Kidney Issues, Hyperthyroidism, Strange Purring Now

punkrulz

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Hello all,

I wanted to post here as part of a means to get some of it out there, and also in hopes that maybe I'll find some good news or information about the issues that my cat Spaz is suffering from.

Spaz is 9 years old, and this journey began a few days after Thanksgiving. Over the course of about two months he had been experiencing some pretty noticeable weight loss. The Sunday after Thanksgiving, he was acting incredibly strange as he had woken me up twice when he threw up. Throwing up for him has been normal since he was a kitten, usually eating his food too quickly. But this time was different. At this time he had also begun throwing up a clear liquid. I rushed him to the vet, where they ran some tests and stated that his kidney levels were really bad, he was very dehydrated, and he had an infection. He was admitted into the vet for the next three days where they would give him a course of antibiotics and fluids. I visited him every day, and he was significantly better after the first day.

After that was done, I was able to take him home and provide him some mediciation; more antibiotics, anti-diarrheal (he also had bloody diarrhea which onset Saturday night / Sunday morning when he was ill), and SubQ fluids. I was to give him all of the medication the best I can and take him back a week later. After the week was up, the doc ran more tests and determined that he still has the infection (this was expected) , and his thyroid levels were high. While the doc was happy that he was looking significantly better, the thyroid poses a complication because they can't treat that due to the current ongoing kidney issues. Also, her fear that this was an acute kidney issue is beginning to transition to a chronic one as she can't say for how long he has had these issues, or how damaged his kidneys are from this episode.

Unfortunately the doc wasn't very reassuring... she basically told me that he may have weeks, months, or may even bounce back but she can't give me any more information until his next followup which is the Wednesday after Christmas. This doesn't help my brain as every single day my brain decides to think that I'm not going to have my buddy anymore when I get home from work.

He's eating like a champ, drinking his water, and all around behavior has returned back to normal... except for one thing: Over the past few days, he has developed almost an inability to purr without being in discomfort. It sounds like he is congested, however it's only when he purrs. He breathes completely normal when not purring, but unfortunately he likes to purr and when this happens it is as if he can't exhale normally. This makes things even tougher because I want to comfort him during this difficult time, yet that would cause purring which I don't want him to suffer.

I contacted the vet who stated that if it is just while purring, we're going to wait and see and that it is probably a viral cold. They provided me with L-Lysine to help boost his immune system up a bit and hopefully get this quicker. I just want him to get better as we are supposed to have many years left together.

I've researched the posts on these forums but wasn't really able to come up with much of a determination. I am to monitor his breathing to see if this deteriorates at all. My question:

Could the fact that right now I am giving him 5x pills/day cause any of this? Some sort of esophageal discomfort? Or could I have given him a pill wrong and one got lodged somewhere it shouldn't be? He originally was on Metronidozal (sp?) liquid the first go around, but that stuff was so horrible and I felt he wasn't getting enough of a dose so I switched to the pills. Sadly that became 2x pills 2x/day.

Any thoughts, prayers, advice, or information is quite welcome. I'm trying to find anything possible that may give me some sort of reassurance that he will make it through this and that an already bad year won't end on a horrible note.

Thanks...
 

missmimz

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A bunch of issues here. What stage kidney disease was he diagnosed with? And what was his T4 levels? They vet didn't give you any medication for his hyper-t?!

The first one is you must get him on medication to treat his hyper-t. Untreated that will kill him. Hyper-t masks kidney issues, so likely his kidneys are worse than they actually appear right now, but that doesn't mean that you can't get things under control. The congestion could be fluid in his lungs or an enlarged heart, which is something that untreated hyper-t can cause, did they do an xray of his lungs? 

Honestly, you need to get a second opinion from another vet all of this sounds like haphazard vet care. Get copies of all his blood work and if you have a facebook join these two groups. One is for kidney disease (CKD) and the other for hyper-t. The CKD group will want you to post all his blood work so they can give you suggestions for what to do next. The people in these groups are amazing and smart and can guide you forward on what you should do next, but if this was my cat I'd be seeking out a new vet.

https://www.facebook.com/groups/felinecrf/

https://www.facebook.com/groups/42301610484/
 
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punkrulz

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Thank you for your response. I will give those Facebook groups a glance. Unfortunately the vet only showed me the blood work, they didn't give me copies of anything so I will have to obtain those.

The only blood level I recall was the T4 which I believe was 5.5. The vet stated she couldn't treat the thyroid yet until the infection and kidneys are under control. I believe she said the infection might be polyphrenisis (sp?).

I don't believe an X ray of the lungs has been performed since this occurred after the last visit. If I recall, they only did an X ray and ultrasound of his kidneys. At the time they were enlarged which is what initially supported the acute kidney disease diagnosis, not chronic.
 

missmimz

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Thank you for your response. I will give those Facebook groups a glance. Unfortunately the vet only showed me the blood work, they didn't give me copies of anything so I will have to obtain those.

The only blood level I recall was the T4 which I believe was 5.5. The vet stated she couldn't treat the thyroid yet until the infection and kidneys are under control. I believe she said the infection might be polyphrenisis (sp?).

I don't believe an X ray of the lungs has been performed since this occurred after the last visit. If I recall, they only did an X ray and ultrasound of his kidneys. At the time they were enlarged which is what initially supported the acute kidney disease diagnosis, not chronic.
Did they do a urinalysis? Did he have a UTI that went untreated for a long period of time? It's really hard to give any specific advice without seeing his labs. I don't know why your vet would say he may not have a long time to live if the infection was acute and not chronic. Hyper-t cats can live long lives with proper care and if his T4 was only 5.5 that's just in the abnormal range so that will be fairly easy to control and likely isn't masking the kidney issues too much (if that's a concern). Untreated hyper-t causes all sorts of issues. My cat had daily, terrible vomiting and nausea, and smelly soft stools before he underwent treatment for hyper-t. 
 
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punkrulz

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Did they do a urinalysis? Did he have a UTI that went untreated for a long period of time? It's really hard to give any specific advice without seeing his labs. I don't know why your vet would say he may not have a long time to live if the infection was acute and not chronic. Hyper-t cats can live long lives with proper care and if his T4 was only 5.5 that's just in the abnormal range so that will be fairly easy to control and likely isn't masking the kidney issues too much (if that's a concern). Untreated hyper-t causes all sorts of issues. My cat had daily, terrible vomiting and nausea, and smelly soft stools before he underwent treatment for hyper-t. 
Sadly I'm doing this from memory, so I'm not able to give you the most accurate information. I believe they did urinalysis when I first took him, but they didn't indicate anything involving a UTI.

I also sadly can't remember if she tested thyroid initially. I believe she did, but wanted to wait on fully determining if it was thyroid or kidneys causing the issue, which was kidneys. She changed from acute to chronic on our last visit, but still seems uncertain and wants the infection gone so they can get a better assessment as to what is going on. They also couldn't do a secondary urinalysis as he must've gone before I took him.
 
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