Therefore, veterinarians usually try to get a cat eating again as soon as possible. Diarrhea. Well, thats not always the case. This is when all three organs are affected by inflammation, and its difficult to tell which came first. They can have flare-ups over the long-term, although symptoms are generally milder than with acute pancreatitis. Other cats become seriously ill. Also, feline pancreatitis tends to be chronic, showing up periodically throughout a cats life. Unfortunately, pancreatitis is difficult to diagnose in pets. Your cat is relying on you to notice the first warning signs. JoAnna Pendergrass, DVM, is a veterinarian and freelance medical writer in Atlanta, GA. Aftergraduating from the Virginia-Maryland College of Veterinary Medicine with her veterinarydegree, JoAnna completed a 2-year research fellowship in neuroscience at Emory University. For vomiting cats, it has been traditionally recommended to rest the pancreas for 23 days by withholding food and water. So, you might expect that your cat would show extreme symptoms. If youre wondering what is the best cat food for cats with pancreatitis, it's best to stick to a bland diet if theyll eat it. What causes pancreatitis in cats? As well as aiding digestion, the pancreas produces insulin which regulates blood sugar. What about stress? What is the pancreas, anyway? For this reason, some kitties develop diabetes mellitus, due to imparied insulin production. A blood test called feline pancreatic lipase immunoreactivity, or fPLI, is the most specific test. . The second is producing hormones like insulin and glucagon, which are crucial for blood sugar regulation. Most cats that suffer from acute or chronic pancreatitis can go on to live a relatively normal life. Home care for feline pancreatitis usually involves giving medications at home, encouraging your cat to eat, and having fluids administered under the skin (during an outpatient veterinary visit, or by being taught to administer fluids at home). Sometimes, a cat starts eating again on their own, thanks to medications helping them feel better. Lets find out more about this painful condition. Whenever youre faced with that tough, heart-wrenching decision of whether it's best to euthanize, you should consider three things: Is your cat in pain? Other causes, like infections, tumors, and trauma, are impossible to control. Its common for cats with pancreatitis to eat less or stop eating altogether, which could lead to some weight loss. It is difficult to diagnose, difficult to treat, and difficult to determine what causes it. False negatives may occur in the lower ranges; if your cat continues to show symptoms you should consider retesting a few weeks later. In short, the enzymes can wreak all types of havoc in the body. If your cat exhibits any of these symptoms, it is important to seek veterinary care immediately. In severe cases of feline pancreatitis, these enzymes attack the liver and, rarely, the brain and lungs. If the attack is severe, acute shock or death may occur. By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Heart Attacks Spike in Last 2 Weeks of December, People Don't Think They Need a COVID Booster (Poll), Climate Change Harms Physical and Mental Health, Most Cancers Are Not Found Through Screenings, Long COVID Linked to More than 3,500 Deaths (CDC), Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox. Here are the signs that your cat has pancreatitis: Lethargic - This is an episode of acute pancreatitis, where the cat sits erect, with their paws tucked under them, while looking into space and is reluctant to eat. These kitties should be taken to a veterinarian immediately, since the disease can be life-threatening and prompt treatment gives the best chance of recovery. Switching food too soon, while a kitty is still sick, could cause aversion to the new diet. Chronic pancreatitis, on the other hand, is usually more subtle, with bouts of vague and mild symptoms. Weakness, or in severe cases, collapse. Its common for cats to have normal levels, though., Your vet might order X-rays or an ultrasound. Some cats will never have pancreatitis again after recovering from their first bout, while others have flare-ups for years. However, taking a biopsy can further inflame the pancreas, worsening the pancreatitis. Dietary changes are usually not implemented until the cat is feeling better. Although it's unlikely that stress would cause an initial bout of pancreatitis if your cat has chronic pancreatitis or is prone to flare-ups, stress could worsen it. When it does, it is often accompanied by inflammation of the liver and intestine. Other less common causes are tumors, inflammatory bowel disease, diabetes, and certain medications. And are they eating? In that case, you might need to speak to your veterinarian about recovery diets and rehydration solutions. These medications are usually pain relief, anti-sickness medications, and sometimes antibiotics. Pancreatitis can make cats poorly and its painful, but the early symptoms are sometimes vague. If those dont work, then a feeding tube will be necessary. Pancreatic Cancer (Adenocarcinoma) in Cats, Cat Exocrine Pancreatic Insufficiency (EPI in Cats). Are you curious about pancreatitis in cats? The condition affects all cats, regardless of their age, sex, and breed, but felines with certain conditions, like diabetes, might be more at risk. on Pancreatitis In Cats: Causes, Symptoms, & Treatment, Pancreatitis In Cats: Causes, Symptoms, & Treatment. Read our guide to determine whats normal, what isnt, and what to do next. Once they reach the intestines, they are activated to digest food., Pancreatitis can disrupt this process, and enzymes can be activated too soon inside the pancreas, leading to symptoms and self-digestion of the pancreas., Its not exactly clear what causes pancreatitis in cats. Many medications are toxic to cats. The most common clinical signs include nausea, vomiting, fever, lethargy, abdominal pain, diarrhea, and decreased appetite. The cat pancreatitis survival rate is estimated at around 77% according to the Natural Library of Medicine. Breathing difficulties (if the lungs become affected) Coordination problems (if the brain is affected) Some cats may have only one or two of these symptoms. Cats who develop fatty liver disease (hepatic lipidosis) at the same time can also show signs of jaundice like yellow gums and eyes, notes Pet Health Network. Why Does My Cat Stick Their Tongue Out Sometimes. Often, cats with pancreatitis will also vomit, which can cause dehydration, especially if theyre not drinking much. Cats recover faster when they start eating early on, so they might try medications to increase appetite if your cat doesnt want to eat. The educational cat health content on All About Cats is written by or reviewed by our team of veterinary experts to ensure that its in line with the latest evidence-based veterinary information and health guidelines. Therefore, forcing them to eat, even if it's something tasty, could cause them to associate eating with symptoms like nausea or pain. This means there is insufficient production of pancreatic digestive enzymes, which results in inefficient digestion, weight loss, loose stools, and inability to absorb all the nutrients from food. JoAnna is amember of the American Medical Writers Association and Dog Writers Association of America. Upset stomach in cats: Vet's guide to causes and treatment, Stomatitis in cats: Vets guide to symptoms and treatment, Dog trainer shows how you can train loose leash walking in just 15 minutes. What causes pancreatitis in cats? Im glad that the article was helpful to you. Diagnosis: General bloodwork especially measuring serum pancreatic enzymes amylase and lipase, feline specific pancreatic lipase immunoreactivity (fPLI), ultrasound, x-ray. How is pancreatitis diagnosed? Pancreatitis is an inflammation of the pancreas that affects only 2% of cats. Trauma, such as being hit by a car or falling from a height. Youre quite welcome. How is their mobility? Symptoms of pancreatitis in cats resemble those of other causes, so your veterinarian will likely recommend a baseline blood work and tests to measure the enzyme lipase, which is an enzyme that helps break down fats. Get practical pet health tips, articles, and insights from our veterinary community delivered weekly to your inbox. And what can you or your veterinarian do to treat it? In severe cases, a cat may have jaundice (yellowing of the skin, eyes, and mucus membranes) and possibly be in shock. When progress is poor and the outcome is grave due to complications such as multi-organ failure and blood clotting (intravascular coagulation), euthanasia may be recommended. "Therapy is aimed at keeping cats hydrated and to manage their symptoms," Dr. McCullough says. However, for cats who naturally consume more fat in their diets than either humans or dogs this association is not so clear. An ultrasound is more useful and can show pancreas inflammation in two out of three cats.. However, if numerous blood clots form, a condition called disseminated intravascular coagulation (or DIC), a veterinarian may recommend euthanasia to spare the patient from suffering. In addition to these supportive measures, pain medications are given to relieve abdominal pain. Vomiting (occurs in approximately one-third of cats with pancreatitis) Stomach ache. The pancreas gland is within the abdomen, near the stomach. Still, some medications can help your cat feel better and aid their recovery. Low body temperature. While dogs may show obvious indications of sickness, cats, especially in the early stages of the condition, may look completely normal. This rehydrates a cats body, flushes the body of inflammatory chemicals, and ensures adequate blood flow to and through the pancreas. Here are the signs of UTI in cats, plus potential treatment options and advice on what to do next.Read more, Can cats get hypothermia? Causes: There are many causes including infection, obesity, high fat diet, trauma. What can your cats poop tell you? When the pancreas becomes inflamed, the digestive enzymes can activate and start irritating the pancreas itself, causing the pancreas to become inflamed. The symptoms of pancreatitis in cats can be more subtle than those of pancreatitis in dogs, which is a more commonly diagnosed condition. If your cat gets diagnosed with it, it can be a very worrying time since recovery can be unpredictable, and the cause is poorly understood. So, its usually not necessary to switch a cat to a low-fat diet although kitties on very high-fat diets might need to change what they eat. Pancreatitis in cats also often happens along with liver or gallbladder disease, but the exact cause is generally unknown. Your vet will discuss options with you., Cornell University College of Veterinary Medicine Cornell Feline Health Center: Feline Pancreatitis., Merck Manual Veterinary Manual: Disorders of the Pancreas in Cats., Topics in Companion Animal Medicine: Pancreatitis in Cats., VCA Canada Hospitals: Pancreatitis in Cats, Icterus (Jaundice) in Cats., Veterinary Partner: Pancreatitis in Cats.. Some cats dont show any symptoms of pancreatitis or only mild symptoms. Because of the potential link between fatty foods and pancreatitis, it would be a good idea to avoid giving rich or fatty treats or human foods and instead stick to balanced cat food. Sadly, its not uncommon for cats with chronic pancreatitis to have symptoms grumbling on and waxing and waning for months. Pancreatitis - The Cat Doctor Pancreatitis Pancreatitis is emerging as a common problem in cats and can present with mild symptoms such as intermittent vomiting or more severe signs such as lethargy, weight loss, abdominal pain and inappetence. Your vet will take your cats history and symptoms and do a physical exam. 3.5g/L: unlikely the cat has pancreatitis 3.6 - 5.3g/L: the cat may have pancreatitis; the test should be repeated in two weeks 5.4g/L: the cat most likely has pancreatitis. Many cats will have elevations of some liver enzymes, as well as changes to electrolytes due to vomiting. PetsRadar is part of Future US Inc, an international media group and leading digital publisher. Pancreatitis is an inflammation of this critical organ caused by digestive enzyme production that goes awry. Many cats make a full recovery with timely treatment, while others may pass away, especially if their illness is severe. If your cat has pancreatitis, you might observe the following: Lethargy (common) Dehydration (common) Decrease in appetite (common) Weight loss (common) Vomiting (less common) Diarrhea (less common) Abdominal pain (difficult to assess, assume present) Signs of fever (less common) Diagnosis They can potentially break down parts of the body and the pancreas itself, so they are normally sent to the gut in an inactive state. There was a problem. Once your veterinarian has diagnosed your cat with pancreatitis, they will need to provide supportive care. These enzymes dont just go after the pancreas, though. It has also been found that oftentimes pancreatitis in cats is accompanied by other diseases, such as liver disease, or fatty liver disease, and inflammatory bowel . With early diagnosis and aggressive treatment, the survival rate for cats with feline pancreatitis is good. Read more, Does your cat have a urinary tract infection? NY 10036. For these cats, a diet with high-quality protein and a moderate amount of fat, and perhaps some probiotics, is typically all thats needed. Cats may suffer from acute cases that range from mild to severe, or chronic pancreatitis. When they get home, they'll need to give them lots of water to make sure they don't get dehydrated. Sex is not known to have any impact on the likelihood of recurring or chronic pancreatitis. The signs of pancreatitis, such as vomiting, diarrhea, and lethargy, are similar to many other minor and major illnesses. Your vet can advise you as to whether or not this is recommended. Risk factors for pancreatitis in cats include viral infections such as feline infectious peritonitis (FIP), protozoal infections (primarily for outdoor cats), trauma, toxins and the presence of liver disease and gastrointestinal disease, says Dr. Carey. However, there is a newer thought that the GI tract heals better when food is moving through it. And it's certainly a painful condition in humans too. The following symptoms can indicate that your feline friend has pancreatitis. "Veterinarians will likely prescribe pain and anti-nausea medication and a special diet." What Is the Treatment for Pancreatitis in Cats? Thank you for signing up to Petsradar. Dehydration can also lead to an elevated red blood cell count or mild increases in kidney values, but none of these changes are specific to cats with pancreatitis and can be seen with many illnesses. Although clinical signs are variable and non-specific, acute lethargy and anorexia are present in most of the cases. Symptoms of Pancreatitis in Cats When pancreatitis appears suddenly (acute cases), symptoms are typically easy to notice for the pet parent. How Many Litter Boxes Should You Have Per Cat? This typically doesnt require an emergency visit, but its best to schedule as soon as possible. But with pancreatitis, the enzymes start to digest and damage the pancreas, as well as surrounding tissues like the liver and small intestines. This is because cats who dont eat for several days can develop hepatic lipidosis (fatty liver syndrome). What Are Symptoms of Pancreatitis in Cats? Be on the lookout if your cat seems lethargic or is hiding from view. Another potential complication is exocrine pancreatic insufficiency. The pancreas is an organ located between the stomach and small intestine. View all posts by JoAnna Pendergrass, DVM, Flea And Tick Medication Poisoning In Cats: Causes, Symptoms, & Treatment, Cat Limping: Causes & When To Go To The Vet, Abscesses In Cats: Causes, Symptoms, And Treatment, Ticks On Cats: Identification And Treatment. You might be aware of pancreatitis in humans or dogs, but what about pancreatitis in cats? Symptoms may include: When pancreatitis is chronic, signs may be infrequent and may not be as easily noticeable by the pet parent. The exocrine part secretes digestive enzymes that travel down to the small intestine to help break down food. This article was such a help! Cats can suffer from two different forms of pancreatitis: acute pancreatitis and chronic pancreatitis, with the chronic type being more common in cats. If your cat has pancreatitis, it means that the pancreas is inflamed. They may also get drugs to help ease nausea and vomiting. Does your cat have a urinary tract infection? However, with time and the correct supportive treatment, many cats recover and live happy, healthy lives. Each time you make a purchase through one of our independently-chosen links, well receive a percentage of the proceeds. One aspect of supportive care for feline pancreatitis is intravenous fluid therapy. Theres also dietary recommendations on this site, for specific foods to try. The prognosis is good for mild pancreatitis and guarded to poor for severe cases. Its a rapid test that looks for inflammation markers, but it can still miss some cases. Acute pancreatitis signs and symptoms include: Upper abdominal pain Abdominal pain that radiates to your back Tenderness when touching the abdomen Fever Rapid pulse Nausea Vomiting Chronic pancreatitis signs and symptoms include: Upper abdominal pain Abdominal pain that feels worse after eating Losing weight without trying White fish or boiled chicken are good options. Cats can recover from mild cases of pancreatitis without complications. Fever. These three questions will help give you an idea of their quality of life. While pancreatitis is a serious condition, many kitties recover just fine with prompt treatment. After recovery of mild pancreatitis, your cat might permanently need low-fat meals and treats. Fever. This could signify that they are in pain and don't want to move around much. All rights reserved. Often, when getting diagnosed by the veterinarian, other illnesses are found. However, for the times when there is a known cause, it often falls into one of these categories: In cats, the liver, pancreas, and portions of the intestines are in close proximity to one another, as are the ducts where pancreatic and liver secretions empty into the small intestine. Pancreatitis can be a progressive disease so its always best to have your cat examined first. In severe cases of pancreatitis, or cases where complications such as feline triaditis, your veterinarian may suggest 24-hour care. Im really grateful for this website. If the signs and treatments are identified and the treatment is begun, the chances of your cat surviving are higher. Please refresh the page and try again. Here are some of the most common tests that may be performed: A biopsy may be of more value for kitties who have milder, chronic or recurrent symptoms of pancreatitis. Plus, if a cat is already extremely ill, anesthetizing them to take a biopsy could put their life at risk. However, for mild or chronic cases, home or outpatient treatment might be possible. The first is producing digestive enzymes that are needed to break down fat, proteins, and carbohydrates. As a medical writer, JoAnna is passionate about providing pet parents with clear, concise, andengaging information about pet care. In cats, the enzymes can also travel from the pancreas to the gastrointestinal tract and in some situations, this can cause inflammation in the liver, stomach, and small intestine, known as feline triaditis, which in some cases may become life threatening. This could signify that they are in pain and don't want to move around much. Of course, its ideal to identify and eliminate the underlying cause, but that wont be possible in many cases. When caught and treated early, cats that have suffered from pancreatitis can usually return home to live a happy and healthy life. Depending on the disease severity, a sick cat can need intense veterinary treatment. Heres how it works. If your cat has pancreatitis, you might notice them acting lethargic or hiding away. Dehydration. It's crucial not to force-feed your cat if they have pancreatitis. Pancreatitis in cats sounds really painful, doesn't it? From a functional standpoint, the pancreas has two parts: endocrine and exocrine. Your vet will do everything they can to nurse your cat back to good health. Keep reading to find out. Common signs of pancreatitis in cats include: Cats with acute pancreatitis tend to be more severely ill. The earlier the disease is treated, the more likely it will resolve without further complications. If your cat has a sudden episode of lethargy and is reluctant to eat, take her to the vet immediately. Appetite stimulant medications can improve a sick cats appetite. Future US, Inc. Full 7th Floor, 130 West 42nd Street, If your cat is struggling in more than one area and shows no significant improvement on a course of treatment, it might be time to discuss euthanasia with your veterinarian. Pancreatitis is linked to some cases of viral or parasite infections like toxoplasmosis or pancreatic flukes, and other problems like an injury, but these arent common causes. In dogs, ingestion of fatty foods is a well-known cause of pancreatitis. One of its functions is to release digestive enzymes called lipase and amylase into the duodenum (first part of the small intestine) to help digest fats and carbohydrates. This procedure involves surgery and anesthesia and is not generally recommended.. 2023 Cliverse Media Ltd. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. However, severe cases will require hospitalization. When pancreatitis appears suddenly (acute cases), symptoms are typically easy to notice for the pet parent. Lethargy. Anti-nausea medications can also be given. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); allaboutcats.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Can cats get hypothermia? Despite its rarity, this disease is quite serious and can be fatal, so its important for cat parents to learn more about feline pancreatitis and how its treated. The pancreas is an internal organ that sits next to the stomach. They may need medication for pain, too. What is the life expectancy for a cat with pancreatitis? Your email address will not be published. Cats suffering from chronic pancreatitis may also go on to live a relatively normal life, with some lifestyle changes, that may include an alternative diet, frequent check-ups, and chronic medication. As you can see, the nature and long-term consequences of pancreatitis are variable from cat to cat. Cats with acute pancreatitis tend to be more severely ill. So happy to hear that its all working out. A cat might not show pain, but its likely there and needs to be treated. What Is the Outlook for Pancreatitis in Cats. In some cases, these may be accompanied by: Vomiting Diarrhea Abdominal pain A change in body temperature In some cases of pancreatitis, if the bout is severe and sudden, it has been known to cause deaths and shock in cats. This condition is called pancreatitis. Painful in the abdominal area: Your cat will likely be restless, panting, trembling, or look "hunched-up." Diarrhea. Symptoms of pancreatitis in cats include vomiting, diarrhea, abdominal pain, anorexia, and weight loss. And proper management can help many cats with chronic pancreatitis enjoy a great quality of life for years to come. Cats who recover from their first bout of pancreatitis will likely experience it again. Therefore, its common for pancreatitis to be part of triaditis, or triad disease. Get the best advice, tips and top tech for your beloved Pets. Cats can develop food aversion and negative associations with food very quickly. As a general guideline, the prognosis is better for cats with milder symptoms, who receive prompt veterinary care and respond well to their initial treatment. Most cases of pancreatitis in cats do not lead to kidney failure. However, some will develop more chronic pancreatitis. Pancreatitis occasionally occurs in the cat. Pancreatitis is treated with IV fluids, pain and anti-nausea medication, as well as treatment for the underlying cause if that can be determined. Hi Mark, it really depends on the individual case and underlying causes of the condition. Other tests may include clotting times (determining the time in which it can take for blood to clot; useful in determining if spontaneous hemorrhage will occur), cultures and/or biopsy in cases of severe pancreatitis. High levels of lipase in the blood indicate a higher chance of pancreatitis. Common signs of pancreatitis in cats include: Nausea and vomiting. WebMD does not provide medical advice, diagnosis or treatment. It used to be considered a rare disease in cats, but recent studies show that its more common than originally thought.. This test measures the levels of lipase, a digestive enzyme released by the pancreas. Normally, these enzymes would pass through the pancreatic duct and into the small intestines, where they safely help with food digestion. Some cats with pancreatitis deteriorate quite acutely. Vomiting and abdominal pain can also be signs of the condition, but these signs are more common in people and dogs with pancreatitis than in cats. Diagnosing pancreatitis can be tricky. Absolutely! Read More: Top 5 Best Cat Foods for Pancreatitis. Your vet can create a plan for management, which may include a diet change, medications, supplements, monitoring (at home and at veterinary checkups), and treatment for flare-ups. Thank you, vets and staff. Some days the cat may feel fine and other days she may not be as interested in food or may vomit. A definitive diagnosis of pancreatitis can require some combination of a blood chemistry profile, complete cell count, urinalysis, fecal examination, specific tests for pancreatitis (fPLI or SPEC-FPL), abdominal X-rays and/or ultrasounds, and . Therefore, if you think your cat is unwell, it's essential to get them checked over by a veterinarian so that treatment can be started early. You will receive a verification email shortly. Read our guide to determine whats normal, what isnt, and what to do next. 2005 - 2023 WebMD LLC. Results from these tests can help determine treatment or indicate if further tests, such as abdominal x- rays or ultrasound, are necessary. Even with this tests accuracy for diagnosing feline pancreatitis, the results still need to be evaluated along with all other diagnostic and physical exam findings to make the final diagnosis. However, the pancreas is more than just an insulin-secreting machine. If a veterinarian decides to withhold food and water, the cat must start eating again after that resting period. Depending on how sick your cat gets and how quickly their nausea and anorexia resolves will be predictors of treatment and prognosis. Swelling and tenderness of the abdomen. Quick Overview: Pancreatitis In Cats Other Names: Inflammation of the Pancreas Common Symptoms: Vomiting, weight loss, lack of appetite (anorexia), abdominal pain, diarrhea. Pancreatitis in Cats: Diagnosis, Treatment, and Recovery. This happens when digestive enzymes are activated too early, when theyre still inside the pancreas. These symptoms include weight loss, your cat drinking a lot of water, and peeing more. They can happen in any breed, both males and females, and any age, though it might be more common in cats older than age 7.. Her condition slowly improved. It serves two very important functions. Ideally, food would be withheld to stop the production of digestive enzymes. Mallory. Some of these symptoms can be caused by other issues, like an intestinal obstruction or exposure to a toxic plant or other harmful substances. At a glance. Low body temperature. This can become a vicious cycle where they become less and less keen to eat even though their symptoms are improving. Pancreatitis is a condition seen in cats that can cause lethargy, vomiting, anorexia, diarrhea and abdominal pain. She lives in Wales with her partner, son, and their two cats. If your cat isnt eating or if they are dehydrated, they might also need to go on a fluid drip. What triggers pancreatitis in cats? Dehydration. Signs of pancreatitis in cats are primarily a lack of appetite and lethargy. These digestive enzymes are potent, so the pancreas keeps them tucked away and inactive until they reach the small intestine. You definitely dont want your cat to have another serious disease on top of pancreatitis. When the pancreas is inflamed, the digestive enzymes are overproduced and leak out of the gland, causing more inflammation in the surrounding area. When the pancreas becomes inflamed, the condition is called pancreatitis. Through her writing, she strives not only to educate petparents, but also empower them to make good health decisions for their pets. What are the symptoms of pancreatitis in cats? They might indicate that something is abnormal, but not specifically that a cat has pancreatitis. Your vet can give a recommendation based on your kittys unique needs and medical history. Pancreatitis in cats occurs when the pancreas becomes inflamed and digestive enzymes produced in the pancreas spill into the pancreas and abdominal cavity. 11 Tips To Train Your Cat To Sleep All Night, 10 Proven Ways To Show Your Cat You Love Her, 7 Signs Your Cat Is Not Getting Enough Love, https://www.premiermedicalhv.com/divisions/services/pancreatitis/, How To Train A Cat To Use A Water Fountain. 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