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Please help! HCM and lung disease (possible Asthma?)

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  • smittyhj82
    Hi. Wanted to get everyones thoughts on HCM and lung disease. Winston, my 6 month old Ragdoll was diagnosed with HCM last month. He is on lasix, atenolol and
    Message 1 of 4 , Oct 1, 2009
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      Hi. Wanted to get everyones thoughts on HCM and lung disease. Winston, my 6 month old Ragdoll was diagnosed with HCM last month. He is on lasix, atenolol and baby asprin. When they did his chest x-ray they noticed some very serious lung changes, but no one (his regular vet or the cardiologist) has ever mentioned that he has "FLUID" in his chest, and they have never said "CHF". So, my reglar vet leans toward asthma. How many of you are not only treating HCM, but breathing problems too?

      I would love to hear what HCM meds they are on and what Asthma meds too, as i'd like to discuss with my vet.

      Has anyone had a broncoscopy on there kitties?

      Winston sounds congested, stuffy and wheezy. Anyone notice this too? He snores also. Sneezes, but no nasal discharge.

      Please let me know if you can offer any insight on this situation.

      Winston sends thanks and hugs :)
    • katy4282003
      i typed a lengthy reply and my keyboard went nuts and i lost it! i will try again. belle was diagnosed with HCM in september 2004 about a year later she
      Message 2 of 4 , Oct 1, 2009
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        i typed a lengthy reply and my keyboard went nuts and i lost it! i will try again. belle was diagnosed with HCM in september 2004 about a year later she started this coughing thing- outstretched neck and she would move her head a little as she coughed. i though CHF immediately and literally rushed her to the vet. they found nothing. this went on for months and i was taking her to the vet or cardiologist weekly as it got worse. there was never any fluid. the only thing of note was a very slight flattening of her diaphragm seen on xray. labs were always unremarkable. her atenolol was switched to diltiazem to make sure that wasnt the cause of her coughing (atenolol can cause bronchial spasms or worsen asthma in some) but the med change didnt help in fact she had more issues- huge stomach upset, she lost weight and her murmur returned besides she still had these attacks. belle was seen by an internal medicine specialist who did a bronchial lavage- i DO NOT recommend you do this. it is IMHO aggressive and belle had an asthma attack during the procedure, had to bagged and resuscitated. the only good thing is that the IM specialist said that she knew what an asthma attack looked like and immediately put her on inhalers (less risky than oral or injectible steroids) but i was close to loosing her. since the procedure had to be ended early due to her attack the cellular sample was inconlusive but i think that sometimes you need to treat the patient and not the lab results especially when the procedure could end life. within 2-4 weeks on flovent the attacks stopped. belle stared out on 220mg flovent 2x a day, went to 1x a day about a year later where she has stayed but she goes back to her vet in a few weeks i want to see about lowering it to 110mg and she how she does. i have moved to my own home which is very well made and the air quality is very good so i am hopeful that she will need less medicine for her asthma.
        >^..^<
        katy & belle





        --- In feline-heart@yahoogroups.com, "smittyhj82" <smittyhj82@...> wrote:
        >
        > Hi. Wanted to get everyones thoughts on HCM and lung disease. Winston, my 6 month old Ragdoll was diagnosed with HCM last month. He is on lasix, atenolol and baby asprin. When they did his chest x-ray they noticed some very serious lung changes, but no one (his regular vet or the cardiologist) has ever mentioned that he has "FLUID" in his chest, and they have never said "CHF". So, my reglar vet leans toward asthma. How many of you are not only treating HCM, but breathing problems too?
        >
        > I would love to hear what HCM meds they are on and what Asthma meds too, as i'd like to discuss with my vet.
        >
        > Has anyone had a broncoscopy on there kitties?
        >
        > Winston sounds congested, stuffy and wheezy. Anyone notice this too? He snores also. Sneezes, but no nasal discharge.
        >
        > Please let me know if you can offer any insight on this situation.
        >
        > Winston sends thanks and hugs :)
        >
      • dshale1
        Yes, as I mentioned, Pye was diagnosed with mild asthma a number of years before the HCM, and has been on Flovent all that time. Currently she gets 1 puff of
        Message 3 of 4 , Oct 1, 2009
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          Yes, as I mentioned, Pye was diagnosed with mild asthma a number of years before the HCM, and has been on Flovent all that time. Currently she gets 1 puff of 110 Flovent twice a day, and for her heart she is on analapril, Plavix, atenolol and furosemide (Lasix). She has been on this regimen since last November when her echo showed severe HCM (previously had just been mild and she was only on atenolol).

          Neither my vet nor the cardologist ever said heart failure either, but the cardiologist said he saw a trace of pleural fluid and that's why he put her on the lasix. On x-ray there has not been any sign of fluid in her lungs, but she has her next echo in two weeks so we'll see.

          I did get worried in June because we had guests one weekend and she started hiding and wouldn't eat, so we thought of heart failure. However, the vet didn't find any evidence of that, but he did say her lungs were showing some changes typical of chronic asthma. Previously she was only on the Flovent dose once a day, but we then increased to twice a day (which is the norm). Follow up x-rays showed some improvement in her lungs and she was her old self again, so it was the asthma that was causing her symptoms, not the HCM.

          Lately she has been sneezing a bit but from what I've been told, sneezing isn't usually related to asthma. She is getting all her labs done this week and I'll see what the vet says about the sneezing.

          Pye's asthma was not diagnosed by broncoscopy, which, as has been described, is a rather stressful procedure. Originally her symptom was just occasional coughing--usually at night. She sleeps on the bed, and would wake up and have a coughing spell. Then she'd go right back to sleep. X-rays showed some mild lung inflammation, and I believe her bloodwork showed mildly elevated eosiniphils, which can indicate an allergic reaction. Vet decided to do a short trial with prednisolone, which stopped her coughing within 24 hours. Based on that evidence, he diagnosed mild asthma, which has been until recently completely controlled with Flovent once a day.

          Giving oral steroids to a heart kitty is risky but you could try Flovent to see if it helps. It takes a couple of weeks to take effect, though. Yes, due to the asthma Pye can be wheezy and snorty sometimes and used to snore pretty loudly, but she sounds much better on a higher dose of Flovent.
          -Susan

          --- In feline-heart@yahoogroups.com, "smittyhj82" <smittyhj82@...> wrote:
          >
          > Hi. Wanted to get everyones thoughts on HCM and lung disease. Winston, my 6 month old Ragdoll was diagnosed with HCM last month. He is on lasix, atenolol and baby asprin. When they did his chest x-ray they noticed some very serious lung changes, but no one (his regular vet or the cardiologist) has ever mentioned that he has "FLUID" in his chest, and they have never said "CHF". So, my reglar vet leans toward asthma. How many of you are not only treating HCM, but breathing problems too?
          >
          > I would love to hear what HCM meds they are on and what Asthma meds too, as i'd like to discuss with my vet.
          >
          > Has anyone had a broncoscopy on there kitties?
          >
          > Winston sounds congested, stuffy and wheezy. Anyone notice this too? He snores also. Sneezes, but no nasal discharge.
          >
          > Please let me know if you can offer any insight on this situation.
          >
          > Winston sends thanks and hugs :)
          >
        • Jill Barclay
          Hi Winston!! My cat Oscar  is 10 years old and has HCM,Asthma,and Diabetes.  He is on Enalapril,Spiro,Taurine supplements,and COQ10 supplements for his
          Message 4 of 4 , Oct 2, 2009
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            Hi Winston!!

            My cat Oscar  is 10 years old and has HCM,Asthma,and Diabetes.  He is on Enalapril,Spiro,Taurine supplements,and COQ10 supplements for his heart.  He is on a Flovent inhaler for his Asthma and he is on Insulin for his diabetes.  He is doing really well considering all of his ailments.  I wish Winston the best of luck!!

            Jill and Oscar




            ________________________________
            From: smittyhj82 <smittyhj82@...>
            To: feline-heart@yahoogroups.com
            Sent: Thu, October 1, 2009 8:05:08 AM
            Subject: [FH] Please help! HCM and lung disease (possible Asthma?)

             
            Hi. Wanted to get everyones thoughts on HCM and lung disease. Winston, my 6 month old Ragdoll was diagnosed with HCM last month. He is on lasix, atenolol and baby asprin. When they did his chest x-ray they noticed some very serious lung changes, but no one (his regular vet or the cardiologist) has ever mentioned that he has "FLUID" in his chest, and they have never said "CHF". So, my reglar vet leans toward asthma. How many of you are not only treating HCM, but breathing problems too?

            I would love to hear what HCM meds they are on and what Asthma meds too, as i'd like to discuss with my vet.

            Has anyone had a broncoscopy on there kitties?

            Winston sounds congested, stuffy and wheezy. Anyone notice this too? He snores also. Sneezes, but no nasal discharge.

            Please let me know if you can offer any insight on this situation.

            Winston sends thanks and hugs :)







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