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Elaine | 4 months ago
Anna Is Turning Her Nose Up At Both Wet And Dry Food. When She Does Eat (…

Anna is turning her nose up at both wet and dry food. When she does eat (with aid from appetite stimulant prescribed by vet) her stools are normal. She drinks/pees normally and is playful. She’s taken to sleeping under my bed rather than up with me but maybe it’s cooler there? It has been very hot here this summer. Less eager to go exploring on harness/leash in fenced in yard/garden but may have issue that I tell her not to eat the grass (have organic grass inside for her but she wants the outside stuff that has Creeping Jenny in it -toxic to cats. Grass eating only started a few months ago and she eats it & throws up a small amount of clear fluid with the grass in it). Got 2 vet opinions regarding Anna’s refusal to eat (I have tried everything from raw to cooked and every prepared wet & dry food off shelf to no avail). Anna will eat some Temptations Mixups BBQ flavor. Weight fluctuates between 6.7 and 7.7lbs. A “normal” Siberian female her age is 10-15lbs. (Anna does have very mild gingavitis & plaque but vet said this wouldn’t be reason for not eating.)

Both vets recommended an ultrasound of her abdomen but as a retiree the $500-$700 is a big chunk of change. Mostly, as a Cat Mom of many years my gut tells me something else may be the culprit for Anna not eating. She has been “flicking” her tongue over her nose more often (she has no upper respiratory issues says both vets). And, to me, the right side of her mouth seems to be looking different than the right side lately. It reminds me of my Nana who had Bells Palsy and one side side of her mouth “drooped”. I will see if I can post an upclose picture below of her right side (photo left) mouth.

Was intrigued with your video of polyps in cats and would love to know if maybe a change in Anna olfactory senses might be tied to her disinterest in eating? She doesn’t snore, btw.

Thank you!

3 Responses

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  1. Elaine Post author

    Here is a picture of Anna from February before the eating issues began. Her mouth on her right side (left in photo) looks different to me, ie not drooping like it is now.

  2. Krista Magnifico

    Hello,
    My recommendation is to have a blood work panel done. It should include a full chemistry a cbc, fecal, urine and thyroid. At my clinic this is about $200. An abdominal ultrasound is about $350. I think that these are imperative to figure out what’s going on. And hopefully be able to start a treatment plan for. I doubt it’s a polyp. Use your resources elsewhere. I also think it’s perfectly acceptable to see if you can find these cheaper elsewhere if you are unable to afford them with your vet.

    Good luck

    1. Elaine Post author

      Thank you, Doc. My vet did a “pre-op” panel and everything was normal except:

      Total protein: 5.9 (6.3-8.8 normal)
      Globulin: 2.6 (3.0-5.9 normal)
      Alp: 11 (12-59 normal)

      The ALB/GLOB ratio was slightly high at 1.3 (normal 0.5-1.2)

      The neutrophils were slightly low but the vet said it was probably due to the stress from the visit. (The vet gave me deworming for both kitties, too)

      Because Anna doesn’t have diarrhea and a mildly decreased appetite (and holding her weight level) the vet said we could hold off on the US. But the past few days (without the appetite stim) Anna is again not eating well (treats, some yogurt, a few licks of wetfood & a few dry kibbles) I called and they are going to put me in touch with a “traveling” ultrasound doc who charges $300-$350 and uses different hospitals to do the US. Still awaiting a call back.

      Is this now an “emergency”? I am so worried about Anna…

      Thank you for your input. Muchly appreciated!

      Lynn

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Ashlin | 4 months ago
So My Cat Was Diagnosed With Upper Respiratory About 4 Months Ago. Well He Has Been Sneezing ,…

So my cat was diagnosed with upper respiratory about 4 months ago. Well he has been sneezing ,sounds nasally and , boogers just in the nasal area and the culture came back with pseudomonas well he is still lethargic and now won’t eat or drink now. He has been on orbax, nose drops, intrafungal medicine. Also he has a constant fever of 104°F. I am taking him to the vet tomorrow but wonder if it could be polyps? Pancreatitis?

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  1. Krista Magnifico

    Hello,

    I think that if your cat isn’t responding as expected that it’s time to go back to the vet. I also think that you should talk about al of the other possible causes to his current clinical signs. A polyp is on the list of possible causes.

    Good luck.

    1. Ashlin Post author

      What other possibilities could you think why he is not eating and drinking?

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Stina | 5 months ago
My Cat Has Been Excessively Licking Herself On Her Back Side, Around The Tail Area And …

My cat has been excessively licking herself on her back side, around the tail area and on her paws. So much so that now she has a bald spot on her rear end. This has been going on for a week now, from what I have noticed. I have tried brushing her to look for flea evidence but I have had no luck. She also doesn’t let me see her paws. She has been eating fine and nothing has been different in the home like food wise or litter wise. She occasionally goes out side just onto the deck but not lately due to the heat. What could this be? None of my other cats are showing the same behavior. Do I need to get her seen?

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  1. Krista Magnifico

    Hello,

    anytime I see a cat with itching at the base of the tail I do two things;
    1. put a good, safe flea and tick medication on, I like Revolutions, but Frontline is also good.
    2. I check the anal glands

    the other thing I do is look for any signs of trauma around the area.

    In some cases cats have a hyperesthesia complex. This is something to talk to your vet about
    see more about this here; https://www.webmd.com/pets/cats/what-is-hyperesthesia-in-cats

    I hope this helps

    1. Stina Post author

      What if she has a flea collar on? As for the glands I don’t know what I’m looking at or for. Do you think she should be seen by the vet?

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Skyler | 5 months ago
I Have A Male Orange Cat Who Has Been In And Out Of The Vet For …

I have a male orange cat who has been in and out of the vet for urinary troubles.
Three weeks ago I took him into the emergency vet for what seemed to be a UTI, he was constantly trying to urinate only producing small amounts. I panicked because two years ago he experienced a total blockage.
The vet three weeks ago told me he was not blocked and had no crystals and sent me home with gabapentin.
Three weeks later he experienced an actual blockage. Again I took him to the vet, they unblocked him, flushed his bladder and told me this time he had a ton of crystals. They sent him home after about only an hour of being there. Two days of him being home he blocked AGAIN and I had to repeat the process. This time he came home with a catheter that I had to monitor. I took him back in the next day and they monitored him all day, then proceeded to call and say they would like to send him home with another catheter. I opted to have him stay at the vet overnight and he was sent home with no catheter the next day. I picked him up yesterday afternoon and he was just kind of dribbling urine and squatting around the house. At least this time urine was being produced, just not many strong streams.
Today he is acting normal until he urinates and then he feels like he has to keep going. He does that until he falls asleep. Then the process repeats.
He is currently taking Gabapentin, Prazosin, Zeniquin and he just finished his last pill of Onsior. He is also strictly eating OTC urinary wet food.
I’m just wondering if this is normal behavior after having being in and out of the vet so much within the last few weeks. He isn’t blocked up but he’s still trying to urinate often in and out of the litter box, producing some urine. He is able to drain his bladder, it just takes some time. I’ve dropped about $2500 so far and am so worried this isn’t going to get better soon. I’m sorry this was such a long post, I just need some help. I like my vet it just seems like there is more to do. Thank you in advance.

1 Response

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  1. Krista Magnifico

    Hello,
    I would recommend the following;
    1. send a urinalysis to the lab for analysis
    2. take an xray of the bladder to make sure there isnt a bladder stone
    3. i recommend in hospital iv fluids for 3 days to flush the bladder
    4. long term analgesic therapy. I like gabapentin
    5. a canned food urinary prescription diet

    best of luck

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Maryam | 5 months ago
Hello All, Writing In With An Agonizing And Drawn Out Struggle With My Cat Petra.. I …

Hello all,
Writing in with an agonizing and drawn out struggle with my cat Petra..

I rescued a feral kitten in 2022 who developed cryptococcosis the following year – confirmed through a biopsy.
She has the cutaneous and nasal form, and while we tried itraconazole for a few months, it did devastating damage to her nose.
Vet switched her to fluconazole 37.5 mg (at that time my cat was just over year old and weighed 3.5 kg) once a day… and the symptom relief was remarkable!
Within a month, her nose was much less inflamed and starting to look “relatively normal” again, and best part was she was no longer having difficulty breathing, no stertor or mouth open.
Her many crusty skin lesions and nodules under the skin cleared up miraculously!

But, the success was short-lived, because a couple of months later she developed a big bulge on her abdomen/side under the skin – which eventually erupted. She had had several of these nodules and lumps, that ulcerated last year but the fluconazole seemed to clear them all up. Until now. I was so disheartened, to say the least.
The crater-like ulcer got infected and our vet (RCVS licensed in UK) decided surgery was the best option.
We did this, and the vet found more ulcers which needed to be removed to patch up the skin. It was a horrific looking surgery aftermath when she came home.

Petra required to wear a cone for 3 weeks after her surgery so she couldn’t touch her healing wound. It got infected anyway, and this increased her “cone suffering” duration.
The impact of many vet visits, surgery, and follow ups while the vet checked if the wound was healing and if the stitches could be removed, was quite an ordeal for Petra.
She gets very stressed and is difficult to put in a carrier. I feel that the stress of cone duration + all the vet trips triggered an inflammatory response in her and her nose started showing signs of the fungus again. Inflammation, distortion and worst of all the stertor was back.

The vet increased her fluconazole dose to 75 mg a day (37.5 mg morning, 37.5 mg evening). This had no noticeable effect and her nose got more inflamed as each day went by. 2 months later and her nose is worse than ever and the tip is so inflamed. With the loss of scent and ability to breathe sufficiently, she’s become reluctant to eat more than half a tin of food a day. Sometimes all she will eat is half a tablespoon and then runs off, upset.

Petra’s vet wants to put her on a maximum dose of 150 mg of fluconazole, daily, before assessing her quality of life and potential euthanasia.
I decided to try homeopathic remedies first, while continuing 75 mg a day of fluconazole) but it doesn’t appear to be helping 3 weeks in.

I’m concerned about continuing vet interventions, because Petra is so stressed by them, and at 150 mg a day she will need to see the vet frequently and likely need blood tests. At 150 mg a day, it’s also a non sustainable chunk of my monthly expenses (taken from diminishing savings), and she is not my only cat or responsibility… this could go on for years..

If she has no positive response (symptoms relief) at 150 mg, the vet is out of ideas other than euthanasia. I live in Bahrain and the options for treating this fungus are very limited.
They have not seen it in over 40 years of vet practice, so this is a first time.

I love Petra and it’s been hell witnessing her struggle to breathe for over a year. That’s what makes me panicky and consider quality of life, if she cannot be cured or brought to a level of management where the fungus doesn’t impede her breathing.

I need advice from a community of animal lovers, vets, who can also understand and take into consideration her temperament and adverse reaction (inflammation) to vet visits.

I was really hoping the homeopathic medicine would help and the practitioner I found has many years of successes working with animals. It’s either the wrong remedy, or just going to take a long time. In the meantime, in my opinion, my cat is suffering and struggling. She takes gasps of air every so often and her mouth is slightly open while she makes a snoring sound as she tries to breathe through her blocked airway. She has lost weight as she eats much less now. She was 4.7 kg in April before her surgery. At the beginning of June she was 4.5 kg and now she is closer to 4 kg.
Also within the last 2 months, her eyes have gotten affected by the nodules. One above her right eye, under the skin and affecting the bone. The other is in her left lower eyelid.
During this whole ordeal, her right lymph node under her jaw has been the size of a golf ball.. and the left one also swelled up a few months later. But that side seems to have gone down.

Any help or advice on what to do.. would be very much appreciated.

Pics from most recent (today June 3rd 2024) to last year before fluconazole and way before, late 2022, when she was a kitten.

5 Responses

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  1. Krista Magnifico

    Hello,
    I am so sorry to hear of your frustration over your cats case.
    I am not able to give much advice on this case with specific details to treatment but I will add that I think seeing a feline practitioner (someone who just sees cats) and see if they can help.
    I am sorry but I cannot advise a homeopathic vet on this case, it is too far advanced.

    I wish you the best of luck

    1. Maryam Post author

      Thank you, Dr. Magnifico,
      I have agreed to up her dose to 150 mg of fluconazole and it’s been a week with no improvements so far – except I noticed her drinking more water. Living on a small island, we don’t have any feline only vets, every vet here sees both cats and dogs. I really don’t want to elect euthanasia (which the vet said is an option) and the other end of the spectrum is my fear that she will suffocate eventually. It’s been so painful watching this unfold. Thank you for responding, about homeopathy. It is an added cost and couriers to get the medicine in. I have been desperate.

  2. Shiria

    Hello,
    I’m so sorry to hear that your cat is so unwell. I’ve luckily never seen ryptococcosis, but if it is treated with itraconazole or fluconazole, maybe ketaconazole is an option to try, too?
    Thank you for trying so much for your cat and not giving up on her. You are both amazing.
    Shiria

    1. Maryam Post author

      Hello Shiria, thank you for your kind comment. Petra is amazingly resilient.
      Animals take on suffering without complaint so I don’t know if I’m doing the right thing at this point, if she won’t get better. I’ve read about ketoconazole but it seems like the least helpful of the two azoles for this condition, and it seems like it has more adverse effects too. I will look into it, though, I don’t know if I’m doing the right thing for her as she struggles to breathe and trials take time. It hurts to think of putting her down and it hurts to see her suffering without knowing what will help, or if anything will. At a certain point I ask if it’s selfish to keep her alive & suffering in the hopes something will help, over a year on.

  3. Maryam Post author

    Hello. An update for anyone in the future researching on behalf of their pet who develops this fungus.
    A cure is possible, some cats respond very well to anti-fungal meds. My Petra did not. Initially, her nose cleared up very well and she could breathe much better, but the fungus returned with a vengeance a few months later.

    She has been on Fluconazole for 11 months total:
    (37.5mg – 75mg), and on 150mg for 3 months. 2 months into the higher dose, I found her with anisocoria (one pupil very dilated). It went away and came back over two days. One of her eyes is droopy (Horner’s syndrome). Yesterday I found blood smeared on her paw and couldn’t find a wound.

    I took her to the vet, who opened her mouth and discovered the fungal growths are pushing through her soft palate (roof of mouth) and causing anatomical separation. Her nose is swelling up considerably and distorting again. It began regressing 6 months ago but was relatively stable, but now it’s increasing in size and doubling almost overnight. She has lost 1 kilo. The vet has recommended euthanasia, unequivocally. Petra is struggling to get air in, and while we hoped for a cure (with medication) that is not happening. It’s cruel to continue with no hope of quality of life and only more suffering, and the outcome if left would be suffocation.

    We have decided to let my sweet girl go, while she is still mobile, eating, before she suffocates to death.

    It’s been so traumatic, to witness this and I want to send good vibes to anyone in the future who is struggling with the same disease (mainly the nose – which causes so much suffering).

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Valerie | 5 months ago
Hello Dr. Magnifico, I Called Your Clinic About Cat Ear Polyps. I Watched Your Videos On …

Hello Dr. Magnifico,

I called your clinic about cat ear polyps. I watched your videos on Youtube about these. I believe my cat has one and was wondering what price range your office charges for the removal of these. Here I either get we can’t give an estimate at all without seeing them or very expensive. I live in Wisconsin and am having problems with resources regarding this situation. I don’t know who else to contact. I want to get my cat help with his ear.

Thank you,
Valerie Wild

1 Response

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  1. Krista Magnifico

    Hello,
    There are still quite a few old timer vets who may be in your area and willing to help. Call everyone around you. Try to avoid the corporately owned clinics, and ask for a reference from everyone at the local shelters, rescues and via every social media outlet you use (facebook, nextdoor, etc). In many cases if these are older cats then these are either masses due to chronic infection and inflammation, or a neoplastic mass.

    If this is a younger cat it may be an oronasalpharyngeal polyp.

    Keep asking for affordable options and keep advocating for your cat,

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Pam | 5 months ago
I Could Really Use Some Advice About My 7 Year Old Cat, Squeak. I Posted A Comment …

I could really use some advice about my 7 year old cat, Squeak. I posted a comment on Dr. Magnifico’s YouTube video about a cat named Bear that had ear polyp surgery but thought I’d post here, too. I am an emotional wreck right now because yesterday morning I got some very bad news regarding Squeak’s cytology results from a FNA that was done at a specialty hospital. Sadly, my poor boy was diagnosed with malignant melanoma for the 3rd time in two years! I’m heartbroken… The trouble started at the end of December 2022 when I noticed a small lump on his right pinna. My primary vet did a lumpectomy and sent it off to be evaluated. Came back malignant melanoma. Excision was complete with clean but narrow margins. All was well until September 2023 when I found another lump at the base of the same ear. My vet advised me to go for a consultation with an oncologist and it was recommended that Squeak get a TECA-BO done. I was told that this procedure can be “curative” in some cases. The cost was astronomical but I wanted to do the best for my cat. He means the world to me! I began calling specialty vet hospitals to schedule the surgery as soon as possible but none near me were able to fit Squeak in. I finally found one in Pennsylvania and made an appointment for a surgical consultation. The surgery was done on September 25. My boy was a real trooper and recovered well. He did lose the blink reflex in his right eye but it resolved in about 2 weeks with me putting moisturizing drops in his eye daily. I was thrilled with Squeak’s progress and I thought we might have won the fight even though there was no guarantee that he’d be out of the woods now. I had to take money out of my retirement savings to pay for this surgery (it was actually more than $10,000!!) but it was worth it to save my cat’s life. Recently, I noticed that Squeak had been shaking his head and scratching where his incision was. I had an appointment scheduled with my regular vet for a checkup and to get some chest x-rays to make sure all was well. While there, I mentioned about the scratching and head shaking and asked if maybe it was scar tissue causing the reaction. My vet wasn’t concerned and just said “Maybe he feels something.” X-rays were clear and showed nothing concerning. I was told to come back for a recheck in 6 months. However, the symptoms gradually became more frequent and I brought Squeak back to the vet. This time, thinking it might be an infection of some kind, he prescribed Baytril and prednisolone for a course of 2 weeks. There was no improvement and this was very concerning for both the vet and myself. He said that it would be beneficial to get a CT scan to find out what we were dealing with. I was beginning to panic because I had a feeling where all this was leading. I took Squeak to the same hospital where he had his oncology consult. He was examined by a veterinary surgeon first and she did a FNA . Unfortunately, the CT scan could not be done because their machine went down. I got the cytology report yesterday morning. The pathologist’s interpretation was “Lymphocytic proliferation and many atypical multinucleated cells; suspicious for lymph node with metastatic amelanotic melanoma.” The vet that did the FNA said she would consult with an oncologist and get back to me with options for “treatment”. Surgery, radiation and/or chemo was mentioned . Meanwhile, I have been scouring the internet for any information I can get to help me make the right decision about what to do next. I have also posted on numerous cat health forums but only got one response from a vet in Virginia. He said that radiation would be recommended if there was a concern about margins but chemo would not be a good choice for this kind of cancer. He wanted me to keep him posted so I told him about the cytology results. I have not heard back from him yet. Can I please ask for your opinion about all this? I posted this in hopes that Dr. Magnifico would see it because she has done a similar type of surgery for a cat. Can anyone give me some guidance about how I should proceed? I will be discussing this on Monday with my regular vet after he reviews the report that was sent to him. I know I should just calm down but I’m basically a mess! Any information about a way to extend Squeak’s life and keep him comfortable would be SO much appreciated. Thank you!

1 Response

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  1. Krista Magnifico

    Hello,

    I apologize for the delay. This case is likely too complicated and difficult to provide much assistance via text.

    In all of these cases I think it is best to contact as many local rescues and pet care providers as possible. This might mean reaching out to your local shelter and veterinary college. You can also start a go fund me page. Post on all social media accounts and personal accounts. Start with general practice vet who the rescues recommend. Give them a realistic budget for you. Ask about payment plans and payment plan companies like care credit or vetbilling.com. There are places to help. Keep trying and keep asking.

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Ramin | 6 months ago
Need Second Opinion. Our Cat Shows All Of The Signs Of A Nasopharyngeal Polyp.

Hi Dr. Magnifico,

Our adopted cat (former stray cat, now 100% indoor) has always shown all of the signs of a nasopharyngeal polyp (about 4 years now). I didn’t know what it was until I saw videos of cats with similar breathing noises and eventually saw your YouTube polypectomy videos.

Three short videos of his breathing sounds (turn up your volume) follow:



Called our vet for a surgeon referral, but they’ll only refer for a CT scan ($2000) before they’ll refer to a surgeon. Surgeon’s websites all indicate that they will only accept appointments by referral from a general Vet, so I can’t just make an appointment for examination by a surgeon (which I’m happy to pay for).

Bottom line, looking for a second-opinion / consult (happy to pay!) on whether it’s really necessary to do a $2000 CT scan *before* being referred to a surgeon for (a probably $2000) surgery. I’d rather just have a surgeon put the cat under anesthesia, go in, look for the polyp, and remove it if they see one. Happy to pay $2000 for just that surgery, even if it turns out there’s no polyp.

Thank you in advance for any response.

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  1. Krista Magnifico

    Hello,
    I am sorry to hear about your dilemma. You are not alone. I know that a lot of people are in the same position that you are.
    I am not sure how vetmed got to this place. I am not sure why so few veterinarians are willing to go and look for a polyp that if it continues to grow will kill, by suffocation, its host.
    The idea that every single one of these cats needs a CT is incorrect. What every single one of these cats is is to breathe. Some of these cats will have polyps in places that we may not be able to get our hands on,, these cases may need a special scope to access. For this reason the price of care may increase.,, but for all of the cats I have seen I think I have given them a second chance at breathing, and a second chance at life.
    Call every vet in your area. Try every single veterinary practice that is single doctor (therefore privately owned) and every practice that has some old guy (or girl) working there. I promise that every veterinarian over 50 knows how to, and already has experience with this. They can help.

    If you cannot find anyone please come find me.
    I will do my best to help.

    Dr Magnifico

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Ty | 6 months ago
My Indoor/outdoor Cat Has Jaundice After Being Gone For Two Days. He Came Back With …

My indoor/outdoor cat has jaundice after being gone for two days. He came back with fleas and looked as if he lost weight. He also is already diagnosed with ulcerative colitis so I’m not completely sure what could be causing his jaundice. I can’t afford to take him to the vet at the moment and I’m not sure how long he can be left untreated. I’ve been feeding him foods high in protein, vitamin b, and omega 3s; tilapia, eggs, milk thistle. Although he’s been eating and drinking regularly, he’s lost a decent amount of weight over just a few days and I’m not sure what to do. Any help or advice is greatly appreciated

3 Responses

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  1. Krista Magnifico

    Hello
    I’m sorry to hear about your kitty. In my experience jaundice is an indication that something serious is going on. This is not a sign of a condition that permits monitoring at home as an option. These cases can be anemia, infection, organ disease like liver disease and these cats need emergency medical attention immediately. I just can’t safely give you any advice without knowing more. In almost all cases I give these guys iv fluids and antibiotics and in some cases I place a feeding tube. At minimum you probably need fluids and force feeding but even this might cause other problems. Please call and ask for help from a veterinary professional. Ask about payment plans and seek help at a rescue or shelter. Good luck. I hope your cat is ok

    1. Ty Post author

      Unfortunately the vets in my area aren’t taking new clients. Still waiting for a call back from the two vet clinics I’m established at but nothing as of yet. I can’t afford emergency care pricing and I’m running out of options. He’s a fighter and I believe he can overcome this with proper treatment, I’m just worried about what I could be doing to help him until then.

      1. Krista Magnifico

        hello,
        keep calling,,, keep asking for help. Tell the vets that you are willing to come in if they have a cancellation,, my point is that I do not take no for answer when the degree of need is this high. Every vet at my practice fits people in everyday. There is almost NEVER a day that we turn away anyone especially someone who is an established client. Call the shelters and rescues. Put out a plea on social media. My experience has been that these people who do this always find help.
        Ask about SQ fluids, a steroid and an antibiotic. Deny diagnostics if you cannot afford them. But get your cat help ASAP.

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Jessica Terzigni | 6 months ago
Hi, A 6-y/o Female Feline Cat With A Persistent Cough Diagnosed With Moderate Asthma Has …

Hi, a 6-y/o female feline cat with a persistent cough diagnosed with moderate asthma has been prescribed to use an inhaler twice a day, until symptoms improve, then recommended at least once a day, everyday. I have not heard of a cat needing or prescribed an inhaler. The cat has been on prednisone for a few weeks to help the cough, which did help improve the cough. Would you recommend seeking a second opinion? Thank you!

1 Response

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  1. Laura

    I’ve heard of it and have friends with a cat who needed a nebulizer treatment daily.

    If you can afford a second opinion, by all means, but it’s not unheard-of.