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Question

Our 20 yo kitty who is experiencing kidney failure has an ulcer at the back of her soft pallet. She is on amoxicillin for a possible 2o bacterial infection and we are giving her fluids both for her renal insufficiency and her current lack of fluid intake. However, she also is not eating (since Thursday) and I am unable to get the high caloric paste into her mouth. What is the best technique(s)? We have syringes I can use.   I did give her a B-12 shot yesterday and her appetite picked up a little.

Submitted: 68 days and 3 hours ago.
Category: Cat
Value: $21
Status: CLOSED
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Optional Information

Pet's Sex: Female
Pet's Age: >12

Already Tried:
New problem with food. Tried the syringe and not much made it in her mouth. Also, when she eats, afterwards she sneezes like the food enters her nasal passage.

Posted by ERAnimalNurse 68 days and 3 hours ago.

Info Request

Hello,

 

I am sorry your ktity is having so much trouble.

 

Is your kitty vomiting?

 

Does she spit all of the food out when you offer it?

 

Has your vet prescribed any anti-nausea medicines? How about appetite stimulants?

 

Did your vet test for leukemia and aids?

 

Has your vet considered scoping your cat to see if the ulcers continue down the throat?

 

Did your kitty prescribe sucralfate?

 

Let me know and I will try to help........

68 days and 3 hours ago.

Reply

She is not vomitting. Yesterday after the B-12 she showed interest in food and ate ~1/16 of a teaspoon several times. She turns away from food today when offered. Otherwise when she tries to eat, she tries to swallow. Appetite stimulants, if in pill form are not an option at this point in time.

She has not been tested for leukemia or aids, but has no contact with other cats.

Scoping her throat was not mentioned.

I'm guessing sucralfate is a high caloric paste? She has Tomlyn Nutri-Stat.

Posted by ERAnimalNurse 68 days and 2 hours ago.

Answer

Thank you for the additional information. Sucralfate, or carafate is a medicine that helps heal ulcerations to the oral and intestinal mucosa. It may prove to be very soothing to your kitty. I mention the scope because I worry that her mucosa may in fact have more than one ulceration, which can make her feel pretty yucky, and keep her from eating. Please see the following website for more information on sucralfate.

 

http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=639

 

I asked about the leukemia/aids testing because both of those viruses can predispose a kitty to things like ulcerations. Even if your kitty has been indoor only for her entire life, she could have been exposed to and contracted one or both of these viruses from her mother. Please see the following website for more information on feline aids.

 

http://www.veterinarypartner.com/Content.plx?P=A&S=O&C=O&A=1313

 

Please see the following website for more information on feline leukemia.

 

http://www.veterinarypartner.com/Content.plx?P=A&S=O&C=O&A=1482

 

Cats that are experiencing kidney insufficiency or kidney failure are usually very nauseated. It is helpful for them to receive some kind of anti-nausea medicine, which can be compounded into a liquid form. If a kitty is nauseated, they will not eat, so it is essential to manage this potential symptom. Some anti-nausea medicines are also available in injectable form, and if you are proficient at giving injections, your vet may send it home with you in this form. Appetite stimulants are available in tablet form, but can be formulated into liquids that are easier to administer. The most common appetite stimulant is called mirtazapine, and cats only need to get a dose once every 72 hours (yay!). Please see the following website for more information on mirtazapine.

 

http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=2552

 

Please see the following website for more information on kidney disease.

 

http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=572

 

At this point, it is more important that your kitty eat something, and while it would be ideal if she would eat a high calorie or kidney specific diet, something is better than nothing. The best way to syringe feed is to prepare the food, pull it up into the syringe, and set up your feeding area. Get your kitty off the floor, onto a table, counter or washer/dryer. Getting her off the floor puts her on your level and makes handling easier. you can wrap her in a towel if you need to, which will keep her from pawing at you while you feed. With one hand, grasp your cats head (palm of your hand on top of the skull, pointer and other fingers on one side of mouth and thumb on other side of mouth. Gently lift the head up, but not all the way back (should be at about a 45 degree angle, kitty looking slightly upwards). Using your other hand, work the tip of the syringe inbetween the teeth on one side of the mouth, holding the syringe perpendicular (at a 90 degree angle) to the face (coming towards the mouth from the side). Slowly dribble food onto the tongue and allow your kitty to swallow it on her own. DO NOT shoot food to the back of her mouth, she can choke and aspirate. Be gently but firm, and encourage your kitty by speaking to her during the process. She needs to eat a great deal more than she ate yesterday, or her liver will start to shut down. She should be eating at least 2 jars (baby food size) of food per day. You can even pick up some meat flavored baby foods (NO onion or onion powder in the ingredients, Gerber is a good brand) and syringe feed her if needed. If you are unsuccessful, she will need to see her vet tomorrow, maybe they can get some calories into her for you. If she chokes or sneezes again, you should have her seen to make sure she hasn't aspirated (sucked food into her lungs). Please let me know if I can be of further assistance. If this has been helpful, please hit the green accept button. Best of luck with your kitty, I hope she feels better soon :)

68 days and 2 hours ago.

Reply

Thank you for all the information, particulary the syringe use. Regarding the suggested medication, we are in a 3rd world country and I'm not sure how much of this will be available. Are there any older medications that could do the same things (appetite stimulant and ulcer protective turns-to-gel) that might be available to our vet?

Accepted Answer

hmmm.....you can use pepcid A/C 10mg tabs for nausea, your vet can help with the dose. Typically 1/4 tablet twice daily is helpful. Valium has been useful for appetite stimulant in cats, but you need to be careful when using this drug. Your vet should be able to give your kitty an injection, but this is not a good option for long term help. I'm not aware of anything else that can be used to heal the ulcers the same way that sucralfate works, but maybe a veterinary compounding pharmacy can send prescriptions to you if your vet writes you some prescriptions. Check out the following websites, you will have to contact them to be sure they will ship to your location.

 

http://www.wedgewoodpharmacy.com/

 

http://www.ggvetrx.com/

 

The following website has a long list of veterinary compounding pharmacies, and hopefully one or more of them can ship to you.

 

http://www.veterinarypartner.com/Content.plx?P=A&A=546&S=1&SourceID=52

 

I hope that you get some good results from the above info :)

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Expert: ERAnimalNurse
Pos. Feedback: 99.4 %
Accepts: 
Answered: 9/16/2009

Emergency Critical Care Nurse

16+ years of veterinary experience

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