r/AskVet • u/Gingergay • 10h ago
14 year old Domestic Long Hair Cat - Pancreatitis or something more?
LINK TO VISIT SUMMARY Lab Results - there are no X-Rays or other materials.
Species: Cat
Age: 14 1/4 years
Sex/Neuter status: Female - Spayed
Breed: Domestic Long Hair
Body weight: 12.5 lbs
History:
Lived with multiple cat households until 2019, then solo cat. Moved to new place 9 months ago in what will now be final home as I bought a condo.
Owner - WFH mid-30's who does travel occassionally for 3-4 days at a time and has a friend who previously lived with cat check on her. Cat is very adverse to strangers almost all of the time.
2024 - First episode of serial vomiting of dry and wet food, don't remember what tests were run then but she weighed 13.5 lbs then. Was prescribed bland diet and likely some anti nausea meds that I used pill pockets to give.
Clinical signs:
Vomiting started sunday this past week where she puked on the bed (she rarely pukes on bed, almost always goes on floor to puke) Puked up clear bile next 2 hours later on bed again.
She ate normal wet food and dry food throughout sunday without issue (normal wet food is Sheba Pate, 1 half of those snap packs. Dry food is Taste of the Wild Venison) She never had signs of overeating though she would desire and meow for wet food sooner and more often over past few months.
Monday morning wet food starts in the morning - she eats as usual - vomits all of it up 30 mins after eating - pink milkshake like consistency everywhere on the floor, 3 spots. I clean up go back to bed, she in bed with me - pukes up more bile right next to me in the bed. Continues vomiting 2-3 more times but all foam - this is the time I take her to vet urgent care by 11:30 Monday Morning.
Tests from the urgent care attached. Leaves with Hills Gastrointestinal Biome, Gabapentin liquid vial and syringe as well as 4mg Ondansetron to be given every 12 hours. 1 can of Biome food every 8 hours. I spread them out in 3rds so she doesn't eat two fast. She leaves with nausea shot and fluids shot. Also given Mirataz Transdermal application Rx - 1.5 inch strip every day for 14 days.
Long story short after this, I failed to effectively give nausea pills to her in wet food and or pill pockets, the first day she is mostly riding off the nausea shot given at the vet. The second day I attempt to give it in wet food (she didn't eat it) and then a pill pocket via insertion. she spit out the pocket treat but then actually ate it. 30 mins later she puked it up and I could tell the pill had not yet dissolved in her system as it was still very clear in her vomit in the litter box. Scout Urgent Vet then recommended hospitalization. I did the hospitalization because I was too afraid of how long she had gone without good amounts of foods and hydration and my inability to dose my cat. This was Tuesday evening.
Hospitalization took place via overnight stay from 9:45 until 1 next day where she was given anti-nausea, pain med and fluids via IV. She responded well to this and ate well at the hospital - pretty sure she wasn't give the exact script food that I had been giving her but she was out of my care. I pick her up with more Ondansetron, same duration; Cerenia, 24mg split in half, once per day, buprenorphine every 8 hours for 2 days. have a hard time getting her out to give her any medication or even attempt to - any treats or other food with pills mixed in she refuses to eat that night and into the next day.
Next day is Thursday - Mirataz was given to start that Rx again after hospital and buprenorphine in cheek with some spillage. But no nausea medication yet. She does puke up bile once in the afternoon and minimal eating, I attempt to give pill myself 3 times while cat is wrapped but wrangles out each time. I have a friend come over late afternoon to help me administer the pills orally (he does the insertion while I hold her. It works and she gets dose of Cerenia, Ondansetron - she turns around quickly and begins to drink water then food in good amounts.
Friday We continue administering the next day 6am (mirataz, buprenorphine, ondansetron) and then again at 4:15 (Cerenia, ondansetron, buprenorphine). She eats through the prescribed food Morning until 10-11 (2 cans throughout that time). She had a large bowel movement that was more consistent of diarrhea (lumpy and moist) - but then another bowel movement that is more solid later. She starts to slow down food intake considerably to nill overnight.
Saturday (today): There appears to be more bile only vomit in the litter box. I am able to get her to take orally ondansetron via small wrapped pill pocket and manual insertion. Begins eating again in modest intervals since 7:30am and modest drinks of water. She still finds herself looking at wet food often but not always eating wet food and turning around. - Bowel movement was stilly slightly moist but now is more log shaped like normal - still urinating. Spent all of morning in bed with me between eating.
I am out of the Cerenia as I wasted one half in pillpockets mixed in food and then crushing it and mixing in another wet food. so she's only had 2 days out of the 4 originally intended. still plenty of ondansetron. Still have vials of the buprenorphine as I wasn't able to administer every 8 hours during first 2 days - do I still give them? 3 left.
Visit with actual vet is this coming Wednesday - working on my skills getting her to take pills and then also having my friend come over to help until then. My main question is - based on the past 2024 issue and today - does this feel like something that might be her new normal as in like periodic flare ups? There is possibility of start of early kidney disease but can't be staged now while she is sick. The vet will be new and checking her out for the first time but I intend to now take her on a regular basis as vet prescribes to try and correct the issues she's had here.
Duration: 6 Days (1.5 day symptom onset, 4.5 days recovery so far)
Your general location: Chicago IL