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Hello Nicola, I'm Dr. Deb and will do my best to help you today.I'm sorry for this concern for Barbie but I do have a few additional questions to ask about her first if you don't mind:1. Is she still eating but just not drinking as much?2. Did your vet feel she was dehydrated?3. Did he give her any fluids under the skin or send you home with any medication?4. What blood tests were done, if you know?5. Was a urinalysis also done?6. Any other signs such as weight loss, vomiting, diarrhea, etc?
There may be a slight delay after I receive your answers since I have to type up a response to you. Thanks for your patience. Deb
Nicola: Thanks for the additional information. The fact that she's not lost any weight or showing other signs is a very good thing as is the fact that she just ate.She certainly could be having reactions to any one of the drugs that she was given. If the drugs are now starting to wear off, then she may be returning to normal.I'm assuming that your vet might have thought she was having some issues with her pancreas if her kidney values and all other tests were normal. There's a special test, called a spec fPL, which can be run to evaluate the pancreas but it's not done part of the routine bloodwork and has to be specifically requested. But I've actually come to doubt it's reliability in some cases since not all tests are 100% accurate.Signs of pancreatitis can simply be anorexia but since older cats can experience other issues (such as kidney disease) which cause this symptom, it's always a good idea to run blood work to rule out these other issues first.Typically, if pancreatitis is suspected or confirmed in cats, the treatment consists of fluids and pain medication (we believe pain is why they have a reduced appetite and thirst).In terms of encouraging her to drink, this isn't always the easiest thing to do in a cat since they typically aren't big water drinkers in the first place. But I usually suggest tuna or clam juice or low sodium chicken broth. You can also use a syringe to squirt liquid into the side of her mouth, if necessary.And, as far as getting her to eat more, appetite stimulants can also be given such as Mirtazapine or Cypoheptadine although these would have to be dispensed by your vet.If it looks as if she's starting to improve, then one scenario might be that she did have pancreatitis which is not starting to resolve and/or she was having a reaction to one or more of the drugs she was given.Some of these cats also have a low level of nausea even though they aren't actively vomiting. She could be given over the counter Famotidine although this drug may be hard to find in the UK. The dose would be 1/4 th of a 10 mg tablet twice a day.Another option would be Omeprazole at a dose of 5 mg once a day.I would continue to monitor her today and if she still doesn't have a good appetite tomorrow, then I'd call your vet and ask about an appetite stimulant.I hope this helps and that you continue to see improvement. Deb
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Best of luck that she's turned the corner with this. Regards, Deb
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