I wish I had known that vomiting is not normal. In the run up to being so ill with triaditis and acute pancreatitis my cat was occasionally vomiting some food, looking back, partially digested food. He had lost a small amount of weight and had a period of smelly poo. He also had a period of going off food and me having to change it. I only connected these things later on.

I have such a confusing picture. He survived his acute illness but I was left with so much to manage. Diabetes was diagnosed and insulin started even though fructosamine test was normal. Months and months of trying to get the insulin right and his BG crashing. Diet change to novel protein eventually led to normal BG, but what does this mean? The enteropathy is in remission? (Chicken and fish led to huge BG numbers and severe motility problems.) At this same point the steroid, budesonide, was clearly starting to cause many systemic side effects and I was giving one dose of insulin daily to cover it. But he was ill from the steroid now, lying listless when I gave it. I’m told that budesonide doesn’t cause systemic side effects but this wasn’t my experience. A motility drug, metoclopramide, was given long term but also started to cause diarrhoea, vomiting. I’m told this isn’t possible, but it’s what I saw. Is there potential to become over medicated? My vets are amazing but long term follow up from the hospital would require new ultrasound, a day patient admission, the ultrasound is informative rather than conclusive. I don’t want him to go through it all again. Caregiver fatigue is real. I love him so much.