Why does my cat still have ileus after pancreatitis treatment?

I'm sorry to hear your cat is having GI issues. How was your cat diagnosed with pancreatitis? If the remainder of bloodwork was normal and the fPLI was positive, I would consider X-rays and possibly an abdominal ultrasound for more information. Pancreatitis can be a chronic condition that requires diet changes, B12 supplementation and long-term medications. Pancreatitis can be concurrent with another underlying GI issue, such as IBD or lymphoma. Ultrasound can give more information, but these conditions can only be definitively diagnosed with intestinal biopsies. As the issue isn't resolving, I would recommend your cat be re-evaluated and further diagnostics potentially fine, either by your regular veterinarian or an internal medicine specialist. Good luck!

Pancreatitis rarely completely resolve, it can be managed (food is the most important part of the treatment) and your cat might often have relapses such as this one, every time he does he will need similar treatment, in cats i find pain killers important with pancreatitis as well as anti nausea drugs such as cerenia.

I am so sorry to hear about your kitty! Pancreatitis in cats is very serious, and can cause significant discomfort. If your cat isn't eating or drinking much, he may not urinate or defecate much. If you don't think the medication is helping, I recommend you chat with your veterinarian for other options. If your cat is lifeless and not responding to you at all, then you should take him to an emergency vet right away. Best wishes for you and your cat.

Hello and thank you for contacting Petco Pet Education Center, formerly Petcoach. Pancreatitis in cats is often a chronic problem with occasional flare-ups. Treatment usually consist of pain relief and low fat diet. In more severe cases iv fluids, intravenous pain relief and appetite stimulants are necessary. In that respect the treatment Mahji received sounds appropriate. Antibiotics are not necessary in most of cases of pancreatitis but it is a common practice to use them. It is hard to make comments on the problem with oedema. I assume that the oedema was caused by overzealous intravenous fluids therapy and Mahji has fully recovered after a course of diuretic. The key in long-term management of pancreatitis is low fat diet. There are prescription diets for cats with pancreatitis but this type of food can be easily prepared at home (cooked lean meat with some vegetables). Using appetite stimulants should be only short term, however some cats require longer therapy with anti-sickness medications to treat nausea (metoclopramide or maropintant are the most commonly used). I hope that will help and I wish all the best for Mahji

Thank you for submitting your question regarding Sage. I'm sorry to hear about his ongoing issues with pancreatitis. Continue giving the fluids as you do not want him to become dehydrated. I typically include pain medication as well as an anti-nausea medication in my treatment plan. Pancreatitis can cause abdominal pain and he may not be eating due to nausea. It is also a good idea to have his cobalamin (vitamin B12) level measured in his blood. If this is cost prohibitive, most veterinarians will give an injection of this vitamin. It can help a lot. I hope these options help Sage. Good luck!

I would expect for your vet to either prescribe or offer injectable antibiotics and anti-nausea medicine for a few days in a row. I love to use cerenia as the anti-nausea medicine as it is also a pain reliever. Your vet may choose this or something else and add in a different pain reliever if necessary. A lot of specialists don't believe antibiotics are necessary, but since a small percentage do get an infection in the pancreas, a lot of vets treat with antibiotics to cover their basis. Also you will want to make sure Coquine is staying hydrated. If he is well enough to be treated at home then your vet may want to have you come in daily for a few days to get some subcutaneous (under the skin) fluids to help keep him hydrated. If he simply has just pancreatitis and no other complicating factors then they usually improve quickly and do really well. I hope this helps!

Hello, thank you for your question about Abu. Based on your description of Abu's episode and current intermittent diarrhea I would be suspicious that he may have a mild underlying GI problem. Generally, cat's GI systems are very sensitive, and often when they go through a bout of pancreatitis it can sometimes become a chronic issue leading to occasional diarrhea/vomiting. Some cats have a condition called triaditis, where they experience pancreatitis and concurrent inflammation in their intestines. This would explain Abu's moodiness and his diarrhea. Cats with this condition often need to have anti-nausea and anti-diarrheal medication intermittently to help them cope with their symptoms. It is often challenging to completely cure this condition. I would recommend having Abu reevaluated by your veterinarian to ensure that he is still comfortable and not experiencing a full re-lapse. Your veterinarian can then discuss potential medication options for your to have at home. Hope this helps, good luck!