Well hydrated kittens have dark pink gums. Very light pink, white, or grayish gums means one of two things – either the kitten has excessive worms or they are dehydrated. You can also pinch their skin to test hydration. Pinch the skin on your forearm and it immediately goes back into place meaning YOU are NOT dehydrated. Pinch the kitties skin, if it goes back into place immediately, this indicates they are hydrated. If their skin sticks and takes a second or two to go back into place, they are dehydrated. When checking kitty hydration, we use both the gum and pinch the skin method for added assurance.
Hydration is important. You can lose a distemper kitten to dehydration or secondary infection, PRIOR to losing them of distemper. This is why distemper kitties are put on IV’s at the vet office, to prevent dehydration. Dehydration causes the organs to work harder and the body can shut down quickly, resulting in death.
There are 5 hydration methods that I have heard about. They are: IV’s (Intravenous fluids); Subcue fluids injected under the skin; Oral fluids; Enema fluids; and placing the dehydrated being in body temp water. This last mentioned method is not something I would recommend with kittens.
IV’s and Subcue fluids are hydration methods that a vet or a person trained in these methods can do easily. We recommend IV’s or oral/enema dosing, as we are hearing that Sub Q fluids are not releasing fluids back into the system fast enough, when a kitten is continuing to vomit or have diarrhea, so they can still dehydrate. Personally, we have always used the oral and enema methods to keep distemper kitties hydrated. If a distemper kitty continues to vomit oral fluids, we generally use the enema method to help get them hydrated again, until they can keep fluids down orally. Using the Feline Distemper remedy and Pedialyte, per the Feline Distemper remedy insert instructions we have found enema fluids are completely retained in kitties who are dehydrated.
ENEMAS…OH MY! Enemas are not as bad as many people think they are or will be. Enemas are an excellent way of preventing kitties from dehydrating, especially if they are not keeping fluids down orally. If a kitten is not dehydrated, the enema fluids will come back out, but when they are dehydrating (do the gum and skin test above), their bodies maintain all the enema fluids given. IF a distemper kitten expels the enema fluids within seconds of giving an enema, it is possible one of two things has happened: (A) You either gave the enema too quickly, “shooting” it up it’s hind end or (B) it’s intestines may have tortioned (twisted). IF this occurs, you should get your kitten to a vet immediately.
You can give an enema with a bulb syringe, or a standard clear syringe, like the one you may be using for oral doses. We prefer using clear syringes, as it’s easy to see how much fluid is in them and it’s easy to see how clean they are after washing. ALWAYS make sure to clearly mark an enema syringe with a good permanent marker and NEVER use an enema syringe even after it’s been thoroughly washed to give an oral dose, as you can re-infect a kitten with distemper.
Please note, there are 2 kinds of syringes. One is made to screw a needle into,
which does NOT make a good syringe for giving enema doses. If using a syringe for giving enemas, make sure the tip is nice and clean, without that flowery thing typical needle syringes have. Here’s a photo of a good syringe to use for enemas.
Lubricate the end of your enema applicator with KY jelly, vitamin E, or similar. Make sure the kitten’s spine is straight, as you cannot give an enema to a kitten that’s curled up.
Administer the enema fluids VERY slowly. Pet the kitten and tell her/him why you are giving them an enema…to help them get better so they can be happy, healthy, eat, and play again.
IF your distemper kitten has a low grade fever, we recommend heating the fluids to body temperature, so their little furry bodies do not have to work hard at bringing the enema fluids to their body temperature. They need to be working on healing from distemper and should not be having to waste their energy bringing their body temp back up after getting a cold enema. It may make their recovery easier and quicker.
If giving an enema still sounds gross, please know that there have been one or two Kitty-DT remedy customers the past 4 years who, despite our repeated informing of the importance of enemas, along with the written Kitty-DT instructions, did NOT give the enemas and both these kitties died. When it comes to life or death choices, if you aren’t giving IV fluids, or if your kitten isn’t keeping down the oral doses, give the enema(s) – PERIOD. They really aren’t gross (and even if they were, SO WHAT) and could make the difference of whether or not your kitten lives or dies.
Please also note, the purpose of an enema is to hydrate a kitten so that they will be better able to hold down oral fluids. We do not recommend giving enemas 24 hours straight or in lieu of oral dosing. Enemas are needed if a kitten is vomiting excessively, but the goal is to get them hydrated enough so that they can keep their oral fluids down.