not comfortable. I tried to syringe feed a bit of pate with water but she fought hard and I'm concerned if her stomach might not be working, so I didn't insist anynore.
    Should I still give her the 1/4 Cerenia?

    Tomorrow morning will go to the vet again.
     
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  20. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

    Joined:
    Dec 28, 2009
    :( Sending prayers for your baby. I do hope she starts feeling better soon. Poor lil baby. Sending prayers for you too.
    Hold on for more replies.
    j.
     
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  21. Margarida

    Margarida Member

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    Jun 28, 2020
    All prayers are very welcome, thank you so much.
    I'll wait for more replies (meanwhile I checked the dish I left for her and she gave it a lick or two on the gravy). But she is lipsmacking and with very low energy, my poor baby
     
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  22. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

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    Dec 28, 2009
    Awww? Shes nauseated did the vet give medicine for that?
     
  23. Margarida

    Margarida Member

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    Jun 28, 2020
    I called him today and he prescribed 1/4 of Cerenia but I don't know if I should give it to her or wait for tomorrows appointment. Today we're skipping Enalapril.
     
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  24. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Don’t wait til tomorrow to give the cerenia.
    Yes give her the 1/4 cerenia now and continue it each day for a while. Give at the same time each day so there is 24 hours between doses.
    Wait 1/2 to an hour after the cerenia before offering food.
    Please let us know how that goes. We will be watching.
     
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  25. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Are you testing for ketones.?
    Lethargy and not eating together are of concern. If you are not testing for ketones please go out now ( after you give the cerenia ) and buy a bottle of Ketostix from a pharmacy or Walmart depending where you live and test the urine for ketones
     
  26. Margarida

    Margarida Member

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    Jun 28, 2020
    I gave her the Cerenia around 1 am. It"s now 5:28 am and she is around the dish, eating on her own
    But I'm still going to the vet at 10:30 to see os I get some fluids and to ch check her belly again since She isn't pooping and she is becoming dihydrated. I also want to be sure there's no blockage and want the vet to check on her breath (like hangover but without the alcohol scent after a few days not pooping os the best I can describe - sorry for the description).

    Thank you so much for watching, it's so hard when our kitties are sick and we don't know exactly what's going on.
     
    Last edited: Jul 2, 2020
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  27. Margarida

    Margarida Member

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    Jun 28, 2020
    Hi Ben and Sheba, thank you! I''m based in Portugal so no Walmart for us. I called the 24h pharmacies and they don't have such tests available. But will talk about it to the vet this morning.
     
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  28. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

    Joined:
    May 18, 2016
    Does breath smell strangely fruity or like nail polish remover? If so, it can be a strong sign of DKA and must be tested and addressed by your vet immediately.
    Until you can get to the vet, push as much fluid (in food or by syringe as possible. It helps to flush out ketones.

    I think this is similar to ketostix.
    https://www.doctorshop.pt/Prodotti/...10-parametros-visual-tubo-de-100-tiras-100031

    Tagging @Gill & George next door in Spain in case she happens to drop by in the morning. She may know what products are available i nEU.
     
  29. Margarida

    Margarida Member

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    Jun 28, 2020
    I wouldn't describe her breath has fruity/naiil polish like. It"s more like a breath that comes from the guts... Like she had diluted poop on her stomach (sorry for the description).
    She came again to give a few licks on her pate dish.
    After the ketones test, if no evidence is there, do you think I should insist on a B12 shot along with fluids? Yesterday, when I mentioned something like an anti-inflamatory ir painkiller, the vet was cautious due her kidneys. I do understand but I think this (whatever it is) won't get better with the aforementioned probiotics (commonly used for diarrhea, maybe the lactulose would even it out but the factis that Nikita is not having bowel movement, only belly rumble noises).

    Thank you for tagging a neighbour, the vet appointment will take place within 4 and a half hours (fingers crossed).

    Those tests are meant for urine markers. I will seek out for them since most reliable ones require prescription from doctor. Thank you for showing me what I need to look for :)

    Note to self: Yesterday I only gave her about 1ml of lactulose. Didn't gave Entero-Chronic (probiotics) nor her Enalapril.
     
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  30. Margarida

    Margarida Member

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    Jun 28, 2020
    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 ♥️♥️♥️
     
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  31. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

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    Dec 28, 2009
    Awwwwww poor kitty kitty. I'm glad shes home though. I dont have any advice to share as, Ive never had these problems but you can be SURE, some here have, so hang on for more replies. Please give Nikita some scritches from all of us.:bighug:
     
  32. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Feb 21, 2015
    Margarida, thanks for the update on Nikita. I’m sure she feels better having pooped.
    I don’t have much experience with IBD but lots of others do. I would start a new thread called ‘help with Possible IBD’ and copy and paste your last post from here into it.
     
  33. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    Have them test for pancreatitis
     
  34. Margarida

    Margarida Member

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    Jun 28, 2020
    Thank you, I will!

    But we're back to the same now. Yesterday after the vet visit and getting her bowel movement she ate about 4 tablespoons of pate. During the afternoon (I was at work) she gave a few licks on wet and nibbled some dry. I gave her the meds (1ml lactulose and Enalapril; about 1h later, and before we went to sleep, 1/4 Cerenia).
    Still not eating and no bowel movement. She does seem to be hungry, but she simply smells or runs away from food (wet or dry). Should I syringe feed her? I will be calling the vet this morning since we're stuck again. She is a little bit less lethargic, but her wheight worries me and not seeing her drinking or eating makes me worried sick.
    She is perkier than before but I don't know if it's because somehow she might feel better than before or if it's just a stress answer.
    I'm really lost and don't understand what's going on at.
     
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  35. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Feb 21, 2015
    If she’s not eating with the cerenia yes I would syringe feed her, or try offering food off your fingers first.
    She needs to eat.
     
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  36. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

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    Dec 28, 2009
    Ummm have you checked her teeth? I had a feral that ran from his food (and he was hunfry) turned out he developed stomatitis(sp?)
    just a guess mind you.
    sending prayers for Nikita
     
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  37. Margarida

    Margarida Member

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    Jun 28, 2020
    I gave her Cerenia tonight and 30min later she vomited white foam with clear liquid... I thought the medicine was to prevent nausea and stop vomiting. But she did.
    I also gave her 5ml of lactulose (rectal) after Cerenia, by vet advise, but no poop so far. Around bedtime I will go for syringe feeding (not much, since I don't want her to vomit and also I don't want her to get food aversion).
     
  38. Margarida

    Margarida Member

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    Jun 28, 2020
    Vet checked her mouth twice looking for signs of inflamation or other: mouth, guns and teeth are ok.
    Prayers are very welcome, thank you ♥️
     
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  39. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

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    Feb 21, 2015
    I would try the cerenia again after 24 hours. There is also ondansetron which is another antinausea medication which works on a different pathway. Ask for some of those. If one doesn’t work the other one often does.
    Cerenia and ondansetron can be given together.
    Did she lose the lactulose as well?
    I think I would try and get some food into her before giving the lactulose which may have been what made her sick.
     
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  40. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

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    Dec 28, 2009
    Just checking ;)
    Hope Nikita is feeling better soon.:cat:
     
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  41. JanetNJ

    JanetNJ Well-Known Member

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    Jun 8, 2016
    The foamy clear puke is stomach acid from having an empty stomach.
     
  42. Margarida

    Margarida Member

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    Jun 28, 2020
    Yesterday was a ectic day.

    Nikita puked Cerenia the other night. She hasn't lost the lactulose because it was given rectaly.
    Yesterday she had a bowel movement, she drank and seemed to have appetite. But she doesn't eat. I gave her wet food through a syringe (that she loathes) in the morning and night. During morning she player with her snack ball and a few kibbles. She drank water as well.
    My mother told me that during the day, she tried to eat but couldn't, like she had nausea...

    Cerenia isn't helping her with eating. I'm looking for a food that won't hurt her CKD but also helps with tummy inflamation and bowel movements.

    I will be posting her condition on another thread, like advised. Please keep Nikita on your prayers. Tomorrow we'll go again to the vet. I still don't know if I should get a second medical opinion (I trust her vet, but I feel so puzzled and lost with all this).
     
  43. Margarida

    Margarida Member

    Joined:
    Jun 28, 2020

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