Re: New here - two kitties with HCM
- Hi Nala!
That's what my vet thinks too, I just got off the phone with her,
his kidney values are causing the most problems. His BUN went up
but his Creatinine went down and she's not happy about the elevated
BUN. She phoned in a prescrption to my pharmacy for a stronger
antacid though I'm not sure what the name is as I'll pick it up
tonight. She wants to wait til maybe Monday to restart his
atenolol. Lasix we are going to try and keep on an every other day
or so dosing dependent on how he is. He was drinking this morning
and I added some extra water to his breakfast to help with
I'm pretty much at the point that it's a quality of life issue for
him now, I want him to eat and be comfortable but if his life gets
so unbearable than I'll probably have to make a decision which
breaks my heart. I was sitting next to him last night on our spare
bed and I just started sobbing and while in the midst of this I felt
a paw on my hand, he was trying to reassure me I think. He's such a
wonderful kitty. I feel guilty for probably causing this by
boarding him but he's never had bad reactions to boarding before.
He was in for 10 days last September and sailed through but I guess
his heart has just been letting him down.
- Hi everyone! Thought I'd post an update on my two boys, Pumpkin
with HCM, and Oscar with HCM+CRF.
Pumpkin had his follow up at the vet on Saturday and the vet is very
pleased with him. We talked about his murmur - when the vet first
thought she heard it back at end of '06 she characterized it as
Grade I. When she listened a month later it apparently was very
bad, she called it Grade IV-V. He's been on atenolol since early
Feb. (he's so easy to pill, just crush it and smear it on deli
turkey - he hoovers it back so fast!). So she listened to his heart
on Saturday and she said if she didn't know he had HCM she'd never
have guessed - his heart sounds great. He's gained a bit of weight
too and she said overall he looks great. The vets are still
debating putting him on something to prevent clots. He goes for a
recheck at the end of May.
Now Oscar, my problem child. He's continuing to hang in there.
He's back on Fortekor (1/2 pill/day) and gets Periactin to stimulate
his appetite (1/4 pill 2x per day) and it works - takes about 2
hours to kick in but then he eats. His weight feels okay
considering - he doesn't feel like the feather he did when he came
home from the vet early February with the CHF. He's also on Pepcid
but I have a prescription antacid too that I tried (sorry can't
remember name) but that didn't seem to make much difference. It's
so hard to know what he's feeling when I look at him. He breathes
fast but then I look at the other two and they seem to be breathing
just as fast. I guess I'm afraid to give him Lasix for fear that he
feels crummy not because of fluid but because of something else. He
was looking sickly yesterday afternoon until I pulled his brush out
of the drawer then he was all over me meowing and loving getting
brushed. His BUN was up at his last check with creat. down which
would explain his feeling crummy. I'll probably haul him back in to
the vet in a month to get his bloodwork retested to see how he's
doing. He's not taking his atenolol, he should be but he's just so
We're on the "one day at a time approach" with Oscar. His current
quality of life is definitely not good but he's not ready to give up
yet and neither are we.
- Thanks Nala! Oscar is actually do much, much better. He's eating
and acting almost completely normal - okay, normal for him! He was
really low on Sunday and Monday didn't seem much better but I
changed his food and kept giving him the periactin (he gets Pepcid
in the am and periactin at bedtime) and every day this week he's
gotten brighter and more like himself. I'm assuming that it's maybe
because his BUN is coming down with the new food, lower proten and
phos than what I was feeding him (Friskies). He's eating Science
Diet Adult Savoury Cuts in Gravy both the chicken and beef flavours
and he's definitely enjoying it. He's been eating almost two 6 oz
cans a day since Tuesday. Only other med he's on is his Fortekor.
He really is a fighter. I think now that spring is almost here and
it's getting warmer he's going to perk up a lot more too. I'm
thinking he may have been a tad depressed over the past month, I
guess feeling yucky and it being so cold and gloomy looking
outside. He just seemed very down. But I'm hopeful now he's going
to be with us a bit longer.
As for his heart meds, that's something I want to talk to the vet
about. It might be that we just let him be, stay on the Fortekor
and that's it since he is quite fragile. Continue to monitor him
for stress and potential fluid buildup. I guess we'll see how
things go over the next little while. I'm going to check his
breathing this weekend when I can hopefully catch him sleeping.
Sometimes it looks like he's breathing too fast then I realize he's
purring so of course that makes all the difference - it's just so
nice to hear him purr!
nala_zq <nala_zq@...> wrote:
I don't remember whether I responded to your note previously
or not - I know that I had intended to!
That is great news for Pumpkin! It is my opinion that if his heart is
enlarged, particular the left atrium, that it might not be a bad
put him on a clot prevention med, but that is just my opinion.
Of course, as you say, things are trickier with Oscar. I'm glad the
periactin is working well for him. My heart/renal kitty didn't do
so well with it. I didn't think the Pepcid mattered to my cat
much either, until I quit giving it to her for a couple of days and
her eating tapered off.
I wouldn't be afraid of the lasix. I know it is hard with heart
and renal kitties to manage both diseases, but if you think he
is breathing fast I would try to keep it in check. My cat no
longer gets any kind of standard lasix dosing. It is pretty much -
count respirations - hmm 28 - well normally they should be
about 22 when she is sleeping like this, I am going to give her
10 mg instead of 7.5 and see if they come down at all. Oh goodness,
now they are up to 36. Now she gets 10 mg. (it really drives me
I think it is important to try to figure out what kind of respiratory
rate is "normal" for Oscar when his fluid is under control. You
can't always rely on the respiration rates of your other kitties,
but you can also determine what is "normal" for them.
Try to get your counting done when Oscar is sleeping, not when
he is dreaming, not when he is awake. I also count the resps. when
my cat is awake, but completely relaxed - falling asleep - as she
wakes up when a piece of dust settles on the floor and her breathing
is always rapid when she is startled awake.
Best to you and the crew!