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Francesca | 4 months ago
I Have A Very Special And Painful Case I Need Help With, I Have Tried Several …

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.

1 Response

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  1. Krista Magnifico

    Hello,
    It sounds like you have done a pretty thorough work up. The places I think that you should look into are;
    Repeat the blood work. It sounds like hyperthyroidism. I always check a free T4 on top of the thyroid T4. I also check a urine. If you haven’t sent a fecal to the lab too.

    After that the ultrasound and X-rays are where I look.

    You are still at the place where the diagnosis is eluding you. That’s where you need to focus.

    PS. Just for the record I don’t love starting pred until you have a diagnosis. It can obscure your diagnostics.

    Good luck. I hope this helps.

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Lisa | 4 months ago
My Cat Is 1 Years Old Lillyanna Is Laying Around And She Is Not Eating What Do …

My cat is 1 years old Lillyanna is laying around and she is not eating what do I do?

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  1. Krista Magnifico

    Hello,
    If you think that your cat is not acting normally please see a veterinarian. At least have an examination done. Maybe it can be as simple as trying an antibiotic. But please see a vet.

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Lisa | 4 months ago
My Cat Is 1 Years Old Lillyanna Is Laying Around And She Is Not Eating

My cat is 1 years old Lillyanna is laying around and she is not eating

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Elaine | 4 months ago
Anna Is Turning Her Nose Up At Both Wet And Dry Food. When She Does Eat (…

Anna is turning her nose up at both wet and dry food. When she does eat (with aid from appetite stimulant prescribed by vet) her stools are normal. She drinks/pees normally and is playful. She’s taken to sleeping under my bed rather than up with me but maybe it’s cooler there? It has been very hot here this summer. Less eager to go exploring on harness/leash in fenced in yard/garden but may have issue that I tell her not to eat the grass (have organic grass inside for her but she wants the outside stuff that has Creeping Jenny in it -toxic to cats. Grass eating only started a few months ago and she eats it & throws up a small amount of clear fluid with the grass in it). Got 2 vet opinions regarding Anna’s refusal to eat (I have tried everything from raw to cooked and every prepared wet & dry food off shelf to no avail). Anna will eat some Temptations Mixups BBQ flavor. Weight fluctuates between 6.7 and 7.7lbs. A “normal” Siberian female her age is 10-15lbs. (Anna does have very mild gingavitis & plaque but vet said this wouldn’t be reason for not eating.)

Both vets recommended an ultrasound of her abdomen but as a retiree the $500-$700 is a big chunk of change. Mostly, as a Cat Mom of many years my gut tells me something else may be the culprit for Anna not eating. She has been “flicking” her tongue over her nose more often (she has no upper respiratory issues says both vets). And, to me, the right side of her mouth seems to be looking different than the right side lately. It reminds me of my Nana who had Bells Palsy and one side side of her mouth “drooped”. I will see if I can post an upclose picture below of her right side (photo left) mouth.

Was intrigued with your video of polyps in cats and would love to know if maybe a change in Anna olfactory senses might be tied to her disinterest in eating? She doesn’t snore, btw.

Thank you!

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  1. Elaine Post author

    Here is a picture of Anna from February before the eating issues began. Her mouth on her right side (left in photo) looks different to me, ie not drooping like it is now.

  2. Krista Magnifico

    Hello,
    My recommendation is to have a blood work panel done. It should include a full chemistry a cbc, fecal, urine and thyroid. At my clinic this is about $200. An abdominal ultrasound is about $350. I think that these are imperative to figure out what’s going on. And hopefully be able to start a treatment plan for. I doubt it’s a polyp. Use your resources elsewhere. I also think it’s perfectly acceptable to see if you can find these cheaper elsewhere if you are unable to afford them with your vet.

    Good luck

    1. Elaine Post author

      Thank you, Doc. My vet did a “pre-op” panel and everything was normal except:

      Total protein: 5.9 (6.3-8.8 normal)
      Globulin: 2.6 (3.0-5.9 normal)
      Alp: 11 (12-59 normal)

      The ALB/GLOB ratio was slightly high at 1.3 (normal 0.5-1.2)

      The neutrophils were slightly low but the vet said it was probably due to the stress from the visit. (The vet gave me deworming for both kitties, too)

      Because Anna doesn’t have diarrhea and a mildly decreased appetite (and holding her weight level) the vet said we could hold off on the US. But the past few days (without the appetite stim) Anna is again not eating well (treats, some yogurt, a few licks of wetfood & a few dry kibbles) I called and they are going to put me in touch with a “traveling” ultrasound doc who charges $300-$350 and uses different hospitals to do the US. Still awaiting a call back.

      Is this now an “emergency”? I am so worried about Anna…

      Thank you for your input. Muchly appreciated!

      Lynn

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Stina | 4 months ago
My Cat Has Been Excessively Licking Herself On Her Back Side, Around The Tail Area And …

My cat has been excessively licking herself on her back side, around the tail area and on her paws. So much so that now she has a bald spot on her rear end. This has been going on for a week now, from what I have noticed. I have tried brushing her to look for flea evidence but I have had no luck. She also doesn’t let me see her paws. She has been eating fine and nothing has been different in the home like food wise or litter wise. She occasionally goes out side just onto the deck but not lately due to the heat. What could this be? None of my other cats are showing the same behavior. Do I need to get her seen?

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  1. Krista Magnifico

    Hello,

    anytime I see a cat with itching at the base of the tail I do two things;
    1. put a good, safe flea and tick medication on, I like Revolutions, but Frontline is also good.
    2. I check the anal glands

    the other thing I do is look for any signs of trauma around the area.

    In some cases cats have a hyperesthesia complex. This is something to talk to your vet about
    see more about this here; https://www.webmd.com/pets/cats/what-is-hyperesthesia-in-cats

    I hope this helps

    1. Stina Post author

      What if she has a flea collar on? As for the glands I don’t know what I’m looking at or for. Do you think she should be seen by the vet?

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Skyler | 5 months ago
I Have A Male Orange Cat Who Has Been In And Out Of The Vet For …

I have a male orange cat who has been in and out of the vet for urinary troubles.
Three weeks ago I took him into the emergency vet for what seemed to be a UTI, he was constantly trying to urinate only producing small amounts. I panicked because two years ago he experienced a total blockage.
The vet three weeks ago told me he was not blocked and had no crystals and sent me home with gabapentin.
Three weeks later he experienced an actual blockage. Again I took him to the vet, they unblocked him, flushed his bladder and told me this time he had a ton of crystals. They sent him home after about only an hour of being there. Two days of him being home he blocked AGAIN and I had to repeat the process. This time he came home with a catheter that I had to monitor. I took him back in the next day and they monitored him all day, then proceeded to call and say they would like to send him home with another catheter. I opted to have him stay at the vet overnight and he was sent home with no catheter the next day. I picked him up yesterday afternoon and he was just kind of dribbling urine and squatting around the house. At least this time urine was being produced, just not many strong streams.
Today he is acting normal until he urinates and then he feels like he has to keep going. He does that until he falls asleep. Then the process repeats.
He is currently taking Gabapentin, Prazosin, Zeniquin and he just finished his last pill of Onsior. He is also strictly eating OTC urinary wet food.
I’m just wondering if this is normal behavior after having being in and out of the vet so much within the last few weeks. He isn’t blocked up but he’s still trying to urinate often in and out of the litter box, producing some urine. He is able to drain his bladder, it just takes some time. I’ve dropped about $2500 so far and am so worried this isn’t going to get better soon. I’m sorry this was such a long post, I just need some help. I like my vet it just seems like there is more to do. Thank you in advance.

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  1. Krista Magnifico

    Hello,
    I would recommend the following;
    1. send a urinalysis to the lab for analysis
    2. take an xray of the bladder to make sure there isnt a bladder stone
    3. i recommend in hospital iv fluids for 3 days to flush the bladder
    4. long term analgesic therapy. I like gabapentin
    5. a canned food urinary prescription diet

    best of luck

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Amber | 5 months ago
My Son’s Dog Need Surgery. A Very Expensive Surgery. I Have Been Trying To Find …

My son’s dog need surgery. A very expensive surgery. I have been trying to find a place that will help with this with no luck. If my son’s dog doesn’t get the surgery he will need to put him down. There is something wrong with his jaw and now having a hard time eating. Someone plz help me save my son’s dog.

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about your dog. You would have to give a better description of what kind of surgery is needed for us to offer any kind of assistance or advice.

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Ty | 6 months ago
My Indoor/outdoor Cat Has Jaundice After Being Gone For Two Days. He Came Back With …

My indoor/outdoor cat has jaundice after being gone for two days. He came back with fleas and looked as if he lost weight. He also is already diagnosed with ulcerative colitis so I’m not completely sure what could be causing his jaundice. I can’t afford to take him to the vet at the moment and I’m not sure how long he can be left untreated. I’ve been feeding him foods high in protein, vitamin b, and omega 3s; tilapia, eggs, milk thistle. Although he’s been eating and drinking regularly, he’s lost a decent amount of weight over just a few days and I’m not sure what to do. Any help or advice is greatly appreciated

3 Responses

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  1. Krista Magnifico

    Hello
    I’m sorry to hear about your kitty. In my experience jaundice is an indication that something serious is going on. This is not a sign of a condition that permits monitoring at home as an option. These cases can be anemia, infection, organ disease like liver disease and these cats need emergency medical attention immediately. I just can’t safely give you any advice without knowing more. In almost all cases I give these guys iv fluids and antibiotics and in some cases I place a feeding tube. At minimum you probably need fluids and force feeding but even this might cause other problems. Please call and ask for help from a veterinary professional. Ask about payment plans and seek help at a rescue or shelter. Good luck. I hope your cat is ok

    1. Ty Post author

      Unfortunately the vets in my area aren’t taking new clients. Still waiting for a call back from the two vet clinics I’m established at but nothing as of yet. I can’t afford emergency care pricing and I’m running out of options. He’s a fighter and I believe he can overcome this with proper treatment, I’m just worried about what I could be doing to help him until then.

      1. Krista Magnifico

        hello,
        keep calling,,, keep asking for help. Tell the vets that you are willing to come in if they have a cancellation,, my point is that I do not take no for answer when the degree of need is this high. Every vet at my practice fits people in everyday. There is almost NEVER a day that we turn away anyone especially someone who is an established client. Call the shelters and rescues. Put out a plea on social media. My experience has been that these people who do this always find help.
        Ask about SQ fluids, a steroid and an antibiotic. Deny diagnostics if you cannot afford them. But get your cat help ASAP.

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jewel | 7 months ago
How Can I Best Extract Bowels From My Injured Cat? She Is Not Using The Litter …

how can i best extract bowels from my injured cat? she is not using the litter box, but there is some leakage. she has no tone in her anus and most likely is healing from nerve damage. i have figured out how to extract her bladder. she is still eating and lively. more details of her condition and our process to support her below.

moonstone is about a year old and showed up at our house 4 months ago brave and spirited. she disappeared for a week and came back with a serious injury. we took her to the er because she was leaking urine and had a limp tail and left hind leg. we learned that her bladder needed to be urgently expressed and that her bowels were backed up. we also learned that she had a tail avulsion and a fracture in her left femoral joint. they expressed her bladder and bowels and sent us home with pain meds and anti-inflammatory medication. we went to aspca the next day hoping to get treatment for her fractured bones, but they suggested nursing her at home and learning how to express her bladder and bowels to see if she could regain control and tone in her anus. they said that maybe in a few weeks she could regain feeling and be able to use the bathroom on her own, and then they would consider amputating her tail and treating her leg. we have quickly learned how to express her bladder, but are struggling to get her to poop. please help us keep moonstone alive!

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  1. Krista Magnifico

    Hello

    I’m sorry to hear about your cat.

    I think that you need to find a veterinarian or a veterinary technician who can show you how to do this. I would also recommend you start gentle physical therapy and feed canned food to keep the feces soft and able to pass more easily.

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Vanessa | 7 months ago
Hello. I Got A Puppy A Few Weeks Ago And Was Told That He Was Six …

Hello.

I got a puppy a few weeks ago and was told that he was six weeks old. I started him on stage two puppy formula and over the next three weeks, transitioned him to dry puppy food. For the last two weeks, he still eating a normal amount of food drinking a normal amount of water super energetic as a normal puppy would be, but he has persistent diarrhea. I assumed it was from changing his food’s.

I had set up an appointment with Vetco for this past Tuesday for his first visit/wellness checkup and his first set of shots. They called me Monday night letting me know they have to reschedule me for this upcoming Tuesday (4/30). I wanted to have them look at Artemis’ anal gland/sacs because I feel like they are not being released while he is having really bad diarrhea. Within the last four days, there has been drops of blood in his stool from him constantly pushing and nothing coming out. He will use the restroom and then he will stain himself to the point that his rectum or colon is popping out. I explained all this to the vet Monday when it was starting and I told them that I have been giving him homemade sweet potato cakes, and carrots to try to build up his fiber intake to help him fight the diarrhea. I also told them I changed him from Purina puppy chow to pedigree puppy chow, and I even tried giving him rice mixed with his puppy food, but he rejects it like the plague. They told me if there’s any blood to get him to urgent care, but I don’t know if I can afford the bill for urgent care and he hasn’t shown any signs of being in distress.

He’s still eating healthy, drinking and being extremely active as a nine week puppy would. I don’t know how to get the diarrhea to stop and I don’t know how to get him to stop pushing when there’s nothing to push out. When he does poop, it is soft, but not liquidy. This last batch of sweet potato cakes I made I have mixed them with the white rice and he can’t seem to get enough of them, but it isn’t making a big difference as far as helping his feces harden to the point where they will help him release his sacs.

How do I get him to stop trying to poop every few minutes there’s nothing there?

1 Response

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  1. Krista Magnifico

    Hello,

    We our puppy needs to see a vet asap. You also need to have a fecal sample submitted for intestinal parasites. Start there. Please do not buy an otc dewormer. See a vet. And do a fecal.
    I always recommend that a vet see a new pet within 3 days.