Well, the bad luck is just continuing...I dont' know how much more I can handle.

I gave Kisa just 12cc of food followed by 4cc water.  About and hour and a half 
later, she vomited.  I tried giving her some more, and now the tube is plugged. 
 I can't get water or anything through it.

I called the vet, and i'm going to get more of the metachlopramide, but they 
said it may not help her because she feels so sick due to toxins building up 
that the liver isn't filtering.

I guess she gets to go get a new tube put in tomorrow.  So far she's only had 
that 12cc of food today...and I guess I have to put her through the stress of 
another syringe feeding tonight.  I could just scream about now.

Cassandra
  ----- Original Message ----- 
  From: C & J 
  To: felvtalk@felineleukemia.org 
  Sent: Wednesday, May 30, 2007 2:13 PM
  Subject: Re: Update on Kisa


  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: Belinda 
    To: 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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