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Sandy | 4 years ago
Dr.Magnifico: I Hope This Message Finds You And Your Family Well. I Actually Have A …

Dr.Magnifico:
I hope this message finds you and your family well.
I actually have a concern not about one of my pets but one of my daughter’s cat. Frisky (my grandboy cat of 12 years).
2 weeks ago my daughter noticed he had an odor of urine. She had tried a new litter and thought it was due to the muddy consistency. She bathed him with no luck and decided to take him to a vet in her area. Frisky is a very cool easy going gentle cat . Unfortunately, when he went to the vet, my daughter said he turned into the cat from hell. They were unable to treat him but managed to give him his rabies. He was prescribed 100mg gabapentin to be taken that night and then one more an hour before his visit the next day. She described him as acting stoned starting with the first capsule. He was fine at the vets office but sadly has been diagnosed with kidney disease. The following 3 levels are off the chart: IDEXX SDMA 63, CREATININE 8.6, BUN 165. The following levels are slightly elevated: Phosphorus 9.9, Anion Gap 27, Total Protein 9.4, MCH 17.6, Monocytes .646.
Frisky was put on a special renal diet with phosphorus powder added (to bind the phosphorus). He is supposed to go back to the vets on Monday to have his kidneys flushed in hopes of flushing toxins I guess.
My concern is that he has trouble processing the gabapentin due to his kidneys.
You know how much I value your opinion and I truly love Frisky. If one of my cats presented all these issues, would you recommend the same treatment? I am also extremely concerned considering what I have read about the toxicity of gabapentin with kidney disease. I am very surprised by his behavior at the vets but obviously he needs something in order to calm him down. Would you recommend an alternative to gabapentin? I believe they gave her a liquid for Monday’s visit opposed to the pill that was used for the previous visit. Have you seen the use of special food and the flushing of kidneys to help improve some of these numbers and allow him some time with a good quality of life? I hope I have provided as much information that you may need.
As always, I appreciate your insight very much.

Thank you
Sandy Brown

2 Responses

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  1. Krista Magnifico

    Hello!
    I’m sorry to hear about your daughters cat. As crazy as it sounds I have numerous patients like this. Ie perfectly wonderful at home and complete terrors at the clinic. My own cat is one of them.
    I can’t prescribe anything to a cat I haven’t seen. Nor can anyone else. But I do think it’s important this cat be followed up on and if that means gabapentin is used then so be it.
    You can and should ask about at home Sq fluids or even maybe an in clinic iv fluids hospital stay. It’s important to distinguish acute kidney failure from chronic and one of the ways to do this is with an inpatient stay to diurese the kidneys.

    1. Sandy Post author

      As always, I appreciate your input. Frisky is one of two cats that I rescued many years ago that my daughter gave a home. I feel a special bond to them because of that in addition to just loving all animals.
      Thanks again and hope you have a nice day.
      Sandy

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Matt | 4 years ago
Hi, I Have A 14 Month Old Australian Shepherd Mix That Has Had A Terrible Time Dealing …

Hi, I have a 14 month old australian shepherd mix that has had a terrible time dealing with the car since I got him, specifically a lottttt of drooling. I’ve been able to counter-condition him to be relaxed just sitting in the car but whenever we try to go to the next step and he notices we start moving in the car, the drooling comes right back and he is visibly anxious. I have started taking him to a nearby park with trails (about a 10 minute drive) after seeing Dr. Magnifico’s video on youtube about the subject. He has not vomited yet on these trips but the drool is definitely a concern and so far hasn’t improved (just had our fourth trip today). Also, after these trips he appears more wary of the car, with drooling sometimes starting as we approach the car to return home. As long as he is not vomiting am I not pushing him too much? When I first got him at four months, he was fine until the last 3 minutes of a 45 minute car drive, at which point he threw up. I think this has unfortunately traumatized him since and I just want to make sure I’m not creating further trauma.

I have also tried anti-nausea medication both OTC and from the vet with limited success, definitely does not help the drooling which makes me further believe it is anxiety related.

Any advice is greatly appreciated!

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  1. Krista Magnifico

    Hello,
    The drooling is part of the anxiety. In my opinion and experience the only way around it is through it. Keep working with him and keep thinking of new ways to make the car less scary. Like sitting in it and not going anywhere. Offering treats. Just going for a quick ride to the post office. Or a little jaunt around town anything and everything to make it less stressful and more enjoyable. Foe my pups this usually takes 4-6 months. But now they can (and do) go anywhere and it doesn’t matter if it is a ten minute or ten hour drive. They love to go anywhere and always think it’s an adventure.

    1. Matt Post author

      Thanks so much for your reply, it is relieving to hear that despite the lack of results I should be on the right track, I’ll keep chipping away at it!

  2. Sarah

    Hi there- Dr. Magnifico is definitely right. We had one shepherd (Butch) that was terrified of the car. It took about 6 months, but we finally got there. My trick with him was to make the ENTIRE experience worth it. At first, the car itself meant a treat of ham. Then, staying in the car meant more ham. We actually would go to visit the vet to get a treat, not for an appointment. Many times, I would just go to the end of the road and back- before the anxiety could grab ahold. After those first months, the car became a fun experience for him???? Also- a strong bond with your dog will help them overcome seriously just about anything. So working on that will help. If their bond with you is right, no matter where you are, they will want to be. Time, lots of love and patience are key. Keep up the good work????????

    1. Matt Post author

      Ahh, I’ll try using some ham. I had been using bullysticks in the car but once the car gets moving he got sick pretty quickly. Ham might be a bit easier on his stomach. Fortunately I have had lots of time to train him so I do have a pretty good bond and can keep him in a down position in the car. Thanks for the reply!

  3. Laura

    Use a crate. My Doberman is a hellion if she isn’t secured – she screams and whines and won’t settle. Try a crate, and cover it.

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Nicholas | 4 years ago
Hi! I Have A 10 Year Old Tabby Named Chunk — He Is Overweight Hence His Name. Roughly …

Hi!

I have a 10 year old tabby named chunk — he is overweight hence his name. Roughly a month or two ago we noticed that he started to limp. While he isn’t holding the paw or crying while walking, it is a noticeable limp. He is still jumping up on the bed and off, walking up and down all the stairs in the house, eating, drinking, and grooming himself. We can’t touch the paw, rub on the paw, and Chunk does not react in anyway as if it hurts him. My question is, his one paw is somewhat swollen at the knuckle. Could this be arthritis? I don’t want to take him to the vet because he does not handle that well and I’m worried about giving him a heart attack or other health issue by taking him to the vet for something that might be nothing. You can see in the picture the differences in his paws. Thank you in advance!

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  1. Sarah

    I think that since there is swelling and a noticeable limp, a vet trip is needed. It could be a small fracture, a tear, infection, a symptom of something far worse…..

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Chelsea | 4 years ago
I Have A Golden Retriever/Lab/Boxer Mix. He Will Be 10 Years Old This Month. A …

I have a Golden Retriever/Lab/Boxer mix. He will be 10 years old this month. A couple weeks ago, we took him to a vet specialist. He has a prostate mass that is connected to his urethra. He also has spots in his lungs that are believed to be metastasis of the cancer. I needle aspirate was done to confirm his cancer diagnosis. Recently, he has lost bladder control so we keep a diaper on him when he’s inside. Last night, he started not eating his food (even when it was mixed with wet food) so today I made him chicken and rice. He ate some of the chicken but did not touch the rice. My vet is not recommending surgery due to how invasive it will be. He is currently taking an antibiotic (clavamox) and a pain pill (gabepentin). He’s also been prescribed a medication for inflammation (carophren). My question is… is there anything that can be done for treatment? we wanted to have the mass removed to remove pressure from his bladder (because he peeing frequently). However, the vet nor vet specialist is recommending it. Are there options for metatastic cancer? What are the benefits of giving dogs CBD?

1 Response

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  1. Sarah

    Good morning. I think your best corse of action would be to schedule a visit with your vet simply to discuss ALL of your options and then move forward from there. I cannot really comment on your specific situation, but I can definitely sympathize. This past July we had to finally say goodbye to one of our dogs and towards the end with the loss of bladder control and lack of appetite, it was really difficult to watch and in hindsight deal with. The last month was just to keep him as comfortable as possible and measure his quality of life. I had success getting him to eat by mixing beef broth and rice in with his regular kibble. And peanut butter became a regular treat. I hope that you and your vet can come up with a plan that works.????????

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Rebecca | 4 years ago
We’re Treating Our 6-month-old Kitten For Giardia And He Has Been Quarantined In The Bedroom …

We’re treating our 6-month-old kitten for Giardia and He has been quarantined in the bedroom since diagnoses. our 1.5-year-old cat ran into the room for a moment and crawled under the bed before running back out of the room. I clean the room once or twice a day but under the bed is definitely a hard place to be precise with cleaning. the kitten wasn’t in the room at the time since he was getting his meds for the giardia. should I be worried that now my older cat could be infected too?

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  1. Krista Magnifico

    Hello,
    I have loads and load and loads of patients with giardia that I have tested over the years. In most cases the older healthy pets are exposed and never get it. I wouldn’t worry too much. I would just be diligent with the litter box.

    1. Rebecca Post author

      We’re cleaning the liter and vacuuming, sanitizing fabrics, and hard surfaces every day. just wasn’t sure if it was a risk with him crawling on his belly over the carpet under the bed.

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Jodi | 4 years ago
Archie, 6 Mo Old Kitty Has A Neurological Birth Defect (likely) Which Makes Him Incontinent. We Have …

Archie, 6 mo old kitty has a neurological birth defect (likely) which makes him incontinent. We have to express his bladder and colon. His bladder became blocked, so he spent the weekend in ER. He did not have crystals or a bacterial infection, but he had mucus in his urine. Likely because expressing doesn’t empty his bladder completely … guessing. He Came home and we could not express his bladder again after only one successful expression. Back to ER and they are at a loss. It doesn’t help that we can’t find a urologist and clinics keep turning us away. The neuro we found when he was brand new seems to be advising us to euthanize him because of everyone’s QoL. I MEAN REALLY!?!?! Any advise would be GREATLY APPRECIATED!!

2 Responses

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  1. Krista Magnifico

    Hello,
    I have had a few cases like this. Cases where animals need constant help to urinate (or even defecate). I tell them you can only fill in for their basic functioning for so long. Maybe months or years but only for so long. At some point the cumulative effects of non function cause collapse. This is where you are. Yes. As much as it is hard to accept it is probably time. There are no other viable options. All are fraught with terrible consequences. This happened to my own dear beloved pup. I actually considered crazy ridiculous options like marsupialization. I was desperate. I had to let him go. His body wasn’t working even though he was still young and mentally 100% aware. It almost killed me. I am so sorry. You are on my thoughts. If it would help please add your Archies story to our storyline section. It is such an important case to share. I applaud your dedication to him. He is so lucky to have found a family who loves him.

    1. Jodi Post author

      Thank you for replying! I am now able to express him. For now at least. We found your videos and had hoped for a different response!! My heart is too sad. He is right now playing with our pup. They are near buds. I don’t know how we could do this?????

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Nolan | 4 years ago
Hi, My Bernese Puppy Just Had, 5 Days Ago, A Jps (Juvenile Pubic Symphysiodesis) Surgery As Prevention …

Hi, my bernese puppy just had, 5 days ago, a jps (Juvenile pubic symphysiodesis) surgery as prevention for hip dysplasia. He has stitches just under his penis. Yesterday, he had the worst zoomies which caused him to run so fast, he got to the end of his leash and litterally backfliped. He seemed physically fine until I noticed quite a lot of bleeding coming from his stitches: for sure from the leash. I cleaned the wound with soap and water and everything looked fine. No more bleeding, stitches were fine too (picture #1, where we can see a finger). Today, we found out he had quite a big, pretty firm bump around the stitches (picture #2). No signs of infection. It seems to change size depending of his position, too. I just found out about seroma, but a bump like that is pretty scary. I will talk to the vet tomorrow but would really appreciate a quick opinion. The JPS recovery is already so stressful because we have such a hard time keeping him from running and jumping, now this…

1 Response

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  1. Sarah

    Good morning- it is really hard to see anything from a picture. I would just keep him calm as can be and try to get into the vet ASAP first thing, so that they can take a close look and feel around. Hope everything is ok????????

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chelsey | 4 years ago
Addisons Disease???

My 4 year old Lab has been sick since Thursday. She wouldn’t eat, threw up bile, has diarrhea and just wasn’t herself, I took her to her vet Friday afternoon unfortunately they were closing, they gave her some fluid and medicine to calm her stomach, and sent us home with some medicine and a canned food.. They said if she wasn’t improving in 24 hours to take her to the emergency room for a full work up Unfortunately, we had to take her in on Sunday, after some test and after 3 day they told us she is finally eating a small amount and her stool is thicker and not bloody anymore. Her protein is low they did a ultrasound of her stomach and said everything looked normal but her adrenal glands are small so they are now testing her for Addisons disease. I tried to do some research but cant figure much out, does anyone have any information or has had a pet with Addisons disease? Is it common for a 4 year old healthy dog to start showing symptoms?
I just want my baby home!!! thank you!

1 Response

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  1. Krista Magnifico

    Hello,
    It sounds like you are getting a thorough work up and moving in the direction of some answers.
    I have treated quite a few Addisonians and once diagnosed and started on treatment most do very well. If you have any questions or concerns ask for an internal medicine referral and go from there. Good luck. I hope she is feeling better soon.

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Maggie | 4 years ago
2 Year Old Neutered Male, Indoor Only. Was Taken To The Vets And Had Crystals Removed Form …

2 year old neutered male, indoor only. Was taken to the vets and had crystals removed form his bladder. His kidneys appeared to be a little elevated and was put on amoxycilin, prazosin and meloxidyl. Prazosin for 7 days, amoxycillin for 7 days and meloxidyl for 14 days.

He was absolutely fantastic for about 7 – 10 days. When he was ill previously he was very distant (usually extremely affectionate), hiding under sofa, lethargic, not eating or drinking, struggling to pee and mewing. This time when he was ill he has actually still been affectionate and following the owner everywhere, a little slow and seems sad, but mainly noticed that he kept trying to pee – even outside his litter tray. Took him back to the vets and they recommend euthanasia so went to another vet. They gave him an epidural to relieve his bladder and put him on Hypovase for anti spasm relief, gabapentin for pain and buprenorphine also alprazolam for anti spasm.
All the above happened in the last few weeks
He’s back in the vets again this morning with another blockage and because he keeps removing the cathather they want to remove the urine via needle!!
Any help would be appreciated.

3 Responses

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  1. Sarah

    Hi there-
    The experience that I had with my blocked cat (years ago) was time consuming. He did undergo surgery to remove the blockage. Then sent home after urinating on his own. We had to keep him confined as he needed to rest and recuperate, plus he was leaking for a while and clean up was easier in less space. He needed Rx food for the remainder of his days. His recovery took a few weeks, but he did live quite a long time after that experience. Our vet had also advised us to change the type of litter we used as some apparently can cause stones/crystals. I know that they did some sort of ultrasound on his bladder at the time to help assess the situation. Perhaps to see the number of crystals and if they could pass? Not 100% sure…. regardless, I would check with the vet about diet, litter, recovery and expectations as to whether they feel all the stones have passed or if further surgery is needed. Please keep us posted ????

  2. Krista Magnifico

    Hello,
    Most of the cases is see happen like this. It takes weeks, months for the urethra to heal and the bladder to regain full function. I strongly suggest a canned urinary prescription diet and medication options to include a steroid. I also recommend discussing a PU surgery before recommending euthanasia.

    1. Maggie Post author

      Thanks Krista. He’s back to the vets again today to have his bladder evacuated and the same yesterday and the vets wants to do the same until Friday via needle. He been on the urinary food but won’t even do a droplet of urine. The vet is recommending euthanasia Friday because of his suffering….. at a loss!

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CARY | 4 years ago
Hi, We Are In Dire Need Of A Second Opinion As Our German Shepherd Is In …

Hi, We are in dire need of a second opinion as our German Shepherd is in Emergency now and we are waiting for the neurologist to call us back again. About 6 days ago our pup jumped out of the car and yelped. She seemed to start walking a little weird and we kept our eye on her. The next day she started having weakness in her back legs and swaying a little. A couple days later it was a little harder for her to get up from sitting. The vet thought she had pain from her stomach as she had diarrhea and she did blood work and an xray of her abdomen and middle of spine. Because when the vet watched her walk and did pain tests and mobility, she seems fine with no pain. By the 4th day she started to really have a hard time getting up and she had a little dragging in the back feet. 5th day, she had a hard time time squatting to go to the bathroom and was losing balance. Her front left leg started to show weakness and we took her straight to emergency.

The neurologist still has not done an MRI because she said that our pup was just laying there like a log and not being supper responsive. Which makes her think it could be a brain issue. I am waiting for er phone call now but I will be asking her to just do the MRI of the spine and the brain to have a better understanding. Our dog was fully responsive when we took her to emergency 12 hours ago so I am wondering if she is completely sad because we have never left her anywhere.

Please help! This is urgent.

Thank you.

5 Responses

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  1. Sarah

    I’m so sorry about your dog! I have to ask- I am assuming your car was not moving when the dog jumped out? And are you and your vet sure that her situation right now is actually related to that incident? I’m just trying to clarify- sorry. I am hoping that you get some more definitive answers today from your vet.

    1. CARY Post author

      Hi Sarah, No, the car wasn’t moving. She yelped a couple times coming down the sofa also, She is still at vet and is getting an MRI today and spinal fluid tap. The vet mentioned meningitis also. I am just frustrated that we had to wait 2 days for an MRI, especially if it is Meningitis and needs to be treated ASAP. I went to see her yesterday and she was excited to see me but can’t stand up or really lift her head up.

      1. Sarah

        Oh my goodness. I truly feel for you. I hope that something shows in the MRI so that you can start the road to recovery and that she is ok ???????? If you fe up to it, please keep us posted.

  2. CARY Post author

    We got the results back from MRI and spinal fluid and she has meningitis/encephalitis . They immediately put her on broad spectrum antibiotics and steroids. Today they got back the spinal fluid results and it showed no bacterial cause so they took her off all antibiotics and started an immediate 24 infusion of Cytostar, an auto suppressive medication. We now wait for another 18 hours to see how she is responding.