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I have a 8 year old kitty who was diagnosed with feline stomatitis

There is no single cause of feline stomatitis. Dental disease (particularly periodontal disease) is commonly implicated as a cause of stomatitis in cats. Periodontal disease results from the accumulation of plaque (bacteria) on and around the teeth, which causes inflammation involving the gums and tooth support structures.

In many cases, the cause is assumed to be immune mediated, meaning that the cat’s immune system attacks its own oral tissues as an abnormal response to bacteria in the mouth. Other medical conditions that can be associated with stomatitis include infection with viruses [such as feline leukemia virus (FeLV), feline immunodeficiency virus (FIV), and calicivirus] and bartonellosis.  LINK

He is FeLV, FIV , and bartonellosis negative. There is no plaque teeth (what's left: 4 pulled 3 month ago because of stomatitis).  My vet says that it is probably my kitty's "immune system attacks its own oral tissues as an abnormal response to bacteria in the mouth."

3 months ago, the vet gave him a steroid shot and put him on clindamycin liquid twice a day and call him if I notice any changes to re-treat him.  Clindamycin dosing was a struggle then but we got through it!  Kitty recovered nicely - his normal self: playing with my other 2 kitties and eating well.  

Then I noticed he was weird a day ago (vet said that this was a chronic condition and call when you see him acting differently - he's thinking he may have to pull the rest of his teeth). So I did so yesterday.  Another steroid shot and Clindamycin 2X a day.  

Here's my problem--- when I gave him a dose he fought and I got a drop or 2 on my hand.  I tasted it and IT TASTES HORRIBLE!!!!!  No wonder he fights me!  Tonite (after I wrapped him papoose style) he was able to struggle enough to be able to bite me.  

I'm afraid of my own infection!  Though it wasn't in a place where it was a deep puncture wound (I squeezed the wound periodically and hubby poured  peroxide when I told him to).

Here's where I need some help.  Does anyone know of a way to get him wrapped up enough that he won't bite me?  A device, a procedure - anything that would make it easier for me to help my critter.  Thanks !

10:29 PM PT: THANK YOU  to all who responded.  I knew if I posted a concern about a critter here on DKos, I'd get other critter lovers to respond! Thank you again!

Originally posted to sc kitty on Tue Jun 17, 2014 at 08:27 PM PDT.

Also republished by PWB Peeps.

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Comment Preferences

  •  Are you doing this by yourself? (9+ / 0-)

    For the rest of my cat's life, once per day, my father has to wrap her in a blanket and hold her for several minutes while my mother injects IV fluid into her. She's five pounds, so it's not a herculean task.

    I'm living in America, and in America you're on your own. America's not a country. It's just a business.

    by CFAmick on Tue Jun 17, 2014 at 08:35:01 PM PDT

    •  In addition to binding the cat, (6+ / 0-)

      have you considered diluting the medicine with something yummy to make it less nasty?  Perhaps tuna juice?

    •  yes (5+ / 0-)

      but this kitty is tremendously strong when threatened - with clindamycin !

      Faux News ruined my state

      by sc kitty on Tue Jun 17, 2014 at 08:45:52 PM PDT

      [ Parent ]

      •  Are you putting the dropper as back back (5+ / 0-)

        in the corner of the cat's mouth. You know right where the lips end? My success has been to wrap the cat clear up to it's ears with a very tight towel. Someone holds the top of the head and the chin. Open the mouth from the top and squirt away back in that corner. The cat has to swallow and if you're really quick, you won't be at risk of being bitten. If you mix with juice, be sure it is well blended but remember if you mix with juice that is MORe liquid you have to get down the cat. Enlist help if you don't have it in the home.

        GOOD LUCK!

        “Listen--are you breathing just a little, and calling it a life?” ― Mary Oliver

        by weezilgirl on Tue Jun 17, 2014 at 10:18:46 PM PDT

        [ Parent ]

    •  HELP (6+ / 0-)

      My oldest cat, Pearlcat, hasn't been seen since Sunday. She is 15 and the savviest cat I have. She was born here and has survived all this time. She rarely wanders from the yard and the only place I've seen her go is to the 'horse-shoeing' shop. She will  sleep down there occasionally. When it gets too hectic here, I've seen her go there.

       One dog and I have scoured the property that might be within her range. In the barns, under the barns, in the garages, the shop.

      Today it has really hit me that I might not see her again. I'm afraid something got her and I can't stand to think of that. If so, pray she went quickly and didn't have a lot of pain.

      Pearl has always been different. She had a rough go as a newborn. A dog killed her mother and I raised her and her siblings. She was a chocolate long-haired siamese type. The last few days she was extra loving and she is always aloof. If she just died, I would find her body. The dog would for sure. This dog tracks. I'm taking out the other tracker at daylight.

      Not knowing is what is so scary. No closure.

      I would write a diary if I could. If anyone can throw a short one up, I would really appreciate it.

      I just lost Timmee, my oldest sister's dog, Jessie, died Thursday and my youngest daughter's dog, Matthews, died Monday morning.

      Thanks, Weezilgirl.

      “Listen--are you breathing just a little, and calling it a life?” ― Mary Oliver

      by weezilgirl on Wed Jun 18, 2014 at 04:20:38 AM PDT

      [ Parent ]

  •  My sis is a vet tech, (9+ / 0-)

    I will ask her when she gets home.

    Some people do not argue in good faith. Their only purpose is to disrupt and cause strife. Best to not engage them.

    by Drewid on Tue Jun 17, 2014 at 08:37:30 PM PDT

  •  Can you have the vet (9+ / 0-)

    call it in to a compounding pharmacy that can put it in a suspension? One of our cats takes steriods that way.  It's in a tuna suspension.  We jut give it to him in a dropper and he doesn't mind it.

    Our other cat is so touchy that I just hope to gawd I never have to medicate him orally.  It's like trying to wrestle a pissed off octopus.

    Wish I could help more.  Stomatosis is awful.  Truly.  I wish you the absolute best, sc kitty.

    "Just because your voice reaches halfway around the world doesn't mean you are wiser than when it reached only to the end of the bar." ~ Edward R. Murrow

    by CJB on Tue Jun 17, 2014 at 08:37:51 PM PDT

  •  We've had many cats and some experience (7+ / 0-)

    with medicating them.  For us, pills are always easier than liquid.  With a pill popper, you can shoot a small tablet or capsule right down the cat's throat, even by yourself (usually).

    I wonder if your vet could prescribe something in tablet or capsule form?

  •  For Stomatitis -- YES! Zyrtec (13+ / 0-)

    I have an outside cat who lost most of his teeth because of his stomatitis. And even after that, it came back. My (very good) vet didn't really know what else we could do.

    And then one day, I said "I know you probably hate to hear 'I read on the Internet...'" but he said no, what did you come up with?

    I gave the printout I did of PetMD == "Why I love Zyrtec for Cats."

    http://www.petmd.com/...

    He said "it's worth a shot," and indeed it was. This is a cat that I had pretty much given up on two years ago, and he's now at the backdoor wanting me to come out and pay attention to him.

    1/2 a pill works for him. Some people have found chewable children's Zyrtec, and if I need it again I will look for it -- the adult pills are hard and difficult to hide in food. Do NOT use Liquid Children's Zyrtec -- it contains propylene glycol which should never be given to cats.

    I told a friend about Zyrtec when she had a cat who was wasting away from stomatitis. He's now fat and happy and his stomatitis is only a memory.

    Give it a shot! It doesn't work for everyone, but it works for many and it can't hurt.

    "I believe that some fine day, the children of Abraham
    will lay down their swords forever in Jerusalem."

    by Ducktape on Tue Jun 17, 2014 at 08:46:16 PM PDT

  •  Towel-wrapping is a good method (8+ / 0-)

    Look online for towel-wrapping a cat, and you'll see good illustrations of doing it. Also ask your vet if it's okay to mix the med with some fish juice.

    Another method is to use a syringe (with no needle), draw up the dose into it, then through the rear most part of the mouth squirt it into the throat.

    "Just because we have the best hammer does not mean that every problem is a nail." - My President

    by Fordmandalay on Tue Jun 17, 2014 at 08:47:54 PM PDT

  •  Thick towel, (7+ / 0-)

    tuna juice or chicken/beef broth (unsalted) or similar.

    If you can arrange to give him a (small) treat before and after, it will help.
    Lifting a cat by the scruff of the neck will often (not always) relax them, then the heavy towel can go around the body, which you hold with a firm hug with only the head exposed.

    Do not be overcome by evil but overcome evil with good. ~ Romans 12:21

    by Mickquinas on Tue Jun 17, 2014 at 08:49:19 PM PDT

  •  I have some experience :/ (8+ / 0-)

    Multiple cats - all needed liquid medicine they hated. Here is what worked for me: the towel wrapping thing. Large towel on floor, cat positioned normally in middle, upright on his feet and stomach, then wrap ends tight so the only thing out is his head. A cat burrito if you well. Then I place both my knees on either side of the cat's body, leaving my hands free to work the medicine. Tip the head back and use your fingers to hold open each side of mouth and tip medicine in as far to the back of the tongue as possible, careful not to jab, then close the mouth and rub under the chin to get the cat to swallow. All the while speaking soothing to the cat but making sure it is clear that it will not be able to get away. After the medicine, slowly release from the burrito, with lots of petting and positive reinforcement.

    I had to do this twice a day with each cat for a week. It was hell. It did get easier, as the cats knew what to expect and did not freak out as much. Still, if not wrapped tightly, the cat escaped and I ended up wearing medicine.

    And I can't emphasize enough that the soothing voice and you remaining calm and not freaked out makes a huge difference. If you freak, the cat will freak. If you are timid about holding the cat, the cat will continue to seek to escape. A firm and steady (but not punishing tight) hold is necessary.

    Good luck!

    •  We used a very similar hold and (6+ / 0-)

      technique with our previous cat.  One addition for the biting - at dosage time, I wore my husband's old barn jacket.  He uses it for splitting wood, etc. and it's been washed so many times, the fabric is like armor with a layer of insulation.  At any rate, the sleeves come down over my knuckles, so the chance of sustaining a bite are greatly reduced.

      We used the wrapping, the straddle-hold and the coat - it worked!

      Best wishes to you and your pootie.

      The truth always matters.

      by texasmom on Tue Jun 17, 2014 at 09:13:02 PM PDT

      [ Parent ]

    •  i wish you could have see my cat burrito (3+ / 0-)
      Recommended by:
      jan4insight, DFWmom, Amber6541

      and how i immobilized him using a soothing voice saying it's OK - i'm trying to help - while unwrapping him. I know the importance of calmness being  a human (retired) nurse  - but i guess this kitty sensed a bit of apprehension.  i don't like bites and scratches!

      i made sure there was a treat for him afterwards but he was so freaked out that he ran and hid and couldn't care less about a treat. he's a pure bred Singapura  and any pure bred is a bit touchy

      i am applying eye ointment (6 more days  3X a day dose) for my other kitty, a silver tabby rescue cat,  who fought me the first few times  - but now he could care less.  he doesn't have to taste it - and i think he knows i'm trying to help him.  

      Faux News ruined my state

      by sc kitty on Tue Jun 17, 2014 at 10:03:35 PM PDT

      [ Parent ]

  •  glad I saw this post (6+ / 0-)

    ...because I wouldn't have seen the zyrtec response otherwise, and because I've been dealing with medicating my own cat for months now. He's had a resistant case of skin problems -- steroid shots didn't do anything, steroid tabs didn't help, an anti-fungal helped some, but only partially; a neuro drug didn't work either. Had difficulty getting anti-histamine in him -- got it compounded as a transdermal gel you put on the inside of his ear (the outer ear flap). Sorta worked then, but he's been so sensitive that he doesn't let me near his ears now. So. Enough about me though - I'm honing in on solutions for him. The experience has given me opportunities to figure out pilling him. Here's what I learned.
    1. You can probably pill your cat more easily or as easily as giving liquid, if the liquid is bitter.
    2. If you pill your cat, you absolutely MUST follow with some water (a very small amount with a syringe is fine) because it turns out MOST of the time pills are not in the stomach within 60 seconds of taking them, and sometimes get really stuck and take forever, causing irritations and other problems with the esophagus.
    3. You can use a piller, or you can hide the pill, or pieces of it, Get two or three "treats" he likes, AND get pill pockets, and use small amounts of the pill pocket stuff mixed with your other treats to wrap around small pieces of the pill. As with other comments above, the cat may bite into this trick and find the pill and you're busted. But if you split the pill and use smaller pieces, you may end up with the cat actually gulping it.
    4. compounding pharmacies are your friend. It's worth the cost. YOu can get different flavorings, different formulations, sizes, etc. Not everything works as a transdermal, but some things do, and not having to stuff something in his mouth is helpful.
    5. There are links out there with videos giving tips on how to pill or give liquid meds either with a helper or on your own.

    I would be hesitant to give clindamycin long term, from what I've read about it.

    Finally, consider giving your cat a grain free diet, and ideally, a raw diet. But be careful about raw if the cat has been on an immunosuppressant. Often the illnesses they have -- just like our own -- are due to issues with the food they consume. Cats are obligate carnivores. Grain should not be part of the picture. (Pill pockets I made an exception for, up until I had to put my cat on a food allergy trial diet...) Treats often have grain in them if you are not careful. Look for some of the natural ones that have no grain and no food coloring, etc.

    Let every man make known what kind of government would command his respect, and that would be one step toward obtaining it. --Henry David Thoreau

    by pam on Tue Jun 17, 2014 at 09:25:23 PM PDT

    •  thank you (3+ / 0-)
      Recommended by:
      jan4insight, pam, Amber6541

      Clindamycin was prescribed b/c i didn't notice his eruption of stomatitis soon enough and his mouth was inflamed.  so i think the vet now wants to have my kitty on regular steroid shots (every 2.5-3 months).

      Pills are not an option - I'm looking for a restraint of some kind.  

      Faux News ruined my state

      by sc kitty on Tue Jun 17, 2014 at 10:17:35 PM PDT

      [ Parent ]

      •  Try this maybe? (2+ / 0-)
        Recommended by:
        sc kitty, Amber6541

        http://www.amazon.com/... Or something similar. This enables individual foot grooming as well (clipping nails, say). If you don't want any claws exposed all the openings get zipped up.
        There are others. I haven't tried it but seriously considering.
        I don't have any challenge pilling when I can hold the cats scruff. But my cat has so much skin damage and laceration I can't grab his neck. So he is able to evade.
        I had to give an anti fungal three times a day to another cat for months (cryptococcosis - brain) and it became easy after the first week. But he was easy to scruff.
        I'm less keen on restraint than just swift motion. Some find the restraints to be as or more stressful than the medicating. With my cats if I attempt and miss or fail, I give a treat and walk away and come back later to try again. We are both happier. If I tried to do a restraint on this cat he would evade me the next time he saw it coming. (Still runs if I look like I have a towel in my hand.)

        Let every man make known what kind of government would command his respect, and that would be one step toward obtaining it. --Henry David Thoreau

        by pam on Wed Jun 18, 2014 at 09:11:59 AM PDT

        [ Parent ]

    •  my kitties are on 40% protein diet (2+ / 0-)
      Recommended by:
      pam, Amber6541

      using blue mountain wilderness

      all (3) are lean and lovely and loving.  just looking for a some restraint so that i could administer that gaud-awful-tasting clindamycin to my kitty.

      thank you for responding!  

      i truly hope your kitty feels better soon.  thanks for being a critter guardian.  it's tough sometimes but really rewarding with the cuddles, licks and awesome antics.

      Faux News ruined my state

      by sc kitty on Tue Jun 17, 2014 at 11:08:48 PM PDT

      [ Parent ]

  •  I strongly recommend you consult this site: (4+ / 0-)

    Please note that lamps in the MAGIC LAMP EMPORIUM are on a genie time-share program so there may be a slight delay in wish fulfillment. (◕‿◕)

    by Mopshell on Tue Jun 17, 2014 at 09:36:50 PM PDT

  •  Here's A Website..... (2+ / 0-)
    Recommended by:
    sc kitty, Amber6541

    written by loving cat owners who successfully used a cat papoose to give the necessary meds.

    http://ths.gardenweb.com/...

  •  My 8 year old grand daughter was just given (0+ / 0-)

    Clindamycin for a skin infection. It took FIVE adults to hold her down. They tried capsules sprinkled on food. Nope. Won't do it. They finally ended up going to Augmentin. Better to have a somewhat weaker antibiotic than not getting any into her at all.

  •  You've gotten some good advice above. (3+ / 0-)
    Recommended by:
    sc kitty, BlackSheep1, Amber6541

    I'll just add that one of our rescues (as a kitten) had such  terribly infected gums that all her teeth had to be removed.  She's now 7 y/o and doing fine.  She eats just about everything and is healthy.  

    The darkest places in hell are reserved for those who maintain their neutrality in times of moral crisis. - Dante Alighieri

    by Persiflage on Wed Jun 18, 2014 at 07:04:13 AM PDT

  •  What volume of clindamycin is each dose? (1+ / 0-)
    Recommended by:
    sc kitty

    A 00 capsule will hold 0.91 mL.  I have never tried giving liquid medicine in a capsule, but I have used them for pills on my 20 pounder.  He is impossible to pill.  I rubbed the capsule with a little ham or tuna or whatever I had on hand that would appeal.

    Light is seen through a small hole.

    by houyhnhnm on Wed Jun 18, 2014 at 09:47:11 AM PDT

  •  An Idea to Medicate that Worked! (1+ / 0-)
    Recommended by:
    sc kitty

    I cannot believe my good fortune in finding your diary, sc kitty! I just got the very same diagnosis for my 5 year old cat, BG (Big Grey) on Monday with the very same prescription for Clindamycin and have the scratches to prove it.

    BG’s gums were so badly inflamed; he could not chew or eat without extreme pain. I have been feeding him baby food, one small scoop at a time, so he could lick it off my finger until the whole jar was consumed. Feeding him with a spoon was even too painful for him to manage. I did that for two weeks before I got him to the veterinarian Monday.

    After reading all of the responses, I got an idea and it worked! I pureed tuna fish in oil until it was the consistency and smoothness of baby food. I spooned the pureed tuna into an empty baby food jar and put several blobs separately in the jar lid. I measured the dose of Clindamycin into the lid with the tuna and stirred it in very well.  BG perked up as soon as he smelled the tuna and I fed him half the jar before I tried the medicated tuna. He tasted no difference and ate the medicated tuna as happily as the regular tuna.

    I am incredibly relieved that it worked and am so grateful to everyone for the wonderful suggestions that were posted.

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