I've had my cat Bizzy to the vet twice in 3 weeks now because she was
lethargic, not eating, sneezing and had swollen lymph glands in her neck. She
had also had an infection in her left eye resulting in third lid extending over
her eye.
On the first visit, they did a CBC, etc and found nothing, although they put
her on an antiobiotic.
When she only got marginally better, I took her again and they aspirated the
lymph glands, still huge, to send out for culture. The vet looked at some of
them under a slide and said she only saw salivary celles, nothing else, but
we'd wait for the results. She could only aspirate one side; couldn't get
anything from the second one.
I came home Christmas day and Bizzy seemed worse and the third lid has
re-emerged and has not retracted. And the sneezing has returned.
I'm concerned because the quality of vet care here (small PA town) is less than
stellar. Depending on the results from the lab, I'll probably take her to my
old vet near Philadelphia. I've spent nearly $500 and gotten nothing here
that's helping this cat.
This vet said if it's not a lymphoma, it could be clogged salivary glands,
they'd probably need a punch biopsy.
My house is extremely dry this year; I've scratched most of the skin off me
because it's so dry and itchy and I wondered if maybe some of Bizzy's symptoms
might be due to that. I took her in the bathroom and turned on the shower and
we steamed in there for awhile. I also put a sterile saline in her eye,
thinking it might just be dry. Because when she sneezes, she really rubs at ner
nose (reminding me of bad allergy attacks) I wonder if there isn't some
allergic cause, but would that create these giant swollen lymph nodes?
Also, she's always been a very vocal cat and has difficulty talking lately. I
asked if the glands were blocking her throat and the vet said she could palpate
the trachea still. The cat had a slightly elevated temp at the first visit,
normal at the second. She got a second round of antibiotics.
Like I said, I don't have a lot of faith in the vets in this area. I had one
snap out at me when I mentioned something I read on the Net. I won't tolerate a
doctor of my own with that kind of attitude, and won't have it in a vet either.
Any ideas or experiences out here with these symptoms? Not sure what my best
options are for Bizzy.
Thanks for any input.
Phil P. - 27 Dec 2004 06:13 GMT
> I've had my cat Bizzy to the vet twice in 3 weeks now because she was
> lethargic, not eating, sneezing and had swollen lymph glands in her neck. She
[quoted text clipped - 20 lines]
> This vet said if it's not a lymphoma, it could be clogged salivary glands,
> they'd probably need a punch biopsy.
Naa... If it was lymphoma the LNA would probably have been loaded with
immature lymphocytes - I doubt the vet could've missed them. Sneezing and
an eye infection sounds more like rhino than cancer! She's probably not
eating because she can't smell her food. Cats are attracted to food by
smell. Try heating up her food to body temperature - heated food is more
aromatic and might stimulate her appetite.
A word of warning: If the vet accidently aspirated salivary epithelial
cells (from the submandibular salivary gland), the cytology report will
probably come back as "metastatic neoplasia" - because epithelial cells of
*any* type in a LNA almost always indicates neoplasia. So, before you
accept the diagnosis, ***get a second opinion***.
> My house is extremely dry this year; I've scratched most of the skin off me
> because it's so dry and itchy and I wondered if maybe some of Bizzy's symptoms
[quoted text clipped - 3 lines]
> nose (reminding me of bad allergy attacks) I wonder if there isn't some
> allergic cause, but would that create these giant swollen lymph nodes?
You might be on to something. Indoor allergens are in the house all year
round - but their concentrations are lower in the spring and summer because
people usually keep the windows and doors open more. In the winter,
windows and doors are usually closed all the time -- so the concentrations
can rise. If a high concentration of antigen/allergens reaches the draining
LN it can trigger the immune system and sometimes even cause inflammation --
which in turn attracts inflammatory cells -- Wha-la, an enlarged LN!
Try to relax a bit until you get the lab report.
Good luck.
Phil
Ruffiane - 28 Dec 2004 06:02 GMT
Thank you for the reply. The pathologist's report did say they weren't able to
defnitively say what the cells were, although they suspect neoplasia because
they were dividing. After I went comatose for an hour I read that neoplasias
can actually be benign or malignant. Her lymph nodes are huge - could it still
something rhino? She's now on Clavamox for the runny nose. They were supposed
to call in an eye ointment for her because her third eyelid is half covering
her one eye. But they didn't. Can I use a bacitracin opthalmic ointment on her?
Anyway, she goes for a biopsy Monday and then we'll see.
Thank you again.