Re: [FH] Marilyn & Nosey
Welcome to the group. Sorry to hear about Nosey's problem. You really know
your cat well to have noticed the difference in breathing. Good work!
It's normal under the circumstances for his appetite to be off a bit. I
know that's not a good thing - especially for a diabetic.
It sounds like he has pleural effusion - fluid in his chest, but outside his
lungs. My girl Pepper started to develop that. She was already on a high
dose of furosemide (20mg 3x daily) for fluid in her lungs when she started
developing the pleural effusion. They added another diuretic,
spironolactone, and that cleared up the new fluid. It seems that "spiro"
works better on pleural effusion than furosemide (or lasix).
Another suggestion is to give Nosey some rutin. The normal dose is 250mg
twice daily either mixed in his food, or melted in water and given with an
oral syringe. Rutin is good at treating the pleural effusion, especially
when the fluid contains chyle which is the fluid from the lymphatic system.
Note that congestive heart failure is not a disease. It is a *symptom* of
heart disease. The echocardiogram should tell the specialist which type of
heart disease he has since each has differences in treatment. There are
three types of cardiomyopathy - hypertropic, restricted and dialated
cardiomyopathy. Hypertrophic cardiomyopathy (HCM) is the most common.
For any heart disease, there are supplements that can help support heart
health. The most important is coenzyme Q10 (CoQ10). Others are amino acids
l-lysine, l-carnitine and l-taurine. I've also had great success with
another supplement, TMG. This helps the cat absorb oxygen more efficiently
which is great for Pepper who also has asthma.
Also, a good-quality canned food diet is very important, but I suspect you
would know a lot about diet because of the diabetes.
I would ask the vet about spironolactone and rutin. They are both effective
in treating pleural effusion. You can use both at the same time. Also, ask
which type of heart disease Nosey has.
As for life expectancy - I never ask. Personally, I don't want to know and
this is the type of disease where it's all guesswork. There are cats on
this list who have lived for years with heart disease. Pepper was diagnosed
in November 2004 although she was showing subtle symptoms for at least 2
years prior to that but nobody could figure it out. Just take a deep breath
and take care of Nosey! Go with positive thoughts.
----- Original Message -----
From: "rainman0307" <rainman0307@...>
Sent: Friday, August 04, 2006 7:58 AM
Subject: [FH] Marilyn & Nosey
> I just became a member, my cat Nosey was diagnosed with Congestive
> Heart Failure yesterday. He is 11 years old and has been diabetic for
> the past 4 years. I noticed that he was breathing labored in the past
> couple of days. He wasn't breathing faster than usual, but
> his "flanks" were just going in more than usual. An x-ray showed
> fluids in his chest cavity. I took him to a specialist who confirmed
> the CHF by way of an echocardiogram. They took 120 ccs of fluids out
> of his chest. Vet said his prognosis is guarded. I have to bring him
> back in in 10 days and at that point they will check whether he has
> more fluid buildup and probably check his heart again. I need to give
> him 1/2 pill of Furosemide 2x day, and 1 pill of Enacard once a day.
> His bloodwork was clean. They haven't checked for hyperthyroidism yet
> but will have those results today. I expect that test to be negative.
> His appetite, which is normally excellent, has diminished somewhat,
> but he is still eating fairly well, just being pickier than usual. Is
> there anything else I need to know about, ask about when I go back to
> the vet, what should I expect as far as life expentancy, etc.?