Seeking Diagnosis/Treatment for Possible Nasopharyngeal Polyp in Cat

Our 5#, 18 mo old cat has been having breathing difficulty for about 6 months. We’ve been to two “regular” vets and one specialty vet. The “regular” vets have done chest x-rays and bloodwork trying to diagnose. We’ve been on multiple rounds of antibiotics, several steroid shots, and a few breathing treatments. The first vet suspected asthma, but none of the meds worked. The second vet suspected lung infection, but again, none of the meds caused any improvement. The cat is acting fine, eating and eliminating normally. No nasal discharge. Sounds like she’s snoring all the time.

We saw a specialist today. She determined that the cat isn’t able to breathe thru her nose much, if at all. We are waiting on lab results for a fungal infection. The next step she suggested would be for CT scan and rhinoscopy to check for foreign body, polyp, or other physical abnormality. I’m ok with sedated imaging, but their estimated cost for that is $4,000. I called MS State University Vet Clinic, and their estimate was also in that range. We’ve already spent hundreds trying to diagnose and treat this. I’m ok with spending more but not $4,000.

Can anyone suggest a vet in the Tennessee, Arkansas, Mississippi region that we can try?

My initial question : https://www.pawbly.com/question/hello-i-live-in-san-jose-california-and-need-urgent-help-with-my-male-7yr-old

Update: My cat went through a cystotomy on Friday, the surgery went well and he was sent home the same day. Unfortunately he was still blocked as the surgeon did not remove the stones in his urethra (He did not take any xrays after the surgery and also discharged my cat without making him pee on his own). I rushed him to the ER as he was very restless and trying to pee, the ER doctor immediately unblocked him with a catheter and while doing so, she was able to push the stones back into the bladder. Xrays (attached) were taken which shows three stones in the bladder. As the cost of ER was adding up and the surgeon who did his surgery was not available over the weekend, I decided to shift him with the catheter on to the hospital where his surgery was done. I would like to add that in the initial surgery, the surgeon successfully removed all the stones in his bladder but the stones in the urethra were left behind even though he said he flushed them. The ER doctor is very certain that she pushed those stones back into the bladder while unblocking him the second time when he landed in the ER post the surgery.

My cat is currently doing well, he is on Ivy and has a catheter on. He is on CD food since two days. The urine color has improved from bloody to fairly clear. Urinalysis results showed struvite (Ammonium Mg Phosphate) crystals . I will be meeting the surgeon tomorrow and need your advice on what should be the next steps for my cat. Which of the following would you advise?

1. Re surgery to remove the remaining three stones from the bladder. After the initial surgery, the surgeon had mentioned that my cats heart is weak and hence he had to adjust the anesthesia to a lower level (1 instead of the usual 2), though the ER doctor does not see why would that be the case as there is no murmur seen in his reports and he has taken the sedation well while he was unblocked twice in the ER.

2. CD food therapy: Urinalysis results showed struvite (Ammonium Mg Phosphate) crystals. Should we remove the catheter, make him pee on his own at the hospital and then get him home. Watch closely for re blockage while continuing his CD diet. What are the chances of his re blockage? Will the bladder have greater chances of rupture if he gets re blocked since he just had surgery?

Please advise.

@KristaMagnifico

Hello, I live in San Jose California and need urgent help with my male 7yr old neutered cat who is blocked. I took him to a vet who referred him to an ER , the ER has given me an estimate of $4500 to $5000. I cannot afford the treatment, they have unblocked him and put a catheter and IV. They plan to keep him for 48hrs in the hospital, the doctor told me that she found stones in his bladder and kidneys. I am really worried, please help me find a vet who can treat him further for less. I want to move my cat in the morning to an affordable clinic. Please guide me on next steps and help me find a vet. The case summary from the vet and estimate from the ER is attached to the post. Please help me this is very urgent.

Hello, on christmas day, I found a cat outside in the rain/cold. He was extremely skinny, I could see/feel every bone in his body, he was shivering & crying. I brought him in. & bathed him & fed him. He has put on some weight since then & is all around an amazing lovable cat. Yesterday he started limping on his front paw. I am pretty sure it is sprained from playing with my much larger full grown cat. I keep feeling it & do not feel anything out of place/”crunchy” & it does not seem to be swollen. I have been putting an ice pack on his leg 2x a day for 15 mins at a time. Times are tough right now & I can not afford vet cate at the moment. I just need advice on what I can do to help him. My children and I have grown very attached to him & he is the sweetest most cuddly boy.

3 year old female cat with megacolon.
I watched the video about Beerus and manual palpation was mentioned. How can I find out how to do this? She is already on Lactulose, cisapride and Restoralax, so hoping to help things along so the megacolon doesn’t get worse.

I just read your blog on UOs in cats. Thank you for your passion on this and all fronts. You mentioned dry, low quality cat food as primary cause. What about dogs? Do you see this frequently with them? I feed a high-quality, all-dry diet to my dogs, and I’m just wondering if you recommend against it.

My 8 yr old male cat is an indoor only cat. He has never had ear mites. He is HIV+ since birth, although he was never tested for it (he appeared on my doorstep during a blizzard, still nursing from his mother who is HIV+). A week ago, I noticed the inside of his ear a light swelling. Now it is quite noticable. I believe it to be an aural hematoma. Would it be safe to drain it by puncturing it with the one of the injection needles I use to test my blood sugar? I really can’t afford spending a thousand dollars for the vet.

I am going through a medical emergency with my cat Kilo. Been very stressful had to take to the emergency vet. He had UTI blockage. Then a few days later I find out that he has tear in his urethra and it just got worse a few days later. I reached out to a vet in my city that could perform a surgery that would fix his blockage problem. Then I get a call back from the Emergency Clinic saying something wrong with one of his kidneys. He’s a good cat and doesn’t deserve this. I just can’t believe how expensive things can get. I am looking for any information or leads in regard to facilities that are reasonable and are willing to help folks who are low income. I live in the South Bay if anyone has any information on the matter.

Dr. Magnifico, Our beloved cat, Dexter (male, 13yo) was diagnosed with Megacolon a little over three months ago. We continue to go downhill. We’ve tried everything, Cisapride, Lactulose, Miralax ,an appetite stimulant, weekly enemas, been seen in ER three times, and multiple times at two separate vet clinics. Now he’s not pooping at all and urinating little. Being told our only options are surgery or putting him down. With a cat of this age, do you think surgery is advisable? He seems pretty worn out and definitely tired of all these doctor visits and enemas, some of which he’s been sedated. Now these two separate vets will not sedate during an enemy for manual evacuation because they say they don’t think he’ll make it through sedation. Thanks in advance for your time, response and your caring heart. Just watched your video about the black cat with megacolon. That was posted two years ago. Hope he’s continuing to do well. Thank you again. Krista in AL

This post is specifically for Dr. Krista Magnifico, however anyone is welcome to chime in if you feel you can contribute.

On the evening of Monday, 11/20, our strictly indoor 8yo cat Louie had an accident at home. We aren’t entirely sure what happened, but we observed him jump down from the couch and race across the room, knocking his water bowl over in the process in a way that suggested he was spooked or startled, possibly by an outside noise.

That night he loafed a bit more than usual, but we didn’t think anything of it.

The next day (Tuesday) we noticed he had a noticeable limp in one of his hind legs. He had a slight sprain about six months prior in one of his front legs, and all he was prescribed was rest, so we figured this required the same since he bounced back from that sprain in under a week.

By Tuesday night it was noticeably worse and now both legs were effected, and he was extremely lethargic and kept hiding. We made sure he was comfortable and made plans to take him to a vet the following morning. The next day he was MUCH worse, now dragging his entire body by his front legs with hardly any rear leg movement, and his tail was partially limp as well. Both still had movement, but something was clearly very wrong.

We found a vet who did a quick half assed exam and wouldn’t take x-rays even though we asked for them. She did labwork and prescribed pain meds and said it was likely just a bad fall and he just needed to rest. She told us to follow up with her when we felt it was necessary.

By the next day, Thursday, his rear legs and tail showed absolutely no movement, and he was completely dragging himself with his front legs. And since it was Thanksgiving, everyone was closed, and we don’t have the means to pay for a 24hr emergency facility.

We called the vet back as soon as they opened Friday morning and scheduled the follow-up the same day. We waited in a small room while they took him into another room for a second exam, and when she came back she said his blood work was fine but she recommended putting him down asap because he had developed some sort of neurological issue, likely a slipped disc with his spine. I inquired about treatment options but apparently I didn’t look rich enough, because she just dismissed it as “probably too expensive” and suggested taking him home for some goodbye time, followed by making arrangements.

On Wednesday it was “probably a sprain, just let him rest” and 48 hours later she’s telling us to kill him. Economic Euthanasia in action. Are there treatments? Yes. Can you afford them? No. So fuck you and fuck your cat.

I immediately reached out to another facility for a second opinion. The prognosis was poor, but I was told that there was a chance he could recover with enough rest, attention, love and patience. As long as his appetite remained and he still wanted water, I could let him rest, do physical therapy, pursue acupuncture, etc….and just give him time. He said it could be 50/50 but gave no guarantees. What mattered was he didn’t take away our hope. We were told he wasn’t necessarily in pain, so it wasn’t inhumane to give him a fighting chance. So that’s what we did. The biggest problem was the paralysis meant he couldn’t use his box, so he had to be manually expressed for all his bathroom needs. I could NOT get the hang of it and was incredibly worried about a rupture or blockage. But he had developed incontinence, so even though I wasn’t able to remove his waste myself, it would come out on its own over time. I had to clean a lot of messes as well as clean his backside often, but at least it was coming out one way or another.

Still, he wasn’t examined to my satisfaction, and I wanted to find a vet who took his case more seriously and could actually provide some sort of treatment. After a little research I found one, and they did a FULL neurological exam, asked for his whole story, listened, didn’t rush, and told me how to proceed and what to expect. The did a complimentary ultrasound, two full x-ray sessions and only charged me for one because they did the second just to rule something out, and all in all were angels on earth. They said red light / laser therapy might help, but again couldn’t offer any guarantees. They unit they had on hand was a “Class IV” which is apparently really powerful and efficient, so we began treatment with that immediately, twice weekly.

That was two weeks ago, and as of today it’s now the start of week four. It’s been three full weeks since this all started. Over the last couple weeks, he started showing signs of movement in his right leg. Then his left. Bit by bit. As of today, HE CAN WALK, but only on his “hocks”. His front paws / legs are still fine, and he’s capable of making his way around the house on his own. However he’s still incontinent, and he still isn’t using his box. I’ve been doing my best to clean up after him with warm water and wet wipes (for cats), but he’s starting to develop sores by his anus due to constant over grooming. Apparently I haven’t been doing a well enough job keeping him clean.

We were prescribed a medication called Amoxicillin and Clavulanate Potassium on 12/11 which we were told to give twice daily, 12 hours apart. So we gave him his first dose that night, and twice the next day. He didn’t take well to it and developed horrible diarrhea and vomited a few times as well. Despite this, he still has his appetite and he’s still drinking water. He’s not hiding or showing signs of pain or distress. He still purrs and wants attention, and even wants to play. He just walks on his hocks and can’t use his box. He was also prescribed another medication for nerve pain which was mixed with (I believe) Almond Oil? But he immediately began drooling profusely and had an incredibly adverse reaction to it, and he hated me for the next two days and even became fearful, which was difficult to deal with. Apparently there’s a similar option available in pill / powder form, but our vet won’t prescribe it because apparently it’s too strong for his size.

What all can we do from here on out to help him regain his independence on the bathroom front? What treatments / medications / additional measures would you recommend?

We were told if he were to make a recovery it would take anywhere from 4, 8, or even 12 weeks or more. It’s been three full weeks and he IS walking again (on his hocks), but the bathroom issue is our biggest concern. We’ve laid towels down everywhere but we can’t live like this forever….but at the same time we don’t consider this issue alone to be sufficient reason to end his life. We love him, and he’s family. We’re in it for the long haul.

We were told an MRI to pinpoint the exact spot of his injury would be upwards of 4k and corrective surgery, if it’s a slipped disc, would be 8k – 11k.

We can’t fucking afford any of that, and its safe to say MOST people can’t. What an absolutely predatory situation to be in.

Any advice on how best to proceed from here would be sincerely appreciated. We’re open to anything which has ever shown proven results. Thank you for taking the time to read this. Being concise isn’t among my strong suites.