Vomiting... I hate to but should I seek a 2nd opinion? - Cat Forum : Cat Discussion Forums
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post #1 of 19 (permalink) Old 11-03-2008, 12:15 PM Thread Starter
 
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Vomiting... I hate to but should I seek a 2nd opinion?

Much of his life, my cat has been a barfer. But lately it has gotten a lot worse. It started when he barfed a couple of times a day for a week. The vet looked and thought it was gastritis and did notice his mood was sour. He is usually super friendly and energetic at the vet. He prescribed famotadine and said to check back in a week. A week later he had a huge barf fest and the vet gave him some magic shots that made him feel better for a few days. He was kind of high or something. It was just cimetidine and an anti-convulsant or something. A week later he was really in bad shape, and vomited 6 times in a few hours. He could keep nothing down.

The vet gave him the same shots and, fearing dehydration might be causing severe constipation, he gave my cat an enema. Before doing any of that, he took x-rays and noticed inflammed intestines. He said it could be pancreatitis and we could test for it for something like $150 (they had to send the blood work away) and the test was not always successful or accurate. He gave me ranitidine and prednisone (former for acid, latter for inflammed bowels). He didn't think it was a food allergy because they are slow onset, and usually involve skin irritations first, unlike in humans.

That evening he had a lot of problems with his bowels, didn't eat, didn't drink, and was a shell of his former self. He sat still for hours on end. Any time he tried to eat or drink he would vomit. The vet said to keep an eye on him and report regularly on his status.

He didn't eat for almost 48 hours. The vet gave me k-pec which put him on the mend, seemingly. He ate immediately, kept his food down, and slowly improved. That was about 9 days ago. He's been a good trooper and taking his medicine as much as possible, I think.

Now he's back to barfing again when he eats. His mood, however, is great. I tried giving him k-pec again, and due to his reduced appetite squirted prednisone with some water in his mouth.

I'm becoming rather frustrated. I feel like there's a diagnosis that is missing. I love my vet but a month of this has been really tough to deal with. I have never considered a second opinion before, but now I am. Am I being too quick to judge? Is this sort of ailment common and hard to diagnose? Help?
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post #2 of 19 (permalink) Old 11-03-2008, 02:49 PM
 
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Re: Vomiting... I hate to but should I seek a 2nd opinion?

IMO, as much as I love my vet, I figure it could never hurt to get a second opinion. It doesn't reflect on your confidence in your vet; it only means that someone else may have insight or experience that your regular vet may not have. When it comes to my babies, I don't hestitate to do all I can to find out what is going on.

I'm sorry for your kitty and I wish I had some advice for you. I hope he's better soon.
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post #3 of 19 (permalink) Old 11-03-2008, 03:28 PM
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Re: Vomiting... I hate to but should I seek a 2nd opinion?

My rb kitty Pyxl was barfing a lot (at least once a day, sometimes twice a day). The vet did blood work and determined she had a thyroid issue. We started her on tapazole, and she stopped barfing (unless her medication levels needed to be adjusted).


Did your vet do any actual blood work?
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post #4 of 19 (permalink) Old 11-03-2008, 03:54 PM
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Re: Vomiting... I hate to but should I seek a 2nd opinion?

Did he ever,to the best of your knowledge, ingest poison? Of any kind? Some poisons,particularly antifreeze,can cause problems-sometimes years later. I agree with Smirkitty,blood work would be good.
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post #5 of 19 (permalink) Old 11-03-2008, 04:34 PM Thread Starter
 
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Re: Vomiting... I hate to but should I seek a 2nd opinion?

He's had blood work of some sort, but I'm not sure if he's had thyroid work recently. I can check - sometimes it's hard to tell what they have and haven't checked. But aside from barfathon days, his appetite is the same as ever and his weight only fluctuated radically once - during the two day window.

I guess the question about a second opinion in my mind is... would it be worth the cost? What would another vet do that mine hasn't done yet? I guess I could call and find out...
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post #6 of 19 (permalink) Old 11-04-2008, 12:26 AM
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Re: Vomiting... I hate to but should I seek a 2nd opinion?

I would not hesitate to get a second opinion. Sometimes, fresh eyes catch things.
Personally, I would have them do an ultrasound at this point.
Poor baby. Hope he's feeling better soon!

Victoria
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post #7 of 19 (permalink) Old 11-04-2008, 07:58 AM
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Re: Vomiting... I hate to but should I seek a 2nd opinion?

When my vet feels he is reaching a dead end in diagnosing one of my kitties he will refer to a specialist. The vet he refers to is an internist and helped diagnose Charlies asthma. I think the internist has somewhat more knowledge then the regular neighborhood vet and that type of vet may be what you need for your kitties situation.

Sue



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post #8 of 19 (permalink) Old 11-04-2008, 08:53 AM
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Re: Vomiting... I hate to but should I seek a 2nd opinion?

If I were to get a second opinion, it wouldn't be just to go to another local vet, it would be a specialist or large teaching hospital.

It seems that a frank discussion with your vet is called for. Ask if (s)he has any other ideas or whether it's time to get a specialist involved. Ask for a recommendation so (s)he feel involved and there's no hard feelings.


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post #9 of 19 (permalink) Old 11-04-2008, 10:29 AM Thread Starter
 
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Re: Vomiting... I hate to but should I seek a 2nd opinion?

My cat recovered by the evening this time. I will call the vet to see what the long term plan is. I think an endoscopy might be in order based on my readings.
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post #10 of 19 (permalink) Old 11-04-2008, 10:39 AM
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Re: Vomiting... I hate to but should I seek a 2nd opinion?

That is probably a good idea. I'm wondering if he ate something that doesn't show up on x-ray.


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