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Joel | 1 month ago
Hi Krista, I Discovered Your YouTube Videos Yesterday And Found Your Advice On Cat Care Incredibly …

Hi Krista,

I discovered your YouTube videos yesterday and found your advice on cat care incredibly helpful. My wife and I are caring for our 18-year-old Birman cat, who is in stage 4 kidney disease with significant muscle loss. She’s also struggling with constipation and has other health issues, including high blood pressure and a heart murmur.

Currently, we’re feeding her a mix of wet food (chicken broth, chicken, pumpkin, and egg yolk), and providing SubCut fluids (50ml/day), along with the following supplements:

– Epakitin (0.5g/day)
– Pet-Tinic (2ml/day)
– Lactulose (3ml/day)
– Phos-Bind (0.2g/day)
– Potassium chloride (0.19g/day mixed in the broth – though we’re concerned she’s not getting the full amount since she’s unable to finish the broth).
– In addition, she’s on Amlodipine (0.25ml/day) to manage her high blood pressure.

Despite this, her weight has decreased significantly over the past year. She was once 3.3kg, but a year ago dropped to 2.5kg, and three weeks ago, it dropped again to 1.8kg, despite our best efforts to feed her.

A week ago, we had an enema done at the vet, which relieved some diarrhea, but there was still hardened stool near her anus. We’ve been massaging her abdomen and anus daily to stimulate defecation, and were able to help her pass a large, hard stool last Wednesday. Since then, she’s only passed small amounts of stool – mostly liquid or dark – and has had a lot of difficulty.

Today, we used a Pedia-Lax suppository (1ml), and after about 30 minutes, she passed a larger stool with dark liquid diarrhea. The stool was slightly hard, dark, and very smelly. She’s now very exhausted and resting, but did purr a bit before falling asleep.

For hydration, I gave her 10ml of SubCut fluids before the suppository to prevent dehydration. We’ve seen three different vets, but none have been able to provide lasting relief.

We’re reaching out for advice on whether we’re on the right track and if there’s anything else we can do to help her feel better and poop more easily. Any suggestions, given the circumstances, would be greatly appreciated.

Thank you so much for your time and any guidance you can offer.

Warm regards,

Joel and Sonia

1 Response

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about your cat.

    I think that the question is how to help manage the constipation? I think that the weight loss and progression of the kidney disease is Kelly part of the problem. Have you checked her thyroid function? I typically see these older cats having this disease develop with the others your cat has. This disease also causes muscle loss. But this one has an available treatment option.
    I think that you should recheck your blood work and see if’s his might be part of the reason for the constipation.
    Also try to encourage play and exercise. It will help her fell better and eat better and also help the internal muscles that assist the colon and avoid constipation.

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Orangie | 2 months ago
Hello. My 4 Year Old Male Cat Had A Urinary Blockage They Did A Catheter And Unblocked …

Hello. My 4 year old male cat had a urinary blockage they did a catheter and unblocked him sent him home and he wasn’t getting better 2 days later took him back and now he has a bladder infection. Sent us home with Amoxocillin. Took him back to er and now he is blocked again. Another catheter is in. My question is if they pull the catheter will he block again due to the bladder infection he still has? My thoughts are can they leave it in longer and keep the urine flowing until his badder infection clears? Lastly the urine culture hasn’t been verified yet to know exactly what antibiotic is needed apparently that takes a week. They just guess Amoxocillin. Please let me know your thoughts.

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  1. Krista Magnifico

    Hello,
    I always advise unblocking and leaving the urinary catheter in for about 3 days whilst giving iv fluids. It helps flush the bladder (and whatever caused the blockage) and diurese the kidneys which are usually impacted. I do not advise unblocking and then removing the catheter. Both cause more trauma to an already traumatized urethra.
    I also advise transferring to your own vets office for Care of the er is too expensive.
    I have more information on this subject on my blog KMDVM.blogspot.com.

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Katherine | 2 months ago
My Senior, Male, Neutered, Diabetic Nebelung Cat Is Experiencing Constipation, I Had Recently Slowly Changed His …

My senior, male, neutered, diabetic nebelung cat is experiencing constipation, I had recently slowly changed his diet to a raw based diet from royal Canon diabetic pouches,, as i was put off from the vet scientific diabetic diets in the end due to one day reading the ingredients and seeing that my cat was needing something more or potentially he was lacking something, I say this as he was starting to mirander outside like a Billy goat eating all the graass that he could in our backyard. Coincidently, Boof started flickng his head and scratching at his ears, the next day after noticing his discomfort and that he still hadn’t defecate (day 3) i took him to a neighboring vet as our usual vet was fully booked out, I could see crusty brown specs in his ear and a discharge, the vet I took him to gave, me pmp drops to administer 3 drops per ear twice daily for 7 days. She didn’t want to try to much else due to him being a diabetic and also a new patient,
One day later when I was cleaning boofs bedding a spider
Like bug had come out onto our carpet,
I took a photo of it,
It’s definitely some type of tick not sure if it cpmr from out of his ear or if it has anything to do with his constipation.
Boofs appetite has been great this whole time aswel.
Although after eating I have noticed him somewhat whining ND groverling like his pain 🙁
He also vomited twice after having dinner. (biley foaming substance liquid)
On day 5 I took vet into out normal vet who assessed him, she gave him a 24hour anti nausea injection, and assessed him, she said to resume giving lactolose maybe a little bit more and aswel with the subcut fluids,

And still nothing,….

The vet called today to see how Boof was I explained to her that he wants to go to the toilet but just can’t, and his looking pretty squeamish again,
She explained to me that because of it being 6days now with no bowel movements that it can get Boof pretty sick potentially, she explained that instead of taking a stab in the dark and guess that they would breed to take xrays ect bloods and mannualyl remove all feces that’s stuck in him and it would cost $800. Due to Christmas coming up and the overall rise in the cost of living and the renting crisis here, I am just stuck for money at the moment that kills me to say, I have tried vet pay with. No luck…

Is there anything I can try at home please, it’s not at all a situation where I don’t want to pay anyone, it’s by far the opposite and I’m hoping that a friend of family member will reply to me after asking for a lend, which I never do, and I never would expect or be suprised if anyone can help,
My boy means so much to me,
I just gave Boof a 5ml enema of lactulose and more subcut fluids
Is there anything more that I can do please 🙁 🙁

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about your cat.
    In my experience constipation in cats is always secondary to something else. And in fact very few are actually constipated. It is absolutely imperative that someone competent palpate your cats abdomen or take an Xray to confirm the constipation before you treat for it. People always think it’s constipation and it’s usually poor dietary intake, cachexia or poor muscle mass and usually a few other things.
    Constipation in cats feels like a colon full of hard distended feces. This should be confirmed by a rectal exam. The problem with getting this diagnosis incorrect is that all of the things you try to treat it will make everything else inherently worse. Do not give your cat anything until you confirm this and figure out why it happened.

    My guess might be you don’t have the diabetes adequately controlled and therefore you are losing muscle mass. This includes the gi tract which can no longer push feces out of the body.

    Please find a vet you trust for your cats care.

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Justin | 2 months ago
My Cat Got A Large Lump Under His Jaw That Formed Over Night. The Vets Are …

My cat got a large lump under his jaw that formed over night. The vets are closed and the emergency vet is too far and expensive. My parents say they will take him monday but is it safe to leave it untreated for two days? *edit, i should mention the lump is large and does not seem to be causing pain, he is acting normal anyway. I cant tell if its warm or not thou

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  1. Krista Magnifico

    Hello,
    If it truly happened overnight then it is most likely infection. If he is acting normally it may not need to be addressed today. But I do recommend it be seen asap. The longer infection sits the more difficult and dangerous it is.

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Alice | 2 months ago
Hi. I’m Asked By Our Vet To Slowly Wean My Cat Off Her 2.5 Mg Prednisolone. …

Hi. I’m asked by our vet to slowly wean my cat off her 2.5 mg prednisolone. I’ve done half dose for a couple of days and started alternate days three days ago. Noticed that my cat started having loose stools yesterday and today. Is this a side effect of the weaning off process? Tks.

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  1. Krista Magnifico

    Hello,
    I don’t usually see this happening. But I don’t know why you were prescribed the steroid. Nor do I know anything about your cat. Best to ask the vet who prescribed it.

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Deborah | 2 months ago
My 5 Yr Old Cat Has Been Home One Day Following An Overnight Stay At The Vet …

My 5 yr old cat has been home one day following an overnight stay at the vet for blockage of urethra for crystals. He was given what seemed to be the appropriate treatment of catheter, steroids, antibiotics and a X-ray. He has come home on a five day supply of steroids and diet food. I was expecting my cat would just be “fixed” and back to normal. But he is not back to normal by any means. He is very weak and subdued. This is a normally very active , mischievous cat. My question is this normal response after having been thru this ordeal ? He is eating and drinking well. He is peeing but very little. Often but small amounts. He does not seem to be in pain like prior to treatment. He will go and just lay in the litter pan. It almost seems he is too weak to get out. But he does get out. I’m assuming he might be just like a human with a uti , in that he feels he has to go pee all the time . They did send him home having had a long acting antibiotic. I don’t know if that can make him feel bad. He does seem to be in the side of improving , but very slowly. Is this normal? It’s the weekend here so I can’t call the vet with my questions. I have a great vet group , although I have never seen the vet who took care of my cat before and am disappointed I was not given more post care instructions on what to expect.
Thank you
DWS

2 Responses

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  1. Krista Magnifico

    Hello,
    It’s hard for me to answer this because the answer lies in an examination. If he has a small, soft, non painful bladder and is urinating comfortably then I would say that it is ok to give him some time at home to recuperate. But. The best answer always has to be the safest answer and I always have to say that the best advice I can give is to see a vet.
    Can you call the er and ask to speak to someone who just took care of him? Or see your regular vet first thing Monday morning?
    I hope he’s ok

  2. Deborah Post author

    I might not have phased my question right. I just wanted to know once blockage has been opened and cat sent home does the cat usually go back to normal behavior or does it take a couple of days for the cat to recoup from having had the trauma.? He is peeing, eating and drinking.

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Marguerite | 2 months ago
Hi So My Senior Cat Has Been Doing These Weird Noises For Two Days And Even …

Hi so my senior cat has been doing these weird noises for two days and even if she eats and drinks I’m still worried

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  1. Krista Magnifico

    Hello,
    I’m sorry but there isn’t enough information here for me to offer much help. Please add more detail (how old is your cat, behaviors, vet care , medical issues,, etc?) and a description of the sound for more help.

    In general this will require an examination by your vet to better understand the source and develop a treatment plan.

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Joseph | 3 months ago
My 6 Month Old Cat Came In 4 Days Ago With A Limp. I Have Called Around To …

My 6 month old cat came in 4 days ago with a limp. I have called around to so many different vets and shelters but it looks like it will cost too much for me to be able to help her. Her back left paw has swollen up to twice it’s normal size should I just give her to a shelter or is there a chance she will heal on her own. I can get her some medication. Should I give her antibiotics or something for the swelling?

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  1. Krista Magnifico

    Hello,
    Please call your vet and ask to be seen asap. Your cat most likely needs antibiotics RIGHT NOW. you can decline all of the diagnostics they want to run and just insist on an antibiotic. Also you need to talk about whether this is a wound and whether your pet has a possible rabies exposure.

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BRET | 3 months ago
Just Seeing If You Know Anybody In Chicagoland That Is Able To Do Somewhat Affordable Surgery. …

Just seeing if you know anybody in Chicagoland that is able to do somewhat affordable surgery. My cat had unblocking last Monday, model patient & fine til Sat when not flowing as freely, he is trying so hard, I’m trying to gently help him while going. I’m 1400.00 in & don’t want to lose my Lil guy cz of money. He’s trying so hard & I’m losing my mind going thru it all. We have most of the antibiotics & pain meds, just need to get past this, did the overnight at home and stayed up, all went well. 5 days 2 soon…..if could direct us somewhere near Ill go. He deserves to live, not die cz his dad can’t afford this unblocking.

Thanks

Bretster7@gmail.com

If email can give u more contact info

1 Response

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about your kitty and this situation.
    I would post on social media looking for advice and affordable options. Call all of the shelters and rescues and ask your vet for help.
    Next ask to be unblocked via the most affordable option they will give you. Ask to decline all diagnostics and ask to be allowed to go home with the urinary catheter in place. Or ask if your vet will permit your cat to be hospitalized at their facility for a few days. I have written a lot about trying to afford this. Please go to my blog at kmdvm.blogspot.com and search for UO or blocked cat.
    There are also Facebook groups on this. See if anyone there can offer help.
    Please let me know if you find someone to help.

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Maryam | 3 months ago
Hello All, I Posted On Here Earlier This Year Asking For Some Advice About My Cat …

Hello all,

I posted on here earlier this year asking for some advice about my cat who had a very advanced cryptococcosis infection.
Her right lymph node (submandibular) was swollen the entire time, and the left one but to a lesser degree.

She developed anisocoria and horners syndrome, droopy right eye, and she had a mass that felt like bone on top of her eye.
The anisocoria disappeared after 3 days and her pupils were entirely normal again.

Things escalated last week. Her nose has always been blocked, to various degrees, since she developed the symptoms, 1.5 years ago, but it seemed like she was able to get enough air in with some gasping and mouth breathing. I didn’t know how comfortable she was, but I had to try the last recommendation the vet suggested: 150mg of fluconazole a day. She was on this massive dose for 3 months. (4 kg cat)
Previously, she was on 37.5mg for 6 months, her nose and lesions cleared up and she was able to breathe again (most importantly!)
But, in March, a big lump (cryptococcosis mass) exploded into an abscess. It wouldn’t heal. The vet performed surgery to remove it and other lesions nearby. It was an eyesore, I felt so bad for her. She had a cone on for nearly 3 weeks because the suture area got a bit infected. Raised her fluconazole dose to 75mg a day.

Last week, her nose got much more inflamed and distorted very rapidly. It began bleeding and ulcerating, drying up and then bleeding repeatedly.
She looked so uncomfortable and basically slept all day in various positions to keep her head elevated. When near me or when sleeping with me at night, she’d clamp onto my arm or neck with her teeth to keep her mouth open so she could breathe and fall asleep. I can’t fathom how difficult it was to sleep having to make a conscious effort to get air in through her mouth. I understand cats are not “mouth breathers” and can’t fully relax that way.

I took her in to see her vet, 11 days ago, after noticing blood on her paw, and no wound. The vet looked inside her mouth and looked said the fungus was pushing through her soft palate (roof of mouth) into her front teeth. She recommended euthanasia and said she was not going to “get better” in her professional opinion. And that my cat was suffering and it wasn’t ok, I asked outright if her quality of life was ok. She said no. My cat had lost 1 kg since her last visit. This also factored into the vet’s recommendation.

The vet was ready to put my cat to sleep at the time of our consult, but I requested some time to digest and take her home to say goodbye.
Then, 4 days later, I took her in for euthanasia. I wish I had canceled. Am I wrong to feel that she should have died on her own terms?
What she had was like a breathing disability, in other ways she was a strong and vital cat. She was still eating, though appetite decrease by 30 or 40%.
Why did her nose not clear up (while the cutaneous lesions cleared) and in fact get worse after 3 months on a higher dose?
I’m so devastated and confused and wish I could have done more to save her life.
I felt selfish for letting her live this way, knowing there was no hope and I’d just be prolonging the inevitable (probably suffocation).
I am in so much pain recollecting what’s happened.

I wish I had kept her at home and only taken for euthanasia if she had collapsed and refused to eat. Taking her in to have her put down when she still asked to be fed, showed playfulness in some moments, trotting around when it was food time, it felt hasty but also inevitable. I felt I was saving her from experiencing more suffering as the fungus grew.
But, I will never know how it would have gone if I left her. Maybe nature would have performed a miracle, and she would heal, or she would die without my intervention and without pain (like a quick heart attack). I feel so terrible for having made the choice to snuff out her little life when she was still very strong.
She fought the sedative the vet gave, they took her back to insert a catheter and didn’t bring her to me until 40 mins later, saying she was fighting the sedative.
It pains my heart thinking she was in terror during her last hour on earth. When they carried her in, sedated, she looked absolutely petrified and braced. I could see her spirit fighting with all its might.

The vet told me that she had a more thorough examination of her nose and that the masses had hardened/were like concrete all through her nasal airway and that she was breathing through a “pin prick” hole. She said she was never more certain that euthanasia was the right choice.

I am so heartbroken. I still feel like I took her life away too early. Why should it be up to me? I can barely trust myself now.

2 Responses

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  1. Krista Magnifico

    Hello,
    Based on your description and the photos I feel about as confident as I could that this was a cancer in the nose/face/brain and that you did the right thing.

    No matter how much money you would have had, or how many specialists you could have brought her to she was not able to survive or get better with this.

    I am so sorry. I do believe you did everything you could have and that your cat was so lucky to have had someone who loved her as much as you did.

    Sending love and condolences.
    Krista.

    1. Maryam Post author

      Thank you for your input, Dr Krista!

      It never occurred to me that it might be cancer. She had a biopsy done last year (for the cutaneous lesions) and it came back positive for cryptococcosis. They didn’t want to touch her nose or interfere with it, since it was so sensitive. Once she was on fluconazole, her nose response (clearing up) was so rapid, within 3 weeks all the crust, nasal bridge disfigurement and inflammation had virtually disappeared. She was breathing well. That was on 37.5 mg a day.
      When she developed a big ulcer on her side, and then later her nose starting to inflame and ulcerate again, I felt so solemn about it all. Previously she was in what appeared to be a “stall” state with her nose. Upping the dose did not do a thing, imo. It continued to worsen.

      Could it have been fungal AND cancerous? My theory was the fungus developed resistance to the meds, and also was far too embedded to loosen its grip. In months past, I looked up nasal cancer to get an idea what that looks like but it didn’t seem to fit her. Also looking it up because I was so worried about her not being able to get air in, and whether this was humane, while we searched for a cure. Cryptococcosis cases in cats are not well documented online. I have not yet found one where the cat’s nose was so blocked up, from nostrils all the way up, like hers was.

      She was very loved, I am amazed at her resilience and that is what also hurts. She was so intense and sensitive, with immense all-round hardiness. It really felt that whatever was afflicting her was not going away.

      Thank you for your reassurance. I felt I took her life too soon, and also concerned she was not comfortable. It’s challenging to separate what I want and see her /the situation objectively and compassionately.