Severely Congested Kitty and Vet Can't Find What's Wrong To Help - Any ideas?

elb306

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I am at my wits end trying to figure out what could be wrong with my poor cat, and am hoping to get some suggestions on what steps to take next or see if anyone else's kitty has had something similar. 

Ever since my little guy was a kitten, he has suffered from some sort of chronic cold or infection that causes him to be constantly congested. He often sounds wheezy when he breathes, like there his lungs are congested, and his nose is always stuffy.  He constantly swallows as if he has a lot of mucus in his throat, and he also sneezes from time to time, though not a lot. While he does not seem to be affected too much by whatever is wrong (he is still active, playful and eats normally), I just feel so bad for him and would like to figure out what is wrong so that we can take the steps to eliminate the cold or at the very least alleviate the congestion. 

My veterinarian has prescribed a number or different treatments for him, but none of them seem to work. She says that the only thing we can do is continue to try out different treatments to see what will work, but hasn't been able to tell me what exactly is wrong with him, which is frustrating. 

My cat is a currently 2.5 year old male, and I have had him since he was a kitten. When he was a couple months old he started wheezing, coughing and sneezing, and so I took him to the vet, which prescribed him Clavamox. The Clavamox seemed to work at the time, but after a few weeks the symptoms returned and we tried another round. We did this 2 or 3 more times (he was also on Lysine throughout this whole time) before I insisted to the vet that it must be something else and so we did some testing. 

The vet performed a few tests, which back negative for everything, including asthma as well as for feline herpes. They did say that he had a small bacterial infection, and that even though herpes didn't show up on the test, that does not mean it could be ruled out entirely. My fear was that he has an upper respiratory infection, which I've read can be deadly for cats, but the doctor has not mentioned this at all.

After the testing, the vet then switched him to Doxycicline, which he did 3 rounds of. The first round he took a dose daily for 5 days, and afterwards was given the medicine twice a week. The medicine never seemed to get rid of the symptoms entirely, and so we tried another two rounds which consisted of him receiving 0.6 ml twice a day. Each time he took the Doxycicline, it seemed to manage the symptoms from getting worse, but never improving them. 

After I expressed to the vet that the Doxycicline did not seem to work, he was then switched to Famciclovir at 1 ml twice a day, which we just finished up. The Famciclovir did not work, and now his symptoms seem even worse which has me very worried. Since this did not work, I would like to think that we can eliminate the possibility of him having feline herpes.

Before going back to my vet to report the Famciclovir did not work, I would love to hear if anyone else has gone through something similar and what their vet prescribed. 

Thank You!
 

donutte

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She went from an antibiotic to an anti-viral medication? Just going by my limited knowledge, if the antibiotic worked, but the anti-viral (famiclovir) is not, it sounds like it may be bacterial. Have you guys tried any full rounds of antibiotics? By that I mean every daily for 10-14 days (none of the on/off stuff, never heard of that before).

Have they done any culture & sensitivity tests?

Your poor little guy, feel so bad for him.
 
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elb306

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Thank you for the reply!

I agree, I believe it is definitely a bacterial infection. He has done a couple full rounds of antibiotics, but nothing has cured him. The antibiotics helped to manage the symptoms, and keep him from getting worse, but still lots of wheezing. 

They haven't done any cultures or sensitivity tests, but the doctor doesn't seem to think it's allergies. 
 

stephanietx

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Poor kitty and poor you for having to deal with this for 2.5 years!  Wow!  You're such an awesome kitty mom or dad for being so diligent and loving your kitty to keep trying to find help. 

First of all, get a second opinion from a different vet.  Ask friends for references.  There is obviously something chronic going on with your kitty and your vet doesn't want to run the tests that will help diagnose it.  My first thoughts are possibly asthma, severe allergies, or some kind of upper respiratory infection that's being aggravated by an underlying secondary infection and/or feline herpes.  It could also be some combination of the three. 

You said your kitty is congested, doing the exaggerated swallowing (usually caused by excessive drainage in my experience), and sneezes.  I would ask the vet to do a culture and sensitivity test on his nasal passages, throat drainage, and anything he might sneeze out.  The culture will tell the vet exactly what kind of infection you're dealing with, bacterial or fungal.  The sensitivity test will tell the vet which med(s) will best treat the infection.  This test can also sometimes answer the underlying or secondary infection cause.  If you treat the underlying cause, then you're getting to the heart of the problem and treating the right thing with the right medication rather than just throwing meds at the problem willy-nilly. 

Also, I would highly recommend you have the Real PCR URD test run to rule out any other upper respiratory issues.  It does test for herpes, but it also tests for severa other respiratory diseases.  Just because the famciclovir didn't help, doesn't mean he doesn't have herpes either.  Here's information on what the PCR URD test covers:  http://www.2ndchance.info/cateyeIdexxURDpanel.pdf .

Wheezing can indicate asthma, but it can also be caused by a plain ol' upper respiratory infection or pneumonia.  My asthmatic kitty does the exaggerated swallowing (looks like gulping) and coughing without producing a hairball or vomit when she's really bad off.  She just sounds wheezy and congested when I hold her or pet her or when she purrs.  She also is prone to seasonal allergies, which just aggravates everything. She got a depo medrol shot about 2 months ago and she's been so much better since.  That has definitely cut down on her congestion and coughing. 

Lastly, is he eating okay and normal otherwise?  You might consider changing to a grain-free diet in case some of this is food allergy related.  Have you tried a daily antihistamine?
 

zed xyzed

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She went from an antibiotic to an anti-viral medication? Just going by my limited knowledge, if the antibiotic worked, but the anti-viral (famiclovir) is not, it sounds like it may be bacterial. Have you guys tried any full rounds of antibiotics? By that I mean every daily for 10-14 days (none of the on/off stuff, never heard of that before).

Have they done any culture & sensitivity tests?

Your poor little guy, feel so bad for him.
I agree with this post. There should be a culture and sensitivity test. They need to look for bacteria as well as a fungus 
 
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