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Sinusitis/Diabetes/Dexamethasone link

quill Aug 08, 2010 03:12 PM

Hi, I hope you don't mind but I have combined two of my posts, Diabetes and Sinusitis, into one because they are connected.

A bit of a recap:

My cat has been on Dexamethasone for quite some time. After awhile it didn't work and the symptoms came back even though I gave the recommended dosage.Not only that, the Dexamethasone lead to high glucose levels in the urine which disappeared completely after I stopped the Dexamethasone and gave him your suggestion of Chromium Picolinate. At that point he wasn't taking Dexamethasone, the symptoms of diabetes disappeared but there was still the yellow discharge from the nasal passages and thick mucus at the back of the throat. The symptoms went away only if I gave Hydrastic Canadensis every half hour(then drops) and continued to give it day and night. If I tried to taper off the symptoms came back. Not really knowing what I was dealing with- it still hasn't been determined if this is an allergic reaction, asthma, or ? - I looked up the symptoms on the Internet and they exactly match Sinusitis.

It reached a point where nothing worked. I asked his vet if I could put him back on Dexamethasone but at a higher dose.I read where it will loosen phlegm. The answer was yes, he could take 1 mg up to a maximum of four times a day. Knowing that it could lead to diabetes again, I put him back on Dexamethasone to try and get the symptoms under control which were, at that point, very severe and gave 1 mg every six hours. I also continued to give him the Chromium Picolinate to bring down the glucose level.

I also tried a vaporizer with warm steam and confined him in a large dog cage thinking that it's used for people who have colds to get rid of phlegm. I stayed by the vaporizer for seven hours straight monitoring how much steam was entering the cage.
I also occasionally added a couple of drops of Eucalyptus oil(it can coat the lungs if too much is given).He made no attempt to get out of the cage. At the fifth hour the mucus at the back of the throat started to loosen, and at the sixth hour he started to cough up phlegm and mucus.By the seventh hour his throat was clear. He started grooming himself, drank water, was hungry, etc.

I continued to give him Dexamethasone every 6 hours as well as Clavamox(twice a day. I decided to give Dexamethasone every 9 hours and try to taper off it as much as I could because I tested him urine and it showed the highest level of glucose again- because I had only given him two doses of 1 mg each of
Dexamethasone yet the extremely high glucose levels in the urine returned in a matter of hours.Not only that, there was the beginning of phlegm/mucus at the back of his throat. I put him back on the vaporizer and in about 1 1/2 hours he started coughing up the

At this point, this is the problem. I don't know if it's that I didn't give the Dexamethasone at the sixth hour but waited 9 hours to give it that brought about the beginning of phlegm/mucus at the back of the throat or if it was because I gave him two tablespoons of pureed chicken. The reason why I'm wondering about the chicken is because, in reading up on Sinusitis it said not to give meat or dairy. I had been greasing his pills with a little butter. I stopped doing that but now I wonder if the cause of the phlegm was because I gave him meat or because I tried to taper off the Dexamethasone. If I can't give him meat, what can I give him? Your imput would be greatly appreciated. Thank you.

Replies (3)

quill Aug 09, 2010 09:18 AM

Hi. I really don't know what to feed my cat now. They say no dairy and no meat for Sinusitis. I don't even know what to grease his pills with and am doing it with a timy amount of pureed chicken. He vomited it up and is now sounding croupy again. Do you know of anything that will help to get rid of the phlegm in his throat? I've tried the vaporizer again but it's still there. I've heard of Benedryl DM being used but not sure that's correct and I can't get it where I'm located. Anything that can be added to the vaporizer that's an expectorant? Any over-the-counter products that are safe for cats? Thank you,again, for any input you may have.

quill Aug 09, 2010 09:47 AM

Hi again,
Is Robitussin-DM, and Benylin safe to give cats? I read where it is but just want to double-check. What would the dosage
be? Thanks.

PHDrTobin Aug 09, 2010 10:34 AM

You are simply chasing symptoms instead of curing the problem. Your cat has a sinus infection. the mucous in his throat is from the draining sinus. The solution is to get rid of the sinus infection. Dexamethasone suppresses his immune system, whereas you should be strengthening his immune system. Since the Hydrastis worked initially, get a higher potency Hydrastis, such as a 30c, and give that twice a day. You might ask your vet for Clindamycin, an antibiotic carried into the sinus by leukocytes. You could also try giving a good immune stimulant.

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