Hi, this is Doctor H and I would be happy to assist you.
When this happened two weeks ago do you know how the vet diagnosed the pancreatitis?
Okay, thank you, XXXXX XXXXX know if they happened to submit a quantitative level afterwards?
In respect of what?
The blood test was abnormal which was why they took him for the ultrasound
High white blood corpuscles I think
Well there are two blood tests - a snap and a quantitative. But it sounds like they didn't run anything after he returned to normal. Is that correct?
I was shown the ultrasound scan. The area of the pancreas was darker and there was wincing on pressure to the stomach area.
Right. Was anything run after Harris improved, though
No sorry missed that reply.. We haven't returned to the Vet yet, although it looks likely if he doesn't start to eat again.
Only been to the Vet the once.
Okay, but he wasn't placed on any IV fluids or anything during that time?
She reckoned on it being dietary. Possibly being fed too much wet food over too long a period. Felix.
I don't think that would necessarily be the cause.
We're not really sure of the cause of acute pancreatitis in cats
In dogs it can be due to diet, but not necessarily cats
I would have him re-evaluated and determine if the pancreatitis has recurred
he took the whole antibiotic course, and did temporarily perk up, however, but now going back into himself.
Does it recur or simply persist?
Are their any other foodstuffs I might try?
Well, it can persist chronically and then the onset of signs recur
Not necessarily, I would have him re-evaluated and investigate why it is back.
I might consider a second opinion as well.
Ok.. She said no signs of tumour
That's good. When were the antibiotics discontinued?
Vet fairly switched on I think, what might they have missed.
Antibiotics stopped 6 days ago
Okay, when did the inappetance come back?
Is there anything else that might be a cause?
Yes - inflammatory bowel disease, small cell lymphoma, liver disease, metabolic disease
Sunday.. and been listless since although today I thought a little worse
Ok a whole heap of things. Would the blood test indicate these or would this be diagnosed by the ultrasound?
Blood test will point towards liver or kidneys, it also sounds like his white count was elevated.
One thing, he isn't eating solids, only tracy and has been having very small fluid excreta.
You have to find cancers, so the ultrasound would help with that
White count was up.
She said no cancers as far as she could see.
only gravy and has been having very small excreta
It really depends on experience with ultarrasound - you mean diarrhea?
Yes intermittent though.
Initially he was straining and nothing coming out at all.
I think there's something going on in the intestines which is causing the diarrhea and the issues with the pancreas
See if she can refer you to a board certified ultrasonagrapher for a full scan and/or consult
Sounds right, back to the Vet then.. Would an alternative Vet present alternative diagnosis do you think
I will discuss with her the ultrasound, and get more detail.
I think it was a pretty experienced operative
Honestly, I'm not sure how they do that in the UK - here in the US you have general practitioners and specialists. We can do some stuff with ultrasound but we're not specialists.
It's not a bad idea to get another set of eyes on things. I think that the recrudescence of the pancreatitis is concerning, especially in conjunction with the diarrhea
Ah right you're in the US... thats the net for you. Yes the practitioners in London have a central hospital they take the animals to for deeper investigations with specialists etc.
And was this done at one of those hospitals?
Oh, so the ultrasound was done by a specialist
No miracle cure obviously. Back tot he vet then. Any suggested foodstuffs?
No, the GI food should rest the GI tract enough.
They may recommend some additional blood tests for the GI system.
Ok.. Thanks for the info. Some of these things are impossible without seeing the animal I realise, i just thought if there were something I could be doing quickly then maybe I should be getting on with it.
Before I go... where are you based?
Understood, no, you're doing everything right. Also consider a B12 injection.
Chicago - just another yank veterinarian I suppose :)
B12 ok.. I was trying to give him some nutri gel but didn't seem to make much difference. Chicago...nice place...but freezing when i was there... Many thanks
Yeah, it just start warming up - best of luck!