Cat Forum / General Topics / October 2003
Help!!! Iko won't eat -- no reason apparent...
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Nurse Crow - 04 Oct 2003 07:05 GMT Hi Gang,
Iko is my 14 y.o. Tonk/Manx mix. He is an indoor cat living with two adult humans and two other cats, all healthy. His only known medical problem is hyperthyroidism, currently under good control with methimazole (Tapazole) after a slight dosage adjustment about two weeks ago. A few days back he suddenly began refusing all food and liquids. Exam by three different vets has revealed nothing concrete. All bloodwork is fine, x-rays are negative, no masses can be felt, no pain is evident during handling or exam. Temp, pulse, and blood pressure are all normal. Blood sugar is elevated a small amount, but no more than would be expected under stress. No other diabetic symptoms noted. No significant weight loss aside from mild dehydration. Iko seems eager to eat and drink, responding to the sound of food being prepared and offered, but always failing to actually eat the offering at the last second. No coughing or sneezing, and his lungs are clear. He is not severely dehydrated. After the first 48 hours we began giving him 100 - 200 cc of sub-q Ringer's Lactate daily. He has used the litter box to pee twice in the past 72 hours, but no stools have been observed. Liver and kidney labs are all good, with three panels being done in the past 10 days. During periods of his best hydration (about 6 hours after each infusion) his appetite and especially his mood have increased somewhat. He still refuses liquids, but will eat a few grams of chicken. For the first time in his life, he will not purr, and is quite listless. This appears to be in cycle with his hydration, but may also be related to whatever is the underlying condition here. He will be having an ultrasound on Monday, as well as a nasal tube for forced feeding, and possibly IV hydration, if things do not improve by then. Many heads are better than a few... anyone have any suggestions or thoughts?
Thank you, ~Ed~ ~Ed~ "If it doesn't hurt, I'm not doing you any good."
RTR - 05 Oct 2003 06:00 GMT Jeez Ed. I feel for you. I just went through a nightmare with my 15 year old boy on tapazole as well. He just fell apart and it took 7 days to 'get him back'. I thought he was done. He's great now. He also started with not eating or drinking. In my case we (me and my wonderful vet) could only conclude, after all that dust had settled, that he wasn't getting his medicine everyday.
I had always put it in his food. Crushed to powder and mixed in well so his first bite is not Tapazole (he hates the taste and will walk away if he tastes it). But I wasn't paying enough attention to wether or not he was eating it all. So I think he was caught in a cycle of less and less food = less and less medicine. And when the thyroid is ailing, it affects every bodily function.
Anyway, (I'm not suggesting this...this is just my story) while he was dieing for a week in my arms, he seemed to like and be able to drink Hood 2% milk. My vet said that's ok seeing how it was the only 'food' he could deal with. She also said that milk is a laxative for them and it would be ok under the circumstances. No food other than that was he able to eat for 6 days! The milk kept my little sweetheart alive. And I had to administer 7.5mg a day of tapazole directly down his throat. He was not happy about that but that's what saved his life. On the 7th morning he ate some fresh turkey breast and then 15 minutes later I set out the food for my two boys (him being one of them) and he ate every bite since then. Whew! He was a goner. He decided to stay. On my birthday no less...best present I ever got!
I've gone back to 2.5mg of Tapazole (vet ordered) powdered in his food again. At times (not many anymore thankfully) when he either is just not hungry enough or for whatever reason, he doesn't eat much at medicine time, what I do is take that fresh turkey breast (I always have some for kitty snacks), put some Tapazole powder in a small plate, and 'dip' the pieces in very small amounts of the powder one after another until he gets it all. He tastes the Tapazole and gags sometimes (he really hates it) but he can't resist the turkey. Bottom line is I have to be vigilant and make sure he gets his tapazole everyday. By hook or by crook. He's beautiful inside and out again. And so much closer to me now for saving him. He was my little sweetheart before this happened. He can't be with me enough now. A blessing to me in every way. Now tell me, Iko's T4 count (thyroid unit) is ok? Do you know what the number is (T4)? What food are you feeding him and how are you administering the Tapazole? I'm certainly no expert but I can share my experience with you if that will help. -R
> Hi Gang, > [quoted text clipped - 34 lines] > ~Ed~ > "If it doesn't hurt, I'm not doing you any good." Nurse Crow - 08 Oct 2003 07:33 GMT >Jeez Ed. I feel for you. I just went through a nightmare with my 15 year old boy on tapazole as well. He just fell apart and it took 7 days to 'get him back'. I thought he was done. He's great now. He also started with not eating or drinking. >In my case we (me and my wonderful vet) could only conclude, after all that dust had settled, that he wasn't getting his medicine everyday. [quoted text clipped - 10 lines] >I'm certainly no expert but I can share my experience with you if that will help. >-R Thanks R! For sharing that... it does give me a little more hope... It's wonderful to hear about your Birthday present!!! Iko's T4 is good now at 2.4... It was actually a bit low (0.8), and they had to cut his dose a bit about 3 weeks ago, but we have had it measured three times (once by each vet) since then and it is staying in the 2.2 to 2.4 range now on a total of 3.75 mg a day... He takes pills well, and only tries to spit it out once in a while... right now we are crushing it and giving it with the water that goes into his nasal tube before and after each tube feeding... I thought he was going to die this morning, but my wife came home from work and we sat and held him literally all day... Today was his first full day on the tube feedings (he would take no food or liquid by mouth) and he seems to be responding better than I had hoped for. I was just hoping for him to last long enough for the feedings to give him some energy, and tonight he even asked for some real food, and ate a bit of tuna. He might still not make it, but at least I know he wants to fight... He had an ultrasound yesterday and might have a stomach tumor... they couldn't tell without exploratory surgery, and I won't put him through that, not in his condition at his age... We will take it hour by hour and keep on trying... Wish us luck! Thanks again, ~Ed~ ~Ed~ "If it doesn't hurt, I'm not doing you any good."
RTR - 09 Oct 2003 03:18 GMT Awww.....that's terrible to hear about your little one. How long now has Iko been failing like this? You obviously love your baby or you wouldn't be persuing it and spending so much money if you didn't. I know. I'm the same way. They are innocent and they are Love. There's nothing I wouldn't do for these special "children". PLEASE keep me (us) posted on Iko's progress. Iko is in my prayers and I send him white light to surround and permeate him for healing. Best of Luck to you and Iko........ -R
> >Jeez Ed. I feel for you. I just went through a nightmare with my 15 year old boy on tapazole as well. He just fell apart and it took 7 days to 'get him back'. I thought he was done. He's great now. He also started with not eating or drinking. > >In my case we (me and my wonderful vet) could only conclude, after all that dust had settled, that he wasn't getting his medicine everyday. [quoted text clipped - 36 lines] > ~Ed~ > "If it doesn't hurt, I'm not doing you any good." Nurse Crow - 12 Oct 2003 19:20 GMT Thanks again, R, as well as to everyone else who has sent us kind words for Iko... He is still hanging in there, and not in any active pain, but not doing well either. He has not improved in the last couple days. He pulled out his feeding tube, and we replaced it, but it is clear that this cannot work in the long term given how much he dislikes it. If he won't start eating in the next few days, the painful desicion will have to be made... We have added prednisone and Pepcid to his regimen, and hope that the next few days will see some improvement.
>Awww.....that's terrible to hear about your little one. How long now has Iko been failing like this? You obviously love your baby or you wouldn't be persuing it and spending so much money if you didn't. I know. I'm the same way. They are innocent and they are Love. There's nothing I wouldn't do for these special "children". PLEASE keep me (us) posted on Iko's progress. Iko is in my prayers and I send him white light to surround and permeate him for healing. >Best of Luck to you and Iko........ [quoted text clipped - 40 lines] >> ~Ed~ >> "If it doesn't hurt, I'm not doing you any good." ~Ed~ "If it doesn't hurt, I'm not doing you any good."
RTR - 13 Oct 2003 03:30 GMT Let us know. Poor baby.....Please still hope though. Iko needs that. -R
> Thanks again, R, as well as to everyone else who has sent us kind > words for Iko... He is still hanging in there, and not in any active [quoted text clipped - 53 lines] > ~Ed~ > "If it doesn't hurt, I'm not doing you any good."
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