Moose is my own cat, who was adopted from the shelter 4 weeks ago.
At the time of adoption the only info I had was that he was found as male entire stray and he was very thin (2.6kg). He was desexed at the shelter (no pre-anaesthetic bloods done) and fed Hills I/d wet food due to being underweight and having soft stools. He was also given IM depomedrone due to depigmentation and ulceration of nasal planum.
Moose has diarrhoea, initially very smelly - smell reduced when stopping dry food, but diarrhoea persisted. I switched him on to a raw food diet which he initially ate readily and stools started to become formed. He then went off the raw food so he mainly ate a low carb grain free wet food - diarrhoea returned.
One week after we got him I diagnosed Diabetes Mellitus. He also had a concurrent UTI but rest of bloods WNL.
He was started on 2iu glargine insulin BID and given a Convenia injection. I also started WLT and probiotics, but they were difficult to administer. Over the next 2 weeks he gained weight, diarrhoea persisted, thirst was still high but had reduced, but appetite also reduced. His belly also appeared bloated after eating. He became ketotic 1 week ago and became very unwell quickly.
Repeat bloods show severely low albumin, globulin and total protein. Low cholesterol, low potassium, phosphorus, calcium and creatinine, and a mild non regenerative anaemia. Tentative diagnosis of PLE. Stool sample shows tritrichomonas positive and clostridial overgrowth. Blood glucose unresponsive to dose of insulin.
He has been started on Prednisolone and dose of insulin increased to effect. He is on raw food only diet. 5 days later - blood glucose is responding to insulin, first formed stool passed and much brighter in himself. Bloods due to be repeated tomorrow.
I am thinking of starting him on Agastache Formula to help with the Clostridial overgrowth / Tritrichomonas (which I will also treat with ronidazole). I'm not sure which formula would be helpful to support the Diabetes. He seems to have some Heat signs - excess thirst and appetite, previously ulcerated nasal planum, some Damp / Damp Heat signs - response to raw food diet, diarrhoea with any processed diet, pot belly (though not overweight), response to prednisolone but with adverse effects (increase thirst and appetite), unilateral serous ocular discharge but also quite a few Blood & Yin Deficiency signs - failure of hair to regrow after clipping, very fine dander, discharge left eye becomes very dry and crusty, non regenerative anaemia, low protein levels. So perhaps ongoing Damp Heat has now damaged Yin/Blood?
I am away at the moment so unable to check tongue/pulse/active points. I think WLT still probably fits him best of the Damp Heat formulas, but wondering if you have any other suggestions? Perhaps SMS with added Dang Gui, but not sure of this will give enough GI support, and will taking blood away from the GI tract counteract what the Agastcahe is trying to do by resolving chronic inflammation in GI tract?
Also - I listened to your cancer webinar the other day and you described using the Kan herbal liquid formula and diluting and succussing it. I don't have access to Kan - is there anyway to make a decoction of the NPHC granules and dilute/succuss this instead? If not I'm hoping the prednisolone will at least increase his appetite enough to make giving herbs a little easier...!
Thank you for your help - of course our own animals are always complicated!
Sophie