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Zoey | 5 years ago
My 11 Year Old Cat Was Diagnosed With A Nasopharyngeal Polyp Via CT Scan And Rhinoscopy Last …

My 11 year old cat was diagnosed with a nasopharyngeal polyp via CT scan and rhinoscopy last year. A biopsy was taken and found not to be cancerous. A nasal flush was the only intervention taken (which improved her symptoms) as I was told it was too small to remove. 3 weeks ago she was taken back with the same symptoms (noisy and difficulty breathing, quacking noises, and problems swallowing food) and another nasal flush was done under anesthesia and an antibiotic injection given with steroids also. Since then she has gotten progressively worse in her symptoms. The same vet wants to do another rhinoscopy and flush and cannot guarantee any results. I am not a rich person and so far between last year and now I have spent over $4,000 to help her. I was hoping you or someone in the Brooklyn area can recommend a reputable veterinarian for at least a second opinion as I am beginning to feel that I am being taken advantage of monetarily because of my dedication to getting help for my cat. Any help or advice would be greatly appreciated.

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  1. Sarah

    Hello-
    I’m sorry you are finding yourself in this situation. I would make a few phone calls to see about finding a second opinion. Your local humane society or scpa may be able to recommend another vet. I would also have a candid discussion with your current vet about your financial situation and your concern for your cat. Perhaps together, you can come up with a good plan that works for the both of you and more importantly, benefits your cat. Hope this helps- best of luck!!!

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Amanda | 5 years ago
My Almost 6 Month Old Puppy Is Having Diarrhea. We Changed His Food About 2 Weeks From Purina …

My almost 6 month old puppy is having diarrhea. We changed his food about 2 weeks from Purina pro plan puppy to the purina pro plan large breed food. He is a lab/mastiff mix. Do you think it’s the food causing the diarrhea? Should I switched him back to the old stuff? Or give him more time? He is acting fine other then the diarrhea. Thanks!

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  1. Krista Magnifico

    Hello,
    At that age I would be most worried about intestinal parasites. Has your vet done a fecal exam for parasites? This is done by sending a fresh fecal sample to lab to be examined under the microscope for parasites eggs. Please ask your vet.

    1. Amanda Post author

      Dr.Magnifco he sees Dr.Graf. I will call and see what I need to do.

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Elza | 5 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?

4 Responses

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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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Laurie Sites | 5 years ago
My Cat Recently Had A Bilateral Chain Mastectomy Following The Diagnosis Of An Adenocarcinoma In…

My cat recently had a bilateral chain mastectomy following the diagnosis of an adenocarcinoma in one of the chains. She came through the surgery well and all looked good at her follow up appointment. However, over the next few weeks I started to notice her stomach swelling. I took her into my vet 3 weeks after getting her stitches removed to check it out. She did an x-ray and tested the fluid and determined it was a seroma. She drained the fluid and started her on antibiotics. The seroma has returned (from what I’m reading here that’s not surprising) but it is firmer this time. Should I be concerned about that? Does anyone have recommendations on what to use for compression of the abdomen in a cat? I’m concerned the seroma will keep increasing in size. How do I determine how big is too big to just wait it out? Thanks!

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  1. Krista Magnifico

    Hello,
    Seromas are pretty typical after removing a large piece of tissue. The space removed has the potential to be the size of the subsequent seroma.

  2. Laurie Sites Post author

    Thank you! Can seromas be firm?
    This picture was before it was drained the first time. It’s come back but it’s not quite as big as it was yet

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Joanne Tweit | 5 years ago
My Rescue Cat Of 5 Years Is Showing All The Symptoms Of Nasopharyngeal Polyp. He…

My rescue cat of 5 years is showing all the symptoms of Nasopharyngeal Polyp. He is my everything!
OH please I am begging for help here ! I am disabled and he is the center of world . I am on the south west coast of Washington State, my rescue cat Kiki presents with all these symptoms ( I come from a family of RN and Bachelor in Nursing ) I have called vest around here and ALL of them say they do not do this surgery because they dont have the scope, or they will not even discuss possible price or treatment without me coming in and the vet seeing them. They say they will diagnose and refer me to a specialty clinic not far away . The specialty clinic gave me a quote of $3,500-$5,000 !! If this is even what is wrong with him . I am devastated that no one will even discuss this with me without paying for a vet visit. It looks like i could spend hundreds in visits before i can find someone who is even willing to think about this surgery without referral to the very expensive specialty place . PLEASE HELP I CANNOT AFFORD THAT MUCH !! Meanwhile my poor sweet Kiki is slowly getting worse. I dont know what to do anymore !!!!!!!!

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  1. Krista Magnifico

    Hello,
    I’m sorry to hear about your kitty. I recommend that you keep calling and start with any of the small privately owned feline practices. Also call the vet school and all of the local rescues. Go to Facebook and Nextdoor.com and ask for help. Someone out there has to be able to look for you. And to do it affordably. I really wish you the best of luck.

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Jillian Fouts | 5 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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Lauren Hall | 6 years ago
My Male Approx. 8 Yr Old Cat’s Blood And Urinalysis Came Back With Some Abnormal…

My male approx. 8 yr old cat’s blood and urinalysis came back with some abnormal results. He has a little blood (+1 according to vet’s scale) and protein (+2) in his urine. However, we ruled out kidney failure/issues. He has passed a stone in the past and had noticeable blood then, but the vet is saying he doesn’t know if that’s the cause now and wants to treat it as idiopathic cystitis, thus no known cause = no set treatment.
For various reasons, I have had suspicions that my vet is not acting honestly in all regards (from severe misdiagnosis, offering unnecessary treatments as only options, and charging me for services that I wasn’t asked/ told about) but will be moving in a month so will see a new vet anyway.
For now though, I want to address any possible issue before the move seeing as stress may worsen it. So this vet is saying since they don’t know what the cause of the test results is but want to give me various antibiotics and meds to treat all possible causes. But he himself said that the medicine he’d put me on (Orbax, 10 day supply) has less expensive alternative options but “they don’t have flavoring so it’s harder to get cats to take them” and I’d have to potentially give it 2x a day instead of 1x. But I don’t care how often and I honestly don’t care how much it costs, but I really care that my vet is acting in the best interest of my cat NOT prescribing just because he can. What’s more, Feline idiopathic cystitis seems to be diagnosed by things he didn’t do as he didn’t culture the urine (and said he doesn’t want to because it’s only 50% accurate), didn’t x-ray, and didn’t ultrasound (source:
https://icatcare.org/advice/cat-health/feline-idiopathic-cystitis-fic).
Based on the urinalysis results and clean blood work, has anyone had any similar experiences that could be a cause? I’d rather not put my cat on antibiotics he doesn’t need and potentially mess him up more… especially if proper steps of diagnosis haven’t occurred. Any advice would be very, very appreciated!

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  1. carrie Urquhart

    If he’s passed a stone before it’s likely he may have another. Male cats have a really hard time passing stones or crystals since their opening it very small. Was the cat showing signs of a uti, or was this routine labs? Do you know if they looked at the urine to check for crystals? Sometimes it could be an infection and a round of antibiotics clear it up, but id be weary of that diagnosis if they didn’t look at it under a microscope.

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Kari White | 6 years ago
We Have (2) 1year Old Cats. One Loves The CET Toothpaste And The Other Has…

We have (2) 1year old cats. One loves the CET toothpaste and the other has no interest to even lick it off my finger.. We have tried the seafood and poultry flavor. Any alternatives you would recommend? I seen they also make the CET chews in fish or poultry flavor. Curious if they are just as effective. Thanks

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  1. Krista Magnifico

    Hello,
    If the toothpaste is the problem in permitting brushing omit it and use a moistened toothbrush or even a piece of gauze (I use our hospital 4 inch square gauze wrapper around my finger). I have a YouTube video on how I do it.

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Vedrana Vilusic | 6 years ago
My Dog Had A Patella Surgery 8 Days Ago. I Read Somewhere Its Ok To…

My dog had a patella surgery 8 days ago. I read somewhere its ok to let him lie down on the side where his incision is, so I let him. But today I noticed a fluid buildup around his incision site. Its not warm to the touch and the incision isnt reddish. The orthopedic surgeon that did the surgery is far away, we have an appointment with him in a week for my dog’s suture removal.
Has anyone had experience similar to this? I read its a seroma and its better to leave the body absorb it naturally. I called my local vet and she recommended needle aspiration, Im not sure its the best idea. Advices, please.. IM AFRAID HIS SUTURES WILL BURST.
P.S. my dog develops bumps every time he gets vaccinated or when he’s given a shot subcutaneously

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  1. Krista Magnifico

    Hello,
    It is always best to contact your vet and/or surgeon to discuss any and all post op questions. I can add that in general I don’t worry if my patents are lying on their incisions. If they are comfortable enough to do that I actually feel better about them post op. But please call your vet. Infection is always a worry and assessing it ASAP is very important.

  2. Vedrana Vilusic Post author

    Thank you Krista very much for your reply, but could it be infection if he is still on his post op antibiotics (amoxicillin+clavulanic acid)?

  3. Vedrana Vilusic Post author

    There is also a big possibility he lies on his “fixed” side because he had an fho surgery 2 years ago on his other hip which he still saves, for example – while walking downstairs..I mean before surgery

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Lauren Hall | 6 years ago
I Need Help Finding A Surgeon For Luxation Of Both Scapula In A Cat. I’ve…

I need help finding a surgeon for luxation of both scapula in a cat. I’ve been to two vets, called countless surgeons in multiple states, and even emailed a professor who wrote one of the articles I have found on the issue. All of them say something different (with the exception of the email that has yet to be returned). My vet said they couldn’t do anything but take x-rays, a second opinion (regular vet practice) offered injections of Adequan (which won’t fix the problem). When I asked my vet about the effectiveness of injections they turned around and said they’d sell me Ichon injections (which seem even more questionable) which is interesting they didn’t suggest it sooner if they could.
Of the surgeons I’ve called, I’ve asked all of them if they have experience in this rare condition. Surgery isn’t the only option; I’ve done my research. Surgery isn’t always the best treatment depending on severity and individual factors of the cat. But all of them seem to be selling the surgery. They won’t consider anything else.
Everyone wants me to bring him in so they can take their own x-rays and do their own exam, which I understand to a point but I’m a student with only so much money. While I’m willing to put what it takes if my cat needs surgery, I don’t want to spend thousands just on consults before we even do a potential surgery. And what am I supposed to do but get another opinion when everyone gives me a different diagnosis that fits their practice? One hospital even said bring the cat to their ER now which I know is wrong because I know while he may be uncomfortable, he is not in pain. I would not let him be in severe pain. I don’t want him uncomfortable either, but I need to know that I’m making the best decision not just being sold a service *especially* if it’s one he doesn’t need.
Please, please, please let me know if you know of anyone with experience in this area. Private practice to university professor wanting to use it as educational- I just need someone with experience beyond “knowing how to do it in theory.” Any help is beyond appreciated!!

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  1. Lauren Hall Post author

    I’m currently finishing up my BA in GA and my cat is in TN (Nashville area) with my parents till then. Once I graduate in Dec. I plan to go to TN for a spell before moving to VA for a year to save up for grad school. I may wait to move to VA depending on my cat’s treatment. I’d like to limit stress on him so would like to avoid coupling moving and potential surgery if possible, but will move first if there is a better specialist closer to where I might move to in central VA or, if his condition is deemed stable, then perhaps there could be a specialist worth waiting for closer to where I end up for grad school, but that’s probably a year out. I know that’s not a super helpful answer, sorry.