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Willow | 5 years ago
Very Ill Senior Cat. I Don’t Know If It’s Time To Say Goodbye. Can I Help Her????

My elderly cat, age 17, recently took a downward spiral with her health. It started with her not eating, then the next day she started becoming more unbalanced, along with sleeping more, and still, eating very little (she also did seem to use the bathroom a tiny bit more than usual, but it wasn’t anything like when my male cat had a urinary tract block, she peed a little each time, but she could be dehydrated) , and today it’s only gotten worse, along with her barely using the litter box, she peed today but no sign of pooing. She ate all of maybe once today, with a few treats here and there. She also has been wandering aimlessly to stare into the bathroom (a place I used to give her water) and to stare at her litter box.
She seems really interested in drinking when she’s up, but doesn’t actually seem to be doing it much. (I’ve debated syringe feeding her some water, but I worry it might hurt her)

She is a cat with a history of feline kidney disease, diagnosed stage 2 by the vet that I’d seen a year ago. Although I have been managing it with daily feedings of wet food and water.

I took her to see the vet today, but all he really did was palpate her kidneys and then tell me he felt something there. I was unable to afford the suggested blood work and x-rays, but the vet was saying things like “everything is hospice care at this point, she’s so old, there not much worth putting the money into her at her age.” Wich was a bit callous sounding. But maybe it’s because she’s my baby.
So they suggested I consider euthanasia right then and there. I couldn’t go through with it right that moment and just took her home to decide.
She has eaten a little, and drank a little since. I’ve been putting her in her bed near me as she’s super tired.

Would putting her down be the right decision? Is there something else I can do???? She’s my only family, and pretty much my child. I can’t just give up on her. Please help.

5 Responses

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  1. Sarah

    Hi- I am so sorry that you are going through this difficult time. Only you can decide when is right for you….I like to think that our pets let us know when it is time. If I were you, I would see how the rest of this evening goes and see if she peeks up any tomorrow. Try getting her to eat better and drink some. Very best to you

    1. Willow Post author

      Thank you for your quick reply. This is so hard to watch.
      I’ll definitely be making the decision quickly, and with her in mind, I already feel terrible at her stage, but the sudden euthanasia option was just too much to handle at that time.
      I’ll try getting more food and water into her now.

  2. Krista Magnifico

    Hello,
    I’m so sorrry to hear about your cat. I think it would be really helpful to run some blood work. I always worry about kidney disease and they round disease in these cats. At my clinic this costs about $175. I say this because thyroid disease is treatable. It is best treated early than late. Kidney disease in Advanced stage is not. But I do think that knowing what is going on with her will help make a hard decision a little clearer Also your cat deserves fluid therapy. That is $25 at my clinic for a Sq fluid kit to go home which lasts abo it a week. It can really help some cats feel better. Let me know what happens I hope this helps. Never stop advocating for your cat! Best wishes.

    1. Willow Post author

      I so appreciate your help. Thank you for taking the time to respond. I’ll do my best to see if I can find a way to get a kit like that, he mildly suggested fluids at the clinic, but made it sound like it was pointless. I wish he had advocated a little bit more about giving us fluids to at least put her on. Because I would of happily agreed.

      Would syringe feeding her some water help at all?

      1. Laura

        Hi Willow – the subcutaneous fluids really are a better option, as they do a better job than just ingested fluids.

        If you aren’t feeding a veterinary diet including kidney specific wet food, I’d start. My cat is also in renal failure and simply switching diets and doing subq fluids (when he lets me) have likely bought me more time with him.

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Jodi | 5 years ago
Hi Dr. Magnifico! Curious On Your Thoughts On Gabapentin For Pain? I’ve Read Mixed Reviews. …

Hi Dr. magnifico! Curious on your thoughts on gabapentin for pain? I’ve read mixed reviews. My pup has a painful back leg. Originally she saw a vet at our practice who thought is was due to Lyme because she had tested strong positive and did not feel a drawer sign when checked. We did antibiotic treatment and the lameness got better for the most part. She would have some days where you could see it was bothering her. Then a few months later she was back to not bearing weight on it. Saw a different vet this time at our practice and this vet said he felt the drawer sign and said he felt it was injured CCL and reccomened a surgeon. Surgeon said would need to have x-rays to confirm which I haven’t had the money for. So we did pain meds (gabapentin and tramodyl) and rest for about a month and lameness went away again. She’s been good for about a year up until the past month or two and the vet gave gaba again. When she’s on it, she looks sleepy and scared. I’ve never had an issue giving pills with her in cheese on lunch meat or something but now she tries to spit it out. It’s like she knows what it’s going to do to her. I’ve read mixed reviews. I’ve also read it’s more for nerve pain? So I’m not sure if it’s actually relieving her pain or not. I’ve also read the reciptors that tramodyl targets, dogs don’t have? Curious on your opinion on all of this. I would like to see if she’s still a candidate for surgery even though it’s been some time but I need to come up with the funds for that so I’m trying to help her in the mean time. I give her vitamin supplements for her joints. I don’t want her on pain meds all the time but want something that gives her some relief on those bad days without making her feel drugged up.

2 Responses

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  1. Krista Magnifico

    Hello,
    I actually use gabapentin a lot. I have discontinued using tramadol for many reasons. I also think that if you aren’t seeing benefits and/or seeing adverse side effects that there are other options to discuss. I think the first problem is that you lack a definitive diagnosis. I would try to start there. Then ask about other treatment options to see if they have less adverse side effects? I would also make sure your pets weight is ideal. You are on a good reputable food and a joint supplement. Also moderate impact free exercise. Please talk to your vet about all of these. Good luck .

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JaLynn | 5 years ago
Boston Terrier Was Having Neck Pain. Vet Gave Muscle Relaxer, Gabapentin And Prednisone.. She Suspected IVDD. …

Boston terrier was having neck pain. Vet gave muscle relaxer, gabapentin and prednisone.. she suspected IVDD. My baby wasn’t doing that great with meds every 12 hours. So recently we went to 8 hours. He seemed to be doing a lot better. Well today, he started to walk towards me and he froze in mid step. And fell down. Rushed to vet. She said he is in a lot of pain- major spasm- not seizure. Gave him a pain shot that pretty much not him out. She said he needed surgery – only can do it in Dallas. If I couldn’t afford surgery then he needs to be put down. I’m trying to get donations for the surgery. Trying to give him a chance. He still walks on his own, poops etc. I saw videos of dogs recovering from IVDD without surgery and they were worse off than my baby. What should I do??? Any advice? I’d like to know what meds Dr. Magnifico used on Hank in her YouTube videos. Please help!

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  1. Krista Magnifico

    Hello,
    I think I would go to another vet for a second opinion. I have lots of information on IVDD at my blog and YouTube channel. Please go to both and search “IVDD” you will get it all. Of search pawbly for IVDD and read the other questions by people in similar situations. I wouldn’t give up unless you feel it is the right things to do

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Michele | 5 years ago
My Cat Is Having “spasms” In His Stomach That Are Similar To Hiccups. I’ve Taken …

My cat is having “spasms” in his stomach that are similar to hiccups. I’ve taken him to the vets twice, we’ve done bloodwork and tried pain meds but nothing has worked. His appetite is good and no vomiting. He just looks uncomfortable. I’m getting ready to make another vet appt, but wanted to see if anyone has any thoughts

1 Response

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  1. Krista Magnifico

    Hello
    It might be helpful to try to catch what you are seeing and concerned about in video and also to look for a veterinarian who specializes in Felines only. I hope this helps.

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Alyson | 5 years ago
Hello, I Was Trying To Cut The Hairs Around My Dogs Ear And He Shook Causing …

Hello, I was trying to cut the hairs around my dogs ear and he shook causing the tip of his ear to get cut off. Very small port around a 1/4” or even less it looks like. It is not bleeding. Do I need to do anything? He doesn’t look to be in pain but I know animals don’t always look to be in pain even if they are.

3 Responses

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  1. Krista Magnifico

    Hello,
    Without being able to see this in person I will say that I usually prescribe these patients an antibiotics for just a few days and discuss wrapping the ear flap to the head (see “no flap ear wrap” online) to keep it from bleeding and allow it to heal faster. Please see your vet about this.

    1. Alyson Post author

      It does Not appear to be bleeding at all. Should I still wrap it? I plan to call the vet tomorrow morning as they are closed now.

    2. Alyson Post author

      My apologies. I already said it wasn’t bleeding. I will wrap it and contact my vet in the morning. Thanks!

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Chen | 5 years ago
Hi, Last April, My 16-year-old Long Haired Cat, Geisha, Began Experiencing Frequent Sneezing And Congestion. Her …

Hi,

Last April, my 16-year-old long haired cat, Geisha, began experiencing frequent sneezing and congestion. Her symptoms worsened gradually. Her nasal breathing sounded wheezy and her purring sounded like duck quacking. We took her to the vet who treated her with antibiotics (Amoxicillin) and anti-histamine (Chlorpheniramine). When her symptoms did not improve, the vet then gave her a different antibiotic (Convenia) and a steroid (Dexamethasone). When her symptoms still did not improve, we took her to a specialist. The specialist ruled out rhinitis because Geisha’s bloody nasal discharge only occurred from her right nostril and concluded that Geisha possibly had a polyp or nasal tumor. They recommended performing a CT scan, rhinoscopy, and biopsy. They prescribed Geisha a steroid (Prednisolone) while we thought over their recommendations. Within a day, Geisha’s symptoms began to dissipate and after a couple of days, all her symptoms disappeared and she was fully recovered.

Unfortunately, in January of this year, Geisha had another relapse of the same symptoms. We brought her to the vet on 1/9/2020, who after hearing her previous history, prescribed both Clavamox and Prednisolone. They also administered a blood test, the result of which we were told was unremarkable.

Geisha’s recovery last year came after she was put on 1 tablet of 5mg Prednisolone per day. Unfortunately, the same medication regimen this time did not improve her condition. After weeks on medication with no signs of improvement, on 3/6/2020, we brought Geisha to a specialist referred by the vet. There she was given another blood test, the results of which was once again deemed unremarkable. During the same visit, we were told that only a CT scan along with a biopsy would conclusively identify the root cause of her symptoms. We agreed to the CT scan on this basis alone.

After spending close to $2,500 on the scan, we were told that the CT scan did indicate a mass but that the nature and identity of the mass could not be determined. The specialist informed us that the biopsy results did not indicate that the mass was cancerous. However, he stated that it is his opinion that the mass was cancerous, without any supporting evidence and despite the contradictory biopsy results. It is his opinion that the biopsy results are incorrect due to poor sampling. His conclusion is that we should consider pursuing radiation treatment since that would be the only resolution. So, basically, after a $2,500 expense, the vet is just as clueless about the nature of Geisha’s issue as he was before.

Geisha was returned to us after the CT scan with Prednisolone medication. We were instructed to increase her dosage to 1.5 5mg Prednisolone per day. With this increased dosage, Geisha’s condition has improved. In the month that has passed, while her condition has improved, she is still mildly symptomatic and not fully recovered and thus is still on the same medication regimen.

Naturally, my wife and I are very disappointed that we still have an inconclusive diagnosis despite having been assured that the costly procedures would be justified by the precise root cause that they would deliver. We also don’t understand why we spent money for procedures such as the biopsy only for the vet to completely disregard the results and formulate his opinion purely on conjecture. This all seems to fly in the face of the scientific method that all science is based on.

I would love to get your opinion on what you think is the issue with Geisha and what you believe the best course of action for her is based on her past year of symptoms and treatment history and also taking her age into account.

Thank you so much for your time.

1 Response

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  1. Krista Magnifico

    Hello!
    Thank you for posting! I am working on a long list of options and recommendations for cats like Geisha. I will add it as it is written. I am always here for you. Wishing you both health and happiness. Be safe.

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Brittany | 5 years ago
We Rescued Our Almost 2 Year Old Dog In Early January. She Was Spade In November I …

We rescued our almost 2 year old dog in early January. She was spade in November I believe. In late February she was diagnosed with a UTI and has seemed to have issues ever since. She was given medicine for her UTI and as soon as she finished she seemed to have some more dribbling at times, and straining and not a large production of urine. We took her to the vet and they said there was some formation of crystals, her PH was high, and they recommended notto do a certain kind of testing (I can’t remember what) because she just came off antibiotics and said it wouldn’t yield true results. They said we could do a blood test and X-ray, but I wasn’t sure it was necessary. A few days later she had what I believe they called large intestine diarrhea and needed medication for that. She just finished the medication and probiotic for that this week and now she is having some dribbling or puddling issues. I noticed it yesterday, but I thought my son just scared her with his toy. Today, it was after coming in from a walk. She was laying down and peed a small puddle. She has been drinking plenty and goes to the bathroom and produces a normal amount of urine, she doesn’t seem to strain at all. Not sure if I should call the vet and what kind of tests she should get moving forward. It is getting very expensive and I can’t keep spending almost $200 for each vet visit.

3 Responses

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  1. Laura

    I think I’d get a second opinion.

    I’d also wonder if this is spay incontinence with other issues happening.

  2. Krista Magnifico

    Hello,
    It seems like there are a few things going on here and I am not sure if any of them are related. I absolutely think that the urinary issue needs follow up and better assistance from your vet in both the immediate and long run. I think that a urinary diet is a good place to start talking to your vet. Also a urine culture and sensitivity and rechecking the urine sample before and after every antibiotic is given.
    Spay induced incontinence is a possibility but you have to treat and address infection before starting any medication. Also talk to your vet about helping you manage your pup in a budget.

    1. Brittany Post author

      What do you mean about a urinary diet? Can you expand on that a bit?

      I haven’t called the vet yet because i wanted to watch her and she hasn’t had any other accidents or dribbling today.

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Mariah | 5 years ago
I Think My Dog Has Separation Anxiety. He Gets Very Sad And Freaks Out When He …

I think my dog has separation anxiety. He gets very sad and freaks out when he knows we are leaving and cries nonstop. I was wondering if there was a way to make him more comfortable at home when we will be going to work?

1 Response

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  1. Sarah

    Good morning- anxiety is something that takes time, patience and in my opinion routine. Routine definitely helps. When your dog learns that they can expect “x,y,z” at certain times, and can depend on that routine, it builds trust. There are also other things like leaving a radio on low while you’re gone, walks/exercise to get them good and relaxed before you go, chew toys and toys you can hide a treat like peanut butter in for them to work on while you’re out…. I will also say that making walks a priority part of your daily routine helps a ton. For both of you- it helps with strengthening your bond- in turn helping them trust you more, as well as being physically tired. Training and repetition (even the most basic) is mental work and also helps keep their mind tired. A tired dog is a better behaved dog. There are lots and lots of tricks and tools. Lastly, I would check in with your vet and make sure it is not something that is more serious and needs medical attention. It is definitely something that you can work with and potentially overcome. One of our shepherds had terrible separation anxiety when we first rescued him- chewed EVERYTHING. It took time, but he is well adjusted and one now. Don’t lose hope????

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Jen Behler | 5 years ago
Dog Won’t Open Eye, Red, Watery

My dog, Max, was recently diagnosed with diabetes. We are still trying to find the right dose of insulin and were making progress until yesterday. His sugar was back up to 471 yesterday when 2 weeks ago it was 275. We know cataracts are already forming but this morning before 4am he woke me up. I thought he had to go outside but when I got him, realized he wasn’t opening his left eye. When he does open it, it seems rolled back and is red. His third eyelid is also visible. The right one is better but also seems like it might be bothering him. I contacted the vet for walk in hours today but wanted to see if anyone else has had this issue and what it might be.
Thanks!

1 Response

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  1. Krista Magnifico

    Hello,
    Me again. I think that as long as he is acting completely normal otherwise AND not rubbing his face or eye (which can cause trauma or damage to the cornea (think about all the doctors advice to not run your eyes)), then you are probably fine to wait until we open at 1. If he is rubbing his face please place an ecollar on him. You can always make a quick make shift one with either a large price of plastic or thick poster board or even a bucket (do a google search for homemade ecolllars people get creative. And you just need one for a few hours we have them at the clinic), and then come in. For dogs with a history of allergies I would recommend a saline flood (like the kind you do if you get a toxin in your eye). Nose to the sky and flood the eye with strike saline or clean two water (cool). To wash out any irritants. Or give diphenhydramine orally. I want to hold off on your pup due to the diabetes. I also am a little concerned about Horners. You can look that up online too. Dr Ahrens has been notified that she will see you at 1230. You can email me anytime if you need anything. Stay safe! Hugs to you all.

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Terri S | 5 years ago
Hi Dr. Magnifico. Our Cat Boogie Was Recently Seen By Dr. Ahrens For His Constipation Issues, …

Hi Dr. Magnifico. Our cat Boogie was recently seen by Dr. Ahrens for his constipation issues, and also to have blood drawn to check his hyperthyroidism. I have a couple questions for Dr Ahrens.
I prefer not calling the office, as I do not want to pull her away from whatever she is doing at that time, and it is really hard to reach me by phone.
Can you please ask her to email me at ——— or if you could give me her JVC email address so I can email her, I would greatly appreciate it!
Thank you!
Terri

1 Response

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  1. Krista Magnifico

    Hello,

    i notified Dr Ahrens. please reach out to me anytime if you need anything,, be well,, stay safe and hugs to Boogie!
    xoxo
    krista