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Overview of Feline Pancreatitis Treatment: A Concise Gu

20. December 2024
IV therapy can effectively support a cat's pancreatic vascular system, helping to prevent dehydratio

IV therapy can effectively support a cat's pancreatic vascular system, helping to prevent dehydration caused by vomiting or diarrhea. This simple procedure of infusing fluids into the cat can facilitate the flushing out of harmful inflammatory biochemicals and initiate the healing process.

Medications are also utilized to manage pain and nausea. While a highfat diet is a significant trigger for pancreatitis in dogs, it appears to be less applicable to cats. Inflammatory bowel disease seems to be more closely associated with felines, making treatments such as steroids, antacids, and diets low in residues or allergens more suitable for them. Interestingly, in some cases, the supplementation of digestive enzymes is considered beneficial.

Historically, dietary restriction was part of the "pancreatic rest therapy." However, new insights suggest that the pancreas can heal more rapidly as food passes through the entire gastrointestinal tract.

A healthy pancreas produces a substance called intrinsic factor, which is essential for the absorption of vitamin B12 (cobalamin) from the diet. An unhealthy pancreas cannot produce enough intrinsic factor, and when pancreatitis becomes chronic, a deficiency can occur. This leads to malabsorption in cats and often results in anemia. Since vitamin B12 from the diet cannot be absorbed without intrinsic factor, the traditional treatment has been to administer B12 injections (usually performed at home, once or twice a week, and then on a regular schedule). It is also possible to determine whether vitamin B12 supplementation is needed by testing vitamin B12 levels. It's important to note that due to the relatively low cost and wide safety margin of B12 injections, they are sometimes prescribed without veterinary testing. A new oral B12 supplement has recently been introduced, with the manufacturer claiming to have resolved issues with intestinal absorption.

The longterm outcome for cats with pancreatitis depends on the severity of their condition and any accompanying symptoms. If a cat survives an acute episode of pancreatitis, it is likely to lead a normal life. However, cases of chronic pancreatitis can fluctuate for years, requiring a lifelong dietary adjustment and a process of chronic medication management.

Tip: For more information on the treatment and prevention of feline pancreatitis, click to read "The Treatment and Prevention of Feline Pancreatitis."

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