Will sub-q fluids help in this case?

mej_1

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I need some quick advice. My cat who is around 13 was diagnosed with a liver tumor a few weeks ago. On top of that he is severely anemic. I cannot afford any further testing or treatment, especially since it's most likely fatal. I'm going to be spending $1500-$2800 on two other cats that need stuff done.

Over the past few weeks, things have gotten worse. Right now he is eating very little which is a concern because of his liver. I think part of that is due to stomach acid. He is getting 2.5 mg of Pepcid AC once per day. He's supposed to be getting an iron supplement (Pet-tinic) but I'm having trouble getting him to take it. I think he is really dehydrated so he's going to the vet to get sub-q fluids and I may end up giving them to him at home twice a week.

My problem is that unless something changes within the next few days, I think I should just humanely euthanize him. I don't think he's in pain, but I don't know if he's suffering. He looks like crap and obviously feels crappy. He just lays around not doing anything. He barely has the energy to get from one room to the next. He doesn't look like himself and I sometimes wonder how aware he is. He acts like he has some sort of cognitive problem, but that started four months prior to his diagnosis - before he started showing any other signs/symptoms. I've noticed that he doesn't appear to be sleeping or if he is he isn't closing his eyes - they are always open.

Sometimes he seems like he's miserable and other times he seems like he's not too bad. He seems to be a little better if I open a window for him to look out. Unfortunately I can't usually leave the window open due to the heat and humidity. He's kneaded me a couple times recently but I have no idea whether that means he's content or if it can also be a sign of pain.

I have no idea if he's trying to fight this or if he's basically given up. I'm having a very difficult time trying to determine what he wants and what I should do. Honestly, I never got to bond with this cat because he was an outdoor only cat until his diagnosis. I truly cannot read him. I cannot determine how he feels or what he wants. I have no idea what is a part of his normal behavior and want is part of his illness. All I know is that he doesn't act like the same cat. If I had that bond with him, I think I would have a better idea as to how he feels.

So here's what I'm wondering, if he is dehydrated and he receieves sub-q fluids, how likely is it that he will improve? I know fluids won't cure him but will they help him feel better to the point he was at a few weeks ago? If they do help, how long would it take to see improvement? Would it be within 24-48 hours?

Obviously, I'll ask the vet all this but I thought maybe someone here had experience with this that they could share.
 

nekochan

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If he is dehydrated, the fluids will probably make him feel better (temporarily) and I would guess the results would be pretty quick. However since he is not being treated any improvement will be temporary. I would suggest talking to your vet about whether they think he is suffering and his quality of life, and what palliative care you may be able to do for him.
 

momofmany

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Your vet really needs to guide you on this one. Dehydration can be painful and giving him sub-q's can relieve any suffering he is experiencing right now.

I found out an interesting fact about liver disease when my mom had liver cancer. The liver has a part in the amount of oxygen that goes to the brain and when it is diseased, the decreased flow of oxygen to the brain can cause cognitive problems. That part of your post jumped out at me - you may have witnessed an early indication of problems 4 months before you saw any other outward signs.

 

otto

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I'm so sorry you are going through this. Sub q fluids may buy him some time. He will show noticeable improvement very quickly (within a few hours) if the fluids are going to help him. Liver cancer can spread pretty quickly though, I think.

It must be very difficult, as you say, because you aren't bonded well enough to him to know for sure what he is feeling. If the fluids don't help him get some appetite back, that may be your answer. Do you trust your vet? Your vet should be able to tell you if he is suffering at all.

Please keep us posted
for you and your sweet boy.
 

phillygal

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The sub-q fluids I gave my Casey appeared to make him feel somewhat better. However, he may have been further along in the disease process than we knew at first. He did not have liver issues that I am aware of though. He still was not Casey, though and that was a painful realization. But he was always an indoor cat and I knew his every mood. Dehydration is painful, as another poster indicated. The sub-q fluids may bring him some degree of comfort.

Sometimes it is hard to discern what our kitties are trying to tell us when they are ailing. In my experience, there is sometimes a brief period when they look better and then they may, the next day or hour, appear worse again. It is confusing and heartbreaking. Please take care of yourself and follow your best instincts. A candid discussion with the vet would probably help as well since they see these issues every day and know what to look for.
 

python

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It's such a difficult thing to recognise when it's "that time". We all hope they will get better, that somehow the vet is mistaken and it's not a terminal disease, that a miracle will happen and the cat will get better...

but...

deep in our hearts we know. We have that awful sinking feeling that our beloved cat isn't going to get better...and...we have to take that difficult decision.

Sub Qs might help temporarily (in our country we cannot administer these ourselves, our vets have to) but he has cancer and that won't get better.

Reading your post, it seems to me his quality of life is not good and that is what, when you make your decision, you must bear in mind even though it will break your heart.

to you.
 
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