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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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laura | 4 months ago
I Am Concerned About My Elderly Dog Who Has Started Sleeping All The Time. She Only …

I am concerned about my elderly dog who has started sleeping all the time. She only gets up to eat and go to the bathroom. Sometimes I think she is dead because she sleeps so long and so soundly. When she gets up she seems ok. Just wondering if this is somethings I should be worried about. I would say she sleeps like 22 hours a day.

1 Response

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  1. Krista Magnifico

    Hello,

    You are the person who knows your dog the best. If you see a change in him then please reach out to your vet. I think an examination and some blood work are indicated.

    Hope things go well.
    Dr Magnifico

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Patty | 2 years ago
Is It Safe To Put Chicken Broth/stock On My Dog’s Food? She Is A 13 …

Is it safe to put chicken broth/stock on my dog’s food? She is a 13 year old German Shepherd mix who is a picky eater. She has no problem eating human food but isn’t especially interested in eating her dog food. Just trying to think of ways to get her more interested in her food.

1 Response

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  1. Krista Magnifico

    Hello,
    If you told me that you were making the stock and you werent using any salt, or dangerous ingredients (onions, garlic, etc), then I might say ok..

    but the issue for me is in the why your dog isnt interested in a dog food? Ask your vet for recommendations on a diet that is suitable for your dog. This advice should come after you have done a thorough physical exam and blood work to include fecal, thyroid and urine. (maybe additional diagnostics after these?).

    I also use canned and dry food with my dogs to keep the dry kibble more interesting and palatable.

    hope this helps

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AnneMarie | 2 years ago
I Have A 13 Yo Female Domestic Short Hair. She Has A Very Large Ventral Hernia And …

I have a 13 yo female domestic short hair. She has a very large ventral hernia and is losing weight very fast in Oct she was 6.9lb, in Nov she was 6.4lbs. The surgery is $2300 which I cannot afford. She gets diarrhea after eating and sleeps ALOT. I hate to put her down, I wish she would go naturally but I dont want her to suffer & need advice. Please help.

1 Response

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  1. Krista Magnifico

    Hello

    Have you asked for a second opinion from another veterinarian? Try to find a local independently owned veterinary practice that comes recommended by people in your area. Reach out to local rescues and shelters and use social media to try to find someone.
    I don’t know enough about your cat to offer more specific information.

    I hope this helps and I wish you the best.

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Mindy | 2 years ago
I Have An Elderly Cat Who Is About 15 Years Old. Vet Says She Is In Good …

I have an elderly cat who is about 15 years old. Vet says she is in good health. I just want to know what is normal behavior for elderly cats. She is relaxed and sleeping most of the time. Her favorite spot right now is on our mat in front of the oven. Her appetite has decreased. She often makes a sound like she has a hair ball but just a little clear liquid comes out. Are these normal things for a cat of this age?

1 Response

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  1. Krista Magnifico

    Hello,
    Did your vet offer any diagnostics? Blood, urine, blood pressure? I think every 15 yr old deserves them. And I also think vet vista every 6 months from here on out are a great way to find problems early.
    As far as normal for an elderly cat goes,, well they are each their own. So that’s hard to quantify.

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tracy | 2 years ago
Our 13 Yo Cairn Terrier Went To His Usual Grooming Appt Today. The Groomer Called Me And …

Our 13 yo Cairn Terrier went to his usual grooming appt today. The groomer called me and said after his bath, he was crying constantly and seemed panicked. He was pacing and crying.
She thinks it may have been a seizure or something like it. When I picked him up from her, he was very happy to see me. We went home, he ate and is now acting like his normal self. The ER vet had a 10 hour wait! And no other vet can see him.

1 Response

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  1. Krista Magnifico

    hello,
    I would say that my advise would be to keep a close eye on him, ie eating, drinking, peeing, pooping and behavior.. Call your vet, register the concern, and see how things go. Ask to be scheduled for the next available appointment. If he hasnt had his annual exam, or blood work/diagnostics in the last 3-6 months it is probably a prudent thing to do,

    good luck

    krista

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Sara | 3 years ago
I Adopted A Feral Cat Just Over A Year Ago. My Elderly Father Was Feeding Him …

I adopted a feral cat just over a year ago. My elderly father was feeding him twice a day for two years. He moved to a condo when my mother passed and the cat sat at the empty house day and night waiting for my Dad to come home. I ended up taking the cat and have worked on taming him. I’ve been making progress but not quite where I can pick him up.
He’s been mostly healthy up until 8 weeks ago. He seemed to be straining to urinate in his litter box and had decreased appetite. I took him to an animal hospital. At this time, I couldn’t touch him. He was anesthetized and examined. His exam and bloodwork were all neg. He was put on a urinary diet and given mirtazipine to stimulate appetite. I was not able to consistently get the stimulate in his ear but he would eat, just not a lot.
Followed up with my vet who said maybe he isn’t that hungry because he doesn’t have to worry about food and just watch his weight.
Weight continued to drop and found out last week he has tapeworms. He got a topical dewormer. Since then, it seems like he’s lost more weight and his lack of appetite is worse. He does eat enough to poop and pee daily.
My vet does house calls only and is coming Thursday. She’s limited in what she can offer for interventions. I am contemplating taking him back to animal hospital for evaluation,
It gets dicey though because he’s not completely tame. When I went with him before I could hear the attending talking to resident on other side of door saying, “he’s feral, what does she expect us to do,” I get that, but to a point. Is it unrealistic for me to want Pinky treated? He’s getting sweeter and sweeter and enjoys being petted.

4 Responses

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  1. Shiria

    Hello,
    No it is absolutely not unrealistic. When we get feral cats at our shelter we try to treat them as best as we can, too. Obviously there are things that you can’t do with feral cats like you can with tame ones. But still we were still able do give daily fluids and feed them with a syringe, when they wouldn’t eat on their own for most of them.

    However for this it helped a lot that they are usually in large crates, as this makes daily handling a lot easier. We place them in pillow cases to feed them or give them fluids. Most stay calm when they can’t see.

    Also, a lot of needed exams can be done under anesthesia. Ultrasound (except heart), xray, bloodwork, urin analysis…
    Not all treatments can be done with ferals, but there sitll is a lot of possible. That also depends on how far you are willing to go, and how stressfull daily handling for him would be. Most, while obviously hating to be forced daily, were still able to build trust after treatment or even with ongoing treatment. However it is helpful to have a second person do to the “bad” things.

  2. Sara Post author

    Thank you for your response. He is currently hospitalized and being ruled out for a brain tumor. He is getting excellent care and the medical team is treating him well.

  3. Krista Magnifico

    Hello!
    I applaud your dedication to this cat. It’s a hard case based on the cats temperament but it sounds like you are doing all you can. I wish you the very best of luck!

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Tammy | 3 years ago
Elderly Kitty Sprained Her Foot And Exhibiting Strange Behavior

My daughter’s elderly cat Astra seems to have sprained her left front paw tonight and is acting strange. Her leg/paw isn’t swollen, but she can’t put any weight on it without falling down. She’s meowing a lot and walking in circles. At one point, she was hiding by my daughter’s desk which is unusual, she seems to be confused, and has no appetite. We’ve read how cats don’t metabolize aspirin or nsaids very well, so we don’t want to give her any. What can we give her and what can we do to comfort her? Is there anything we should look for? Is her behavior typical of a feline in pain? Thank you for your help!
Edit: Now she’s pressing her head up against things.

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  1. Laura

    This sounds like more than just the foot. She sounds quite distressed. Please get her to the vet TODAY.

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Samantha | 4 years ago
Hi Everyone This Is My Grandpas Furbaby Hes Elderly And This Dog Is 13 Years Old Recently …

Hi everyone this is my grandpas furbaby hes elderly and this dog is 13 years old recently i took her to the er because she wouldnt eat and we was so shocked to find out her teeth are in horrible condition the doctor told us she needs a few pulled out but unfortunately due to financial problems my grandpa cant afford the surgery does anyone know a veterinarian hospital thata a low cost in the baltimore area im gonna post a picture of the estimate she needs this done asap we know that right now shes on tramadol and clavamox and shes eating but only wet food also not to long ago she had a tooth that fell out again this isnt my dog its my grandpa’s eldrly baby any advice would be appreciated thank you

3 Responses

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  1. Krista Magnifico

    Hello,
    Thank you for visiting and asking a question. I am very open and honest when I say that this cost would be an accurate estimate from my clinic. It is a difficult surgery and it can take quite a bit of time. At our clinic we allow payment plans for our clients. There is also carecredit available. There are resources available on our website. JarrettsvilleVet.com. We list affordable options and also resource contacts to help people like you. Let me know if you find anyone so I can pass it along to the next person. Also Helping Hands in Va is affordable. But it’s a long drive.

  2. Samantha Post author

    Dr magnifico thank you so mucg for respinding i appreciate it and i will keep you posted i may just put “honey marie” my grandpa’s dog on your schedule as you already know my princess has surgery coming up at your office so ill try and book honey marie the same day and bring her for a exam i know she wont get surgery that day but atleast you can get a look in person and check her to see if surgery is a safe option especially as old as she is

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Cath | 4 years ago
I Have A Question About Our 13 Yo Dog Who Likely Has A Bulging Disc. He Is …

I have a question about our 13 yo dog who likely has a bulging disc. He is a mutt (probably part Border Collie, part Shepherd). Soon after a small slip on our stairs, he had lameness in his one back leg; this went away after one day, he limped for a few days after, and he quickly recovered from those things.  Though he was walking fine fairly quickly, he showed stiffness, showed hesitation going up stairs unless we gave him a treat (we have only stairs to the outside), and his tail was down and only wagged from the tip of it. We had him quickly on an anti-inflammatory (Novox) and a pain med (started on Gabapentin but had to discontinue). He was fine on a walk; we went on short walks and he always craved for much more than we allowed. We prevented jumping, aerobic exercise, stopped him from using stairs by having a ramp to the outside, etc. We continued the Novox. His symptoms continued, then got better, and then seemed to regress when he started showing signs of pain (panting even when lying down and even when it was cool outside and some anxiety); the pain thing was probably because of taking him off Gabapentin. We took him to the Neurology Dept at a local, large vet hospital and a physical exam indicated that he “likely” has a bulging disc. When they inspected his back, he showed signs of pain and anxiety and his back legs bent and his rear went down. We don’t think we want to do surgery due to his age. He has not had an MRI as the regular vet and my husband and I thought that the treatment would be the same if we did not do surgery — treatment being restricting movement, continuing anti-inflammatory and pain meds, and looking into possible physical rehab. A switch to the pain med Amantidine helps a lot and the panting and anxiety are gone. He now continues to crave longer walks and, at the rare times we forget to block off the couch, he will try to jump up on it. We have been continuing to restricting movement but we just don’t know what to do about activity restrictions and have not had a lot of advice from neurology. He has always craved movement and exercise and when we take him around the block his stiffness seems to go away a bit and he seems energized and maybe even more comfortable. He has always craved a lot of exercise and movement. His spirits are lowered a lot if we keep in him in a small space — it almost seems like he wants to move around. He is eating and drinking, can do #2 (though he struggles some if doing it a long time). If allowed to do some movement, he is mostly happy and getting around with walking. Questions are: Should we restrict his movement altogether despite all this? Should he we do no walks at all? Is it bad if he is free to walk around the first floor or should he stay only in a very small area? I feel we are so confused as to what to do and how to know how to prevent regression. We’d love the input of any veterinarians or other owners with the same experience!

2 Responses

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about your pup. I think that I have to defer these questions to your vet. My inkling is to say strict cage rest except for short walks outside on flat grassy ground. My concern is that he will keep exacerbating the injury if you don’t. I have lots of information on my blog and YouTube channel under IVDD please go there for advice and case based examples. Best of luck

    1. Cath Post author

      Thank you so much for your reply! Do some dogs who have been restricted with movement get to the point that they “recover” or is this always a progressive situation? We don’t know if, after the 4 weeks of restricting him, if he will can to return to walks or anything if he is showing that he improved enough. Do you have thoughts on this? Also, is there anything we can do for him at home (like light massage or heat on the back)? Thank you so very much! You are so very helpful! 🙂 -Catherine