Wednesday, February 18, 2026

More On Elizabeth's CKD and Gastro Issues

At the risk of repeating information from an earlier post, this is a Facebook post from March 2025 about Elizabeth. The information is slightly different.

Facebook March 2025:

Elizabeth developed CKD in March 2024 and we struggled through most of 2024 with stabilizing her issues. She would not eat. We used cyprohepatidine and mirtazapine and Mirataz ear gel to stimulate her eating. When she was feeling sick, neither medication would work to make her eat. The Mirataz ear gel did not really work well but it did greatly irritate her ears. They became red, dry, scaly and we had to stop using it by the end of the summer. We began hand feeding her and continue to do so as needed. We struggled to keep her weight above 11 lbs. I put her on numerous supplements and vitamins as I did for Myrna Loy for her heart and for kidney support (see Vitamins and Supplements and Goop mixture here at the blog in word searches, Medication tab, etc.) The vet started her on once a week fluids from March to June. Then we began twice a week fluids. We also put her on Zenequin antibiotics because the fall gastro ultrasound showed that her kidneys were inflamed. Finally, by November, she began to eat something on her own, and 1/4 of Mirtazapine pill once a week helped her begin to eat on her own.

 Blood work from the fall currently shows slight improvement in kidney blood values. She is more of a CKD stage 2/3 than stage 3/4 now. She continued to do well until late January when she stopped eating on her own. We fed her by hand four times a day-40ml per time because only 30ml or so makes it into her mouth. Her weight remained stable. 

In March she began eating something on her own and began responding again to Mirtazapine which helps her eat enough on her own that we hand feed her 20ml four times a day-as long as her weight remains over 11.10 lbs. I give her 1/4 Mirtazapine once a week. It tends to wind her up a bit but eventually she settles down and eats. We do not want her to lose weight and fat and muscle mass. We have seen cats before lose weight and get below 10lbs and get very sick and go into end stages of life, and pass away once they begin to lose fat and muscle mass. She is also on Zenequin (originally Baytril which she did not tolerate)-first for one month, then two weeks on, and two weeks off. This was recommended for her inflamed kidneys and gastro issues. Elizabeth has a leaky tricuspid valve that appeared in 2024 and we continue to monitor. But she has no CHF or HCM issues. 

UPDATE: Zenequin stopped helping Lizzie in 2025. By the fall, the vet put her on Veraflox and added later Metronidazole for gastro issues.

At her February 2026 cardiology appointment, it was discovered that Lizzie now has developed left atrial dialtion but shows no signs of CHF or other complications. We will continue to monitor and she returns to cardiology in four months. 

She is not on medication for her heart nor for blood pressure as that remains decent at 140-150 on average. 

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