End of life care suggestions.

rthompson

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Hello everyone,

We recently adopted a 1 year old kitty.  We have had him since late October and notice in the last month he was acting strange and had reduced appetite. My husband and I contributed it to a change in cat food at first.  Then a week or two went by and the symptoms worsened.  So we bought different food (several kinds wet and dry) and encouraged kitty to eat.  Another week went by and this point he had reduced so much weight I knew a vet visit was extremely important if not critical.  Taz ( our cat)  went yesterday and after doing a fecal, blood, snap test, and urine analysis the prognosis is as such:  Cat is dying of unknown conditions.  Vet said feed him whatever he will eat including tuna, reduced sodium boars head lunch meat.  Just really whatever.  HIs IgG immunoglobulin were extremely high suggestion of a chronic unknown infection.  The vet suggested a place where we could take the taz to do scans but it would costs a large amount of money to receive a terminal illness DX which to us is not justifiable to spend the money on.  The cat was given a strong antibiotic, appetite stimulate, steroids, and critical care wet food.

My questions are this:

We have started steroid however concerned that this will just lower his immune system and allow whenever infection to kill him faster. Thoughts?

Not administering Antibiotic (px on the offside it is a weird bacterial infection but nothing present on smear test) because the side effects are vomiting and diarrhea and taz has very little appetite as it is.

I have been picking him up from his little spot where he spends a great amount of time sleeping and taking him to eat every two (2) hours?  Should I continue this even though he is sleeping? Should I do it more frequently?

Any other advice would be most helpful.

Current symptoms are just weight loss, reduced appetite, and lethargic... and increase IgG antibodies.  The vet has no clue.

Any advice and thoughts would be much appreciated.
 

GemsGem

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So sorry for kitten ! Poor little guy !

I'm not 100% on this so don't take my word for it but I think it needs to be a really high does of steroids to lower his immune system. Hopefully someone else on here will know more about this and reply.

Have you thought about bringing the food to him and holding it by his face to eat same with water etc.

I would just give him loads of fuss and spoil him rotten. I'm sure others will be along shortly and will reply with better advise
 

scarlett 001

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Bit confused about the antibiotic - are you not giving it then? Did he show those side effects or are you just worried that the side effects may happen? If there is infection somewhere, you have to attempt the antibiotics. There are some anti-nausea meds and appetite stimulants and probiotics that could help if he does experience side effects. Most of my cats don't exhibit any notable side effects on antibiotics.

Why does the vet say he is dying? Because he is not eating, or is there something on the bloodwork that leads him to say this? That is a strong statement to make with no real diagnosis. Could the kitty just be sick with a terrible infection that needs antibiotics and then he will be fine?

Do you have enough money for a 2nd vet opinion or not?

I have had a cat on prednisolone and an antibiotic at the same time, so possible to do. And her issues did not get worse during this time.
 
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denice

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A lower dose of a steroid is anti-inflammatory without suppressing the immune system.  Normally doses high enough to suppress the immune system is only given as part of chemo.  My kitty has been on an anti-inflammatory dose for 3 years now.

I can understand not being able to get the scans done, I didn't get a biopsy done for my kitties IBD.  A lot of money spent, an invasive procedure and it may not tell us anything.   I would consider a second opinion though.  Do you have a feline specialist in your area?  You can take the results for testing that has already been done or they can get them from your present vet.
 
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rthompson

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Not giving antibiotics at this time because of the cats low weight. If by chance he does have a reaction to antibiotics he will die. The vet thinks it's FIP dry. A elevated IgG blood levels suggest chorionic infection. Antibiotics only works for bacteria NOT viruses. The antibiotics were px on the off chance it was spirochete infection (lime) however a smear test would reflect that and it was normal.
 

scarlett 001

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Were his regular white blood cells normal then and not elevated? What makes the vet think it is a viral infection, not a bacterial infection?

If you and the vet are sure it is viral, then why were the antibiotics given - in case of secondary bacterial infection?

I had not realized that the vet had diagnosed dry FIP - I must have missed it in your initial post - I thought that you and the vet did not have any idea what was going on but that the cat was going to die - in which case the antibiotics might be worth a try.
 

oneandahalfcats

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Hello everyone,

We recently adopted a 1 year old kitty.  We have had him since late October and notice in the last month he was acting strange and had reduced appetite. My husband and I contributed it to a change in cat food at first.  Then a week or two went by and the symptoms worsened.  So we bought different food (several kinds wet and dry) and encouraged kitty to eat.  Another week went by and this point he had reduced so much weight I knew a vet visit was extremely important if not critical.  Taz ( our cat)  went yesterday and after doing a fecal, blood, snap test, and urine analysis the prognosis is as such:  Cat is dying of unknown conditions.  Vet said feed him whatever he will eat including tuna, reduced sodium boars head lunch meat.  Just really whatever.  HIs IgG immunoglobulin were extremely high suggestion of a chronic unknown infection.  The vet suggested a place where we could take the taz to do scans but it would costs a large amount of money to receive a terminal illness DX which to us is not justifiable to spend the money on.  The cat was given a strong antibiotic, appetite stimulate, steroids, and critical care wet food.

My questions are this:

We have started steroid however concerned that this will just lower his immune system and allow whenever infection to kill him faster. Thoughts?

Not administering Antibiotic (px on the offside it is a weird bacterial infection but nothing present on smear test) because the side effects are vomiting and diarrhea and taz has very little appetite as it is.

I have been picking him up from his little spot where he spends a great amount of time sleeping and taking him to eat every two (2) hours?  Should I continue this even though he is sleeping? Should I do it more frequently?

Any other advice would be most helpful.

Current symptoms are just weight loss, reduced appetite, and lethargic... and increase IgG antibodies.  The vet has no clue.

Any advice and thoughts would be much appreciated.
This could also possibly be Toxoplasmosis which is an infection caused by the parasite, T.gonddi. Increased levels of IgM (not lgM) antibodies is the indicator for this. Symptoms are the same as you have mentioned - Loss of appetite, lethargy and weight loss.

The treatment for this would involve a course of the antibiotic Clydamycin.

Along with continued feedings, I would also syringe-feed some water into him. He may becoming very dehydrated which may explain the lethargy. You should talk to your vet about sub-q fluids to help with this.

Here is some further information on Toxoplasmosis : http://www.vet.cornell.edu/FHC/health_resources/toxoplasmosis.cfm

You should probably bring up this possibility with your vet as soon as possible. Toxoplasmosis is treatable, whereas FIP in most cases, is not.

Hope this helps.
 
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rthompson

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It is just a theory DX. It would have cost hundreds or more to confirm FIP DX. Yes elevated white blood cells IgG. The antibiotics were px again just on the off chance it is spirochete (lime) however fecal smear was normal. So therefore I am withholding antibiotics until taz puts on weight. The Vets best guess is FIP. If not FIP most likely fatal.
 
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rthompson

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Thank you oneandhalfcats. I will show my husband this article. He has had a steady appetite today :). So I will start antibiotics tomorrow. Give taz some time to get some nourishment in his body. He is anemic right now.
 
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rthompson

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Seriously my hope just soared.....please please let it be Toxoplasmosis
not ready to say goodbye!
 

oneandahalfcats

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not ready to say goodbye!
She's beautiful. Lots of positive vibes, prayers and warm thoughts that it is! ...


Just a gentle reminder that if you can, try and get her drink more before starting the antibiotics, and keep on her once you start. This will help her to better handle the drugs and deal with any negative effects.
 
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rthompson

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I just called vet to see if IgM levels were high. They didn't even test taz for Toxoplasmosis. So annoyed. Here is a current pic as you can tell very skinny. Maybe you can't tell from pic but you can feel all his bones if you touch him.
 

scarlett 001

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Just a reminder - if necessary, you can always go to a 2nd vet for another opinion if you want. I had 2 vets tell me to euthanize my horse on two different occasions. Something did not feel write in their diagnosis and prognosis, and they had no interest in listening to me, so I moved on to other vets. Turns out that the first vets were wrong, and apparently had no interest in working with a tricky case. My horse is still with me several years later. I am not saying that this is the case with your vet, but even the best vets can miss things. I would never hesitate to get 2nd vet opinions when life and death situations (or even non-life threatening ones) are being discussed.
 

oneandahalfcats

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What did your vet say about the possibility for Toxoplasmosis?

It is not easy to see the skinny-ness unless I was familiar with him - The amount of fur is doing a good job in hiding much of his physique. Weight can be gained back so try not to worry too much but put your focus on getting more testing done to see if this is the Toxoplasmosis or some other benign condition that can be treated. If not possible with your current vet, then you should move on, and get with another for a second opinion and testing, as soon as possible. Stay strong!
 
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rthompson

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I spoke to vet tech and they just said that they didn't test for that. Told me test price. The antibiotics prescribed already are the same that work on toxoplasmosis. Maybe the vet was also hoping it could be toxo just didn't verbalize clearly.
 

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As I read through this thread, I have to admit that dry fip struck me as well.

There IS no test to confirm fip.

Are you able to copy the blood test results?

There are many factors that can be looked at.

Any fever?

I also believe it is CRITICAL to get him on antibiotics, asap.

Many things that will respond to antibiotics can be going on. If it is dry fip, it's certainly not going to make things any worse, since "no cure" already is the worst.

Try to post blood tests results.
 

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I wouldn't give up on your fur baby just yet especially if he's eating again. If it is toxoplasmosis make sure he gets the full dose of antibiotics! I would certainly seek a second opinion! My thoughts are with you and hope the wee darling pulls through x
:vibes:
 

oneandahalfcats

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I spoke to vet tech and they just said that they didn't test for that. Told me test price. The antibiotics prescribed already are the same that work on toxoplasmosis. Maybe the vet was also hoping it could be toxo just didn't verbalize clearly.
Ok, good. Forgot to mention that it would be an idea to give a good probiotic while your kitty is on the antibiotics. You can just break open a capsule and mix a bit into Taz's wet food. This will help to protect the immune system in replenishing good bacteria that gets killed off, along with the bad. 

Please keep us posted on how Taz is doing ...
 
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oneandahalfcats

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Hi there .. Just wondering how Taz is doing? Hope the antibiotics have been helping.
 
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