Re: [FH] heart cat taking binders with constipation problems.
- Hi Kelly (hope that's right),
In a message dated 6/21/08 1:19:46 AM, kellyroseanderson@... writes:
> My cat's phosphorous was about 8.6 three weeks ago.That's pretty high. Desirable is around 4.0, even tho the ref. range usually
goes to about 8 mg/dL.
> I have beenAll sounds good. Does the cat have decreased motility (hence the cisapride)?
> giving aluminium hydroxide mixed with food, a little fish oil and
> cisapride that is supposed to help the cat deficate.
I'm just throwing this information out there, in case your vet didn't mention
it...but cisapride is not available in the US for humans b/c of possible risk
to the heart.
> HisIt's a 6.9 mg/dL now? I think (my opinion only) that's still kinda high. But
> phosphorous did come down and the vet thinks where the phos level is
> now is good.
I'm really glad you're using a phos. binder.
If you haven't found it already, there's good information about phos. binders
at http://members.verizon.net/%7Evze2r6qt/supplies/binders.htm .
> But he had major constipationWhat does the cat eat (brand, flavor, canned or dry)? What goes in the mouth
has a direct relationship with what goes out the other end.
Was the cat constipated before the alum. hydroxide?
> She didn't want to give him miralexI'm not a big fan of Miralax either, altho other caregivers use it.
> (?) which which is what someone else from this site suggested so he
> wouldn't become constipated.
I think some other options for constipation incl first and foremost feeding a
high-quality, species-appropriate, meat-based diet with 60-80%
moisture...that is, no dry food. While constipation is about water balance not water volume
per se, you can increase hydration by adding extra water (or homemade meat
broth) to food, oral syringing, or using a fountain if the cat likes it. If the
problem is water balance, slippery elm bark can be helpful...and also helps
reduce nausea. If the problem is motility, then pure aloe vera inner-leaf juice
(no sodium benzoate, no aloin, no emodin) can be useful...about 5-10 drops
1-2x/day. Lily of the Desert is a common brand (I'd stay away from George's, b/c
the polysaccharides have been removed...or any product with flavorings or
> His bun, crea and phosphorous all cameGood.
> down in the last three weeks.
> My vet doesn't want me to give the alThat concern applies more to humans...not to cats. Alum. hydroxide is
> hydrox. because of his kidney problem.
considered a desirable type of phos. binder for cats.
> Any suggestions on getting the blood count up (vet doesn't want toDid you discuss using injectable B complex vitamins and/or B12?
> give the epogen(?) shot yet)?
>This is a liver value. Has the cat had any signs of dig. problems besides the
> ALT (SGPT) 114 (HIGH) 10-100 IU/L
constipation, eg vomiting, nausea, diarrhea, etc? This is only slightly
elevated...and it doesn't take much to raise the ALT, which simply indicates that
"something" is disturbing the liver, which could be anything...but is often
tied to digestion and food.
> Cholesterol 292 (HIGH) 75-220 mg/dLThis is only slightly elevated...and the triglycerides are ok. Elevated
lipids sometimes point to a metabolism problem (not a dietary fat problem).
> Amylase 1791 (HIGH) 100-1200 IU/LWhile this can go up with kidney problems...amylase is the enzyme that acts
on carbohydrates. Does the cat eat a high-carbohydrate diet?
> RBC 4.8 (LOW) 5.92-9.93 106/〓LThis is getting down there. I'd be concerned when the HCT gets around 20.
> HGB 7.2 (LOW) 9.3-15.9 g/dL
> HCT 22 (LOW) 29-48 %
Might be worthwhile to talk with the vet what he plans to do with this.
> T4 0.63 (LOW) 0.8-4.0 〓g/dLIs the cat on Tapazole? // Rosemary
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