Colin to Dr. Krista : May I pick your Brains?

Dear Dr. Krista,

I’m writing to ask your advice about a stray cat I found last month. See images attached.

But first I want to thank you for the polyp videos you made, which were refreshing, as well as impressive.

One of my strays was snoring, so I was eager to pluck out a polyp hiding behind his soft-palate. (He didn’t have one, but I’m gratefully alerted for the future.)

Last month I found a stunted stray ginger cat outside a 7/11 in North Thailand, where I’m a self-financed Christian missionary.

Can you help me diagnose, and treat the problem?

At first I thought it was simply FVR / Calici and chronic snuffles.
But when I opened her mouth, she had only 4 teeth in her head!

Yes, she had calici tongue-ulcers, but little sneezing, no ocular discharge, and has been eating like a horse from day one. She’s happy and bright in herself, apart from the ugly sore nose.

Her mandibular Ln were big and hard, so I put her on antibiotic tablets, with a little dexamethasone (actually 2.5mg Prednisolone tab. daily.)

Then after a week or so I sedated her, and examined her mouth more closely, no observable polyps (drat!) but one of her molars was loose and covered in calculus, so I pulled that one out, and cleaned up the remaining molar and two premolars, otherwise the poor thing would have zero teeth.

There was of course gingivitis and pharyngitis, but pink, not red like “dragon-mouthed cats” on dcf.

For the last month I’ve given her a course of floxacilin (30 days) with amoxycillin, and tried all sort of creams on her nose and lower eyelids which. as you can see, are raw and sore.

Her Ln are almost normal now, +but that nose is no better+, and she tries to rub as though it is itchy.

(I made up creams mixing; 10% flours of sulphur, betamethasone, ivermectin, and vaseline)

There’s a temporary lessening at best, but no lasting improvement.

So what is your differential for her?

In NZ where I locummed, cat leprosy was common (Mycobacterium from mice and voles) so that was my diagnosis, but the floxacillin has made no impression.

I’ve trimmed her claws and taped her fore paws to stop her making her nose raw.

I’m stuck, and thought of asking you Doc.

I’d guess she’s 3-4 years old, confident, unvaccinated, entire, lived wild all her life eating left over fast food, and possibly DCF from neighbours.

Since October I’ve been feeding her raw chicken frames, tinned sardines, vitamin syrup, and no DCF.
She loves raw chicken :), and eats whatever I put in front of her and still looks for more.

Apart from her nose you would not think she was ill in any way.

Thanks for your advice.

Colin

PS. For some reason, Depo-medrone has been taken off the market here, not even local vets can get hold of it.

Colin Melbourne English missionary in Asia
https://www.born-again-christian.org/news/
https://www.born-again-christian.org/news/ไทยคริสเตียน/
https://www.born-again-christian.info/aboutus.htm
https://www.born-again-christian.com (Asian languages)

Hello, firstly thank you for making this site and sharing your message and trying to help both Vets and pet owners do better by and for their sake.
The cold weather in Oregon is setting in, I attached some photos I hope help. I’m trying to figure out the best way to identify and treat this issue.
The following are my observations of the marks located at the base of the tail areas side and underside only, surface level circular with some being slightly more crater like. Hair loss and area effects remain the same after what feels like over a month already. Plasma is typical puss in 2 or so spots, no swelling since first observed till present day, skin near effected area looks okay, over grooming of the area likely but not believing this is a source of pain. We live in a farm setting he is a stray I will watch over like my own and treat as such, I’m not against funding anything from big or small for his care but he’s strictly outdoor hunter and sometimes I wont see him for days. Would be most appreciative to any insight in what this might be or how I can help, likewise if there is a wound spray or dewormer I could purchase he is 100% outdoors and I see no signs of worms but he drinks from bird bath dishes. He will allow me to handle him but only so much I’d be much more worried when his patience runs out. I’d say he weighs about 15 pounds and overall health and appearance / dental is amazing. I always offer him a safe clean area and access to the property I will be buying a breakaway collar with a GPS tracker for him, he’s a farm cat my neighbor and me watch after. Would this be something to just give more time to mend? or should I step in and apply or seek help. Thank you! I will 100% be doing a donation, really wish more Vets were like you or highlighted in the community.

EDIT, the donation link via paypal says this is indelible, you can click 1-2 photos below that say Ads to be redirected to those to donate, if you have a place in mind please add it to the response I’d be happy to donate to your place of choice.

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.

Hi Dr. Magnifico,

Our adopted cat (former stray cat, now 100% indoor) has always shown all of the signs of a nasopharyngeal polyp (about 4 years now). I didn’t know what it was until I saw videos of cats with similar breathing noises and eventually saw your YouTube polypectomy videos.

Three short videos of his breathing sounds (turn up your volume) follow:

Called our vet for a surgeon referral, but they’ll only refer for a CT scan ($2000) before they’ll refer to a surgeon. Surgeon’s websites all indicate that they will only accept appointments by referral from a general Vet, so I can’t just make an appointment for examination by a surgeon (which I’m happy to pay for).

Bottom line, looking for a second-opinion / consult (happy to pay!) on whether it’s really necessary to do a $2000 CT scan *before* being referred to a surgeon for (a probably $2000) surgery. I’d rather just have a surgeon put the cat under anesthesia, go in, look for the polyp, and remove it if they see one. Happy to pay $2000 for just that surgery, even if it turns out there’s no polyp.

Thank you in advance for any response.

Hi! We’ve adopted an old cat who was previously a stray, he has hyperthyroidism and is underweight (6.5 pounds at last vet checkup a month ago). He’s been getting better in most aspects (his labs are normal now, no FIV, etc), but he’s been fighting ringworm consistently since January. We’ve done regular rounds of lime sulfur dip, miconazole spray and baths, and pretty constant environmental spore cleaning (regular laundry, Rescue antifungal spray, cleaning/vacuuming) for 2 months but he keeps picking it back up. We’ve been UV lighting him often, and when it finally seems to be going away a new spot pops up!! Any tips? We were initially discouraged from getting the prescription oral antifungal med for him due to his health fragility at first, but with his labs more normal and a higher weight would the systemic medication help?

Hello! I just got back from the vet with Maizy, by baby ginger kitten who is three months old. I got her as a stray from a feral colony of cats. The vet is concerned about her left ear. He can’t see down her left ear canal. He said it’s jammed packed with black sludge. He gave her medicine for an ear infection, but he isn’t convinced it’s that. He thinks it may be a polyp that grows off her eardrum and will eventually grow all they way up her canal. He said if she was a year or older he would be sure it was that but he has never seen one in a three month old kitten. If that were the case, the options would be euthanasia or complex surgery that goes into her jaw to get to the ear canal to remove it. It would require a specialist vet who would not be around my home town. He said it would cost roughly $4,000-$5,000 (he had a patient go that route a few years ago). I need more information about this. He didn’t give me a name and I was too shocked to ask. Can you help clarify this for me? I was super shocked and didn’t ask many questions.

Hello,
Our cat Bruce is over grooming his leg until it bleeds. I’ve tried cortisone shot, Valium, (both which I didn’t want to do but was desperate)
I have tried no chicken in his diet, and various hotspot sprays. He is extremely active and healthy in every other way. Loves to go outside and play with all the neighborhood cats. He showed up as a stray on our doorstep. His skin was fine. He got his tests and shots and was neutered in November. Skin issues started in January. He is little over a year old. I have him on a homeopathic drop for skin allergies and itching. Hopefully it will help. Any ideas??

I recently found a stray kitten, approximately 13 weeks old. He appears to have an avulsion of his lower lip which exposes his mandible. Are there any concerns, complications, or fixes for this ?

What is the likelihood of this poor kitty regaining bladder/bowel function?

We recently trapped and rescued an injured stray. We’ll never fully know what happened to him but he has a multitude of injuries some old and healed and some not. Required a lot of teeth to be pulled and had to have his tail amputated due to sores and maggots inside. He has about 2 inches of tail left. Surgery was done 3 days ago. He wasnt moving his tail when we got him but is walking fine. Since getting him home I notice hes leaking urine with no control and seems to be constipated. I’m unfortunately no stranger to spinal injuries in cats but he appears to still have anal tone, unsure about sensation at tail base and is mobilising fine. But his abdomen seems quite distended and a little tense. I have managed to express urine from him and giving him laxatives (back to the vets tomorrow if no poops). Just wondering what his outlook is likely to be to better guide his rehab. I know it might be too soon to tell yet but any guidance is appreciated.

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