- And got the T-shirt
I haven't heard of vitamin C affecting poop size. Is she eating as much hay as usual? And is she getting enough to drink? You could syringe her water two or three times a day and see if that helps.
We're giving her cc every 3 hours. Anything, within reason, that she's willing to and enjoys eating. Extra Vit C drops (about 25mg/day + cc). And trying to make her as comfortable as possible.
Any idea what's going on with her? Any ideas of what to expect moving forward? Any suggestions? We might, might be able to get meds from the vet.
She's old so, honestly, I'm not sure I expect her to make it through this, even without the constraints of the pandemic. They closed all non-essential businesses, put us on voluntary lockdown, and we have a house full of severe asthmatics. :( We are in the epi-center of the outbreak in Florida. I wish all of this wasn't happening at the same time. I really want to make her better. Barring that, comfortable!
- I dissent.
You could try some unflavored Pedialyte if you have it on hand or if you can get it without putting yourself at risk. It always seemed to help Leonard bounce back, until finally the disease had progressed beyond what could be managed.
She's on Tramadol and a small dose of Metacam. We're giving her vitamin C water, CC, and plain pedialyte 3-4 times daily plus her veggies/hay/etc. She's gained a little weight back! About 40 grams, though she's still underweight. She weighs 484 grams right now, and is taking x2 .04mg of metacam @1.5mg/ml + .1mg of tramadol @10mg/ml daily. Her meds are given to her in 3 seperate doses each day (metacam in am & pm, tramadol in afternoon). The vet says we can give her up to double those amounts daily. She's still sleeping a lot (maybe even more now with the meds) and is a little hunched but not nearly as much, and not chattering her teeth or so puffed up. She's walking much better and even scratching and cleaning herself from time to time. She's been on them now for almost 2 weeks.
Do we need to up her med doses or maybe give her more tramadol than metacam?
How do you figure out what the right dose is so they are not in pain but we aren't putting her in danger with side effects from the meds?
- I dissent.
First, let me make sure I understand the dose that she's getting of Metacam. She weighs roughly 0.5kg. The suggested range for Metacam is anywhere between 0.1mg/kg to 0.3mg/kg. If I go middle-of-the-road with 0.2mg/kg, the amount of Metacam needed based on her weight would be 0.1mg every 24 hours. At a concentration of 1.5 mg/ml, that amount of Metacam is found in 0.06cc's.
In your post, you wrote:
"and [she] is taking x2 .04mg of metacam"
Do you mean 0.04ml (cc's)? Or do you mean that she's literally getting that many milligrams of Metacam? Because, I can't make the numbers jibe. And are you giving her that same amount each time, twice a day, or is that the total amount and you're dividing it up between the two doses?
Same question with the Tramadol. Is that the actual milligrams, or did you mean 0.1ml (cc's), and is that the dose you're giving each time or are you splitting it into multiple doses?
Just want to make sure I understand how much of each she is getting.
The bottles we got have the following directions and info:
Give .08ml by mouth 1-2 times daily
Give .35 ml by mouth twice daily as needed for pain
Also, can she have flavored Pedialyte? We're out of the unflavored and I can't find it anywhere.
- I dissent.
On the Metacam, I would try bumping it up slightly to see if it better helps manage the pain but you will want to make sure she's staying hydrated as NSAIDs are hard on the kidneys. In a normal situation like this, you do have to try to balance the ability to keep her comfortable enough to function (eat, drink, move around, etc.) vs. any long-term effects, but given the mess with this pandemic and lack of veterinary options, I think I would err on the side of pain relief.
I wouldn't use flavored Pedialyte. Can you maybe order the unflavored stuff online? Are you giving her Critical Care?
She is getting Critical Care, though she's less enthusiastic about it these days. She'll eat a good bit in the morning, then we have to coax or force feed her a bit in the afternoon and evening.
On dosage, the amounts we are giving her are good? Or do we need to bump it up to what's on the bottle (about double what she's getting)? She's currently getting .04cc (twice daily) Metacam, and .1cc Tramadol (once daily).
I'll see if I can find unflavored Pedialyte anywhere, it seems to be in short supply. :( We do give her some vit C fortified water 3 times a day as well.
Thank you again for your help! It is most appreciated.
- I dissent.
On the Tramadol, the suggested range is 5-10 mg/kg so at her weight and with the 10 mg/ml concentration, going with a mid-range dose, it would be exactly 0.35ml q12-24. You are giving her a much lower dose, I assume because it was making her too drowsy. Sometimes pain management takes a lot of trial-and-error to get it right.
Is there anything we can do to make her more comfortable?
- I dissent.