In a message dated 6/26/04 8:30:02 PM, largesse@...
<< His teeth have always been bad >>
What did Wally eat lifelong (brand, flavor, canned or dry)? Food has a direct
effect on oral health.
<< Meantime, over the past two years he has been diagnosed
with IBD, diabetes, chronic pancreatitis >>
All of these issues are directly related to each other (in a syndrome called
triaditis), and they are all related to food. Very generally stated, a
high-allergen diet (which includes many commercial products, but esp dry foods
containing such ingredients as corn, wheat, yeast, byproducts, and synthetic
preservatives such as ethoxyquin) contributes to inflammation of the gut; the gut
"leaks" toxins; the liver tries to mop up the toxins, which often leads to liver
inflammation; the pancreas becomes inflamed from the liver enzymes, which can
also destroy the beta cells, leading to diabetes.
How is the diabetes being managed? What insulin (Humulin N, L, U, or PZI) and
what dose does the cat receive? Are you monitoring the blood glucose at home
with a portable meter? Is the blood glucose regulated between 300-100 mg/dL
How was the pancreatitis diagnosed? As you may know, pancreatitis is
extremely difficult to diagnose in cats...and is diagnosed on the basis of symptoms
(vomiting, inappetance, lethargy, pain/guarding) + TLI (trypsin-like
immunoreactivity) test + ultrasound + lipase, amylase, and protease from a standard blood
chemistry. None of these are definitive alone (and some are even
misleading)...and even with all together the diagnosis may be difficult to reach.
<< and most recently early renal failure. >>
In diabetics, the BUN and creatinine are often elevated b/c of such issues as
dehydration, elevated blood glucose, and urinary infection (incl
pyelonephritis). It does *not* necessarily mean chronic renal failure, and the values will
often return to normal limits when concommitant issues are addressed. To
diagnose CRF, it is necessary to evaluate not only BUN + creatinine, but also
phosphorus, potassium, calcium, sodium, hematocrit/packed cell volume, and urine
specific gravity...but even at that, all of those may be outside of normal
range b/c of lack of glucose control.
<< Because of his HCM, the primary treatment protocol
for IBD and pancreatitis, i.e., steroids, has been off the table
because of the risk of heart failure. >>
Steroids (along with metronidazole) is the primary treatment in
*conventional* medicine. However, it manages only the "symptom" of inflammation, by
preventing the immune system from functioning. It does *nothing* to address the cause
of the inflammation, which is food.
Complementary medicine has a number of techniques that can help the body stop
reacting pathologically and begin healing. These include NAET, homeopathy,
acupuncture, Reiki, and nutraceuticals.
<< I've been trying to treat his
health problems with diet >>
What are you feeding? A cornerstone of treatment for IBD is to feed a
limited-ingredient, low-allergen (particularly no grains), novel-protein diet, such
as IVD duck, venison, or rabbit and peas (or its fresh equivalent)...and feed
it consistently. The same approach applies basically to pancreatitis, which
requires an extremely simple, low-allergen, nonreactive diet fed in small amts
(like 0.5-1 oz) over time (like every few hrs).
<< He has always been a very picky eater and
preferred dry to wet, but his system can't tolerate dry any more >>
Yes, exactly. It was the very fact that his body cannot "tolerate" dry that
contributed to the bowel inflammation that set the chain of events in motion.
<< But even though I'm getting 5 2.5 ounce jars into him a day >>
Are you watching the overall caloric intake, esp in relation to insulin?
BeechNut chicken and broth, eg, is about 20 calories per oz. 5 x 2.5 oz = 250 cal.
A cat on average needs about 20-30 calories per lb of ideal body weight per
<< his weigh has inched down from 14 pounds at normal size to around 10 now >>
There are several possible contributing factors to this. The body can't use
the "fuel" from food unless sufficient insulin is present, so uncontrolled
blood glucose often results in weight loss; the weight can return when the BG is
consistently regulated. Further, gut impairment also means that the food is not
being processed properly.
<< he has chronic diarrhea and vomiting >>
This is typical of IBD and pancreatitis. There are effective complementary
techniques that can help this.
<< If anyone on this list has any experience
with budesonide or any other steroid in their HCM cat >>
Besides the long- and short-term consequences to the whole body of
suppressing the immune system, corticosteroid treatment often stops working over
time...as the cause of the inflammation (ingested allergens) continues. If you stub
your toe every day on a rock, you can take, say, aspirin to manage pain and
inflammation and use an antibacterial ointment on the wound...but as long as the
source of the inflammation continues, the tissue degradation will continue.
Sort of the same thing happens in the gut.
<< Any other suggestions or feedback is also
Something to consider is consulting with a very experienced vet who practices
integrative medicine and who can offer treatment with some of the modalities
mentioned above. NAET in particular is a direct treatment to prevent the body
from reacting pathologically to "allergens"...and treatment with homeopathy
and nutritional supplements, incl such substances as nondairy probiotics, can
help restore balance to the body and help the tissues begin healing.
For information on diet and diabetes, some sites incl:
On IBD, pancreatitis, and triaditis:
On complementary practitioners and NAET treatment: