I have a very special and painful case I need help with, I have tried several different veterinarians with no diagnosis or prognosis so far. It may be a long shot, but I was hoping you could help me shine a light on this.

In April I found an extremely skinny stray cat and took him in. I first thought he was malnourished from lack of food for being in the streets, but 4 months in his case keeps unfolding.

He is likely older than 15 years old, but he’s a happy cat with a lot of energy and mobility. He weighs 3kg but he’s a big cat, you can feel every single bone in his spine, although you can’t see them that easily because he has long hair. He’s completely affectionate, loves to be pet, and asks very politely for attention and food all the time.

All we know about his past is he is neutered, he had some teeth surgically removed and he tested negative for FIV and FeLV.

He had a huge appetite when I first took him in, he would eat 100g of food in one meal and ask for more right after. He would sometimes ‘cough’, it sounded like he was choking on some kind of fluid, it doesn’t happen in sequences, but it happens almost every day until today.

He always drank LOTS of water and produced a lot of urine as well. His feces at the beginning were really solid with some mucus.

After a month, he continued to eat plenty and hadn’t gained any weight, that’s when he started to throw up. It started happening a few days a week, usually after spending several hours without eating he would throw up a clear frothy fluid with no content, and then it progressed to twice every day regardless of when he had eaten.

We suspected it could be diabetes or hyperthyroidism, but the labwork didn’t confirm either, it showed regular kidney function with small liver function alterations.

We then introduced prednisolone (2,5mg/day) and changed his diet from a mix of natural home-cooked protein, hypercaloric wet food, protein supplements, and dry food to exclusively Royal Canin Hypoallergenic while waiting for Royal Canin Gastrointestinal Hydrolyzed Protein to arrive in Brazil, keeping Omega 3 (fish oil) 500mg/a day in his diet.

Vomits went away for a while. He kept drinking lots of water and peeing a lot, but his feces got softer (not liquid).

He had periods where he lost his appetite, which we treated with mirtazapine, he reacted after 6 days.

We performed an ultrasound and discovered that basically all his internal organs were compromised. He has severe alterations everywhere. Still, the best specialists I could find couldn’t tell me what was causing it and offer a course of treatment that didn’t involve opening him up to collect tissues for a biopsy.

I personally think it is absurd that a doctor could look at this frail elderly cat who obviously can’t resist anesthesia without serious risks and say that surgery is the only way to go, all to find out for sure if we’re dealing with a lymphoma or an infection. I’m looking for someone to advise me on the most effective course of action. Of course, I aim to reverse his condition, but I understand that given his age and how advanced it is, it might not be an option.

He is currently at 3kg, eating exclusively Royal Canin Gastrointestinal Hydrolyzed Protein with fish oil, and taking prednisolone every day for a month now. His appetite is healthy, he still drinks a lot, pees a lot, and poops regularly but softer. He eats an average of 5 small meals.
Vomits are back down to a few times a week, usually early in the morning before his first meal, and always a clear liquid. He goes and eats right after throwing up so I get the impression he is not nauseous.
He doesn’t seem to be in pain overall.
He’s not gaining any weight regardless of all my efforts.

That is why I’m giving this a shot and trying to get your attention. I hope you have more resources and knowledge that could help me figure out appropriate next steps to give this little guy the best fighting chances I can.

On this link you’ll find a translation of his bloodwork and ultrasound. I had chat GPT translate it for me so forgive me if there are errors.
Link: https://docs.google.com/document/d/1yqcen-TYzyvfBYU-J4t1tCHola1E2otDGDa1H7V032Y

I appreciate any support you can lend me, his name is Valentim which means brave and strong, and I want him to win this fight.

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!

Suspected IVDD: my 14 yr old Jack Russell has been experiencing some severe what looks to be muscle spasms. Took her into the vet and was told she may have joint pain or a neurological nerve pain. They sent me home with pain meds gabapentin, anti inflammatory carprofen and vitamin antinol to see if she got better. It was four days and she didn’t really seem to get better.

Then she seemed like she was developing some sort of serve cough. Took her back to the vet and they said she has some bacterial respiratory infection (also took X-rays) but I suspected kennel cough which they could not tell me 100% for sure, so was sent home with antibiotics. She is up on her vaccines and the only place she has been is at the vet because we don’t have any other dogs around us at home and haven’t been taking her for any walks due to her pain.

It’s been 5 days now and the cough is getting better. However, she is having muscle flares up everyday, multiple times a day. She is panting a lot and seems to be in a lot of pain. The meds don’t seem to be helping a whole lot.

She can still walk but is wobbly. Her legs tremble. I can see her legs are very stiff. Her back looks a little raised. She is still going to the bathroom on her own, but is wobbly.

I’ve put some paw grips on her feet since we have tile floors and some more rugs around the house. I’ve also tried to give her messages which she sometimes allowed me but she’s a Jack Russell and they have their own kind of personality.

What should I do? Any advice? I hate seeing her in so much pain.

My dog is a shitzu and has a cough. I bought him meds for kennel cough but it goes away and it goes back a day or two. what can I get him?

My dog is coughing mostly at night when we are in bed. It is kind of a cough where it sounds like she is trying to get something up. During the day she is sneezing alot and seems to have a runny nose. I am not sure if it is a cold or what. Also she still has energy wants to play and drinks water but is being very picky about her food. She strictly wants table food. Anyway the coughing is a little concerning. Is it something I should worry about she is 5 months old.

Hello Dr. Magnifico!
I found you on YouTube! I wanted to tell you how wonderful I think it is that you are going above and beyond to help pet owners worldwide!
I have a 4 year old female cat named boots. For over a year now, she has been having pretty severe coughing attacks daily. I have taken her to multiple vets that can’t tell me what’s going on. I have heard both upper and lower respiratory conditions could be involved. We got a chest X ray 2 weeks ago and it came back negative. Tried asthma medicine with no help. Tried an antibacterial in case it was an infection, and only very mild relief. Using 5mg Zyrtec daily has some relief. My vet suggests it may be nasopharyngeal polyps. I visited your page and saw your video removing these polyps in a cat, and the symptoms I have found for polyps don’t seem to quite match Boots. She doesn’t have a snorting sound while breathing, but her breathing is sometimes audible at rest. I am very fearful to proceed with further testing or procedures because I don’t want to spend so much money without knowing the problem will be fixed. Any suggestions?! THANK YOU!!

My 4 1/2-year-old cat Minnie all of a sudden last Saturday was lethargic to the point she slept the entire day, then Sunday a lot of the same where she not interacting, not her normal playful, loving self. It started to look like her eyes where crossed, and she would curl up in a ball. I took her to the vet last Monday – she was there all day and they suspect head cavity polyps, meningitis, or CNS however when the Dr. put her under, she was not able to find anything. Not sure if she checked behind the soft pallet, but will ask in the am. I was referred to a neurologist at that time; they have her a 14 day antibiotic and a steroid injection. She seemed to be doing good, and somewhat back to herself, so I canceled the request for an appt as they did not even have any openings, but the next day Tuesday she was feeling horrible again, sneezing, head tilting, off-balance walk, walking in a circle favoring her left side. Her eyes are watery and run almost like she is crying, and she has this reverse snort/cough. She does still have a good appetite, is eating, peeing and pooping, but is extremely lethargic and I can tell she is still miserable and at time seems like she will not make it. Took her back on Friday, did another exam and they say she still needs some type of imaging to see what is wrong. I am thinking can’t they look to see if there are polyps endoscopically and then just remove them at the same time? Or does she have to go through a complete neurological exam although it may not be necessary? I can’t afford 2-3 k for all the diagnostics then surgery but will do my best to pay if it is necessary. I am terribly worried for her as she is just doing horrible and I hate to see her in so much pain and want to get this resolved for her as quickly as possible.

Hello, my 4 year old Staffordshire Terrier all of a sudden has become sick and we don’t know what is going on. He has suddenly started to cough which ends with him gagging. He doesn’t want to eat and just lays around sleeping. Occasionally, he will get the shivers. He has still been drinking water and will still go out to use the bathroom. I just hate seeing my little ball of energy looking so tired and miserable. I’m wondering if it’s kennel cough that has progressed or something of the sort. Anyone have any opinions or ideas of what it could be or what I can do to help him? We have very limited income right now.