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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?

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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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Stacey | 2 years ago
I Have A Very Active 3 Year Old Boston Terrier Who Was Just Diagnosed With Possible IVDD. …

I have a very active 3 year old Boston Terrier who was just diagnosed with possible IVDD.
She is on crate rest for 4 weeks getting 2.5mg Prednisolone twice a day, 100mg Gabapentin every 8-12hrs and 125mg Methocarbamol every 8hrs. She is still fully ambulatory and on day 5 of her rest and meds and is still having breakthrough crying pain when she moves wrong. I have started heat therapy which seems to help a little. Do you think I could increase her Methocarbamol to 187.5mg and see if this keeps the muscle spasms more at bay. She weighs 16lbs.
She also has an appointment with a neurologist January 5th. It is so hard for me to see her in pain.
Thanks

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  1. Krista Magnifico

    hello,
    I’m so glad to hear that things are improving!
    I am also sorry but I cannot offer advice on drugs, or dosages. This is a question for your vet.

    Best of luck

    krista

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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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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?

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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

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Richard | 2 years ago
My Four-year-old Boy Chihuahua Named Buddy Is In Very Rough Shape. He Is Such A Loveable …

My four-year-old boy Chihuahua named Buddy is in very rough shape. He is such a loveable highly active very fit healthy dog. He suffered a type one IVDD incident. This was six days ago. He went from stage one to stage four in 48 hours. He was not diagnosed until after an x-ray when he was already in stage four. Four days after that he has been diagnosed to be in stage five. He showed signs of improving his stability when holding himself up with his front two legs two days ago and did not eat until just 12 hours ago. He’s eating and drinking and his general comfort seems to be much better but he has zero high pain feeling and has no bladder or control of his annular muscles. My regular vet who is not a surgeon has recommend putting him down. I named him Buddy because he literally is my buddy. He was adopted two years ago and rescued from Mexico with scars all over his body that already healed when I got him. He is a survivor and so am I as I have suffered emotional and physical scars as well. I can’t bear the thought of losing him and not seeing him run and be happy again. I don’t want to give up on him yet. I also don’t want him to suffer. He is totally responsive from his front legs forward. He is kissing, eating and drinking now. I am hoping I hear from Krista. I have seen Krista’s videos on IVDD recovery stories. I don’t know what to do for him. I am doing every thing I can but not surgery which I can’t afford. Is there any hope?

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about your Buddy. I have lots of information on my blog at KMDVM.blogspot.com search Ivdd and YouTube channel. Go there.

    There is always hope

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Yvonne | 2 years ago
Our Adult Cat (probably About 10-12 Years Old) Has A Fracture On Her Front Left Paw/…

Our adult cat (probably about 10-12 years old) has a fracture on her front left paw/leg. It’s the holiday weekend, so we splinted it but we don’t want her to suffer until Tuesday. There’s an emergency vet but it’s over 2 hours away (we live in a rural area) and of course the expense will be outrageous so while we are willing to do whatever needed we’re wondering if there are any OTC pain meds we can give her until Tuesday when we can take her to our regular vet, or is she at risk of complications if we wait? Any info is appreciated. The break seems to be right above the paw joint.

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about your cat.
    Sadly there really aren’t any otc medications that I feel are safe for cats.
    The best advice I can give is to place her in a cage that allows her room to sleep, eat and use a litter box. Nothing bigger than that. If you are worried about the cost of an orthopedic surgeon than resting in a small ache to allow it to heal is the next best option. For pain meds you would have to see your vet.

    Good luck

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Sandra | 2 years ago
My Dog Got Spayed On August 1st, She Is A 13 Year Old Poodle Mix. She Also …

My dog got spayed on August 1st, she is a 13 year old poodle mix. She also had a mastectomy along with her spay so she has a very big incision. She is on her 4th week and the lower half of her incision does not look like the top half. The surgeon said it may take a while to heal because of the placement but I noticed a bump at the base of her incision at day 4 that has not gone away. She keeps licking at it and the surgeon suggested we must let her heal and later investigate. Also, at day 10 I noticed a white tiny pimple sized thing trying to come through under her skin. I really checked it out today since it has not gone away and it feels like something sharp poking under her skin, she has two of these that feel the same. I am scared she might have torn her internal stitches but the surgeon did not seem too worried. I notice when she eats she seems to look like she feels uncomfortable. She threw up yesterday but I took it as maybe her pancreatitis acting up. I am freaking out and don’t know if I am making a big fuss over nothing. She did not run during her recovery but she would stand up on her hind legs no matter how much I attempted to keep her calm. She did slip 3 times and land on her tummy, twice at day 8 because I had her on a short leash and she would try to run, the third slip was at day 13 and for the same reason of the short leash and attempting to run. I feel so sad and don’t have peace of mind. I feel guilty she slipped on me those three times but then again don’t know what to make of that lump at day 4. After the two slips at day 8 and after on day 10 she started having severe diarrhea. I contacted the surgeons team and they suggested boiled chicken and boiled rice, but at day 12 the diarrhea was a soft serve ice cream consistency and then she thew up so I took her into emergency immediately. At emergency they checked her vitals and incision and could not figure out what may have caused the stomach upset since from her pancreatitis history did not have the swollen tummy and her incision looked fine. They attributed the upset to possible pain med side effect and prescribed a probiotic and to stop the gabapentin. It’s has been a tough healing process for her. I will attach pictures of of what the incision looked like at day 7, 10, and now. I hope it’s not what I am fearing but it’s better to know if I should advocate for her and have them check again. Thanks guys, sorry for the long story but this is my little girl who is my first owned dog and who has been by my side for 13 years. I love her so much and it pains me to see her uncomfortable. Fyi her appetite is always good no matter what and her bowels are back to normal since the 18th of august and they were fine before the 10th of august as well.

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Picta | 3 years ago
6 Week Old Kitten Fell Off The Bed And Hurt Its Back Left Leg. He Can’t …

6 week old kitten fell off the bed and hurt its back left leg. He can’t walk on it. He cries when it gets bumped. He can pull the leg against his body and lays on it, but when he stretched his leg out the top of his foot was facing out instead of forward. I’m worried he may have broken or dislocated something. How can I tell and what do I do? And what can we give him for pain?

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  1. Krista Magnifico

    Please go to the vet asap for an X-ray. They may be able to splint it to help it heal. Kittens heal fast and almost every fracture and dislocation will heal if you get there quickly. Also kittens are dare devils so try to keep them in a large crate or carrier for a few more weeks.

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Gina | 3 years ago
My Rescue Dog Is A Miniature Chihuahua And Today She Broke Her Front Left Leg And …

My rescue dog is a Miniature Chihuahua and today she broke her front left leg and I have no funds to help her until I get my Disability check next month.I was already taking her to the vet as soon as my check came.I don’t know what to do, she is everything to me and in awful pain and I have Never felt so helpless in my life.We have a very strong bond and I love her so much please help her I don’t know what to do I just want to die for real please help Thank you Gina

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  1. Krista Magnifico

    Hello.
    In all cases it is best to have an orthopedic surgeon review the fracture to give options. In many cases it seems cheaper to place a cast but in lots of cases it is not superior to surgery and in many cases it can cost as much to manage over the long term and still give a poorer outcome. In some cases strict confinement can allow healing but it takes weeks and your pet must stay quiet and calm. In all cases I would never recommend amputation or euthanasia until all else had failed over weeks. In fact I never want to recommend euthanasia but these animals must be cared for and given appropriate analgesics. Good luck.

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Andrea | 3 years ago
How Can You Make A Cats Oversized Bladder Shrink? I Know It’s Possible, Do They …

How can you make a cats oversized bladder shrink?
I know it’s possible,
Do they need to be hospitalized?
I seen a video of a guy with a cat that has lower motor neuron bladder atony. He said his cat had a cath for 3 wks and it shrunk the bladder.
Also diapers… is it a guarantee that a cat will get a bladder infection from wearing a diaper or is it just a possibility? I see hertz has special diapers for cats n dogs, it doesn’t say if they will help block infections. We have an appointment the 23rd with the neurologist for a 2nd opinion. I was told mri is $4,500 to $8,400. We don’t know how to look at this situation or what to do. Our hearts are breaking at the thought of possibly saying goodbye to our 3yr old cuddle bug. He peed on me twice this morning while he was sleeping. I worry I am squeezing too hard, or that he is in pain.

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