Lethargic 11 year old Siamese Mix Neutered male cat / looking for new directions to pursue with vet

Hello, we have an 11 year old Siamese mix, Male neutered cat that's Lethargic,

Loosing weight, not eating much, not drinking much, not pooping much, not peeing much,

Sniffs water 'recoils', Sniffs food 'recoils'

Will eat treats, small amounts of crab meat

Will drink small amounts of distilled water with ice cubes and tuna/salmon/crab 'juice' (drained from can of tuna/salmon/crab kept in water)

We saw one vet that gave him Ranitidine, Clovamox and Mylan Mirtazapine

The vet said the Cat may be Anemic for unknown reasons

We're looking for either a new vet with better directions ... or suggested directions to explore with the current Vet

If anyone has seen something similar we're looking to help the vet find the quickest and easiest path to possible solutions for Spartacus.

Here are the labs and medications so far

Name : Spartacus

Birthday : 2002/09/03

Species : Feline

Breed : Siamese Mix

Sex : Neutered Male

Age : 11 years

Colour : Black

Weight : 7.90 Pounds

Temperature : 101.2

Resperation : 28

Pulse : 124

CRT : < 2 seconds

BCS : 3.0/5.0

Exam

Lethargic,

Loosing weight,

not eating much,

not drinking much,

not pooping much,

not peeing much,

Sniffs water 'recoils'

Sniffs food 'recoils'

2014/09/05 PS, Geriatric Panel

Follow up call given and Lab Work Explained to Owner. Anemia, inflammation

Clavamox Drops 62.5mg/mL

give 1 ml orally twice a day for 14 days

Keep Refrigerated

Shake well

Mylan Mirtazapine Tabs 15 mg

give quarter tablet and repeat every three days

Injected Ranitidine @ 2mg/kg through IV

IDXREQ IDEX LabREXX
Objective Section

lethargic, abdomen no UB palpable, no stool palpated

Normal systems - eyes, ears, nose, throat, integument, musculoskeltal, cardiovascular, respiratory, digestive, urinary, genital, neurologic, lymphatic, other, general

Assessment Section

Notes

Anorexia - Infectious, Inflammatory, Pancreatitus, Renal, Hepatic, Endocrine Disease, Neoplasia, Toxicosis, Cardiac, Respiratory, Oral Cavity Disorders, Psychological, Neurologic, Chronic Pain, Idiopathic, DX Open

Thanks for your time and help,

Bobby

I would ask about trying a steroid trial.  All of the symptoms but the anemia sounds like IBD.  A lot of vets don't think of IBD when there is no diarrhea, that happened to my kitty.  When he would flare he would be anorexic and constipated.  

Toxic neutrophils suggest a severe infection or inflammatory response. Bilirubin is high suggesting that red blood cells are being broken down at an abnormal rate. High bilirubin can cause jaundice so you should watch for that. High bilirubin also occurs with problems of the liver, gallbladder and bile ducts. I'm not sure those would cause anemia though.

This sounds like a possibility
http://www.vcahospitals.com/main/pe...alth/autoimmune-hemolytic-anemia-in-cats/2134
http://veterinarycalendar.dvm360.co...-or-immune-mediated-proceedings?rel=canonical


Another possibility. Any exposure to fleas or the outdoors?
http://www.veterinarypartner.com/Content.plx?A=1692

We went to the prior vet about ten days ago

We went to a new vet this morning and just got back

The Vet found a large lemon shaped intestinal tumor causing leakage and Spartacus was down another pound in weight

The new Vet pointed out a few things on the Chem Panels

I will try to get the records later and note the areas he said should have been suggestive to the first vet

Leah and I are both crying a lot right now ...

Bobby

Spartacus had been an indoor cat for most of the last three years

So sorry.. [emoji]128148[/emoji]

I am so very sorry.  Was anything said about possible surgery or chemo?

So sorry. Did he feel it on palpation or did he find it on imaging?

When my dog was put down with acute kidney failure, the vet said he found a mass the size of a grapefruit. The necropsy did not notice anything. I still do not know why the vet was so certain he felt a mass on palpation. The necropy said he died of endotoxemia with severe kidney damage, liver damage and infection within the heart. The infection in the heart only had a twenty percent survival rate and that was without the kidney failure. I felt terrible at the time for not being able to afford dialysis but the necropsy showed nothing more could have been done even with all the money in the world.

I would want to make sure it is visible on imaging and not something the vet thinks he feels.