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.
Hello,
I’m sorry to hear about your cat.
I think that the question is how to help manage the constipation? I think that the weight loss and progression of the kidney disease is Kelly part of the problem. Have you checked her thyroid function? I typically see these older cats having this disease develop with the others your cat has. This disease also causes muscle loss. But this one has an available treatment option.
I think that you should recheck your blood work and see if’s his might be part of the reason for the constipation.
Also try to encourage play and exercise. It will help her fell better and eat better and also help the internal muscles that assist the colon and avoid constipation.