Hello,About a month ago one of our cats was diagnosed with acute pancreatitis. Her symptoms were loss of appetite, vomiting, tenderness in the cranial abdomen, and general malaise/depression. Her initial blood tests showed elevated leukocytes (24.68K/ul), BUN (64mg/dl), and glucose (190.5mg/dl). Her temperature was normal. She is an 11 year old Maine Coon who spends most of her time inside and only goes out with supervision. The vomiting consisted of large amounts of mostly clear fluid.

She was put on IV fluids with antibiotics, pain medication, and an antiemetic. All food and water was withheld for 48 hours and then slowly reintroduced. The treatment worked and soon she was eating very well and gaining her weight back. But, suddenly, it started all over again this evening. She had been fine for nearly a month, eating like crazy, playful, active, etc. And now it looks like she's right back where she was a month ago. Since she went from being fine to quite sick in such a short amount of time, I have to think of the possibility of poisoning.

Although we try to watch her 100% of the time when outside, it's not always possible. I wonder if there's something that she's eating, some plant/weed possibly, that's causing this. Or, is this just how pancreatitis can be, fine one day and very sick the next. It just doesn't make sense. Any advice would be most helpful.

Dave
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Dave,
I don't have any advice to offer, except that maybe it's something chronic she's developed? Purrs and good thoughts coming your way.

Karen
She had been fine for nearly a month, eating like crazy, playful, active, etc. And now it looks like she's ... fine one day and very sick the next. It just doesn't make sense. Any advice would be most helpful. Dave[/nq]I understand from your post that she went outside without supervision and got sick again, right? Acute pancreatitis can be caused by something she ingested while outside and that can be regarded as poisoning. I suggest you no longer allow her to go outside unsupervised because it really looks like she´s eating something out there she shouldn´t. Cats love eating leaves and she might be eating the "wrong" kind because the "right" kinds are not available.

If you can´t keep her strictly indoors and can´t supervise her every time she is outside, get a vase and plant some of the "right" kind for her and let her eat at will. Hopefully she will not get the urge of eating the wrong kind when outside. She may also be eating some other thing so keeping her strictly indoors would be safer. My cats love bamboo leaves and it never did them harm. Other posters here use other kinds of leaves and might give you more suggestions.
http://www.vin.com/VINDBPub/SearchPB/Proceedings/PR05000/PR00120.htm
Has she been tested for FIP?

See my cats: http://community.webshots.com/album/56955940rWhxAe Raw Diet Info: http://www.holisticat.com/drjletter.html http://www.geocities.com/rawfeeders/ForCatsOnly.html Declawing Info: http://www.wholecat.com/articles/claws.htm
She had been fine for nearly a month, eating like ... doesn't make sense. Any advice would be most helpful. Dave

I understand from your post that she went outside without supervision and got sick again, right? Acute pancreatitis can be ... it never did them harm. Other posters here use other kinds of leaves and might give you more suggestions. http://www.vin.com/VINDBPub/SearchPB/Proceedings/PR05000/PR00120.htm

Actually - they don't seem to know what causes Pancreatitis in cats. My cat is currently suffering with this, and he is strictly an indoor cat. I don't have plants around that he eats, although I am looking at changing his diet in general. Right now, he won't eat anything - and I'm having to feed him small amounts with a syringe (Hill's A/D prescription) which he still vomits up at least once a day (which is better than the 3-5 times a day it used to be). Fortunately, he is drinking water. I think it's going to be off to the vet again on Monday.

I know that's not much help, though. My vet did tell me that it can take quite a while for this to heal, and it can come back again.

Bonnie
Bonnie
Actually - they don't seem to know what causes Pancreatitis in cats. My cat is currently suffering with this, and ... to be). Fortunately, he is drinking water. I think it's going to be off to the vet again on Monday.

Sorry about your kitty. Did you have a chance to read the article on that link I posted? They mention some possible causes and state that whenever possible, the inciting cause should be removed. I think changing his food entirely is a good idea, preferably to a canned diet without carbs. Carbohydrates put a lot of strain on a cat´s pancreas. You could also try to sprinkle some digestive enzymes on his food to give his pancreas some rest. There are many supplements of digestive enzymes out there that you can use. Has he had it for a long time? What kinds of foods have you tried?
Actually - they don't seem to know what causes Pancreatitis ... going to be off to the vet again on Monday.

Sorry about your kitty. Did you have a chance to read the article on that link I posted? They mention ... there that you can use. Has he had it for a long time? What kinds of foods have you tried?

I didn't catch the link you posted. Would you mind posting it again? I have done some research online - there's not a lot about this particular disease/disorder, but most everything I did find was in line with what my vet said. He's had this for about 2 weeks, some days better than others, but none particularly good.
This particular kitty had crystals a few years back, which he had surgery to remove. Since then, he's been on a Waltham prescription diet (S/O dry), supplemented with a little Nutro wet food. My vet has suggested that when this passes, we should put him on a high protein/low-carb diet (Atkins for cats?). When I got my kitties 9 years ago - the school of thought was dry food should be the main part of the diet. Since then, it appears the thinking has changed. I've been out of the loop, I guess. I've been thinking of trying Iams. I will look into the enzymes you mentioned, as well.
I've been reading the food wars in this group - please let's not go there.
Anyway, can't do much until the inflammation goes away from his pancreas. The A/D food I've been syringing into him is low-fiber, easy to digest. I think I will have to admit him to the kitty hospital on Monday, because nothing I'm doing is working. He's continuing to lose weight (fortunately, he was overweight some before), and spends most of the day in a catatonic state (pardon the pun, but that's what it's like).

Bonnie
I've been reading the food wars in this group - please let's not go there.

I think the food wars are only because some believe carbs or not harmful to cats. Then there is the real world that proves that isn't the case. Pancreatitis is from what I understand another form of IBD. I hope you can get the problem under control because it is such a debilitating disease.
Hello All,Well, we're now more frustrated than before. We took Ginger to a vet at the local emergency clinic this morning who had treated her about a month ago when this first started. He said the pancreas felt normal today, but he noted what he thought to be mass in the abdomen that was not noted before (1 month ago) in any of the evaluations of the three vets that examined her. She also had an ultrasound performed a month ago, and no abnormalities were noted.

But, since the vet today said he felt a mass, he wanted another ultrasound. So, that was done this afternoon (by a different vet than the one who did the initial ultrasound). Most of the report was normal findings for a cat of her age. But, here's the bad stuff. "One area of intestinal wall in mid abdomen appears thickened and hypoechoic with gas shadowing within lumen. No mesenteric lymphadenopathy noted. Assessments and DDx: Thickened abdominal wall - focal neoplasia, GI lymphosarcoma, leiomyosarcoma.

Chronic intussusception, severe parasite burden." The vets that examined her today did not note any of the abdominal tenderness/guarding that she exhibited a month ago, which was thought to be consistent with the pancreatitis diagnosis. Tonight, for what it's worth, after bringing her home and letting her settle for a while, she expressed interest in eating. So, we gave her a little food, and she drank some, and so far it's staying down. When this happened a month ago, she lost all interest in eating.

So, she appears to be on the upswing again.

The thing that I'm really struggling with here is if it is a tumor, how can she be fine one day, deathly ill the next, recover nicely after supportive therapy, do very well for 3 weeks, but then over the course of 1 day become deathly ill again. The suggestion was offered by a vet today that as she looses weight from the vomiting, the relationship of the folds of the intestines changes such that the pressure is relieved from a blockage at the site of the mass only to return as she eats more and gains weight. I suppose that is possible, but it's just a guess.
We had decided today that if the ultrasound was strongly suggestive of cancer that we were not going pursue heroics like chemo, radiation, or surgery. The possibility of an intussusception, however, is something for which we would consider surgery. But, I'm sure that the other diagnoses are more likely. Without pursuing exploratory surgery, is there anything else that can be done a this point to get a more definitive diagnosis?

This cat has been my best friend for 10 years. I love her more than I could have ever imagined, and just want to make the best decision for her. I do not want to prolong suffering and trade the qualify of her life for maybe a few more months. But, the report says "focal neoplasia" and "no mesenteric lymphadenopathy noted." These may be indications that surgery could be successful, and provide some quality years. Or maybe it is an intussusception. I just don't know what to do. Once again, any suggestions will be appreciated.
Thanks for listening.
Dave
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