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Cat Forum / Health and Behavior / February 2005

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Nutri-CAT

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David - 22 Feb 2005 14:31 GMT
Hi,

I've been posting about my cat - she has a 1.5 cm hepatic mass in the
center of her liver..She has not been eating. I found out about Nutri-Cal
through this site and I think it really has made a difference in her
appearance.. She doesn't have that "gaunt" look..I give her about two 1
inch portions per day. I also give her appetite stimulant pills from the
vet twice per day as directed.

She does eat, but sporadically and in very small amounts. I take her dry
IAMS food, pour about 25 pieces in a bowl and wet it with warm water. That
works ok..she gobbles a few pieces down, then loses interest.

Only unusual thing is that she sniffs and sneezes at the food..sniffs and
sneezes..Other unusual thing is that she follows me in the kitchen, even
though she's disinterested in the food. It's like she's looking for
something, but can't say what.

Question is..is Nutri-cal ruining her appetite, so that she doesn't eat her
food? Can she survive on just Nutri-cal?

I'm worried about her digestive tract "freezing up"..It's been about two
weeks and she hasn't had a bowel movement..

thanks
David
Phil P. - 22 Feb 2005 15:30 GMT
> Hi,
>
[quoted text clipped - 16 lines]
> Question is..is Nutri-cal ruining her appetite, so that she doesn't eat her
> food? Can she survive on just Nutri-cal?

During a critical phase of anorexia, yes, but it takes about 5 or 6
teaspoons/day.  Nutri-Cal isn't designed to replace the cats normal diet,
its only supposed to provide minimal nutrition for energy and to avert HL
and also so the cat doesn't catabolize body protein.

If she's not eating, try offering her canned kitten food - its packed with
nutrition which will help offset her losses and keep up with her daily
energy needs.

> I'm worried about her digestive tract "freezing up"..It's been about two
> weeks and she hasn't had a bowel movement..

Two weeks? Did the vet take an x-ray of her colon and digestive tract?  She
may very well be constipated - if not obstipated.  Constipation will sure
make a cat not want to eat!

The longer feces remain in the colon, the drier and harder they become and
more difficult to eliminate.  She may need a stool softner and/or a laxative
or even manual evacuation.

Constipation in cats can be a real problem because whatever the cause, it
tends to be self-perpetuating because dry and hard stools can be painful and
difficult to eliminate - which makes the cat voluntarily inhibit pooping.

Did you tell your vet she hasn't pooped in two weeks?

Best of luck,

Phil
David - 22 Feb 2005 16:14 GMT
Hi,

Since she basically hasn't been eating, there's nothing to poop..She's been
drinking, though.

She was checked for constipation - they didn't find anything..
David - 22 Feb 2005 16:18 GMT
They did a coag test and it came out ok, however, the vet and I decided
that it was 99% sure tumor in liver was cancerous. Surgery would be $1,000K
+..too much money with the accompanying risk. Also, tests came back as
strong chance of FIV...which would only cause more tumors.

Vet recommended quarterzone injections..said that sometimes that
helps..We're going to try this weekend..

David
Karen - 22 Feb 2005 16:39 GMT
I would agressively pursue hand feeding her. Ask the vet for a/d and a force
feeding syringe. What are they thinking?

> They did a coag test and it came out ok, however, the vet and I decided
> that it was 99% sure tumor in liver was cancerous. Surgery would be $1,000K
[quoted text clipped - 5 lines]
>
> David
Phil P. - 22 Feb 2005 17:06 GMT
> They did a coag test and it came out ok, however, the vet and I decided
> that it was 99% sure tumor in liver was cancerous.

All the more reason to cut it out!   Where's your vet from, Krypton?  Most
vets I know need histopathology or cytology to distinguish benign tumors
from malignant tumors.  I seriously think you should find another vet.

Surgery would be $1,000K
> +..too much money with the accompanying risk. Also, tests came back as
> strong chance of FIV...

"Strong chance of FIV"?  WTF is your vet talking about?  If the in-house
ELISA produced a postive result, the results should be confirmed by the
Western Blot.  A negative ELISA snap can become a positive if the test isn't
performed properly.

> which would only cause more tumors.

FIV is a *Lentiviruses* and not oncogenic.  FeLV is oncogenic
(Oncornavirus).

Where did your vet get his DVM?   Mail order from a matchbook cover?  This
guy sounds like a real moron! Get your cat away from him! Quick!

> Vet recommended quarterzone injections..said that sometimes that
> helps..We're going to try this weekend..

David, you seem like a very caring companion to your cat but your vet is an
idiot and grossy incompetent and giving you bogus information.  *Please*
find another vet because the vet you have is actually dangerous.

Good luck,

Phil
David - 22 Feb 2005 17:54 GMT
Whoa!! I'm not a vet, I could be repeating things wrong..Don't get so down
on the vet...

It was my decision not to do the biopsy, the vet wanted to. I felt that
whether the tumor was cancerous or not, it would have to be removed. Why
expose the cat to extra procedures...I said it was my feeling that the
tumor was cancerous, and the vet said that she would agree...

In other words, they were doing the biopsy as a matter of procedure and for
back-up..but all the evidence was that it was cancerous.

The vet didn't do an FIV test because he said they have a high rate of
false-positives. The cat was not showing many FIV symptoms (fever, for
example) Also, the sonogram did not show the FIV symptoms (scarring on the
organs).

I also did force feed the cat successfully last week, and she crapped brown
spots all over the floor and my bed. Plus she was miserable and shaken..She
is eating some, I weigh her every day (get on my digital scale with her,
then without her and subtract the weight) and her weight is stable..she's
even gone up half a pound..

The $1000 surgery cost is just too expensive for me..we will have to go
with a less invasive procedure.

I respect my vet, his receptionist is also my cat sitter who first alerted
me to problems way back last October..I brought the cat in for tests then,
but nothing was found..

The facility is excellent, well run, has been around for years and has many
happy people in the waiting room..If you're getting a bad impression of
him..it's because of me being in the middle of everything.

I feel overwhelmed and sad.
Mary - 22 Feb 2005 18:07 GMT
> Whoa!! I'm not a vet, I could be repeating things wrong..Don't get so down
> on the vet...
[quoted text clipped - 30 lines]
>
> I feel overwhelmed and sad.

David, who are you talking to?
David - 22 Feb 2005 18:40 GMT
Hi Mary,

I'm talking to Phil..

Well, I called vet at lunch, bringing in Kitty for the Combo FIV/FLV
test..If it's negative for both, will probably go for surgery...$$$$$Ouch

David
Mary - 22 Feb 2005 18:56 GMT
> Hi Mary,
>
[quoted text clipped - 4 lines]
>
> David

Kitty will love you for it. If you include a snip of the post
to which you are referring, and maybe do not change the
subject line, we could all follow better. Just a suggestion.
Phil P. - 22 Feb 2005 18:47 GMT
> Whoa!! I'm not a vet, I could be repeating things wrong..Don't get so down
> on the vet...

I sure hope you're misinterpreting the vet!

> It was my decision not to do the biopsy, the vet wanted to. I felt that
> whether the tumor was cancerous or not, it would have to be removed. Why
[quoted text clipped - 3 lines]
> In other words, they were doing the biopsy as a matter of procedure and for
> back-up..but all the evidence was that it was cancerous.

All the more reason to remove it and send the entire mass to a lab for a
determination -- Which is what I would do.

> The vet didn't do an FIV test because he said they have a high rate of
> false-positives. The cat was not showing many FIV symptoms (fever, for
> example) Also, the sonogram did not show the FIV symptoms (scarring on the
> organs).

Then I don't understand what you meant by:

"Also, tests came back as strong chance of FIV...which would only cause more
tumors".

I am I missing something?

> I also did force feed the cat successfully last week, and she crapped brown
> spots all over the floor and my bed. Plus she was miserable and shaken..She
> is eating some, I weigh her every day (get on my digital scale with her,
> then without her and subtract the weight) and her weight is stable..she's
> even gone up half a pound..

That's not a very accurate method for monitoring a cat's weight.

> The $1000 surgery cost is just too expensive for me..we will have to go
> with a less invasive procedure.
[quoted text clipped - 5 lines]
> The facility is excellent, well run, has been around for years and has many
> happy people in the waiting room..

Sounds like you have a good relationship with your vet.  He should have no
problems with accepting installment payments for removing the mass and
follow-up treatments.

If you're getting a bad impression of
> him..it's because of me being in the middle of everything.
>
> I feel overwhelmed and sad.

Speak to your vet about a payment plan.

Good luck,

Phil
David - 22 Feb 2005 20:15 GMT
Hi,

What I meant was..they didn't do an FIV test, but the Vet felt that it
could be FIV..however, the blood work didn't have all the usual
"markers"..and there was no fever. He didn't want to do the test itself
because of the false positives..but now I wish he had.

Payment plan for surgery you suggested is a good idea, rather than paying
for one big chunk at once!!

David

> The vet didn't do an FIV test because he said they have a high rate of
> false-positives. The cat was not showing many FIV symptoms (fever, for
> example) Also, the sonogram did not show the FIV symptoms (scarring on the
> organs).

Then I don't understand what you meant by:

"Also, tests came back as strong chance of FIV...which would only cause more
tumors".

I am I missing something?
David - 22 Feb 2005 21:28 GMT
Hi,

Tumor in Kitty's liver could be caused by FIP, not FIV, I got the name
wrong!! See?? I'm not a vet.

Having Biopsy done tomorrow to see whether it is operable, is it cancerous,
or is it an FIP tumor...what is it. That's the latest.

David

>"Strong chance of FIV"?  WTF is your vet talking about?  If the in->house
>ELISA produced a postive result, the results should be confirmed by the
>Western Blot.  A negative ELISA snap can become a positive if the test
>isn't
>performed properly.
Phil P. - 24 Feb 2005 07:03 GMT
> Hi,
>
> Tumor in Kitty's liver could be caused by FIP, not FIV, I got the name
> wrong!! See?? I'm not a vet.

> Having Biopsy done tomorrow to see whether it is operable, is it cancerous,
> or is it an FIP tumor...what is it. That's the latest.

David, FIP is caused by a mutated coronavirus.  Feline coronaviruses do not
cause cancer.
David - 24 Feb 2005 14:12 GMT
They said that FIP could cause tumors in the liver, I do understand that it
does not cause cancer. I read on the net a very good description of FIP,
and Kitty did have one of the symptoms - fluid on the belly - her back
tummy was really hanging down..you could feel the fluid in there. But it
could also be from something else.

Kitty went in for her biopsy yesterday, I get the results on Monday, then
we'll make THE DECISION. Meanwhile, she goes in Saturday for a quarterzone
shot, they said this helps things in the meantime..

If the tumor is cancer, and it is operable..what are Kitty's chances of
surviving surgery? I guess that even if it isn't cancer, it should be
removed...Will that cure her..

How long is recuperation? Does she suddenly go back to normal and start
eating the minute she gets home after the tumor is removed?

If it's inoperable cancer tumor, then we'll use chemotherapy (the vet said
that a combo operation/chemo is another scenario depending on the type of
tumor). Will Kitty's hair fall out like Melissa Etheridge?

If it's FIP - what will be the typical course of treatment they will use..

If I need to put her to sleep..what's the best way to go about it..Do it as
quickly as possible? Let her have one more week to live?

EEEK!

David

>Re: it was FIP, not FIV ! ! ! ! !
>Phil P. 24 Feb 2005 07:03
>[quoted text clipped - 8 lines]

>David, FIP is caused by a mutated coronavirus.  Feline coronaviruses >do
not cause cancer.
Cathy Friedmann - 24 Feb 2005 14:39 GMT
> If it's inoperable cancer tumor, then we'll use chemotherapy (the vet said
> that a combo operation/chemo is another scenario depending on the type of
> tumor). Will Kitty's hair fall out like Melissa Etheridge?

No.  Cats tolerate chemo much, much better than humans do.

> If I need to put her to sleep..what's the best way to go about it..Do it as
> quickly as possible? Let her have one more week to live?

Depends upon her current quality of life.

Cathy

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