Possible Stroke - Really, Really Worried About Lovely Old Kitty

efia

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Hi everyone, I'm new to the forum but since this happened I've been browsing all over the internet for advice and answers, and the forums here keep cropping up, and everyone here seems genuinely helpful and supportive. I'm really worried about my kitty, Tabby, and would really appreciate any suggestions and advice.

Tabby is my lovely 19 year old tabby cat (go figure!). A year ago she was diagnosed with the onset of kidney failure, but since that time she's continued to be her usual, personality-filled self and not show any signs of distress or even old age really, apart from losing a small amount of weight over time, partial deafness (or selective hearing!), and being a little bit more stiff in the back legs.

On Sunday night it came as complete shock when she suddenly began to stumble around in circles to her left hand side, unable to keep her balance. She made it to her bed and lay down, her head was shaking up and down rapidly and her eyes were wide, pupils completely dilated, and appeared to be unseeing. She looked around but it was as if she was blind and couldn't see a thing, she was unresponsive to sound and movement, as if she wasn't fully conscious, however when I knelt down to stroke and comfort her she began purring very rapidly, although I considered this to be a nervous sort of reflex reaction. 

After about seven minutes she got to her feet and wandered around without circling, but was incredibly shaky and obviously distressed, she didn't know what to do with herself :(

Incredibly worried, as I've never seen this sort of thing before, I phoned the out of hours vets a few minutes into this all happening, and was able to get her down to them within about twenty minutes.

The vet confirmed that her heart-rate was fairly normal by that point, and her pupils were back to normal. She sounded fine on the inside, and looked to be calming down on the outside too.

Because of her kidney diagnosis, a blood test was conducted to see whether her kidney function had deteriorated and led to a build up of toxins which may have triggered this response. The blood test actually came back fine. A year on and her kidneys are still functioning pretty well considering they're not at their best, and there was nothing giving due cause for concern there. 

Since it all happened, Tabby's seemed to be absolutely fine and her usual self! She's eating, drinking, moving around fine, purring and meowing (although less than usual).

But this means we're not sure why or what happened. It's likely to be neurological I'm guessing, and my reading online suggests that it may have been a stroke of some sorts.. It may be a tumor, or a bleed or..something, I really don't know. I'm confused, upset and incredibly worried about her. I've had her since I was seven (26 now!) and I know that old age will catch up with her eventually as it will us all, but it was just so difficult to see that happening to her and not know whether it will happen or again, or what I can do to help her. I'm the only one at home, I haven't got any family nearby who can help or keep an eye on her, and I'm finding it really difficult to leave her on her own when I go to work. 

Sorry for rambling, and thank you for reading this far! Any advice from experienced owners would be so helpful at this time.
 

otto

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Strokes can be caused by high blood pressure or hyperthyroid disease, both which are common with cats in kidney failure.

My little Ootay :rbheart: had three strokes. She also had CKD (kidney failure) high blood pressure and hyperthyroid disease, among other things. The HBP and hyperthyroid were not being treated as she could not tolerate either of the medications.

The first stroke was small, along with the stumbling and circling, she had some temporary deafness in her left ear, which went away, and she fully recovered. The second one, 5 months later, was more severe and took longer for her to recover from but she did okay. Her gait was affected, she walked in kind of a U shape gait, but she was still happy. The last one was 6 months later, and that one was so severe that, along with all her other issues, I knew it was time to let her go.

She learned early on, after her second stroke that she couldn't jump down from things safely any more. She could get up, but not down so I put graduating sizes of cardboard boxes every where she liked to be, so she could get down safely.

I gave her her own personal litter box in my bathroom. I used a tall sided tote so she had something to lean against when she had to poop, she had a harder time holding herself up. I cut a hole in the side for her to get into it. When she had trouble standing on the litter I put sheets of paper towel in the litter box, over most of the litter, but with some litter sprinkled over the paper towel, this allowed her feet to get a better grip.

I gave her full body massages daily to help keep her circulation going and to keep her muscles and joints from getting too stiff.

Ootay was taking sub q fluids four times a week. As she got more frail sometimes the fluid pouch would cause her to be unbalanced so I always took special care to make sure she got around okay until the fluids began to disperse.

Welcome to TCS and all paws crossed for your beloved girl.

.
 
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kittylover23

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Hi there :wavey: and welcome to TCS,

This sounds like what my Candy experienced the night before I had to let her go. She had lymphoma in her kidneys, as well as kidney failure. She was staggering, unable to keep her balance and she lost control of her bladder. It could be a range of things, but I would definitely consult again with your vet.

Tabby sounds like a beautiful kitty, and I hope everything goes well with her. :vibes::vibes::vibes::vibes: for both you and Tabby!!
 
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efia

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Hi Otto and KittyLover


Thank you so much for your replies and well wishes. At the moment for me it's mostly fear of the unknown, I've not had another pet live as long as Tabby, two of my other lovely cats were unfortunately taken very early in their lives by the road nearby, but this feels different because it's gradual and it's hard to see old age creeping in, and not knowing what will happen next or how things will progress.

Thank you for sharing your experiences with your beloved Ootay and Candy too. It's really helpful to know others have been through similiar situations, and it's reassuring to know that after a stroke a kitty can keep on going and have a happy life for a while longer with a bit of extra love and attention too.

I've looked into hyperthyroidism and I read that it can counteract the effects of kidney failure, meaning that a blood test shows signs of minimal progression but can mask other problems at the same time. Although Tabby isn't eating great amounts and her coat is still in good condition, and the recent blood test didn't throw up any concerns, but then the vet may not have been looking for this at the time?

I guess for now it remains a mystery! Tabby has been ok over the past few days although eating less than usual, still drinking plenty, and spending a bit more time alone. I had a friend over last night for some moral support and Tabs took herself away into my room, whereas normally she would be wanting fuss and attention. Perhaps she was just wanting a bit of quiet time to herself rather than be around an extra person, and that would be understandable too. She's still sleeping on my bed each night, although takes a while to get settled, and I woke up with her by my side this morning :')

I think I'm now just hyper aware of little things at the moment, but at the slightest sign that things are going downhill I'll head back to the vets to try and find out more.
 

orientalslave

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If Tabby had a hyperactive thyorid she would have symptoms from it - dramatic weight lose being the main one - and I'm sure you would have noticed.  However it would do no harm next time blood is taken to have her free T4 tested.

I know where you are coming from about losing her - it was bad enough losing a cat I'd had for 25% of my life, but you have had her for 75% of your life.

Have you heard of TIAs?  They seem a possibility to me:

http://en.wikipedia.org/wiki/Transient_ischemic_attack

However I think you said she is back to normal and the vet can't find anything obvious wrong, so personally I would try to stop worrying and get on with enjoying her for as long as you are lucky enough to still have her.  Of course 'stop worrying' is far easier to say than do.
 
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efia

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Thanks for your advice and support OrientalSlave, I've had a look at the TIA page and it definitely sounds like a possibility!
 

Yesterday was a worrying day, she didn't seem herself at all and wasn't eating or moving around very much. But today is a different story, she's back into her usual routine, eating a bit more and wandering around the house again, phew 
 You're right, that I need to try to stop worrying and enjoy the time I have with her!

I've been feeling guilty about being out at work all day when I want to spend time with her, but giving her lots of fuss and attention in the evenings.


Thanks to everyone for your advice and well-wishes, it's really reassuring to know there's a forum full of people here on hand to help!
 

simdoll

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I'm going through something similar with my cat he just tried standing and walking however his legs have no coordination and slides from under him I'm so afraid.
 

white shadow

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I'm going through something similar with my cat he just tried standing and walking however his legs have no coordination and slides from under him I'm so afraid.
Welcome to the forum, simdoll!

You've dropped your brand new story into an old thread about another member's cat - that can be confusing to people who may try to offer suggestions......

But, FIRST OFF...your cat needs to be examined by a Veterinarian - there is no point in trying to get any other advice on the Internet for what is happening, because this is a medical emergency. Please don't waste any more time on the Internet -

Please take your cat to a Veterinarian now!

When you have had him examined and diagnosed, please come back and start a new thread....that way you will have everyone's clear and undivided attention and support.
 

tigerboy1

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Hi, my boy is at the vets now, we are awaiting his blood test results, hopefully it isn't a stroke but he like your baby is an old timer, so we have to wait and see. I hope your baby is still with you and is well. Thank you for sharing your situation to another worried Mum x 
 
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