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Cat Forum / Health and Behavior / April 2006

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Portal Systemic Shunt

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Leanne - 25 Apr 2006 20:48 GMT
Hi
I'm looking for some help.  I have two 8 month kittens.  The male is
absolutely fine and developing really well.  The female has not grown
properly and has always been very nervous and dainty.  She has been
checked before and it was put down to her diet but she appeared to be
putting on weight.  In the last couple of days her balance has got
really bad.  She keeps falling over when walking and so on.  Due to
this we took her to the vets tonight.  The vet has said that he can't
find her liver by touching her and thinks it may be the above
condition.  She is going in for tests to find out.  If so she will need
surgery.  She is fully insured fortunately.
I am just wondering if anyone has any experience of this condition?
Obviously I am extremely upset about this and worried about her future.
Just to let you know they are domestic short hair and I got them from
RSPCA.  They were taken from a house that was overrun by cats ( they
took 20+ cats away) so she is no doubt inbred to some degree.  I have
had them from 8 weeks old.

Thanks for any help.
Leanne
-L. - 25 Apr 2006 22:33 GMT
> Hi
> I'm looking for some help.  I have two 8 month kittens.  The male is
[quoted text clipped - 16 lines]
> Thanks for any help.
> Leanne

Do a Google search for Kelly who used to post here - I think her
username is Snittens.  IIRC she has a cat with this condition.  Email
her - she's very nice and knowledgable.
-L.
Phil P. - 26 Apr 2006 20:36 GMT
> Hi
> I'm looking for some help.  I have two 8 month kittens.  The male is
[quoted text clipped - 16 lines]
> Thanks for any help.
> Leanne

There are two types of shunts- inside the liver (intrahepatic) and outside
the liver (extrahepatic). Extrahepatic shunts are much easier to repair.
Since your cat is so young, she probably has a congenital shunt which are
usually single, extrahepatic shunts.

Her stumbling might be caused by toxins in the blood from protein catabolism
going directly into the circulation without being detoxified by the liver.
A PSS causes blood containing toxins absorbed from the intestines to by-pass
the liver.  Until she has the surgery to repair the shunt, you might want to
speak to your vet about a low-protein diet (e.g., k/d) which should lessen
her symptoms. The lower protein content will produce less toxins.  You
should also speak to your vet about lactulose- its a laxative but it also
traps ammonia in the colon where it can be eliminated in the feces instead
of returning to the circulation. Ammonia is the chief toxin that's
associated with neurological signs in cats with PSS.

Most cats with congenital extrahepatic PSS recover completely, so keep the
faith!

Best of luck,

Phil
Leanne - 29 Apr 2006 17:29 GMT
Thanks for all your help.  The results so far have been quite positive.
Her xrays have shown that all her organs appear normal including her
liver.  The blood tests only show a slight infection and high red blood
cells.  The shunt tests don't come back until wednesday.  The vet has
put her on antibiotics and her appetite has shot up the last two days.
The vet still thinks that she may have a slight shunt but hopefully
treatable.  I'm hoping that things turn out well and she grows!  She is
still slightly wobbily but much better.  Fortunately, so far the vet
hasn't mentioned the unthinkable vet so things are looking up.

Fingers crossed that I won't have to make any hard decisions.

Thanks once again

Leanne

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