*UPDATE* Cat Vomiting Bile & Other Stuff, WBC in Urine

[Traci]

Actually, in a vomiting cat, as bland a diet as possible is preferred, for absorption and digestibility. Smaller meals, more often, is also helpful. If you overfeed him or allow him to gorge, the vomiting is going to continue.

I'm surprised your vet didn't suggest a bland diet.

[AngelZoo]

She suggested it for my last cat that had a problem around x-mas.
She said that at the moment she's not sure that it's diet related. So I suppose that's why she did not recommend a bland diet at this point. '

He's not being over fed, and he's not gorging.

[Traci]

She's not sure it's dietary related, yet she knows he's vomiting, and she knows it's a problem. The most appropriate thing to have done was advise a bland diet, fed in small portions, monitor the cat to see if he could keep it down, adjust the diet accordingly, pending on further diagnostics.

[mamaof4soon]

I do apolgize, i did read the house rules and from what it said that there would be no arguing about this topic. I didnt think anyone here was argueing. Was just asking what was being fed and stating what i was feeding. Never the less I will not comment again about it. I will just email or pm if nessesary with my qeustions. Thank you for letting me know that i missread.

Angelzoo i pm'd you. Hope he feels better soon

[mamaof4soon]

Angelzoo i pm'd you.

[AngelZoo]

Tage has done fine over night, he's still in isolation. Appeared to keep his breakfast down, and ate it with in the normal period of time.
No other updates yet though, should have more tomorrow.

[AngelZoo]

Ok, I just spoke with the vet, and got the results of his tests. I'm going to be bringing in his fecal tonight, and we will also do a urine culture at that time to see some results. She said they might have seen some rare crystals in his urine but she thinks they were just artifacts.

Here are the results of the BW and Urinalysis

Urinalysis:
PH: 6.5
SPECIFIC GRAVITY (verified by repeat analysis.): 1.060
APPEARANCE: CLEAR
COLOR: AMBER
PROTEIN: TRACE
GLUCOSE: NEG
KETONE: NEG
BILIRUBIN: NEGATIVE
BLOOD: NEG
WBC: 4-10 (H)
RBC: 0-3
BACTERIA: NONE
EPITHELIA: NONE
EPITHELIA, RENAL: NONE
EPITHELIA, TRANSITIONAL: NONE
TRIPLE PHOS. CRYSTALS: NONE
AMORPHOUS PHOSPHATES: NONE
CALCIUM PHOS CRYSTALS: NONE
CALCIUM CARBONATE CRYSTALS: NONE
AMMONIUM BIURATE CRYSTALS: NONE
AMORPHOUS URATE: RARE (H)
CALCIUM OXALATE CRYSTALS: NONE
URIC ACID CRYSTALS: NONE
MUCOUS: NONE
WBC CASTS: NONE
BUDDING YEAST: NONE
SPERM: NONE
OVAL FAT BODY: NONE

SUPERCHEM/CBC/T4
GLUCOSE: 154
UREA NITROGEN: 24
CREATININE: 2.5 (H)
TOTAL PROTEIN: 7.2
ALBUMIN: 3.5
BILIRUBIN, TOTAL: 0.2
ALKALINE PHOSPHATASE: 24
ALT(SGPT): 42
AST(SGOT): 22
CHOLESTEROL: 156
CALCIUM: 9.5
PHOSPHORUS: 5.1
SODIUM: 154
POTASSIUM: 4.1
CHLORIDE: 120
A/G: 0.9
BUN/CREATININE: 10
GLOBULIN: 3.7
LIPASE: 18
AMYLASE: 948
TRIGLYCERIDES: 46
CPK: 205
GGTP: 5
MAGNESIUM: 1.9
OSMOLALITY, CALCULATED: 311
(Comments, Hemolysis 1+, the following results may be affected by this degree of hemolysis:)

ALT may be increased by 15-20%
AST may be increased up to 10%
LDH may be increased up to 20%

Direct Bilirubin may be decreased up to 80%

COMPLETE BLOOD COUNT
HEMOGLOBIN: 12.5
HEMATOCRIT: 37.4
WBC: 17.2 (H)
RBC: 7.80
MCV: 48
MCH: 16.0
MCHC: 33.4
PLATELET COUNT: 385
PLATELET EST: ADEQUATE
BLOOD PARASITES: None Seen
ABSOLUTE POLYS: 10492 (H)
ABSOLUTE BANDS: 0
ABSOLUTE LYMPHS: 3612
ABSOLUTE MONOS: 344
ABSOLUTE EOS: (I can't read it well but looks like 2752 (H)).
ABSOLUTE BASOS: 0
T4: 2.3

MANUAL DIFFERENCE
PLATELET EST: ADEQUATE
BLOOD PARASITES: None Seen

[Traci]

Looks like your kitty's urine is either slightly or mildly acidic, which may predispose to triple phosphate crystals or calcium oxalates and should be ruled out by careful examination of sediment.

Some of these results could also indicate infection and/or inflammation, whether that is due to newly forming crystals, scar tissue or bacterial infection, your vet needs to find out. And, believe it or not, diet plays a role in managing pH, talk to your vet about it.

[AngelZoo]

Traci:

I know that diet plays a roll on the pH. 6.5 is on the acidic size, 7.0 is "neutral".
The doctor took a look into the diet today, another one of her patients a dog (with unrelated issues) is on the same food so it sparked her interest even more. She said that everything looked good, and of proper perportions, the fat content was just slightly high but she was not too concerned about it at this time.
She doesn't feel right now that the diet is the culprit, still possible but not her first guess.

His fecals are very hard, all of my cats are, and I'm doing what I can to get them to consume water a home, though they just don't seem interested.

They are running the urine culture so I'll know the results of that later.
What the doctor is contemplating the most right now is IBS, she does not think it's Hepatic Lipidosis, which I did address with her again.

Tages urine and feces out put has been normal still, and no further vomiting today.

[mamaof4soon]

Angelzoo glad to hear that he is doing better. Keep in contact with the vet so you find out what the culture says.