Hyperthyroid kitty advice needed

jim peterford

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Hello there! Not sure if any of you have seen my post in the nutrition forum about my adventures with changing over to a raw diet, but one of my girls (Lindy) was diagnosed as hyperthyroid back in June of 2010 and recently I have been running into some issues and would like some feedback and advice from people who may be in a similar boat.
I'm going to try to get to the point and not ramble too much, because I'm typing this on an iPad which is a major pain LOL... Basically, Lindy has been on tapazole twice a day since she was diagnosed, having moderate success. Her problem is, she will get to a point where the medicine has her balanced out, but after a while her t4 will drop down to almost 0 and she will stop eating, become lethargic and lose control of her back legs and balance. At this point we discontinue the tapazole and within a few days her level skyrockets to as high as 23 and we have to start the medicine again. We have experimented with different dosages and nothing seems to keep her at a normal range for long. It's also hard to tell how her levels are by just observing behavior, because her body seems to have a delay when her T4 goes too high or low, meaning if she is really low and stops eating and loses her use of her back legs, her level shoots back up after 3 or 4 days without the medicine but she clinically doesn't appear to be hyper for maybe a week or more after that! Does anyone have any suggestions or has anyone experienced this as well? I have been considering radioactive iodine but considering how sick she gets when her level is low has my vet concerned. She is also on phenobarbital to control seizures since 2005 and thankfully has been seizure free since then, but I wonder if the two meds cause her to have this reaction? I really don't know :(
All I do know is that when her T4 is too high, she eats a lot and doesn't gain any wait, and when she is too low, she doesn't eat and loses weight... She is down to about 7.8 - 8 pounds which makes me really sad because she should be about 9.5. She acts completely normal and does a good job of convincing me that she is ok.... The little liar ;). Oh, sometimes her stool will appear to be a lighter color and very dry as well. I've taken her for complete body function blood tests and everything comes back normal with the exception of the thyroid.
Again, if anyone has had any prior experience with this please give me some insight, it is extremely frustrating for both of us.
 

carolina

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Hello there! Not sure if any of you have seen my post in the nutrition forum about my adventures with changing over to a raw diet, but one of my girls (Lindy) was diagnosed as hyperthyroid back in June of 2010 and recently I have been running into some issues and would like some feedback and advice from people who may be in a similar boat.
I'm going to try to get to the point and not ramble too much, because I'm typing this on an iPad which is a major pain LOL... Basically, Lindy has been on tapazole twice a day since she was diagnosed, having moderate success. Her problem is, she will get to a point where the medicine has her balanced out, but after a while her t4 will drop down to almost 0 and she will stop eating, become lethargic and lose control of her back legs and balance. At this point we discontinue the tapazole and within a few days her level skyrockets to as high as 23 and we have to start the medicine again. We have experimented with different dosages and nothing seems to keep her at a normal range for long. It's also hard to tell how her levels are by just observing behavior, because her body seems to have a delay when her T4 goes too high or low, meaning if she is really low and stops eating and loses her use of her back legs, her level shoots back up after 3 or 4 days without the medicine but she clinically doesn't appear to be hyper for maybe a week or more after that! Does anyone have any suggestions or has anyone experienced this as well? I have been considering radioactive iodine but considering how sick she gets when her level is low has my vet concerned. She is also on phenobarbital to control seizures since 2005 and thankfully has been seizure free since then, but I wonder if the two meds cause her to have this reaction? I really don't know :(
All I do know is that when her T4 is too high, she eats a lot and doesn't gain any wait, and when she is too low, she doesn't eat and loses weight... She is down to about 7.8 - 8 pounds which makes me really sad because she should be about 9.5. She acts completely normal and does a good job of convincing me that she is ok.... The little liar ;). Oh, sometimes her stool will appear to be a lighter color and very dry as well. I've taken her for complete body function blood tests and everything comes back normal with the exception of the thyroid.
Again, if anyone has had any prior experience with this please give me some insight, it is extremely frustrating for both of us.
The lighter and dry stool could be from the raw feeding - that is very very typical :nod: I would not worry about that :nod:
What does your vet says about radioactive treatment? How old is she? I think I would be very tempted to choose that route..... as that is a cure, afterall....
The fear I have about not treating Thyroid, is the kitty developing congestive heart failure - trust me, you do not want to get there. I lost a kitty to it, because her past owners didn't treat the thyroid well, and she came to me too late :rbheart:. It is a horrhendous, painful death. I would do anything to avoid that - if nothing else works, I would totally give Iodine treatment a shot..... but I would not go without treatment..... Just my opinion..... Never in my life I would want to experience what I did with Gracie a second time - no kitty deserves that :vibes::vibes::vibes::vibes::vibes::vibes:
 
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jim peterford

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Took one step closer to getting the iodine therapy. Lindy had blood taken today and when the results come in tomorrow they will be faxed to the specialist who is going to set up a consultation for me. What scares me is in order to know how much of an injection she gets, we have to stop the medicine altogether for up to a week or two to see how high her t4 is... As usual I will keep you posted. I can't wait for this to be over with and I have my normal Lindy back!
 

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My Willow was hyperthyroid last September. I don't remember her numbers, but the first treatment I opted for was tapazole. I wish i rememebered more, but it didnt work as well as her vet would like, so i opted for the I-131, radioactive iodine shot. It worked perfectly, within 4 weeks her t4 was normal and never varied much. Her recovery was pretty uneventful, she lost her appetite for a few days but that was controlled with meds and sub-q fluids a few days later. Unfortunately, she was diagnosed with CRF right after and was PTS in January. The hospital,I used for her I-131 only required her to be off the tapazole for 5 days.
 
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jim peterford

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I'm so sorry about Willow. How old was she? Was the CRF linked to her being hyperthyroid? Not that I would know how that is possible, just curious. Is your profile picture a pic of her? Such a cutie :D
Yeah I don't know why I didn't do this sooner. She will only have to be hospitalized for 3 days. How crazy were the restrictions when she got home? I have another cat and for her and our safety I plan on having her in her own room for a while until she isn't glowing anymore :lol3:
 

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I'm so sorry about Willow. How old was she? Was the CRF linked to her being hyperthyroid? Not that I would know how that is possible, just curious. Is your profile picture a pic of her? Such a cutie :D
Yeah I don't know why I didn't do this sooner. She will only have to be hospitalized for 3 days. How crazy were the restrictions when she got home? I have another cat and for her and our safety I plan on having her in her own room for a while until she isn't glowing anymore :lol3:
Thank you, I miss her like crazy. That pic is of my new baby Pepper.

Willow had just turned 10 when she was diagnosed. She started peeing outside her box (right outside, so I thought she didn't like the litter or box or something else). The two were not related, thankfully. Lots of guilt that I didn't know she was sick, but they hide it so well. She was at the animal hospital Tuesday to Saturday. When she came home, we had to use flushable litter for about a week and wash our hands after playing with her or scooping the litter box. Her vet said the vast majority of radiation was out of her body before I picked her up, but those were the rules enforced by...the FDA? Or one of those agencies. Radiation is only eliminated through the urine so it's quite safe for people and even other animals.I didn't keep her isolated at all. The amount given was less than we'd be subjected to on a plane or if a person in the household had radiation treatments, so I really felt safe around her. she didn't want to eat much at first, but she was given an appetite stimulant, probiotics, an omega 3 and Recovery r/s food. She did need some fluids a few days aft she came home, but I think that's because she refused to eat. She had quite the attitude, I called her a grumpy old lady, she only did what she wanted to do. After the fluids, she was fine until the CRF was diagnosed. Everything went downhill after that, but her thyroid stayed steady.
 
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jim peterford

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Hey all. Sorry about the lack of posts, but it's been a hectic week. I took Lindy off her meds and she is going in for the radioactive iodine injection tomorrow morning! I'm excited and scared at the same time but I'm confident this will work. It has to...
I have a question for anyone who has, or has had a hyperthyroid kitty. It's been about a week that Lin has been off the tapazole, and predictably her thyroid level is high and she is showing many of the symptoms of being hyperthyroid. Mainly increased thirst and poor coat. The one thing I have noticed over the past week that she is not, is overly hungry. The last time I took her off the medicine for four days and her T4 came back as greater than 23! It's been almost 7 days without the medicine,(it's required for her to be off it for at least a week before the iodine) so I would assume her T4 would be maxed out, but she is actually turning away from her food that she normally wolfs down, and she also isn't running around like a lunatic exhibiting signs of hyperthyroidism. Is it possible that her level is so high that she feels sick and doesn't want to eat? Has anyone experienced this? At this point in having her intentionally go hyper, I didn't expect to walk into the room and see her lounging around and not being interested in playing or finishing her food. She isn't turning away from her food totally, but she will pick at it and only do a little at a time.
Again, I hope this is just a sign that her levels are so high that she feels sick to the point where she loses her appetite... I know that sounds awful, but I only say it because she needs to be at her thyroid worst before she goes for the treatment tomorrow, then hopefully this nightmare will be over...
 

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Again, I don't remember Willow's numbers exactly, but she was never hyper or overly hungry or thirsty. Her appetite did decrease a bit, not sure if the cause was her thyroid or her kidneys though. Are you giving her sub-q fluids (I don't recall if you said). When Willow was at her worst, it was very, very important to keep her eating, no matter what. I gave her anything she would eat, plain meat baby food, added the water from a can of tuna to her food, heated up the food, plain yogurt, any canned food she would take (the stinker the better). Not eating is the worst thing a kitty can do, so keep her eating above all else. Good luck tomorrow, Lindy will be FINE! For all my worry, the entire procedure was pretty much a non-event for us. The success rate for the hospital I used was either 96% or 98% and it was a textbook recovery for Willow. Her vet said the few that it doesn't work for usually have another underlying condition. Even with her CRF, it worked perfectly for Willow.
 

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My hyperthyroid cat had a better appetite when his condition was well-controlled.  Most of them do have hollow legs, but a significant minority don't want to eat.
 
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jim peterford

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Do you remember if you were allowed to feed Willow before the treatment? I'm bringing Lindy in around 8am and wondered if I should feed her beforehand.
 

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My hyper-T kitty ate like a pig when her numbers were off. She got really hungry, ate non-stop, and lost weight. The higher the #s, the more she ate.

Jim, all the best for her tomorrow..... :vibes::vibes::vibes::vibes::vibes::vibes::vibes::vibes:
Tell them to make SURE she eats, and that she hasn't been eating well.... She has to eat. They have to do whatever needs to be done there during these 3 days for her to eat. Sometimes vet offices are not the best with that (amazingly).
Do you have freeze dry treats? Like Halo Freeze Dry Treats? Cats go bananas for that! Does she like it? That is pure chicken, and if she doesn't want to eat her regular meal, that can hold her for a while. I would take her favorite foods, and her favorite treats - even if it is temptations.... To be used on worst case scenario.

Just let them know that you want her eating.....
Also, take a sweaty shirt of yours, or an used pair of pajamas.... Something with your scent to leave at her cage. It will help with the stress. You will probably not be able to bring it back though.
:vibes::vibes::vibes::vibes::vibes::vibes::vibes::vibes::vibes::vibes:
:hugs::hugs::hugs::hugs::hugs::hugs::hugs::hugs::hugs::hugs::hugs::hugs:
 
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jim peterford

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Lindy is home from her treatment! It was a long week without her here but it's finally over. She went in Monday morning and just came home today (Saturday). She did really well and the doctor told me she ate really well too. Now I have to keep her in a designated room in my house for two weeks and I feel really bad since she is already trying to get out and explore the house... She ate pretty well so far since coming home but her meow sounds really faint and she is even skinnier than when she left. They said that she will need her T4 checked between one and three months to see how effective the treatment was. Boy, I really don't want to wait up to 3 months lol... I'm assuming it's too soon to see any improvement? Does anyone have any more words of advice or would anyone like to share their experience after their kitty came home? So glad to have her home... I hope she starts to improve quickly. <3
 

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Lindy is home from her treatment! It was a long week without her here but it's finally over. She went in Monday morning and just came home today (Saturday). She did really well and the doctor told me she ate really well too. Now I have to keep her in a designated room in my house for two weeks and I feel really bad since she is already trying to get out and explore the house... She ate pretty well so far since coming home but her meow sounds really faint and she is even skinnier than when she left. They said that she will need her T4 checked between one and three months to see how effective the treatment was. Boy, I really don't want to wait up to 3 months lol... I'm assuming it's too soon to see any improvement? Does anyone have any more words of advice or would anyone like to share their experience after their kitty came home? So glad to have her home... I hope she starts to improve quickly.
 

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Hey Jim, how is Lindy doing? :cross: she is doing great! :vibes: :hugs:
 
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jim peterford

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Oh hey! I'm sorry! I haven't been on in a while and didn't see your last post. Lindy is doing very well! Her thyroid level has been normal since the iodine therapy and is back up to a healthy 10 pounds from the 7.8 she was down to when her condition was at its worst. My issue now is with my other kitty Noelle which you may remember who has had flare ups of IBD and pancreatitis in the past. She has been having some complications over the past couple of weeks so I am about to post on the forum I started for her that I'm sure you are a part of Carolina. Thank you for all your help!
 
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