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Elderly Cat Help, Please

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Ok I know this is going to be long, I'll try to keep it as short as possible. I have a female Himalayan mix that is about 13 years old. I've had her since she was 5 weeks old (abandoned, grrr), adopted from a shelter. She's spayed, never had kittens. She's never been an outdoor cat, is fed Blue Spa food, completely spoiled attention wise. Over the years, she's had a few mysterious but expensive illnesses. At about 2 yrs, she developed a HIGH (107) fever and was extremely sick and was under constant watch by our amazing vet for 4 days. No idea what it was, even though they tested for everything under the sun. She was healthy and fine from 2-9 yrs, indoor cat only, etc. At about 10 yrs she developed Fatty Liver Disease, again almost lost her. I tube fed her for a month, she pulled out fine and she stayed healthy for 3 years.

In July of this year she got sick again. We took her to a new vet that came highly recommended for various reasons. He said that she appeared to have some sort of neurological disorder called Nystagmus because her eyes can't focus. They shift back and forth rapidly. He said the only way to fully diagnose her would be through expensive MRIs, etc. and that at her age it probably wasn't reasonable to put her through all of that. She didn't have a fever, blood work and stool sample came back fine. She barely ate or drank, and had (sorry, TMI warning here - do not read if you're eating) REALLY disgusting smelling green bowel movements, one of which was a pale pink and lots of it. The vet gave her sub Q fluids for dehydration and sent us home with 14 days of antibiotics and special high calorie canned SD food, since the only thing he found was a gum infection in her mouth. She ate a little of it from the first day, and gradually ate on her own and recovered fully.

Well it's been almost exactly 2 months, and she's sick again. It seems almost identical to her illness in July, except this time she won't eat anything at all. I'm confused, and frustrated. 4 days ago she was acting totally fine - eating, interacting, normal. :( FI took her to the vet yesterday for me because I couldn't get away from work, which was another crappy story for another day. Anyhow, our vet didn't run tests since it had only been 2 months. He said that her gums looked fine and that the Nystagmus might be causing her more trouble as she gets older. He gave her fluids and sent us home w/the medicine, food and nutri cal since this time she's refusing food completely. Yesterday, before her vet visit at 4:30 pm, she was VERY lethargic and just looked sick. This morning she is acting more normal (walking more, holding her tail up, hiding less) but she still refuses food completely. I don't get it, and it's really frustrating because she LOOKS fine, but I know she isn't.

I don't know what to do. I don't want to force feed her for the rest of her life, but I also don't want to give up on her. I know that no matter what, I'm going to continue to force feed her at least enough to keep her from getting the Fatty Liver Disease again and give her body time in case the antibiotics help this time like before. She didn't have a fever, and her gums are fine, so I am skeptical about the medication. I just don't know. I've had her pretty much my entire adult life and I can't remember or imagine life without her.

So other than venting all of that out, I guess I'm trying to find out if this sounds familiar to anyone, since we have a lot of pet owners on PS. I know that nobody can give me a definitive answer, but is this really signaling end of life transition for her? She seems so young and has lived such a sheltered life that it's hard for me to accept or believe that. :( Why is she acting better, but not eating? Are the fluids and force feedings of nutri cal & SD giving her energy but not fixing some underlying issue? I really worry that I'm just prolonging the inevitable and getting our hopes up. Ugh, such a mess. I'm sorry, I hope that makes sense.
 
Tammy, I'm so sorry to read this :(sad


I don't have any advice, just a ::HUG:: for you and prayers for your kitty - hang in there!
 
Tammy I'm really sorry to hear this. I just teared up because I put my best kitty friend to sleep just over a month ago. Hardest thing I ever had to do.

Although I can't comment on whats going on medically, I can kind of relate to what you're going through. My 15 year old cat, Ferris, was diagnosed with diabetes a couple of years ago. It was pretty simple to treat for a while, just 2 shots a day. It progressively got worse, and we had major ups and downs the last 6 months of his life. After every "down" he never quite got back to "him" again.

The last month, he was getting insulin, and subcutaneous fluids at home twice a day. When the diabetic neuropathy took over his legs, we knew things were getting bad, but he was still "fighting"... ya know? My hubby and I made a decision that when he gave up eating completely (even the A/D food that is specifically designed for cats who wont eat), that we'd let him go. That was our line for letting him suffer. Once he gave up food, we made the call.

I guess the reason I'm telling you all this is because I would have done ANYTHING to keep that cat alive, but once we had exhausted every option, we let him live his life until I knew he was no longer happy living it. As a pet owner who clearly love their kitty, you'll know when its time for them to go. Never feel like you've given up on them. A cat isn't a cat if they aren't eating their food, and jumping up to their favorite window sill, or laying in their favorite spot in the sun. Determining quality of life is key.

Best wishes to you and your kitty.
 
Tammy, I'm so sorry to hear about your kitty! I do know how awful it is to have a sick old baby -- have had many cats myself & now have one in his teens. The constant worry is just awful.

I looked up nystagmus on the web & found a lot of info, didn't understand most of it. But here is a link to a site that explains it in regular language: http://www.petmd.com/cat/conditions/neurological/c_ct_nystagmus

It sounds like the problem may originate with some other infection, condition or illness your cat has. According to the couple of sites I could decifer from technical language, nystagmus itself does not cause these other symptoms -- more likely the other way around. It sounded like cats can often live with it without problems.

Maybe you'd feel better consulting another vet to get a second opinion or find out what the underlying problem is. Are you anywhere near a good vet school? Often they are terrific places to take tough cases.

Let us know what you do & how you & your buddy fare -- I am really interested to know. Many many good wishes & thoughts coming to you.

--- Laurie
 
Thank you, Yssie. Your kitty is very cute with her big red hat.

elledizzy5 said:
Tammy I'm really sorry to hear this. I just teared up because I put my best kitty friend to sleep just over a month ago. Hardest thing I ever had to do.

Although I can't comment on whats going on medically, I can kind of relate to what you're going through. My 15 year old cat, Ferris, was diagnosed with diabetes a couple of years ago. It was pretty simple to treat for a while, just 2 shots a day. It progressively got worse, and we had major ups and downs the last 6 months of his life. After every "down" he never quite got back to "him" again.

The last month, he was getting insulin, and subcutaneous fluids at home twice a day. When the diabetic neuropathy took over his legs, we knew things were getting bad, but he was still "fighting"... ya know? My hubby and I made a decision that when he gave up eating completely (even the A/D food that is specifically designed for cats who wont eat), that we'd let him go. That was our line for letting him suffer. Once he gave up food, we made the call.

I guess the reason I'm telling you all this is because I would have done ANYTHING to keep that cat alive, but once we had exhausted every option, we let him live his life until I knew he was no longer happy living it. As a pet owner who clearly love their kitty, you'll know when its time for them to go. Never feel like you've given up on them. A cat isn't a cat if they aren't eating their food, and jumping up to their favorite window sill, or laying in their favorite spot in the sun. Determining quality of life is key.

Best wishes to you and your kitty.

Thank you for sharing your experience with me. The food that we have right now is the A/D as well, I'd forgotten the name of it. You summed up what I haven't been able to. If she doesn't want to eat anymore, and I'm forcing her along without her taking over on her own again in the next several days (at least a few bites on her own here and there), then I know I'll need to let her go. :blackeye:
 
JewelFreak, that is a wonderful website, thank you so much! I've been trying to find a good one, but most of the info didn't seem to give me any answers (more questions and confusion though). It makes a lot of sense - the dehydration, anorexia, vomiting. I have a feeling that this is what we're dealing with and what has caused the last few bouts of illness.

I guess we'll have to just keep going on this route, and hope it helps. Unfortunately, I can't do all of the testing and treatment that it would require to diagnose it 100%, but it sounds like it's not something that can be completely cured anyhow. Her vet is wonderful, and I trust him. I don't want to put her through anymore trauma of vet visits than I have to. She HATES leaving the house.
 
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