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Transitioning a cat with IBD to raw - a diary.

Discussion in 'Cat Health and Nutrition' started by Forester, Jul 17, 2017.


  1. Forester

    Forester trained by Dylan

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    Dylan's vomit total for October was 8, exactly the same as last October and 2 more than in September. Last year I was over the moon with that total, this year not so. My feelings are being influenced not just by the actual vomit tally but by Dylan's increasing episodes of apparent discomfort after eating.

    I do now have the Ondansetron, though I'm currently too frightened to start it. I ended up having to get it through a human pharmacy who ordered it in especially for Dylan. Guidance regarding the dosage varies immensely. I gather that those who recommended this drug to me use it at half the dose suggested by my vet, or rather half the dose but at 12 hour intervals. I'm planning to start with the lower dose, particularly as the pharmacist informed me that this is a very powerful drug ( I'm not sure whether that reassures me or has the opposite effect ! ) Anyway I'll start Monday morning so it will be easier to get hold of a vet if I need one in a hurry.

    In the meantime , I've made up Dylan's next ( half sized ) batch of food with 10% of the PurrForm Supplement dose and added in 90% of my calcium, taurine, cod liver oil combination. I'll hopefully move to 20% PurrForm dose on Monday. I plan to try to get this reintroduction done much more quickly than the first attempt, using the Ondansetron to help keep Dylan comfortable. I have no idea how long I can use the Ondansetron for . I've only seen references to it being used to prevent nausea associated with chemotherapy, or surgery, or alternated with Cerenia. Unfortunately Dylan doesn't do well with Cerenia as he refuses to eat at all when taking it.

    Once again I'm thinking that my own anxiety about Dylan may be making him worse. After my vet visit on Monday I felt a little more positive than in recent days because the Ondansetron provides another possible tool in this battle with Dylan's IBD. Dylan has also been noticeably more relaxed.
     
  2. Forester

    Forester trained by Dylan

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    Thanks SbanR :). I need to do some more research.
     
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  3. Mrs Funkin

    Mrs Funkin Human mother to Oscar

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    I have seen Ondansetron be a wonder drug in some of my women with hyperemesis. I hope that you are able to sort out the appropriate dose and also that you feel able to give it to Dylan. Paws crossed.
     
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  4. Forester

    Forester trained by Dylan

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    For the last two days I've been feeding Dylan's pork mixed with 10% of his PurrForm supplement requirement. He's been eating it well ( When I tried this previously he refused to eat the meat so I had to give the supplement inside multiple gel caps ). He also hasn't been sick. I have a little more of this meat/ PurrForm mixture then will move to 20 % of the Purrform dose.

    I also plan to start giving the Ondansetron tomorrow. I'll give 1mg in the morning placed inside a capsule into which I've also placed his a.m. pred.dose. I'll feel happier starting with 1mg then increasing as necessary. :Nailbiting
     
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  5. Mrs Funkin

    Mrs Funkin Human mother to Oscar

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    Here’s hoping it goes well for you Dylan. Let us know @Forester :) Good luck!
     
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  6. Forester

    Forester trained by Dylan

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    Thank you, @Mrs Funkin .Your good wishes are greatly appreciated.:)

    I gave Dylan 1mg ondansetron this morning an hour before his breakfast. He hasn't been sick . His appetite hasn't been particularly good so far today but it's improved as the day has gone on. I intend to stick with 1mg , even if he's sick, until I can see that it's not making him constipated. Being raw fed he tends to poo every 2 -3 days .​
     
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  7. Forester

    Forester trained by Dylan

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    I spoke too soon. Dylan has just been sick. That will teach me to get too confident that we're going to get a vomit free day.

    It is quite unusual for him to vomit during the evening, although interestingly he did it regularly back in 2014 - when I gave him something which helped with the morning vomiting.:confused: I'm thinking that twice daily could be the best dosing interval for him though I don't want to go to that till I know that he's not going to get bunged up. ( constipation is a listed side effect of Ondansetron ). We don't need constipation to add to our problems.

    I desperately hope that this new drug will help me to get Dylan onto a complete diet ,. . . . . and that he'll adjust to all of his dietary ingredients.
     
  8. Mrs Funkin

    Mrs Funkin Human mother to Oscar

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    Yes, ondansetron has a comparatively short half life @Forester - so potentially the twice daily is the way forward but I understand you wanting to balance the chance of constipation with the benefit of not vomiting. Come on Dylan :) you can do it.

    Speaking of speaking too soon, I was all happy as we’d had no regurgitation in 7 weeks and on Saturday twice before 7.30am. Luckily in the second was a hairball, so I’m hopeful it was all to do with that rather than anything more sinister. Pride comes before a fall and all that...
     
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  9. Mrs Funkin

    Mrs Funkin Human mother to Oscar

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    How has Dylan done today @Forester ? Hopefully no vomiting for the lovely boy.
     
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  10. Forester

    Forester trained by Dylan

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    We're vomit free today , or maybe I should say vomit free so far. Dylan eats anything from 6 - 10 times per day so we still have plenty of time for an unwanted " gift". I gave 1mg Ondansetron again this morning ( will increase to 2mg once he's pooed ) and he did look " a bit dodgy " ( technical term ) for a while although he didn't actually produce .

    I'm so sorry to hear that Oscar has broken his long run without regurgitation.:(. It does sound as though the hairball was responsible.

    I'm sorry that I'm not up to speed with Oscar's story but has he had an ultrasound? I'm pretty sure that you will have raised his dishes but have you ever tried raising then really high? A vet once suggested to me that I feed Dylan on a large step so that his body remained almost vertical whilst he ate. The vet was under the impression that he was regurgitating however he vomits which is a completely different scenario..

    They do like to keep us on our toes.:rolleyes: ;).
     
  11. Mrs Funkin

    Mrs Funkin Human mother to Oscar

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    Oh excellent, that seems positive (so far!) for the day, hurrah. Good stuff Dylan. I fully understand the looking "a bit dodgy" thing! I'm so glad if you get to midnight vomit-free.

    Oscar unfortunately will not eat if his bowl isn't on the floor! Even when he has treats, he isn't keen to stretch up for them. I have tried several heights of things to put his bowls on but nope, he just won't eat if they are raised. We've had nothing regurgitated since Saturday morning, I really do think it was the pesky hairball. I don't mind so much if there's a reason for it - I'd want to get that out of my tummy too. It's difficult because we have no idea what he was like in his previous home in terms of his health. Husband thinks I'm daft as I keep a daily diary of Oscar's food, wees, poops, vomits, treatments and weight. Ah well :) Anyway, this isn't about Oscar, it's about Dylan! I'll shut up.

    Paws crossed for another good day for your boy tomorrow :)
     
  12. Forester

    Forester trained by Dylan

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    Ahh, I understand. Oscar likes to do things on his terms only, bless him.

    Don't put yourself down Mrs F. Those records of yours could be very useful one day! TBH they sound very like mine, and mine go back to 9/1/14. Incidentally when Dylan was referred to Langford I sent colour coded charts detailing vomiting alongside medication, vomiting alongside food, and vomiting alongside events perceived to be stressful, as well as about 10 pages of " observations". His Specialist told my vet that she'd never before received such detailed records, and that she was very grateful for them.

    This thread is about transitioning a cat with complicated IBD to a fully complete raw diet , but it also aims to help anyone experiencing similar " difficulties".
     
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  13. lorilu

    lorilu PetForums VIP

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    Pfft. I've been keeping a cat journal since 1986, when my first cat (as an adult, not counting childhood cats) developed asthma. It's just good common sense. :)
     
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  14. Forester

    Forester trained by Dylan

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    Why does every attempt to solve a problem cause even more of them ? We have poo today, but it came in 4 instalments about 1/2 an hour apart. Oh, and Dylan was sick again yesterday evening.

    I'm leaning towards giving another 1mg Ondansetron this evening but still concerned about it bunging him up. I do have some lactulose that I could give but I don't want him to get reliant on that. Added to this Dylan's appetite has reduced considerably , although he's eating his overnight meals before I get up. I had to resort to a little fortiflora during the daytime yesterday.

    I've forgotten what it was like to have a cat who you could feed " normally ".

    I have been thinking about the PurrForm Complete Supplement and decided that if I can only get Dylan to eat a proportion of his ration for the time being it will be better than nothing.
     
  15. lorilu

    lorilu PetForums VIP

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    {{hug}}
     
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  16. Forester

    Forester trained by Dylan

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    Thanks :) Right now I have a strong urge to stand in the middle of the woods and SCREAM.
     
  17. lorilu

    lorilu PetForums VIP

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    Do it.
     
  18. Forester

    Forester trained by Dylan

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    Oh , that's actually made me laugh.:D I do still feel tempted but there are so many dog walkers/ horse riders/ cyclists about that I'm concerned that I'd get carried away, . . .literally!. Then who would care for my handsome boy, as well as tell him that he's the most wonderful cat in the world, worth every one of the zillions of tears that I've shed over him.
     
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  19. Mrs Funkin

    Mrs Funkin Human mother to Oscar

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    Oh @Forester I'm sorry it's all become even more of a balancing act. Perhaps the poop is reduced as his food intake has also reduced? The ondansetron may be more effective if he has it twice a day, it's built for that in humans (I know, Dylan isn't a human). Of course, I am not qualified to advise on cat medications, I'm just thinking aloud really.

    I reckon a scream-fest wouldn't be a bad idea. Let out the pent up anger and distress, send it away into the open air :)
     
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  20. Forester

    Forester trained by Dylan

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    @Mrs Funkin . I'm planning to move to giving the ondansetron twice daily from tomorrow morning. I did consider changing from this evening but it makes more sense to do it tomorrow due to the position I'm at with splitting tablets.

    Dylan has just had another " dodgy spell" when I thought he looked nauseous. Luckily it came to nothing . I'm guessing that me following him, brandishing his nail clippers ,might have been sufficient distraction. I do feel bad for doing it but it's never failed to work( I'm a bad slave ). He only needs to be distracted for a couple of minutes .90% of his vomits occur 10 minutes after he's eaten, the other 10% between minute 5 and minute 10.

    As for the scream fest . . . . I cleaned the oven instead , and have almost scrubbed the shelves away! I thought that I channel my frustrations in a useful way. :)
     
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