Lori Update, Part 2

So we were at the Vet, 

discussing Lori's long-lasting diarrhea problem.  The vet has prescribed a few meds.  There was originally Fluoxetine to reduce her stress about Loki and Binq joining us, a pro-biotic to improve her digestion, and of course an anti-diarrheal (generic Immodium).    None seemed to help much.

Stress is hard to manage but Fluoxetine would help, and the Vet said the anti-diarrheal should work in just a couple days and the pro-biotic would help.  That was "then".  Lori's problems are mostly unchanged.

I say "mostly", because she does seem to be getting slowly used to Loki and Binq.  Hisses are not automatic.  She no longer ambushes them with an attack (mild ones because she is smaller).  

A week ago, I saw her sniff noses with Loki.  And most times now, she can simply walk past Loki or Binq calmly.  But it very slow progress.  There are still brief paw-whaps, but not like it was the first month.  Mostly, Lori just wishes they would "go away".

So the vet and I discussed other possible meds a few weeks ago.  Fluoxetine does mention diarrhea as a side effect (among many).  The vet said it is very rare, but has to be listed on the medical sheet if any cats in the testing had it.  

One suggestion was Amitriptyline.  I tried it.  She wouldn't eat any food with it for 3 days (and maybe a reason she had lost weight).  I gave up on that (and the Vet admitted it tasted bad to most cats).  And some of you warned against it as "zombie-stuff", which I appreciated, not knowing anything about it.  

So on the Friday vet visit, we decided to start over, with the idea that Lori was very gradually accepting the presence of Loki and Binq so physical distress was becoming the more likely problem.

So, more of the anti-diarrheal and pro-biotics, assuming the stress wasn't the major factor.  And the Vet suggested it could be the food.  Also, we are trying Metronidazole (as Benzoate) 125 mg/ml Susp 10 ml Chicken-Marshmallow.  It is an antibiotic and antiprotozoal medication.  The Vet tried a dose in-office of a formulation most cats will accept (butter/cream flavor).  She spit that right out.  So they called Wedgewood Cat Pharmacy, who suggested the "chicken/marshmallow".  It should arrive in 2 weeks.  Hopefully, Lori will accept that.

Originally they said (there are several vets and I trust them all) to give Lori one brand/flavor constantly.  So she has been eating Fancy Food 'Chicken Feast' exclusively for at least a month.  I'm going to change her to a fishy food and see if that helps.

She has happily eaten various flavors before, but the vet says there is a possibility she has developed a problem with one.  So we will see if a different one lessens her digestive problems.

We discussed various ways of getting meds into her.  I've tried about all of them.  Simply adding a pill to her food doesn't work (there is an empty bowl with the pill sitting at the bottom).  Pill-shooters don't work.  Pill pockets work for some meds (if dusted with powdered freeze-dried chicken).  

My best luck has been with crushing a pill with a spoon on a plastic placemat and scraping that into her bowl and mixing it in.  She will almost always eat that, especially if she has the privacy of the closed bedroom.

The newest pro-biotic comes with paste and pills.  Paste (orally from a plunger) and pill ground up.  Lori fights the oral paste.  For a small animal, she is suprisingly strong!  The towel-burrito trip barely helps.  But I've learned that if I just smear it on her lips, she will lick it off and ingest it.  

Tomorrow:  Keeping track of meds...