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.

I saw the YouTube video about constipated cats. I really need help with my cat. We have been through so much starting with elevated liver enzymes that are finally back to normal,  diabetes that has resolved and now constipation.  He was at the ER over the weekend and had an enema, and is on Lactulose and Miralax.  I live alone with him and my dog. I am a grad student and completely exhausted from all the  care I have given him and and my dog (who also has elevated liver enzymes) in addition to trying to keep up with school and the bills.

Please contact me with any help at maryob814@gmail.com or 415-754-9587. After watching your YouTube video, I took away the dry food. I should have thought of that sooner. I want to know how to care for him and my dog.  They are my babies and all I have. Please contact me.  Thanks.

My lab will be 11 in June. He was diagnosed with diabetes 4 years ago. We’ve never been able to regulate his insulin and have tried both human and dog insulin. He’s currently taking 31 units of vetsulin 2 times a day and has been for over a year. No matter what dose/medicine brand we try, his blood sugar is still really high (between 250-400)! Recently, he’s been throwing up a few times a week after eating or drinking. The vomit is white and clear and looks like its mostly slobber with only a very small amount of food. What’s causing this?

My dog Sampson is a 15 year old boxer/pittie mix(50 pounds). Has had diabetes for 7 years. Been on arthritis pain meds the last year.. Has become very sluggish the past 2-3 weeks. Vet diagnosed him with a early stage heart murmur and slight anemia. Changed his arthritis pain meds to Gabapentin. It made him so drowsy that he fell asleep while eating. Became unable to walk without assistance. We weaned him off the Gabapentin and back on the old pain meds. His walking has improved a little but still is wobbly. Yesterday he refused to eat, which is highly unusual for him. Still drinking, but not eating today. He sleeps a lot but also has 30-60 minute spells of restless/repetitive behavior. I’m thinking he may have dementia. Any suggestions on how to help him?

My dog, Max, was recently diagnosed with diabetes. We are still trying to find the right dose of insulin and were making progress until yesterday. His sugar was back up to 471 yesterday when 2 weeks ago it was 275. We know cataracts are already forming but this morning before 4am he woke me up. I thought he had to go outside but when I got him, realized he wasn’t opening his left eye. When he does open it, it seems rolled back and is red. His third eyelid is also visible. The right one is better but also seems like it might be bothering him. I contacted the vet for walk in hours today but wanted to see if anyone else has had this issue and what it might be.
Thanks!

Hi Dr. Mag, Gatsby and I need your help.
I came across some of your videos on YouTube and that brought me to your blogs and finally here to Pawbly.com I feel so fortunate to have found your videos you seem so knowledgeable and more importantly empathetic. The care you have for animals truly shines through. I feel so helpless When it comes to my little guy Gatsby. He is 8 years old and has been very healthy all his life, But within the last six weeks we have been experiencing some urinary issues. I did think he had a blockage because he was unable to urinate for close to 24 hours, he seemed lethargic and did not want to eat. I took him to the vet first thing in the morning and he was given an x-ray which did not show any signs of kidney stones. He was given fluids under the skin, an antibiotic shot and sent home with 5 days dosage of Prozasin. The vet diagnosed him with feline lower urinary tract disease, yet he did not take any urine samples because he said that Gatsby’s bladder was very small and he was unable to collect a sample. He did not take any blood either. Within a couple days Gatsby was again exhibiting the same symptoms so I asked around for personal referrals and took him to a different vet. This vet said the same thing, Gatsby’s bladder was very small, but he kept him for a few hours to collect urine and did perform blood analysis and lab work. This was a Saturday and the vet suggested I switched him to a prescription urinary diet and informed me I would receive lab results that Monday. When the vet called all of his lab work came back clear, no infection, no signs of crystals, no signs of cystitis, kidneys functioning properly and he does not have diabetes. The vet suggested I keep him on a prescription diet and suggested that he lose weight because he is a big boy at 15 pounds. This was about a month ago and Gatsby has had two more episodes since. He is licking himself a lot. He travels to his box many times and is only producing small dots of urine, he has on a handful of occasions exhibited inappropriate urination, but only during these flareups which tend to last 2 to 3 days. I’ve called the vet to discuss Gatsby’s condition and his solution is to have the surgery performed. I have read a lot of literature, watched a lot of videos and have taken him to two different vets to try and find answers and help for him. It hurts me to see him struggling. He is on a wet food only diet, I do not feed him any dry food or dry treats. I have tried a urinary health chew which he receives once a day. I have noticed that he has not been drinking water as he used to prior to these episodes. I have a water fountain for him I’ve tried fresh water in different types of bowls, I’ve tried water with ice, he’s just very resistant to drinking water now. Any advice or guidance you can provide would be greatly appreciated.

I have a 12 year old female cat. She was obese for several years. I managed to get weight off of her a few months before these issues. There has been a lot of urination outside of the box. The urination has been going on a long time and initially I thought it was behavior because I adopted a rescue dog in October 2018 she hasn’t been thrilled about the dog. Right around the time my cat turned 12 she started with the urination… February or March.

In the last couple of weeks her thirst increased significantly. Also just laying on her side on the floor, not wanting to be in her bed or on the furniture. She’s losing weight /muscle mass and she is hoarse. She is still eating, I had to coax her a bit one day so I made chicken broth from drumsticks she’s been drinking a good amount of the broth and ate chicken and her canned food. She’s actually been gulping the food down.

I can’t tell if this is kidney related or diabetes. I have not noticed bad breath. I am in a real bind and need to figure out what else to do for her till I can get money for a vet.

Hello and thank you everyone for reading this post. I am writing this here in the hopes that I find some guidance. The vets I have taken my cat too I feel are only out to make money off of me and to make my cat insulin dependent. I could be wrong but based on what I have tried I have seen better results. My male cat of about 15-18 years of age has been diagnosed with diabetes since April of 2019. His original Blood glucose was 377 at the time of the original Veterinary office visit.

I was told to give him Vetsulin insulin at 1 unit, however the vet only sold me insulin with no syringes. After waiting a week for them to get me syringes, which were on back order, I gave up and took him to an emergency vet. The emergency vet put him on md and wd wet and dry food. Instructions were to give him Prozinc 3 units every 12 hours and feed the wet food at the time of injection and to leave the dry food out 24/7. After one week of still not injecting insulin on my own accord in hopes that the new diet would put the diabetes into remission, he went from weighing 15.93lbs to 17lbs.

From April to July he stayed at the same weight but showed no signs of improvement except for his “levels” on a blood test that were all in better ranges. His BG HAS BEEN 600 since he has been under the care of this vet who then wanted to curve him and remarked that he should increase the insulin.

I decided to take matters into my own hands, joined forums and educated myself on feline diabetes as best as I could. I started home testing and started him on Young Again Mature dry food ZERO Carb Tiki cat wet food. He is now weighing in at 14.73lbs. I also lowered his insulin to 2.75 and at mid curve his BG is 377. At the end of his cycle it is 477. My question now is how do I get him into the normal range of 80-120 Blood glucose safely without seeing adverse symptoms from too much Prozinc?

My cat disappeared outdoors for numerous days (he’s indoor, but LOVED it out at night) I always had the back door a bit loosely closed, so he could get back in. He was 12yo and could get in.

After days of worry and a small sighting of him, he came to me gaunt and meowing. He wasn’t a big meower— It was sad sounding as well.
After 1 1/2 days of exhibiting odd spots to just lay around the house, he deteriorated in hours. I found him with vomit at his mouth and what appeared to be urine at his backside. He had passed.
My husband was convinced that our new dog just bothered him enough to the point that he’d gone to our neighbors, outside. Or was being fed somewhere. I looked for him constantly and only once did he attempt to come up to me. After a few days, to see him in such weak and fragile state, I’m so horrified at what was going on; to which I have no answered questions and regrets.
*He weighed considerably less upon returning home
*He was a WELL fed cat (didn’t eat after returning)
*He recently (2mo prior) had blood work done and his shots. Not cancer/diabetes
*He deteriorated very quickly (when he couldn’t walk and use his back legs, he passed before anything could happen; ie; vet etc)
*He didn’t seem to to be able to eat? My last time trying to feed him, he’s s head repeatedly tapped the bowl. Uncontrollably and he couldn’t get food. This being before he went. -It was awful-. I left food by him and went to explain the severity to my husband.

Prior to disappearing, he seemed in perfect health at 12.

So overnight he couldn’t walk and within the hour of dying, function. He laid and went. Vomit at his mouth (some food by his head partially chewed)
And urine stain backside.

I’m devastated. Please help!

Hi, I have a 16 year-old female Chihuahua/Lhasa-Apso who has been prone to seizures for several months and has been taking medication to prevent this. However; several days ago she had a convulsion – and since then, she has had an increase in jitters, seems mostly unresponsive to petting, has lost appetite, her tail is nearly always limp, and she appears lethargic.

On top of this, she also sounds as though she has fluid/mucus in her lungs, as she takes raspy deep-breaths every now and then. Since this morning, she has begun coughing up clear/bubbly + thick fluid every so-often, is refusing to drink/eat/ take seizure medication.

Her last check-in with the vet indicated that cancer was not present (At least, in her organs) and her blood did not indicate high cholesterol or diabetes.

Given the symptoms listed, what do you believe my dog is suffering from, and is there any medication/preventative measures I can treat my dog with to combat this illness?

Thanks 🙂