During COVID quarantine, my cats thought it would be a really good time to come down with other issues. Three cats-Jimmy, Baby, and Katharine have been to the vet during this time.
Katharine has been seizure free since May 2018. She sees the cardiologist annually due to a heart murmur and has no issues or causes. But since she went on phenobarbital in May 2018, she has had issues eating. She has been on increasing doses of Mirtazapine appetite stimulant ever since. Now she takes a weekly dose. She is also very low on vitamin D. She has gone from one drop a day to five. Since she and Baby are both on vitamin D, I give each a .1ml dose-which as well as I could figure, is close to five drops. They will be retested in a few weeks and we'll know more then.
In March her gastro test results-for cobalamin/folate and PLI-came back with possible IBD or pancreatitis. Baby had close to the same results and was put on Metronidazole. Katharine was not and somehow it slipped through the cracks, likely because the COVID virus shut down the state just as we got back the results. Being too busy in general, and then dealing with Baby's CKD vet appointments, I forgot to tell the vet I was ok with Katharine going on the medication. So, we will discuss this tomorrow when another cat goes to the vet for his latest issues.
Katharine's cobalamin was normal; PLI was normal; but folate was too high, possibly indicating an infection or issue. Given the other two were normal, pancreatitis was not indicated per the vet's notes. It could also mean she's absorbing too much of the nutrient which means there's another issue.
Her kidney values are good. SDMA is 5, creatinine is 1.5, BUN is 22. Potassium is good at 4.3 but with supplementation (which we've been giving her since May 2018 because no one could find a cause for the seizures. Insufficient electrolytes was a possible cause, and potassium was easy to give by mouth using Renal K.) I need to check her hyperaldosteronism next time. As we learned with Baby, when potassium is low, a cause could by hyperaldosteronism. Given that Katharine is on a potassium supplement, her level should be higher than it is-or possibly should be higher.
Katharine has been seizure free since May 2018. She sees the cardiologist annually due to a heart murmur and has no issues or causes. But since she went on phenobarbital in May 2018, she has had issues eating. She has been on increasing doses of Mirtazapine appetite stimulant ever since. Now she takes a weekly dose. She is also very low on vitamin D. She has gone from one drop a day to five. Since she and Baby are both on vitamin D, I give each a .1ml dose-which as well as I could figure, is close to five drops. They will be retested in a few weeks and we'll know more then.
In March her gastro test results-for cobalamin/folate and PLI-came back with possible IBD or pancreatitis. Baby had close to the same results and was put on Metronidazole. Katharine was not and somehow it slipped through the cracks, likely because the COVID virus shut down the state just as we got back the results. Being too busy in general, and then dealing with Baby's CKD vet appointments, I forgot to tell the vet I was ok with Katharine going on the medication. So, we will discuss this tomorrow when another cat goes to the vet for his latest issues.
Katharine's cobalamin was normal; PLI was normal; but folate was too high, possibly indicating an infection or issue. Given the other two were normal, pancreatitis was not indicated per the vet's notes. It could also mean she's absorbing too much of the nutrient which means there's another issue.
Her kidney values are good. SDMA is 5, creatinine is 1.5, BUN is 22. Potassium is good at 4.3 but with supplementation (which we've been giving her since May 2018 because no one could find a cause for the seizures. Insufficient electrolytes was a possible cause, and potassium was easy to give by mouth using Renal K.) I need to check her hyperaldosteronism next time. As we learned with Baby, when potassium is low, a cause could by hyperaldosteronism. Given that Katharine is on a potassium supplement, her level should be higher than it is-or possibly should be higher.
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