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Sophia | 5 years ago
Hi Dr. Mag, I Came Across Some Of Your Videos On YouTube And That Brought Me …

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.

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  1. Krista Magnifico

    Hello,
    I think part of the problem is that no one is really sure of his diagnosis. Straining can look like a lot of other things too. I always check the gi system and the urinary system for a cat displaying litter box issues. What that means is that I do a rectal exam. I check the colon the feces (send to the lab) and anal sacs. I also check a urine sample. I even do a urine culture and sensitivity of I can’t find the source of the problem. I think your diet plan is good but I would also encourage play and exercise. It helps the gi system and the weight loss which always helps the urinary system. Think of it like a “whole cat” approach to finding out what is wrong. The other piece of advice I have is to find a feline only practice. I just think they do a better job with cat issues when people feel they haven’t gotten the answers they need at a general vets office. Don’t give up! Your cat is trying to tell you there is a problem. Keep digging! Good luck. Let me know what happens.

    1. Sophia Post author

      Thank you Dr. Mag for your response! I forgot to mention that the first vet did do a rectal exam and he said that he cleaned out the buildup from his anal sac. I know there is a better term for it but I don’t have his paperwork in front of me. But he did show me What was cleaned out and he said the color and look of it was fine. I really like that suggestion of an all feline facility. Yes you’re right I have to do better with play and exercise he does have a harness and leash but will just plop on the floor lol, We did live in a different home and for the six years of his life he was able to go outside and play. He is now strictly an indoor cat. I am always so fearful of a blockage because I know how fatal it can be. Can you give me some peace of mind and let me know what signs I should look for to signal that it is a true emergency because like you said the symptoms tend to overlap and I don’t want to overexaggerate yet miss critical signs because there is a thin line.

Surgery
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Krista Magnifico | 5 years ago
Meet Shadow, Older (13yo) Lab With A Chronic Painful, Swollen Toe. Toe Amputation. Cost And Details For Surgical Amputation
Treatment Cost (USD): $795.00
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Regular Vet Visit
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Krista Magnifico | 5 years ago
Piper Is A Young Cat Who Was Spayed. Her Surgery Photos And Cost Of Care Is Here.
Treatment Cost (USD): $150.00
Piper is a healthy, happy, active young cat who presented at my clinic for a routine spay. She was seen twice before her surgery to complete her kitten vaccine series and have her pre-op blood work done.
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Jen Behler | 5 years ago
Torn CCL Surgery Repair

My 6 year old lab mix had TPLO surgery to repair a torn CCL on September 10. Prior to surgery, his liver enzymes were elevated but after 2 ultrasounds and bloodwork, they were unable to identify why. Because of this he cannot take anti inflammatory drugs to help with pain and took longer to be cleared after surgery. He was finally cleared on 12/11/19 and was doing really well. About a week and a half ago, he started limping again. We can’t pinpoint anything he did that would cause a limp. We haven’t let him fully run and don’t let him off his leash hardly at all. I do have another follow up appointment with the surgeon scheduled but wanted to see if anyone else experienced something like this. Thanks!

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  1. Krista Magnifico

    Hello,
    Lots of things can cause a limp post op. The best advice I can give is to keep him calm and leash walk only and see the surgeon ASAP. If he is acting quiet, depressed, lethargic or not eating call your regular vet and have him seen immediately.

    1. Jen Behler Post author

      Thank you! He is sleepy, but not lethargic. I think that is because of the gabapentin. He has always been a picky eater but I believe he is eating and drinking normally. We have been keeping him on a leash and shortened walks. His appointment with the surgeon is Wednesday.

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Krista Magnifico | 5 years ago
Bebo’s Bloody Urine Was The Result Of A Urinary Stone. Cystotomy. The Surgery And Costs Associated With This Condition.
Treatment Cost (USD): $878.00
Bebo was seen about a year before his surgery for bloody urine. His first visit at our clinic included an exam, blood work, antibiotics, radiographs, and a prescription food for urinary calculi. This initial exam and treatment plan cost was $297.45 Over the next few months the blood in the urine dissipated. In some cases urinary stones can be dissolved over time. Based on the initial urinalysis Bebo's vet was skeptical this would be Bebo's case. We encourage water intake and a urinary prescription diet in all of these cases. While some stones are not dissolvable we want to try to prohibit further stone formation. Also, these pets benefit greatly from the fluid help. Most dogs with urinary stones show little to no signs of pain, but,, we know this is painful because many pets will strain, urinate more frequently, or even have accidents in the house. Every pet with any kind of urinary changes should be examined (often with a urine sample sent to the lab AND an xray (although not all stones will show up well on an xray!).
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Michaela Leftwich | 5 years ago
We Have A Lab Almost A Year Old. She Wont Eat Out Of Her Bowl. She …

We have a lab almost a year old. She wont eat out of her bowl. She will eat the dog food if we put it in our hand but she wont eat it out of her bowl. She will eat other treats and table food. She also seems very lethargic per her usual self. We have been watching to make sure she is still pooping but something just seems off. What should our next steps be? Should we try changing dog food? Could she be going into heat?

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  1. Krista Magnifico

    Hello,
    Bowl aversion is one thing but acting lethargic is a reason to see your vet. We always have to be worried that there is a medical condition going on and with that the vets should be seen.

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JOHN | 5 years ago
I Have A Two Year Old Male Yellow Lab That Has Already Had Two Obstruction Surgeries. …

I have a two year old male yellow lab that has already had two obstruction surgeries. Both of these, Scout stopped eating and drinking and was vomiting. Last week we believe he ate a sock in which he has been eating on and off, he is drinking, peeing and is pooping. He wakes up every morning wagging his tail and is in good spirits, just lacking some energy on the days he doesn’t eat. He weighed 80 pounds on his previous checkup, yesterday we took him to our local vet, he weighed 70 lbs. The performed an x ray on him and said they believe it was a soft material that he swallowed and couldn’t determine if it was in his intestine or in his colon. While at the vet Scout was wagging his tail, holding the leash in his mouth as he usually does and ate about 20 treats. My vet charged me $360 and told me they recommend me to go to the animal hospital for an ultrasound to get a better idea of where this sock is located. I waited for 4 hours for them to tell me that they performed the ultrasound, it was somewhat inconclusive, his colon was enlarged and recommended exploratory surgery. I requested we wait to see if he will pass this. They kept him overnight, asked for an $800 deposit and called this morning saying that he was the same, and took x-rays to say it hasn’t moved. Your thoughts, suggestions or advice?

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  1. Krista Magnifico

    Hello,
    I am very (extremely) concerned about e weight loss. In my opinion in a dog rhat age it is a huge red flag. It cannot be ignored and should absolutely put everyone on high alert that there is an issue. For this reason alone and the hyporexia I would say an exploratory is indicated after all other diagnostics have proven unhelpful.
    In my experience nothing (absolutely nothing except maybe a ct or mri ) at helping to put answers together. I also think that if they don’t find a foreign body that biopsy samples are helpful to diagnose weight loss (the worry is cancer). The other diagnostic option is a barium study. It’s old school but helpful in gi cases.
    Now I say all of that assuming there aren’t any budgetary constraints. If there are and a foreign body is on the list of possibilities I recommend an exam, cbc, and Chem panel and X-ray or ultrasound. If the patient is bright and active and eating drinking ambulating and NOT vomiting you can watch and wait as long as they remain acting and feeling normal. If they are vomiting or not acting like themselves the best to do is surgery. If surgery is not affordable call around and try to find a place it is more affordable. (For example it might be 4-6000 at a speciality hospital but 1-2000 at a general practice. If even this is not Affordable try a few days of intravenous fluids and lots of walking. Both keep the gut moving and help move stuff through. Hope this helps.

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Alexandra Fishman | 5 years ago
Some Of Colby’s X-rays From The Other Stories
Treatment Cost (USD): $1400.00
Some of Colby’s X-rays from the other stories
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Regular Vet Visit
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Alexandra Fishman | 5 years ago
Some Of Colby’s X-rays From The Other Stories
Treatment Cost (USD): $1400.00
Some of Colby’s X-rays from the other stories
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Regular Vet Visit
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Alexandra Fishman | 5 years ago
Some Of Colby’s X-rays From The Other Stories
Treatment Cost (USD): $1400.00
Some of Colby’s X-rays from the other stories
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