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Heather | 2 years ago
My Question Is About Urinary Crystals And Cat Blockage. I Specifically Want To Know About Jaundice …

My question is about urinary crystals and cat blockage. I specifically want to know about jaundice after surgery, but also to know if we should have done anything differently, we lost our little sweetheart a few days ago to urinary crystals.

Details: 4 weeks ago our little fellow, a 2-year-old neutered male, got worms. We brought him to the vet and, with medicine, successfully treated them. They stressed him, and he didn’t want to eat much, but the vet said this was normal. He seemed to get better, but a week ago started acting stressed again, not eating much, drinking very little, but still eating and drinking. Seeing his pee was not possible due to having 2 other cats (and not knowing what urinary crystals are, much less know what to look for)

We called the vet Friday morning, they told us he would probably need another dose of worm medicine, and scheduled an appointment for the following Monday. Keep in mind we had never heard of urinary crystals before, we thought he had worms again.

On Saturday evening, it became clear it was more than worms. He was lethargic, not going potty at all, and just wanting to lay down and close his eyes. We called the vet clinic which was closed, several other numbers for local cat places (adoption, care, etc) and could not get him seen but got the same phone diagnosis at every step, “probably a stomach tumor”.

It was 5pm Sunday before we got lucky, found an animal hospital 2 hours drive away, got a hold of an actual vet through their emergency number, and she agreed to open the hospital late on a Sunday and see him immediately for $1000. We got there at 7pm and by 7:15 he was in surgery to unblock him. She immediately knew what was wrong. His temp was already low, he was very weak and barely moving but alive.

The next morning, we found out he survived the surgery and was recovering with a catheter and IV fluids. The plan was to keep him in the hospital for 3 days and to let him come home if his pee was clear and his blood work for liver function was acceptable.

We got a phone call early on the second day telling us he was occasionally moving in his cage but wasn’t eating or drinking. She said he seemed depressed, and we could visit at 4pm to see if it perked up his spirits. It was the earliest time they could let us visit so we took it.

On our drive to see him, the hospital called us and said he wasn’t doing well. They asked if we wanted the blood work done immediately instead of on day 3 and told us he had become extremely jaundiced. During our visit he could only manage a couple of steps, so we held him, he was clearly exhausted and under the effect of pain medicine.

The hospital had taken the blood after the call and said his sugars were 3 times normal and other things “5 times normal”, and he was a deep greenish yellow in color around his ears. They brought him warm food but he was not interested. They explained organ failure and said his lungs would fail eventually, but he was breathing well.

In seeing us did perk him up a little, he focused on us, but he quickly faded again, preferring to lay down with his tongue out after 20 minutes. We didn’t want him to suffer and linger with no hope of recovering, and he was heartbreakingly euthanized at that point.

Again, I didn’t know anything about crystals before he went into surgery, and I have questions in case his brother, or any cat, is in that situation.

My questions are….
– Was the jaundice a terrible sign or could it have been from the IV fluid, exhaustion, surgery and lack of eating? IE was it normal after surgery, or recoverable?
– Given what I’ve described, should we have waited another day? Could it have been just needing more time to recover? Or is the jaundice and blood work at that point enough to know he’s fought all he can?

We just want to know more. We’re still in shock and miss him terribly, but we felt alone in making decisions, the hospital clearly didn’t want to influence our decision either way. We’re just not sure now that 24 hrs recovery was enough to make a decision, or how serious jaundice is when he didn’t have it pre-surgery/IV.

Any advice appreciated, we found this site via a YouTube video on urinary crystals. Thanks.
P.S. We aren’t second guessing or wanting to hear we did the right thing, it’s too late to help him, but we want to know more in case it helps another cat.

Also, the hospital took a deposit from us when we agreed to the $1000 fee, and said they would accept payments since there was no way to forsee this type of thing. They did seem caring and knowledgeable, but clinical, and would offer no advice on euthanizing or not. We felt alone with that specific decision…. and in hindsight aren’t even sure it needed to be made yet… or did it?

5 Responses

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  1. Krista Magnifico

    Hello,

    I’m sorry to hear about your cat.

    It sounds like there are multiple issues here and I don’t know how they are related. I don’t expect the crystals caused the jaundice. Most of the time I see the crystals because of poor diet or stress. Stress can be many many things. I suspect this was either a cat with underlying conditions like FeLV fiv or fip. Also I suspect the jaundice was either hepatic lipidosis or parasites.

    You sound like you really love your cat but never had a vet who was invested in your cats care. It is my biggest gripe in vet Med now. We don’t care for people who care about their pets. We need to do more in providing both care and advice.

    I am also very concerned about the vet who took the deposit and didn’t do pre op blood work. Or talk about the possibility of all of rhe things that can happen if there are underlying conditions or post op complications.

    I’m sorry for your loss.
    Dr magnifico

    1. Heather Post author

      Thanks for your time, I’ll try to keep it shorter.

      Yes, we loved him and his brother dearly from the day we found them in our barn, a couple of weeks old at best. His feral mom didn’t return, we watched with remote cameras. After bottle feeding him and weaning him to soft food, we got him dewormed, neutered etc. He seemed happy and normal in every way, clean bill of health.

      – The jaundice first appeared 24 hours after surgery to unblock him, and he’s never had it before.

      – The vet said the surgery was too urgent to wait for tests, and after surgery said testing was pointless until he was ready to leave. She ended up wanting it on day two when he got jaundice, so it did feel a bit irregular.

      That’s why I want to know more about what the jaundice meant. We really thought the jaundice and other signals + a bad test result was what the vet needed to know he was not going to recover.

      Was that normal with meds? Post surgery? After not having eaten much in a few days?… Or was it the terrible sign we thought it was? It’s so emotional to experience.

      We weren’t being told what we SHOULD do, but were asked to make a decision anyway. It’s so hard to do what’s best for him at that moment, especially with how things happened.

      We had to leave either way, the hospital was closing. Leaving him there alone for the night, in that condition, felt wrong. Bringing him home for the night felt like it might just make him suffer more. The IV couldn’t come with us she said, it’s illegal, but she would leave the catheter in if that’s what we choose.

      It was a “decide now” moment… and then he rolled to his side with his tongue hanging out, exhausted. It’s truly heartbreaking.

      We live in a rural community and the only licensed vet is over an hour away. The only local cat care is from a local donation based feral adoption service, run by a woman and a Facebook group of like-minded people, but without a full time vet.

      This happens strictly on donations to have a vet visit regularly. Resources are always stretched. Spending lots on one cat means little is available for others. I get that, but we were willing to pay.

      What we did is what people usually do at that point, she said, but we don’t care about that, we wanted him to live. Did we do the right thing? It’s too late to help him, but an answer may help another cat in the future.

      As you said, premature end of life for avoidable reasons is such a needless loss.

      I did call the hospital to ask about the jaundice afterward, what it meant, and was told it was his organs failing and cells breaking down. Again, not technically wrong, but of no help to a non-vet to decide if it’s time.

      I can answer any specific questions you might have.

      Thanks again.

      1. Heather Post author

        About hepatic lipidosis, he was a fit 2.5-year-old cat that passed away at 12.8 lbs and had been exactly 13 lbs a month earlier when he was given worm medication.

        He was solid, lean and strong in appearance, like most young cats. He was a long-haired male cat often called a Tuxedo, if breed matters.

        I wouldn’t describe him as anorexic, though he had stopped eating as much 3 weeks prior, and stopped eating at all 3 days prior. He didn’t have kidney stones, but it was enlarged at the time of his blockage surgery.

        He also had crystals in his bladder. She showed me a picture of it opened up with pink colored crystals, which seemed to have worried her more than anything else.

        He did pee afterward, and the color was good, but it got dark a day later when jaundice set in.

        I’m not sure what else might give you a clearer image, but I can find out, I feel like he still had hope. Also, she wanted to know what specific food brand we had been giving him because he was the 4th complete blockage that week, which is a lot in her practice.

    2. Heather Post author

      Sorry for the triple response, more information. He was given warm wet food after surgery and didn’t touch it. He hadn’t eaten for 3 days prior, and hadn’t been eating much since he started showing what we thought was worm related behavior, or about 2 weeks before that.

      Would it be normal to see jaundice appear in an already exhausted cat AFTER surgery, if likely hepatic lipidosis was not treated immediately by feeding him nutrients through a tube? It all seems to have progressed so quickly.

      He was never given a feeding tube, and in hindsight, I don’t see how he could have been expected to take a bite and swallow, he was too weak.

      The jaundice though, it was entirely absent pre-surgery and extreme 12 hours later. I can’t help but feel it was not a sign of the end but a sign of hurry up and do…. ??

  2. Heather Post author

    Closure – When he was diagnosed with worms, the vet missed that he also had urinary crystals forming, likely from being stressed. The change in behavior was attributed to the worms, and we didn’t know until it was too late.

    A lot of things went wrong, obviously.

    We’ll never know if a young male cat could have survived through the jaundice, after an unblocking surgery, with bloodwork showing levels 5x too high and not an ounce of energy left in him.

    The grieving has been difficult through the sense of guilt for not having been able to figure things out in time. I don’t believe in ghosts, but regular activities trigger memories of when he’d join in or watch… which is like a ghost, but the memories bring smiles too.

    He touched our lives in such a meaningful way that he’ll never be far from our thoughts, still bringing those smiles.

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Lara | 2 years ago
Hi All !! I Have A 1 1/2 Year Old , Female Chinese Crested . I Have Had Her About Six …

Hi All !! I have a 1 1/2 year old , female Chinese crested . I have had her about six months now and she’s been in great health and super happy and active . Saturday am , she went out and came back in a little while later limping on her back left leg . I checked her out and couldn’t see anything that would have caused it , so I had her lay down in her crate for about 2 hours. When I went to let her out , she couldn’t get out of the crate and soon I a realized that she could not use her back two legs at all !! I was so shocked ???? and just couldn’t believe how this could happen?!? Got her into the vet and he said she had absolutely no feeling in her lower half ???????? He said that he believes she had IVDD and we need to go to a neurologist for blood and X-rays to rule out anything else . We called two different places 1-2 hours away . One wouldn’t even tell us how much a visit was or bloodwork or X-rays or anything. The other place told us that if she had no feeling that we’d be wasting out time on bloodwork and X-rays , because it won’t change anything and she’ll be like this forever ???? I am so distraught and have been googling and watching YouTube videos on IVDD . I found Dr Krista Magnificos YouTube channel and all her videos on IVDD . I am
Praying that there is some kind of hope that my girl will be able to walk again. I would love any and all advice in this situation and I would love if Dr Krista herself could help me with this !! Thank you so very much !!

1 Response

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  1. Krista Magnifico

    Hello,

    I think we already saw her. Right? I’m so sorry. Some how this one slipped through my inbox.

    I have tons of info on my blog and YouTube channel.

    Most of all I urge people to never give up hope. Ever. And keep looking for a vet who will help you.

    Please call me at the clinic if you need anything.
    Krista.

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Penny | 2 years ago
Hi Krista! I Have A 9 Year Old Beagle Who Periodically (at Least Twice A Month) Will …

Hi Krista! I have a 9 year old beagle who periodically (at least twice a month) will vomit all day. He vomits his morning food, then continues to vomit mucus and bile the remainder of the day. His vet has done a physical exam and blood work, and he kept him overnight once to give him IV fluids and anti nausea meds. He always bounces back within 12 hours, but this is getting to be really tiresome. His weight and energy levels are fine after this passes. And his stools look normal. Do you have any suggestions? I will share a picture of the last vomit from a couple of hours ago – this was about the 8th time he puked today. It went from food to mucus to this. I don’t feed him at all when he’s like this. As of right now, he’s perfectly fine and begging for food!

One additional note… we give him Purina One (vet’s suggestion) and use a slow feeder. We feed him small meals 4x/day, rather than 2 big meals. We are also very careful about making sure he doesn’t eat anything he shouldn’t.

Thank you!!

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  1. Laura

    Couple of thoughts.
    1 – how often do you clean the slow feeder?
    2 – how often do you clean and refill his water?

    My current dog is still very new to us, but I’ve learned if I don’t keep her water PRISTINE – meaning I wash the bowl twice daily – she’ll have a pukey day. My Doberman would get pukey if I didn’t wash her bowl daily.

    1. Penny Post author

      I will start doing this – good idea, thank you!

  2. Krista Magnifico

    Hello,
    I would say a few things should be considered.
    1. Full blood work for me is a superchem with electrolytes a cbc thyroid urine and fecal. These all need to be done.
    2. Is he on a good preventative for fleas ticks heartworm and intestinal parasites. I like Credelio and interceptor plus. Cover for these vs wait for them to shown up
    3. A sensitive stomach formula like I/d from science diet. Ie a prescription gi food
    4. Look for addisons disease and Maldigestion. Whoever does your vets lab services should have an internal medicine consult available to discuss those.
    5. Surgery abdominal radiographs plain and with barium, or ultrasound. There should be local vets who can do this without the referral needed at this point.
    6. Rule out something simple and easy to fix like bilious vomiting syndrome.

    Ok. That’s my initial thoughts on this.

    Hope they help.

    Keep me posted

    Krista.

    1. Penny Post author

      Thank you! I will talk to my vet about all of these suggestions. He did mention an internal medicine doc, so I will ask for that referral. (PS… my apologies for misspelling your name, I corrected my post!)

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Jana | 2 years ago
Gastropexy With Splenectomy Yay Or Nay? 11 Years Old Female Rottweiler, Spayed, On Smaller Side Of The …

Gastropexy with splenectomy yay or nay?

11 years old female Rottweiler, spayed, on smaller side of the breed. Splenectomy going to be done due to incidental splenic mass finding while diagnosis non-resolving diarrhea and inappetence. I wanted to look for obstruction but instead, this was found. Larger mass, >6cm. Surgery Tuesday.

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  1. Krista Magnifico

    Hello,

    I would ask your surgeon for their thoughts. If everything was going well during the splenectomy and if it weee my pet, or I was the surgeon, then my answer is yes. I would pexy for any and all abdominal surgeries in at risk breeds.

    Good luck.

  2. Jana Post author

    Yeah, my thinking. Unfortunately, can’t discuss before hand due to holidays. I hope it can be done. Thank you.

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Mario | 2 years ago
My 14 Year Old Lab Mix Has Been Diagnosed With Laryngeal Paralysis Around 6 Months Ago. She Is …

My 14 year old Lab mix has been diagnosed with Laryngeal Paralysis around 6 months ago. She is doing okay except at night sometimes coughing for 15-20 seconds and then going back to sleep. Please let me know what experiences there are from the surgery. I want to see if this is something that she can survive. Thanks for your help…

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Megan | 2 years ago
Our 10 Year Old Beagle Bassett Hound Mix Has Been Down Since Last Wednesday. She Had What …

Our 10 year old Beagle Bassett hound mix has been down since last Wednesday. She had what we thought was a seizure, and couldn’t get up after. We took her to the vet, and they kept her but said that she wasn’t giving any indication to where the pain was or where the infection might be (a blood panel revealed high WBC) Sent her home with phenobarbital and clindamycin for the infection. Fast forward to yesterday, they decided to do an x ray and discovered she has degenerated vertebrae that have fused. They gave us prednisone and methocarbamol and advised us to call in on Friday if no improvement. Our poor girl can’t get up hardly at all, and the vet isn’t giving me any information as to what caused this, if it’s curable or manageable. I don’t know what I’m up against and a 2nd opinion isn’t something we can afford right now.

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  1. Krista Magnifico

    Hello,
    I would probably go find a different vet and ask for more help. It doesn’t sound like your vet is helping you enough. I also think that a full patient care conversation is warranted. I talked about how to help manage these guys wrt feeding peeing pooping ambulating and pain meds. I also talk about methocarbamol as I think these guys need this. Also ask about gabapentin and acupuncture.

    I have a lot of information on my blog and YouTube channel. Kmdvm.blogspot.Com search Ivdd.

    1. Megan Post author

      Thank you so much. Does this seem like IVDD to you? That’s how I came across your blog, and to me, the symptoms you describe sound a lot like what our girl is experiencing.

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Ren | 2 years ago
My 3 Yo Male Nuetered Tuxedo Cat Kenobi Was Diagnosed With FIC By The ER DVM Yesterday …

My 3 yo male nuetered tuxedo cat Kenobi was diagnosed with FIC by the ER DVM yesterday with no blockage. He is peeing just a dime size at a time. Should I also give him Apple Cider Vinegar as his PH was 7.0 ? Other than his urinary levels, red blood cells in his urine, struvite crystals, his blood work was good with no infection. The ER DVM gave him ; Buprenorphine, Prazosin, & Gabapentin. We have changed his food to all wet Royal Canin Urinary SO from mainly kibble with some wet. We think the stressor was the absence of our 19 yo tabby Tinkerbelle we had to help cross over 2 weeks ago. Should I get Kenobi a companion kitten to replace Tinkerbell? We also are buying a water foundation as he does not drink water enough.

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  1. Krista Magnifico

    Hello,
    I would ask your vet about the following;
    Giving sq fluids at home daily, adding a short course of a steroid and the latest opinion on prazosin’s efficacy. (I don’t use it).
    Also I don’t use vinegar.

    These are a matter of experience and preference. Therefore please ask your vet or find a feline only practitioner to help.

  2. Ren Post author

    Thank you for your reply. Ill ask but given this study I don’t see why she would.
    Summary
    CLINICAL RELEVANCE
    Prazosin administration increased the likelihood of rUO by 14 days; ongoing investigation of other therapies to decrease rUO in cats is warranted. Without specific indications, the use of prazosin for the prevention of rUO should be discouraged.
    Link
    https://avmajournals.avma.org/view/journals/javma/260/S2/javma.21.10.0469.xml
    He is doing better this AM and has had at least 2 large urine eliminations during the PM, one I would consider normal. the other the size of a gold ball ( litter clump) We administered 1/2 teaspoon of H2O and ACV orally x2 last night. 1x this am. along with prescribed meds. He is running around to get to food bowl , face rubbing, purring, jumping on the bed, acting like his old self . I plan to continue to water his wet food. He does not seem to drink well. We have bought a fountain to encourage water consumption. He likes to drink directly from the tap so maybe that will work.

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Carol | 2 years ago
I Think My 2 Month Old Foster Kitten Has A Nasal Polyp. I’m Working With A …

I think my 2 month old foster kitten may have a nasal polyp. I’m working with a vet who doesn’t think she has a polyp because he says she’s too young to have one. We’ve tried a couple of antibiotics and nothing has worked yet. Her breathing is getting louder and she breathes with her mouth open while holding her head up when she sleeps. I had 2 other kittens last year that had polyps with the same symptoms. After 5 months of trying to treat the congestion with antibiotics, during spay surgery, both were found to have very large polyps. I don’t want to wait that long with this little one.
Do you think it is possible for a 2 month old kitten to have a polyp? If so, what is the earliest age for exploratory/removal of the polyp? Thank you!

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  1. Krista Magnifico

    Hello
    I don’t think being too young is a reason to not look for one. I know many rescues and shelters who spay and neuter this young.

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Tammi | 2 years ago
I Have Two Dogs Who Made “friends” With A Skunk About A Week Ago. I Have …

I have two dogs who made “friends” with a skunk about a week ago. I have bathed them in hydrogen peroxide, baking soda, dawn dish soap. Also had the bathed at the groomer and then bathed them again at home with Skunk Out shampoo. The still smell but not too badly. What seems to really stink is when they open their mouths. I use Fresh Dental in their water with limited success. Any other suggestions?

1 Response

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  1. Josaph

    You can use traditional methods like putting cardamom or fennel seeds in his mouth. This is a temporary solution. I hope this will be helpful. Lemon or vinegar can also be helpful.

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Beth | 2 years ago
PYOMETRA SURGERY On A Shepherd/Husky Mix: Surgery Cost Info Plus Question For Vet!

PYOMETRA SURGERY QUESTION: I have a question for Dr. Krista. Below is background information and I will include cost info for anyone that might be searching for cost information in the future and stumbles across this website. (also uploading a picture of doggie with stitches to gallery)

My 7.5 year old Shepherd/Husky mix just had surgery for pyometra. It was approximately $2000 at a pet hospital in Tennessee for the surgery. (actual surgery was a little under $900 and then additional things such as anesthesia, overnight boarding charge, IV, antibiotics, e-collar, medication, etc ended up racking up the charges to almost $2000.) Her symptoms that caused me to go to the vet were not eating, depressed, excessive drinking, constant licking her private areas, and I did notice she was drooling a lot as well. Her not eating was the main thing that had me worried as this dog will eat anything and gobble her food up in seconds and then lick the bowl clean searching for any missing bits under normal circumstances, yet she even turned her nose up at her favorite foods. I had initially been worried about blockage since she had eaten some table scrap bones a few days prior (which I now know not to do for future reference), but after googling , I came to the conclusion pyometra was more likely. She had just finished her heat cycle a few weeks prior, so everything lined up on her symptoms matching pyometra. The vet did an x-ray and blood work and it did end up being Pyometra. I had never heard of this before and really wish I had as this was an expensive lesson for us to learn and painful for our poor doggie. If we had spaded her when she was younger, it would have been $250 at the exact same place I just paid $2000 to for pretty much the exact same surgery. (though now much riskier and doggie sick) The vet did the surgery the morning following her initial examination. (the initial exam was $425 for exam, x-ray and blood work and was not included in the cost of surgery. I received a 25% discount off of this price for being a new customer) She had the surgery at 10 AM and stayed the night to get extra fluids and antibiotics as she had a pretty bad infection and keep and eye on her. I picked her up at 2 PM the day after her surgery. My doggie was happy to see me when I picked her up and seemed to be feeling much better. She wagged her tag and happily jumped in the car and was excited about going in our house. Once in the house, she visibly drooped, though. I thought that was probably normal after having surgery and she slept a lot. She ate that night and I gave her the medicine in her food. This morning, however, she once again refuses to eat- even her favorite foods. She drinks normally, but doesn’t eat anything, so I also cannot give her the medication, which consisted of an antibiotic and pain pill. I tried forcing a piece of bread in her mouth with the pill inside it but she just spit it out. My question for Dr. Krista or anyone who has had experience with pyometra…. is this normal for a dog not to want to eat a couple of days after surgery? It has now been almost exactly 48 hours since her surgery. She went to the bathroom a little bit ago and both urinated and had a wet bowel movement. I have tried offering all different kinds of foods and she shows no interest. She is just laying around. She is still drooling more than normal, but seems in better shape than when I initially took her to vet… but worried about her lack of appetite. How I can give her the medication if she will not eat. Any recommendations?

1 Response

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  1. Krista Magnifico

    Hello
    Thank you for the information and sharing your story. I would say that based on the information provided I would call your vet and ask for help. It migh t be pain, infection or secondary disease process. An appetite stimulant might also help. Regardless there is a cause for her nausea and inappetance and that needs to be diagnosed and treated. Start there.

    I wish you luck.

    Keep us posted