Rosies Visit To The Vet (Day 7)
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We just returned from the vet’s. First of all, many, many thanks to dear Peggy Tiong for taking Rosie and me all the way to PJ to the vet’s.
Second, there’s so much information to share – I hope I can remember all of them!
What I learnt:
The most important thing for Rosie right now, to help her liver heal is good and quality nutrition and for cats, this translates to good, quality and high protein. The vet suggests egg (yolk and white, cooked) and even fish. And while there are all these commercially available foods, he says nothing beats home-cooked protein (oh yay….we make home-cooked food). While BARF is also good nutrition for cats, but at this moment, Rosie should not be on BARF yet as she is trying to recover.
So, Rosie should be on a home-cooked high protein diet. And there should be no diet restriction right now (except that she shouldn’t be on BARF during this recovery stage of a liver disease) – Rosie should be allowed to eat whatever she wants, preferably high, quality protein. If she refuses to eat, she has to be force-fed. Quality protein is paramount to her recovery at this point.
The vet doesn’t think it looks like cancer although he cannot be sure. An ultrasound would be helpful to determine if it MIGHT be cancer (from the images) but even then, it’s not 100%. So, we finally decided not to put Rosie through the ultrasound at this point. It is only to “know” if it might be cancer and if it is, there is nothing we can do about it. And since it won’t be a 100% certainty, we would certainly carry on with the medication anyway.
The meds to continue would be Doxycycline (changed to another type) – this would take care of bacterial infections and parasitic infections. The vet suspects it could be a blood parasite. Might even be Hemobart. Doxy will take care of this. The vet also said that another possibility could be that a month ago (when it all started happening slowly), Rosie could have ingested something toxic. This resulted in a case of “slow poisoning” that gradually caused injury to the liver.
Whatever it is, the liver has to recover now, and the most important thing is to have good and quality nutrition.
The supplements to continue are Samylin, Maximus Hep and Vetri DMG. We are also adding a good Omega-3 supplement (Squalene from Petdiatrics).
Since we started on Baytril (for the evenings), we should continue and finish it. Doxycycline and Baytril cannot be taken together. Doxycycline is taken in the mornings, and if all goes well, must be continued for a duration of 3 weeks (21 days).
The vet says the yellow colouration will take up to months to fade off, and the ALT readings will never go back to normal (and it’s okay). The size of the liver is also not a determinant because the size itself could vary throughout the day.
The subcut fluids should continue, every 2-3 days.
Rosie was making a non-stop racket in the car all the way to the vet’s in PJ, at the clinic, and all the way back. I suppose it’s “good” that she can still make a racket!
She’s all poof-ed out now, from the whining.
I just fed her some home-cooked and Recovery.
Now, I’m off to buy some organic eggs to cook for her. Hopefully, she likes eggs.
Thank you, dear friends, for your kind wishes for Rosie. We still have a long way to go.
Source: https://myanimalcare.org/2017/02/23/rosies-visit-to-the-vet-..
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