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Shay | 10 months ago
My 18 Year Old Cat (long Hair) Has Been Having Some Issues For About 2 Weeks Now. On 2/10/24 …

My 18 year old cat (long hair) has been having some issues for about 2 weeks now. On 2/10/24 he started throwing up at breakfast and didn’t want dinner, Stopped drinking and eating from that point and howl crying by sunday night into Monday. Got hospitalized on Monday the 12th got labs done, a urinalysis, semi ultrasound and xrays. He was severely dehydrated, negative for UTI, severely anemic (6.8 range was 10.9-15 ). Over night he got IV fluids and antibiotics and ate some the morning, labs were normal by discharge except for anemia. Xray ray did reveal, distended stomach with gas, arthritis, one small kidney. He came home didn’t really eat much, followed up with regular vet got subq fluids and appetite stimulant (rubs on ear), 1-2 days after he ate like a horse mostly broths and liquids foods. He is now constipated and vomiting again, not eating and lethargic. Took him to the vet 2/24/24 for subq fluids vet also gave him an enema. He has not pooped still its been about 30 hours. I tried to give him gabapentin yesterday but he threw up. This morning he threw up “poop” like vomit. We gave him 1/2 ish teaspoon of miralax this morning threw up a little while later more poop like vomit. Seems to have broken a bit of his k9 tooth off also, doesnt seem to bee botbering him… We are considering doing at home mineral oil enema with a baby enema glycerin suppository with more miralax. He has eaten a tiny bit of Broth treat today and gotten outside for 2 walks. Are we doing the right steps ? Is there more or less we should be doing ? Trying to get to a more equipped vet hospital but probably won’t be until Tuesday 2/2724. Should I seek emergency medical attention or waiting until Tuesday be okay. Planning to take him to regular small vet tomorrow for subq at the least.Please help.

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  1. Krista Magnifico

    Hello,
    It sounds like your cat doesn’t have a diagnosis and we are chasing treatment options that don’t seem to be working. This tactic always gets me concerned because it makes it very hard to know what to do next or where to go for help. If you can afford it I recommend you see a feline practitioner. This is a veterinarian who only sees cats, or has a veterinary practice that only takes care of cats. I would also ask about trying a steroid, appetite stimulant, feeding tube and better help with at home care if you do not re hospitalize for iv fluids and in patient care.
    I also strongly recommend that the constipation be confirmed with a recital exam by the vet before enemas are done at home.
    This is a tough case and your cat needs to see the vet.

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Ed Schmitz | 5 years ago
My Dog Sampson Is A 15 Year Old Boxer/pittie Mix(50 Pounds). Has Had Diabetes For 7 Years. …

My dog Sampson is a 15 year old boxer/pittie mix(50 pounds). Has had diabetes for 7 years. Been on arthritis pain meds the last year.. Has become very sluggish the past 2-3 weeks. Vet diagnosed him with a early stage heart murmur and slight anemia. Changed his arthritis pain meds to Gabapentin. It made him so drowsy that he fell asleep while eating. Became unable to walk without assistance. We weaned him off the Gabapentin and back on the old pain meds. His walking has improved a little but still is wobbly. Yesterday he refused to eat, which is highly unusual for him. Still drinking, but not eating today. He sleeps a lot but also has 30-60 minute spells of restless/repetitive behavior. I’m thinking he may have dementia. Any suggestions on how to help him?

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  1. Krista Magnifico

    Hello,
    This is largely a diagnosis of exclusion. I would call your vet back. Go over everything and repeat the blood work, cheat radiographs and discuss a cardiologist. There are too many things going on with your pup for me to say with any kind of degree of confidence to add that diagnosis to the list. All of the conditions you speak of can cause mental depression. So I would start over and ask for a referral to both an internal medicine specialist and even a catdiologist. I have a lot of information on my blog about cognitive dysfunction and there are lots of things you can do at home to help. But don’t over look previous issues before jumping into a new condition. To find the information on cognitive dysfunction please go to kmdvm.blogspot.com and in the search bar type cognitive dysfunction. I hope this helps.

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Josephine | 5 years ago
Hi, I Have A 16 Yr Old Shih Tzu That Has Had Brain Tumour Surgery But Had …

Hi, I have a 16 yr old shih tzu that has had brain tumour surgery but had complication of regrowth of a cyst several times and went for fine needle cyst drainage quite a few times. She has degraded to the point of being totally non-ambulatory except for some head movements. She has to have her urine and stools expressed everytime and she has to be handfed. But she still eats very very well. I need advise on what my pet needs at this point and whether is there any reason/last wish that is making her hang on so dearly to her life despite her quality of life and body already failing her? Shes like a family. i am torn between keeping her alive and letting her go if shes suffering but my love for her and our bonds is muddling my thoughts and decisions. I have taken care of her intensely for almost a year now from prior surgery to post surgery and she had so many complications, cyst regowth several times, loss n regain limbs ability, pneumonia, anemia. She always pulled through but now shes at a stage where shes really just hanging onto her dear life i feel, lying the whole day, only able to move her head during mealtimes when she is hungry. I have spent over 30 thousand dollars this while for her medications and procedures and vet visits, she even goes for rehab/pt/accupuncture and hyperbaric which are very costly. It has gotten to a point that I am spending more than I earned every month on her rehab (even though she cannot move, she still does ultrasound therapy on her severely arthritic joints and some accupuncture to relieve any pain from not moving everyday and her mountain of medications and supplements. I really cannot imagine life without her, she is my pillar of hope and support in my dark and depressed life and family full of issues. Now my pillar is crumbling. I still take care of her, i dont care about my finances, i stopped going out except to work, i bring her everywhere whenever i can in a dog pram she just lies motionless. Its amazing how she would wake and eat so very very well and finish all her big plate of food every day twice a day but lies motionless and tired after that. Its amazing how she would use her whatever remaining energy to poop when i try to rub and stimulate her anus once everyday without fail. She would be so tired after all that. It kills me to see her like this. Before that she can move n walk or at least drag ard the hse n look happy still so its ok worth all these. I wake up 3 4 times every night to help her drink water eat snacks she would wake from hunger and pant everynight even now maybe from prednisolone. But now shes just motionless and heart murmur has reached grade 5 or 6 and anemic and totally cannot move at all but still eats super well and pee poo normal with help express. A part of me feels like euthanasing her to end her misery and my own heartache seeing her suffer yet i cant bring myself to do it thinking that she would be reallly gone and that i might have done it wrong because shes still wants to be ard and live that is why she is hanging on so dearly. Please advice me..please. i am so loss and torn between choices its killing me every moment im awake.

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  1. Krista Magnifico

    hello,
    this question was answered elsewhere. I applaud you for your dedication and devotion to your pup. You have gone above and beyond. i wish you well,

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Elza | 5 years ago
Hello! I Have A 14.5 Year Old Japaenese Splitz Who Had Disc Surgery 2 Years Ago. This Year …

Hello! I have a 14.5 year old japaenese splitz who had disc surgery 2 years ago. This year he developed new weakness in his lower extremities and had a 2.5 kg weight loss so he had a full body ct with contrast and ct brain.
Findings included a chronic herniated disc explaining his weakness and an incidental finding of a splenic mass with some splenomegaly and no evidence of metastasis. Ultrasound findings were non significant. The nature of the mass remains unknown. His blood tests were good and he has no anemia. My veterinary doctor recommends a splenectomy. But i am worried of putting him through general anesthesia given that he has a heart murmur (on no medical Tx). I want to maximize his quality of life. I dont know if i should put him through major surgery given that he is asymptomatic but i am also worried abt internal bleeding and the suffering of metastatic disease if i dont operate. What should i do?

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  1. Sarah

    Good morning-
    The first thing that I would do is sit down with the vet and have a heart to heart about your thoughts and concerns. Hopefully you have a good relationship with them, and you are able to have an open discussion regarding whether or not surgery is the best option. I would mention your concerns (anesthesia, etc.) about quality of life and surgery risks for sure. I would also recommend having a “family” meeting with the household of applicable, regarding the pros and cons, the vets advice, and the recovery process (if you go through with surgery) or any other day to day changes that will be necessary in the near future for your pet. But again, my first step would be with my vet to weigh the options for my pet. Best of luck.

  2. Krista Magnifico

    Hello,
    I had the same situation a few weeks ago. I am asking that patients mom to contribute to this question too.
    My first piece of advice is to ask for an echocardiogram exam. You don’t mention the degree or severity of the heart murmur (usually graded on a scale of 1-6) and it is important to say that a low grade doesn’t always indicate it is safe or irrelevant.
    From here you can better assess anesthetic risk.
    In general I tell clients to take out the spleen before it becomes a problem. A bleeding spleen can kill a dog quickly. So quickly you may not even have time for successful surgical intervention.
    You have done an amazing job with diagnostics and treatment options. Don’t stop here.
    Please let us know what happens.
    Best of luck

  3. Trish Powers

    Wow, what you are going through sounds quite sillier to what I just experienced with my oldest dog, who is almost 12. He is a Lab mix weighing about 54 lbs. A few months back he had is senior checkup, including a full blood panel and all looked good except trace amounts of blood in his urine and he has had a heart murmur his whole life and had never been on heart medication. He ate carpet a few weeks ago and while doing X-rays and ultrasounds to be sure it wasn’t causing a bowel obstruction, we found he had an enlarged heart and two masses on his spleen, with no indication of metastasis. He was acting himself, except for the belly issues from eating the carpet. Once we knew the carpet issue was under control, I got a second opinion about the spleen and had long talks with my vet about the situation. Both veterinarians suggested a splenectomy, and also to consider a cardiology evaluation to be sure his heart was strong enough for surgery. I was so nervous about what to do, he is older, acting fine and his quality of life is great. The thought of putting him through what I felt was major surgery was so frightening, especially since he is older, but I was also getting nervous about internal bleeding and ending up in emergency surgery and that being life threatening. I made the decision to see a cardiologist and they cleared him for surgery, and started him on heart medication; he then had the splenectomy the next day. The recovery was quick and he actually wasn’t much bothered by the surgery, maybe a day or two of lethargy. By the end of the first week I was having to keep him from playing and running, he was back to himself. Now, a few weeks later, I am so thankful I made the decision I did, he is just so happy, playful and back to being his energetic (in the old man style) self and even starting play sessions with his siblings. It was a roller coater ride for the few weeks after getting the diagnosis, getting a second opinion and making the decision to go forward with the surgery, but it was all worth it to have him back and not sit here and worry if he might be bleeding internally. I learned your mind can play those games with you when you know there is a potential unseen problem with your dog. One thing that made the decision a little easier was my vet telling me the surgery wasn’t much more on him then say a spay for a girl, it really wasn’t as major as I thought it would be, and based on the experience I went through, I’d agree it really didn’t take much out of him at all. I wish you all the best in making your decision, and I’d be happy to help answer any other questions you may have.
    Trish

  4. Krista Magnifico

    this is the answer from my client, Trish, who’s dog had a very similar issue (heart murmur and incidental splenic mass found via ultrasound).

    “Wow, what you are going through sounds quite sillier to what I just experienced with my oldest dog, who is almost 12. He is a Lab mix weighing about 54 lbs. A few months back he had is senior checkup, including a full blood panel and all looked good except trace amounts of blood in his urine and he has had a heart murmur his whole life and had never been on heart medication. He ate carpet a few weeks ago and while doing X-rays and ultrasounds to be sure it wasn’t causing a bowel obstruction, we found he had an enlarged heart and two masses on his spleen, with no indication of metastasis. He was acting himself, except for the belly issues from eating the carpet. Once we knew the carpet issue was under control, I got a second opinion about the spleen and had long talks with my vet about the situation. Both veterinarians suggested a splenectomy, and also to consider a cardiology evaluation to be sure his heart was strong enough for surgery. I was so nervous about what to do, he is older, acting fine and his quality of life is great. The thought of putting him through what I felt was major surgery was so frightening, especially since he is older, but I was also getting nervous about internal bleeding and ending up in emergency surgery and that being life threatening. I made the decision to see a cardiologist and they cleared him for surgery, and started him on heart medication; he then had the splenectomy the next day. The recovery was quick and he actually wasn’t much bothered by the surgery, maybe a day or two of lethargy. By the end of the first week I was having to keep him from playing and running, he was back to himself. Now, a few weeks later, I am so thankful I made the decision I did, he is just so happy, playful and back to being his energetic (in the old man style) self and even starting play sessions with his siblings. It was a roller coater ride for the few weeks after getting the diagnosis, getting a second opinion and making the decision to go forward with the surgery, but it was all worth it to have him back and not sit here and worry if he might be bleeding internally. I learned your mind can play those games with you when you know there is a potential unseen problem with your dog. One thing that made the decision a little easier was my vet telling me the surgery wasn’t much more on him then say a spay for a girl, it really wasn’t as major as I thought it would be, and based on the experience I went through, I’d agree it really didn’t take much out of him at all. I wish you all the best in making your decision, and I’d be happy to help answer any other questions you may have.
    Trish”

    hope this helps.. i am going to ask Trish to add Reggie’s story to our storylines section asap!