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Cat Forum / Health and Behavior / November 2004

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Cat coughing or retching (not sure which)

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Morac - 25 Oct 2004 16:58 GMT
I have a 7 or 8 month old kitten I picked up from a shelter a few
months ago.  She later ended up testing positive for Feline Leukemia.
About a month ago she started either coughing or retching daily on
average.  She starts making a hacking type sound then jumps to the
floor and lies flat on the ground (sometimes with her head on the
floor, sometimes not) the hacking sound gets more intense until she
finally makes a regurgitation sound.  She never spits anything out
though.  The whole thing lasts about 20 or 30 seconds.

Other than that, there doesn't seem to be anything physically wrong
with her.  I brought her to the vet and the vet asked me to videotape
her in the act so he could tell if it is a cough or retch.  I don't
have a video camera so he wants to run x-rays since he says cats that
are coughing are seriously ill.

From past experience though I think the vet is looking at my cat as a
cash cow so I tend not to believe everything he says.

Is there an easy way to figure out if she is coughing or retching?
Also is coughing a sign of something serious like the vet said?
Yngver - 25 Oct 2004 17:48 GMT
>I have a 7 or 8 month old kitten I picked up from a shelter a few
>months ago.  She later ended up testing positive for Feline Leukemia.
[quoted text clipped - 16 lines]
>Is there an easy way to figure out if she is coughing or retching?
>Also is coughing a sign of something serious like the vet said?

The posture you describe sounds exactly like the coughing cats do when they
have asthma. Asthma is serious but very treatable. Our own cat's asthma is
completely controlled by a puff of inhaled medication every other day and she
hasn't coughed in a year. A vet should be able to arrive at a diagnosis of
asthma without seeing a videotape; since you don't trust your vet anyway, if I
were you I'd see a different one. Our cat was diagnosed with chest x-rays and a
blood test that showed an allergic response (inhalant allergies). I'd also have
that vet re-test for FeLV to see if it's still positive.
Mike - 25 Oct 2004 23:15 GMT
For what it's worth, the vet gave her a physical (listened to the
lungs, took temperature, etc) and said she sounded normal.  He said she
could have walking pnemonia though.  He never even mentioned asthma.

Unfortunately the vet I like had to reschedule do to an emergency which
is why I saw this vet (his partner).  This vet also misdiagnosed an ear
infection in my other cat as mites even though the mite test came back
negative twice.  The vet I wanted to go to diagnosed the problem just
by looking at the cat.

I scheduled her to get an x-ray (the vet also wants to do a white blood
count test on her now and again every 3 months).  Unfortunately the way
it works is I have to leave her at the vet all day (not sure why, but
that's what they said I have to do).  They also might have to sedate
her since she will definately be freaked out.  What started out as
being $80 for an x-ray all the sudden has nearly doubled.  To be
truthful I don't want to end up spending a huge amount of money on a
terminally ill cat, but apparently the vet has other ideas.
Mary - 26 Oct 2004 02:09 GMT
> For what it's worth, the vet gave her a physical (listened to the
> lungs, took temperature, etc) and said she sounded normal.  He said she
could have walking pnemonia though.  He never even mentioned asthma.

You need a new vet.
Yngver - 26 Oct 2004 17:06 GMT
>For what it's worth, the vet gave her a physical (listened to the
>lungs, took temperature, etc) and said she sounded normal.  He said she
>could have walking pnemonia though.  He never even mentioned asthma.

He thinks she has pneumonia and he didn't rush to treat her? A cat can die of
pneumonia in 24 hours. I agree with another poster; I'd see another vet.
Coughing isn't normal, but the seriousness of the cause can vary. It can be
asthma or bronchitis, heartworm, bordetella, or a heart condition.

>Unfortunately the vet I like had to reschedule do to an emergency which
>is why I saw this vet (his partner).  This vet also misdiagnosed an ear
[quoted text clipped - 7 lines]
>that's what they said I have to do).  They also might have to sedate
>her since she will definately be freaked out.

I guess some vets do sedate cats for an x-ray, but mine doesn't. Our cat was
x-rayed right there in the office. He just has some of the assitants hold the
cat still. IMO it's not really something for which you need to leave the cat
there all day.

What started out as
>being $80 for an x-ray all the sudden has nearly doubled.  To be
>truthful I don't want to end up spending a huge amount of money on a
>terminally ill cat, but apparently the vet has other ideas.

How was your cat tested for FeLV? The ELISA test will turn up more false
postives than the IFA test. Also, keep in mind that some cats with FeLV can
live a fairly healthy life for several years. That may be what the vet is
thinking.
Mary - 25 Oct 2004 20:35 GMT
> I have a 7 or 8 month old kitten I picked up from a shelter a few
> months ago.  She later ended up testing positive for Feline Leukemia.
> About a month ago she started either coughing or retching daily on
> average.

It is probably asthma but could be heartworms. She needs to go back to the
vet.
Mary - 25 Oct 2004 20:51 GMT
> Is there an easy way to figure out if she is coughing or retching?

Well of course--if she is retching you will find vomit.

> Also is coughing a sign of something serious like the vet said?

Cats can die from asthma but only if you allow it to go untreated. Your cat
does need a chest xray--your vet and even you can tell from that if she has
asthma. Then you can go with an inhaler as someone else said, or with a shot
of Depo Medrol (my cat gets about two shots a year and never coughs any
more) or oral steroids. It is only a big deal if you do not treat it.
teri - 28 Oct 2004 02:33 GMT
>Cats can die from asthma but only if you allow it to go untreated. Your cat
>does need a chest xray--your vet and even you can tell from that if she has
>asthma.
Sometimes they can tell from a CXR, but not always.  Might need other
tests.
Teri
Chris - 26 Oct 2004 02:50 GMT
For what its worth, my cats do this when they're trying to cough up a
hairball or have 'found' a little dust ball someplace or other!

>I have a 7 or 8 month old kitten I picked up from a shelter a few
> months ago.  She later ended up testing positive for Feline Leukemia.
[quoted text clipped - 16 lines]
> Is there an easy way to figure out if she is coughing or retching?
> Also is coughing a sign of something serious like the vet said?
jamie - 26 Oct 2004 05:54 GMT
> Is there an easy way to figure out if she is coughing or retching?
> Also is coughing a sign of something serious like the vet said?

Sounds like she's coughing -- stretched out flat with head low to
the floor, making a wheezing sound.

Retching or bringing up a hairball usually is not the flat posture,
and it sounds more like "york, york, york."

Cats, like humans, will sometimes have a coughing fit until they
throw up, which tends to make a lot of people confuse coughing for
trying to retch up a hairball.

Coughing may be asthma, allergies or lung parasites, and can
be quite serious.  Have her chest x-rayed.

Signature

 jamie  (jamiemck@newsguy.com)

         "There's a seeker born every minute."

PawsForThought - 26 Oct 2004 13:27 GMT
>From: morac99-usenet@yahoo.com  (Morac)

>About a month ago she started either coughing or retching daily on
>average.  She starts making a hacking type sound then jumps to the
>floor and lies flat on the ground (sometimes with her head on the
>floor, sometimes not) the hacking sound gets more intense until she
>finally makes a regurgitation sound.  She never spits anything out
>though.  The whole thing lasts about 20 or 30 seconds.

Sounds like possible asthma.  A test for it involves a tracheal wash.  But I'd
make sure you go to a good vet to have it done.  

Good luck,
Lauren
________
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Arubalisa - 02 Nov 2004 20:14 GMT
I have to say your story is very similar to ours.

Our Rocky begins hacking, gets down on the floor real low and flat,
with a cough building up until he finally makes that "sound". Rocky too
shows no other symptoms although is a little more susceptible to head
colds than our other 4 boys.

Took him to the vet who put him on a course of antibiotics to rule out
a respiratory infection. Our vet is now treating him as an asthmatic
with a short term dose of Prednisone. This medication has actually
worked well so far and the hacking episodes are now only one or two a
day.

BTW, fwiw, there have been many threads re: ashtma in felines and Rocky
is not overweight and is in otherwise perfect health. We have a fairly
expensive air cleaner, we do not open windows (with the 80+ degree
weather here in Georgia we still have the air on), do not smoke and
keep a clean house.

Lisa
http://www.hoosierkitties.com Hoosier Kitties- Resource Links for You
About Your Cat

> I have a 7 or 8 month old kitten I picked up from a shelter a few
> months ago.  She later ended up testing positive for Feline Leukemia.

> About a month ago she started either coughing or retching daily on
> average.  She starts making a hacking type sound then jumps to the
[quoted text clipped - 14 lines]
> Is there an easy way to figure out if she is coughing or retching?
> Also is coughing a sign of something serious like the vet said?
Yngver - 03 Nov 2004 00:01 GMT
>I have to say your story is very similar to ours.
>
[quoted text clipped - 16 lines]
>
>Lisa

A short course of prednisone is sometimes used to help diagnose asthma--if the
symptoms abate, then presumably the cat does have asthma. In our case, our
cat's coughing completely ceased within 24 hours of starting the prednisone.

Your cat can be allergic to something inside the house, no matter how clean.
Our vet said that many times you never actually find out what the cat is
allergic to. In our case we assume it is something airborne.
Samantha G. - 04 Nov 2004 17:23 GMT
I took in a sick stray a couple of years ago. He turned out to have
distemper (I don't know if that's pneumonia or what). At any rate, he
did get well, but has always lived outside and every fall and spring
he ends up with an upper respiratory infection, the vet said is a
effect of the distemper.
When his uri starts, he will act the same way, hacking/coughing like
he has a hairball while laying flat on the ground, and also
coughing/sneezing (sometimes it's hard to tell which).  I have to take
him to the vet for a course of antibiotics (costs about $60 for me)
and he is fine again until the damp weather starts again in
fall/spring.

You said you got the cat from a shelter? Do you know its history? I
guess it is a long stretch, but I thought I would share my experience.

P.S. No posts telling me that I am irresponsible allowing the cat to
live outside.  He was around 8 months when I found him and being
indoors absolutely freaks him out.  He always has his vaccines, and I
would rather him live a short, *happy* life outside than a long
*miserable* one indoors.

> >I have to say your story is very similar to ours.
> >
[quoted text clipped - 24 lines]
> Our vet said that many times you never actually find out what the cat is
> allergic to. In our case we assume it is something airborne.
 
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