At 12:13 PM 5/30/2007, you wrote:

ask about anzamet and Zofran ...even compaziner for vomiting??




The thing is with the vomiting though, I don't think its just because i'm feeding her. For the last week, she's been vomiting consistently before I ever feed her. When the vomiting first started suddenly, she vomited several times a day with a completely empty stomach for about 3 days. We then started syringe feeding her, and as soon as we brought her out from her hiding spot, she would vomit....then we would syringe her the food.

So yesterday, she vomited after syringing her the food, so I probably gave too much to start.

I took her to the vet today, to get the tube put back in, and she got a shot of metachlopramide. Now the problem is, they didn't give me any more of the metachlopramide because they said its a drug filtered by the liver, and if her liver isn't functioning properly, too much of that will cause a problem. They just said to feed her about 12cc followed by 4cc water....3 times a day.....to see if she would keep that down.

I mentioned that I didn't know how i'd be able to get enough calories into her with that small amount, but they just said to see how it goes.

What a pain in the butt, because i'm fairly certain that even if I feed her such a tiny amount, i'm betting she's still going to vomit here at some point...possibly vomiting out that tube again.

If she vomits again today, i'll have to get more of the metachlopramide even if its going to cause a problem with her liver.

This seems to be a no win situation here. Plus, she's definately not feeling very well. All she wants to do is hide, and then lay in one spot all day. I wouldn't doubt it if she's depressed after all this. I notice her breathing seems fast also.

I took her to bed with me last night, because she seems to enjoy that, and she did purr for awhile. The problem was, she was peeing about every 3 hours (probably from being on the IV for 2 days), and she was doing it in bed. I put plastic and towels under her, but she missed them once and I had to rip the bed apart in the middle of the night before it soaked too deep. She is too lethargic to get up for anything, unless its running to hide somewhere.

All I can do is pray for a miracle, that somehow she will be able to pull through this mess since everything seems to be going wrong. Even my vet, who seems pretty good so far is gone now for a few weeks, so i'll have to deal with a different vet that doesn't know what's been going on so far. I was liking this vet, because he wasn't all doom and gloom like the last 2 vets i've dealt with. If he had the opinion that Kisa didn't have much of a chance, he kept it to himself, and was willing to try whatever I wanted. The last 2 vets i've had were always wanting to make it quite clear that she didn't have a chance and it wasn't worth spending too much on her. I don't see any reason why a vet has to make sure that you have no hope, hope is the only thing that keeps me functioning.

Cassandra
----- Original Message -----
From: <mailto:[EMAIL PROTECTED]>Belinda
To: <mailto:felvtalk@felineleukemia.org>felvtalk@felineleukemia.org
Sent: Wednesday, May 30, 2007 7:47 AM
Subject: Re: Update on Kisa

       Cassandra,
I've had 3 cats with feeding tube (e-tube in the esphogus) and never had a problem with vomiting with any of them unless I was going too fast or giving meds on an empty tummy, once I figured out what I was doing wrong it was no longer an issue. All of my feeding tube experiences as far as the feeding themselves went beautifully.

Fred did have an infection problem at the entry site that we couldn't get rid of because the vets wouldn't leave him on the antibiotics long enough. But his feedings went great and he gained back most of the weight he had lost, he never vomited once even with is infection problem.

There are several reasons a cat will vomit when getting fed through a feeding tube, getting fed too fast, getting too much food at once, when a cat hasn't eaten for as long as Kisa hasn't you have to go slowly and build up to a bigger amount. What I mean is, she needs to be fed 10 to 20 cc's every hour or two, for the first day, then maybe 15 to 25 every couple of hours then next day, and unfortunetly you aren't going to find many, if any vets willing to devote that kind of time to one animal so it would probably be better if she were home if you can devote that kind of time to her care.

Other reasons include the tube not being placed correctly, with an e-tube there is a specific area the tube should be, not higher not lower or it will cause nausea in some cats. It should NOT enter the stomach, it should be between the 7th and 9th rib, this is easily verifiable with an xray.

An nasel gastric tube is uncomfortable and only ever should be used in emergencies, which Kisa is at this time, think about it a cats nostril is tiny, imagine having something shoved in it. BUT once Kisa is strong enough she should get an e-tube, it is the safest easiest tube for feeding. A peg tube is used when an e-tube for whatever reason doesn't work. Or the vet just prefers it, much more expensive, and a more extensive surgery too, but some vets will only do them, in my opinion because they are money hungry.

Taylor this tube probably wasn't placed right.

It didn't seem to want to go down into her tummy and would just come right back up and out around the bandage on her neck. It was a totally awful experience all the way around.


--


Belinda

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