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megan | 5 years ago
My Vet Thinks My Cat Has A Nasopharyngeal Polyp But He Needs To Go Under Anesthesia …

My vet thinks my cat has a nasopharyngeal polyp but he needs to go under anesthesia so he they can know for sure and get it out, but he was also listening to my cats heart and said he has a grade one mitral heart murmur and that he needs to have xrays and ultrasounds and such done to make sure his heart is ok before going into surgery because they said his heart could fail while under anesthesia and he could die. My dad said they we should just go ahead with the surgery without spending $550 extra dollars because he doesn’t think he has anything serious wrong his heart considering it was only a grade one heart murmur and my cat was already very nervous about the car ride and being at the vet and that could have caused his heart rate to be off a little. Would it be necessary to look into his heart further or just go ahead with the surgery considering it would only be a 20-60 minute surgery? Would a cat with any type of heart conditions die during surgery? What should I do next?

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  1. Krista Magnifico

    Hello,
    These cases often arise in my practice. Hears how I address them. I present my findings of the physical exam to my client and discuss recommendations and suggestions to provide the best care possible. Ideally all cats with heart murmurs should have echocardiograms Especially before anesthesia. But based on a cost of about $600 most people decline to do it. It doesn’t change the need for removing the polyp so we typically do the procedure with as many precautions as possible but not knowing everything we would like to because we don’t have the heart scan to know what’s going on in that department. We veterinarians want all of our patients to be as safe and receive the best care possible. But in a lot of cases this isn’t feasible so we do the best we can knowing that we don’t have all the information we would like. Talk to your vet and find the place everyone is comfortable. If you have a bet that isn’t willing to work with you based on budget or diagnostics ask for a referral or seek a second opinion.

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Josephine | 5 years ago
Hi, I Have A 16 Yr Old Shih Tzu That Has Had Brain Tumour Surgery But Had …

Hi, I have a 16 yr old shih tzu that has had brain tumour surgery but had complication of regrowth of a cyst several times and went for fine needle cyst drainage quite a few times. She has degraded to the point of being totally non-ambulatory except for some head movements. She has to have her urine and stools expressed everytime and she has to be handfed. But she still eats very very well. I need advise on what my pet needs at this point and whether is there any reason/last wish that is making her hang on so dearly to her life despite her quality of life and body already failing her? Shes like a family. i am torn between keeping her alive and letting her go if shes suffering but my love for her and our bonds is muddling my thoughts and decisions. I have taken care of her intensely for almost a year now from prior surgery to post surgery and she had so many complications, cyst regowth several times, loss n regain limbs ability, pneumonia, anemia. She always pulled through but now shes at a stage where shes really just hanging onto her dear life i feel, lying the whole day, only able to move her head during mealtimes when she is hungry. I have spent over 30 thousand dollars this while for her medications and procedures and vet visits, she even goes for rehab/pt/accupuncture and hyperbaric which are very costly. It has gotten to a point that I am spending more than I earned every month on her rehab (even though she cannot move, she still does ultrasound therapy on her severely arthritic joints and some accupuncture to relieve any pain from not moving everyday and her mountain of medications and supplements. I really cannot imagine life without her, she is my pillar of hope and support in my dark and depressed life and family full of issues. Now my pillar is crumbling. I still take care of her, i dont care about my finances, i stopped going out except to work, i bring her everywhere whenever i can in a dog pram she just lies motionless. Its amazing how she would wake and eat so very very well and finish all her big plate of food every day twice a day but lies motionless and tired after that. Its amazing how she would use her whatever remaining energy to poop when i try to rub and stimulate her anus once everyday without fail. She would be so tired after all that. It kills me to see her like this. Before that she can move n walk or at least drag ard the hse n look happy still so its ok worth all these. I wake up 3 4 times every night to help her drink water eat snacks she would wake from hunger and pant everynight even now maybe from prednisolone. But now shes just motionless and heart murmur has reached grade 5 or 6 and anemic and totally cannot move at all but still eats super well and pee poo normal with help express. A part of me feels like euthanasing her to end her misery and my own heartache seeing her suffer yet i cant bring myself to do it thinking that she would be reallly gone and that i might have done it wrong because shes still wants to be ard and live that is why she is hanging on so dearly. Please advice me..please. i am so loss and torn between choices its killing me every moment im awake.

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  1. Krista Magnifico

    hello,
    this question was answered elsewhere. I applaud you for your dedication and devotion to your pup. You have gone above and beyond. i wish you well,

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Krista Magnifico | 5 years ago
Ruby Was Found To Have Mild Dental Disease On Her Annual Physical Exam. This Is The Story Of Her Dental Cleaning.
Treatment Cost (USD): $421.00
Ruby has yearly physical examinations. On this years exam mild dental calculi and tartar were noticed. Based on her age, breed and heart murmur status it was decided that a routine dental cleaning would be in her best interest. After her exam pre-operative blood work was done and she was scheduled for general anesthesia and a scale, polish and oral cavity exam.
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Elza | 6 years ago
Hello! I Have A 14.5 Year Old Japaenese Splitz Who Had Disc Surgery 2 Years Ago. This Year …

Hello! I have a 14.5 year old japaenese splitz who had disc surgery 2 years ago. This year he developed new weakness in his lower extremities and had a 2.5 kg weight loss so he had a full body ct with contrast and ct brain.
Findings included a chronic herniated disc explaining his weakness and an incidental finding of a splenic mass with some splenomegaly and no evidence of metastasis. Ultrasound findings were non significant. The nature of the mass remains unknown. His blood tests were good and he has no anemia. My veterinary doctor recommends a splenectomy. But i am worried of putting him through general anesthesia given that he has a heart murmur (on no medical Tx). I want to maximize his quality of life. I dont know if i should put him through major surgery given that he is asymptomatic but i am also worried abt internal bleeding and the suffering of metastatic disease if i dont operate. What should i do?

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  1. Sarah

    Good morning-
    The first thing that I would do is sit down with the vet and have a heart to heart about your thoughts and concerns. Hopefully you have a good relationship with them, and you are able to have an open discussion regarding whether or not surgery is the best option. I would mention your concerns (anesthesia, etc.) about quality of life and surgery risks for sure. I would also recommend having a “family” meeting with the household of applicable, regarding the pros and cons, the vets advice, and the recovery process (if you go through with surgery) or any other day to day changes that will be necessary in the near future for your pet. But again, my first step would be with my vet to weigh the options for my pet. Best of luck.

  2. Krista Magnifico

    Hello,
    I had the same situation a few weeks ago. I am asking that patients mom to contribute to this question too.
    My first piece of advice is to ask for an echocardiogram exam. You don’t mention the degree or severity of the heart murmur (usually graded on a scale of 1-6) and it is important to say that a low grade doesn’t always indicate it is safe or irrelevant.
    From here you can better assess anesthetic risk.
    In general I tell clients to take out the spleen before it becomes a problem. A bleeding spleen can kill a dog quickly. So quickly you may not even have time for successful surgical intervention.
    You have done an amazing job with diagnostics and treatment options. Don’t stop here.
    Please let us know what happens.
    Best of luck

  3. Trish Powers

    Wow, what you are going through sounds quite sillier to what I just experienced with my oldest dog, who is almost 12. He is a Lab mix weighing about 54 lbs. A few months back he had is senior checkup, including a full blood panel and all looked good except trace amounts of blood in his urine and he has had a heart murmur his whole life and had never been on heart medication. He ate carpet a few weeks ago and while doing X-rays and ultrasounds to be sure it wasn’t causing a bowel obstruction, we found he had an enlarged heart and two masses on his spleen, with no indication of metastasis. He was acting himself, except for the belly issues from eating the carpet. Once we knew the carpet issue was under control, I got a second opinion about the spleen and had long talks with my vet about the situation. Both veterinarians suggested a splenectomy, and also to consider a cardiology evaluation to be sure his heart was strong enough for surgery. I was so nervous about what to do, he is older, acting fine and his quality of life is great. The thought of putting him through what I felt was major surgery was so frightening, especially since he is older, but I was also getting nervous about internal bleeding and ending up in emergency surgery and that being life threatening. I made the decision to see a cardiologist and they cleared him for surgery, and started him on heart medication; he then had the splenectomy the next day. The recovery was quick and he actually wasn’t much bothered by the surgery, maybe a day or two of lethargy. By the end of the first week I was having to keep him from playing and running, he was back to himself. Now, a few weeks later, I am so thankful I made the decision I did, he is just so happy, playful and back to being his energetic (in the old man style) self and even starting play sessions with his siblings. It was a roller coater ride for the few weeks after getting the diagnosis, getting a second opinion and making the decision to go forward with the surgery, but it was all worth it to have him back and not sit here and worry if he might be bleeding internally. I learned your mind can play those games with you when you know there is a potential unseen problem with your dog. One thing that made the decision a little easier was my vet telling me the surgery wasn’t much more on him then say a spay for a girl, it really wasn’t as major as I thought it would be, and based on the experience I went through, I’d agree it really didn’t take much out of him at all. I wish you all the best in making your decision, and I’d be happy to help answer any other questions you may have.
    Trish

  4. Krista Magnifico

    this is the answer from my client, Trish, who’s dog had a very similar issue (heart murmur and incidental splenic mass found via ultrasound).

    “Wow, what you are going through sounds quite sillier to what I just experienced with my oldest dog, who is almost 12. He is a Lab mix weighing about 54 lbs. A few months back he had is senior checkup, including a full blood panel and all looked good except trace amounts of blood in his urine and he has had a heart murmur his whole life and had never been on heart medication. He ate carpet a few weeks ago and while doing X-rays and ultrasounds to be sure it wasn’t causing a bowel obstruction, we found he had an enlarged heart and two masses on his spleen, with no indication of metastasis. He was acting himself, except for the belly issues from eating the carpet. Once we knew the carpet issue was under control, I got a second opinion about the spleen and had long talks with my vet about the situation. Both veterinarians suggested a splenectomy, and also to consider a cardiology evaluation to be sure his heart was strong enough for surgery. I was so nervous about what to do, he is older, acting fine and his quality of life is great. The thought of putting him through what I felt was major surgery was so frightening, especially since he is older, but I was also getting nervous about internal bleeding and ending up in emergency surgery and that being life threatening. I made the decision to see a cardiologist and they cleared him for surgery, and started him on heart medication; he then had the splenectomy the next day. The recovery was quick and he actually wasn’t much bothered by the surgery, maybe a day or two of lethargy. By the end of the first week I was having to keep him from playing and running, he was back to himself. Now, a few weeks later, I am so thankful I made the decision I did, he is just so happy, playful and back to being his energetic (in the old man style) self and even starting play sessions with his siblings. It was a roller coater ride for the few weeks after getting the diagnosis, getting a second opinion and making the decision to go forward with the surgery, but it was all worth it to have him back and not sit here and worry if he might be bleeding internally. I learned your mind can play those games with you when you know there is a potential unseen problem with your dog. One thing that made the decision a little easier was my vet telling me the surgery wasn’t much more on him then say a spay for a girl, it really wasn’t as major as I thought it would be, and based on the experience I went through, I’d agree it really didn’t take much out of him at all. I wish you all the best in making your decision, and I’d be happy to help answer any other questions you may have.
    Trish”

    hope this helps.. i am going to ask Trish to add Reggie’s story to our storylines section asap!

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Jaymi | 6 years ago
Hi, I Just Had A Scare With My Mini 10yo Pomeranian, Diagnosed With CHF Heart Murmur 5/6, …

Hi, I just had a scare with my mini 10yo Pomeranian, diagnosed with CHF heart murmur 5/6, but went to the cardiologist and said she has grade 2 murmur, no CHF, but mitral valve disease… During this whole thing, I noticed a bump on her nipple, and mentioned it to the vets, but wasn’t worried enough cus there was so much going on w her heart. Now that we got that cleared up w Cardio, I’ve caught my breath but am even more anxious to think she has Pyometra. I’ve been noticing sticky, red discharge from her vagina for a while now, mentioned it to cardio vet, had no comment. I had mentioned it to her regular ver before, and butt scooching, and they cleaned her anal glands. I am beyond anxious and so scared to lose my baby girl. I have an appointment for her to be spayed, which I was already anxious about due to her age and enlarged heart, but now I feel so hopeless and I’m sorry but I’m having trouble trusting vets… i know I shouldn’t say this but how has no one caught anything… Its a much longer story, I’m sorry. I noticed today a lot more discharge, it used to just accumulate a bit in her vag, but noticed it across her bum today… It was hard to tell at first cus she’s black, but I just don’t know what to do. Should I reschedule spay appointment earlier? Anyone, please help me… Not even sure how this site works… found it online researching Pyo…

photos are kinda graphic, sorry..

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  1. Krista Magnifico

    Hello,
    I’m very glad to hear that your cardio appointment went so well. Consider that a HUGE win! It gives everyone a huge sigh of relief in everything you do moving forward. As far as the possible pyo goes I would strongly recommend you call your vet ASAP and be seen by them. Schedule her spay based on this exam and your vets concern about whether it meds to be done immediately or whether it can wait for your scheduled surgery date. Abnormal discharge is abnormal. A sick (lethargic, inappetant, or depressed) dog should be seen immediately. We have an old saying in vet med “never let the sun set on a pyo”. Or another words you don’t wait a day to treat! Good luck. Keep us posted.

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Jillian Fouts | 6 years ago
I Have A Senior Cat Who Goes Into Labored Open Mouth Breathing When He Is…

I have a senior cat who goes into labored open mouth breathing when he is in a hard purr and also has wheezing and snoring but otherwise acts normal – eats, drinks, and is active for his age. The snoring is even when he’s not in a deep slumber and it can be an airy rattle if that makes sense and he has a little squeak when he swallows. I saw your video on the cat with a polyp and thought maybe this could be what he has except that he’s almost 17 so the vet suggested it probably isn’t since that’s more of a young cat thing but did suggest a scope and CT which will cost me 2500-3500 and he will have to be put under. In reading about breathing, heart disease can also cause breathing problems and since he has heart disease I would hate to spend all the money and put him through that to be told the scope didn’t show anything. I’ve also been reading about asthma, but my regular vet nor the specialist even mentioned that it could be that and from what I’ve read, it’s hard to diagnose. He’s a flame point Siamese and he has early ckd and some heart disease (stage 3/4 systolic murmur and hypertension), so I’m nervous about putting him under. Aside from these “old man” things, the specialist and my regular vet say his labs are spectacular. The specialist said when she is presented with a cat that has these conditions, they bloodwork and labs never look this good. So I certainly don’t want to put him down if he looks good but I also feel like he can’t be comfortable with these breathing episodes. One thing to note, when they did bloodwork a couple of weeks ago, his eosinophils were elevated which I have read can be linked to upper respiratory and asthma. Im putting the link to videos of the wheezing and purring to see if you’ve ever seen such a thing in a cat. I sure wish I had you closer by. Thank you so much!
Jill

Wheezing https://youtu.be/gaf7WCRzu80

Purr/breathing https://youtu.be/kqnd4YORenY

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  1. Krista Magnifico

    hello,

    i reviewed your videos, i think that it is appears as if the wheezing is in the oropharynx area. It also appears to be primarily it the inspiratory phase of the purring/breathing.
    There are internal medicine specialists who focus on this kind of clinical sign. I am not sure if there are any in your area though? I think the best place to start is at a feline specialists office. They tend to be more affordable and accessible. See if they can help start to rule out things before you jump into a scope.
    In my practice for cases like these a typical work up looks like this;
    1. exam,,, use your brain,, its your best diagnostic tool.
    2. radigraphs,, to look at the lungs.. lots of older cats have chronic lower resp disease,,, and unfortunately, we are also looking for signs of cancer.
    3. blood work,, a full cbc, chem, urine and t4.
    4. oral exam under anesthesia,, i look at the whole oral cavity, remove a polyp if i find one, flush the nares if the patient has had chronic nasal discharge, and then I also take skull rads, esp of the nose/nasal passages.
    if all of this fails to produce any helpful info endoscopy is the next step.. or CT, but endoscopy allows helpful info and you can do something (biopsy, etc) if you find something.
    I hope this helps..
    PS i agree about your theory and feelings about the corp practices..
    good luck,
    please keep me posted,, i would love to hear about how things turn out.
    PSS i do think that your kitty is a little old for a polyp.

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Pawbly | 7 years ago
My Kitty Is 8 Weeks Old, A Himalayan Breed A Male As His Name Is…

My kitty is 8 weeks old, a Himalayan Breed a male as his name is Rocco. We took him to the vet after a couple days we was doing bad, as he was very lethargic, not eating, and weight loss. As the vet, recommended us to get a ultrasound for the kitty since he has a heart murmur problem as the vet can see he’s low on fever, blue lining in the gums… Anyonr on here experienced something like this with their kitties/(not sure if pups have the same concept and kitties). I’ve been really down lately, not knowing what to do, and would love to hear from others. Thank you.

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  1. Krista Magnifico

    Hello,
    Is there anyway you can provide more information? Had blood work been done? FeLV/FIV status? Etc. ??

  2. Angelina Grande

    Hi, Krista I can definitely provide more information! All I know his mother is negative for Fel/FIV. However, recent Tuesday we took him to the vet for the first time after getting him after a week and two days.. but during that time he was doing well and normal he ate regularly, played all the time like a crazy kitty would and then fall asleep that was his kind of routine for the first three days, then all the sudden got very sleepy, loss of energy, didn’t wanna eat/drink, and stoped playing and noticed by day he was getting a little bony and threw up no more than 4 times of food and 1 time of clear yellowish color. However, on Tuesday they listened to his heart and mentioned how he has a heart murmur, they did a x-ray to see if any was up in his intestine or had any infection and he had nothing, did a blood sugar test, tested his stool for parasites he was negative for that, he was low due to not eating well and being hydrated. Then, they gave us Vetoquinol Care-Nutri-Cal to give before his meals (wasn’t very helpful) and canned food called “Hills”-Prescription Diet of Urgent Care a/d with Chicken (Wasn’t too helpful as well) to use for the kitty. Afterwards, the vet told us to call/visit after three days if no changes… he wasn’t doing a little worse, still nothing improved and noticed his meowing changed to more of a hoarseness sound ( we are not sure if it’s from all the meowing he had at the vet/wait for 6 hours) .. on Friday recently went back.. took his body temperature which was 99.8 low but not too severely they said, did his blood sugar test which was normal, they said to keep up feeding him but gave us syringe to put food/water in.. but in the meantime I sent a text to the owners of that bought kitties from the same breeder we did since they are sister/brothers. However, one of the kitties was underweight under a pound due to inflammatory in her private, so the owner mentioned he feeds her KMR-Kitten Milk Replacer with canned food mix and the kitty is now a double weight.. so I asked the vet about it.. he said, definitely I could do that.. I was very upset he did not mention it to me but since I was lucky to have the owner tell me since from last night he was changing slowly.. and still is now and always meowing for food when he’s hungry, eats very little almost every hour of mixed milk substitute and urgent care canned food. Thank you for responding. I appreciate it so much.

  3. Angelina Grande

    Let me know what have to say, I would appreciate it so much. I’ve been worrying a lot lately. Thank you once again.

  4. Krista Magnifico

    Hello,
    I’m sorry for the delay. I don’t rhink there is enough information to help guide your much. If your cat is not doing well o strongly suggest that you seek more help from your vet or ask for a referral to a feline specialist. I think that part of the dilemma here is that we aren’t sure how severe the murmur is and how much this is influencing the current condition of your kitty. In general I think more tests and answers are needed to help guide you to help youe Cat feel better. I advise you get more help immediately. Don’t wait. Kittens are too fragile.

  5. Shiria

    I agree with Krista, try to get more help. Hear murmur in kittens cat be traeted. They may need an heart-ultrasound the see the cause of the murmur and to choose the right medication. When he’s better he may start to eat enough on his own again.

    We syringe-feed kittens with a mixture of hills a/d food and kitten formula. They usually accept it very well and gain weight properly.

    You may want to try and look for a second opinion, if your current vet doesn’t help any further.