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HCM & suspected Asthma Inhaled steroids bound to fail because oral steroids did?

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  • Sinead
    Dear Group, My cat is male 5 years old, non pedigree neutered. In December 2011 I noticed noisy breathing, he had every xray/ scan possible including trachael
    Message 1 of 3 , Mar 1, 2013
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      Dear Group,

      My cat is male 5 years old, non pedigree neutered.

      In December 2011 I noticed noisy breathing, he had every xray/ scan possible including trachael wash, nose endoscopy and ct scan of nose throat and lungs.

      antibiotics were given in case of hidden infection.
      asthma was suspected and oral steroids(prednisolone) were given on three seperate courses even doubling the dose and they did not work one tiny bit.

      In May 2012 he had an echocardiogram and was diagnosed with HCM he also had his ct scan of nose throat and lungs at that time and all that showed was inflammation in the lungs, quite a bit of mucus and red soreness at the back of the nose as well as slight swelling inflammation at the back of the throat.

      My boy has been left unmedicated at the advice of the Royal Veterinary Hospital in UK as they fear beta blockers for the HCM could worsen his respiratory issues.

      He is due another echocardiogram in May 2013 and I have started him on vetriscience cardiostrength supplement 1 a day since 29/01/2013.

      Recently I sent a video to his vet and the vet says that it has been watched by the best ear nose and throat specialist in the UK, and that they still feel it is asthma and that it is frustrating that he did not respond to oral steroids.

      Since he has HCM I would now NEVER allow him to have oral steroids again, but the vet said the two options for the suspected asthma are 1) try inhaled steroids
      2) have more xray/scan imaging of the airways to look for any changes.

      The fact that he had all the imaging in may 2012 which isn't really that long ago and his symptoms have not changed since, I feel apprehensive about having him anaesatised AGAIN especially since he has HCM.

      The vet says that since oral steroids didn't work then he does not feel that inhaled steroids will work but says we can try the Aerocat spacer chamber and fluticasone inhaler pump if we wish to.

      Has anyone had their cat not respond at all to oral steroids and then seen some improvement with inhaled steroids?

      Also are inhaled steroids safe for cats with HCM?

      My boy doesn't seem to cough anymore thankfully but he is so noisy breathing and frequently swallows as if he is swallowing the mucus.

      I have videos of the respiratory noise if anyone could compare the noise with their experience of having an asthmatic cat (?)

      I am sorry if this post seems long and I would be extremely grateful for some help.

      xxxx
    • Dana McCormick
      Hi Sinead,   I have had 2 HCM cats on Flovent. As it is inhaled, it s not a concern with the heart. Leroy was in it for several years and currently Fuzz is.
      Message 2 of 3 , Mar 1, 2013
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        Hi Sinead,
         
        I have had 2 HCM cats on Flovent. As it is inhaled, it's not a concern with the heart. Leroy was in it for several years and currently Fuzz is. He's been on Flovent almost 5 yrs and was diagnosed HCM in July. I don't have a any personal experience with oral steroids not working, as Fuzz and his brothers were put right on Flovent. I would try the Flovent, as that is the Gold Standard for asthma.
         
        Dana & Fuzz

        --- On Fri, 3/1/13, Sinead <sinead1982@...> wrote:


        From: Sinead <sinead1982@...>
        Subject: [FH] HCM & suspected Asthma Inhaled steroids bound to fail because oral steroids did?
        To: feline-heart@yahoogroups.com
        Date: Friday, March 1, 2013, 8:57 AM



         



        Dear Group,

        My cat is male 5 years old, non pedigree neutered.

        In December 2011 I noticed noisy breathing, he had every xray/ scan possible including trachael wash, nose endoscopy and ct scan of nose throat and lungs.

        antibiotics were given in case of hidden infection.
        asthma was suspected and oral steroids(prednisolone) were given on three seperate courses even doubling the dose and they did not work one tiny bit.

        In May 2012 he had an echocardiogram and was diagnosed with HCM he also had his ct scan of nose throat and lungs at that time and all that showed was inflammation in the lungs, quite a bit of mucus and red soreness at the back of the nose as well as slight swelling inflammation at the back of the throat.

        My boy has been left unmedicated at the advice of the Royal Veterinary Hospital in UK as they fear beta blockers for the HCM could worsen his respiratory issues.

        He is due another echocardiogram in May 2013 and I have started him on vetriscience cardiostrength supplement 1 a day since 29/01/2013.

        Recently I sent a video to his vet and the vet says that it has been watched by the best ear nose and throat specialist in the UK, and that they still feel it is asthma and that it is frustrating that he did not respond to oral steroids.

        Since he has HCM I would now NEVER allow him to have oral steroids again, but the vet said the two options for the suspected asthma are 1) try inhaled steroids
        2) have more xray/scan imaging of the airways to look for any changes.

        The fact that he had all the imaging in may 2012 which isn't really that long ago and his symptoms have not changed since, I feel apprehensive about having him anaesatised AGAIN especially since he has HCM.

        The vet says that since oral steroids didn't work then he does not feel that inhaled steroids will work but says we can try the Aerocat spacer chamber and fluticasone inhaler pump if we wish to.

        Has anyone had their cat not respond at all to oral steroids and then seen some improvement with inhaled steroids?

        Also are inhaled steroids safe for cats with HCM?

        My boy doesn't seem to cough anymore thankfully but he is so noisy breathing and frequently swallows as if he is swallowing the mucus.

        I have videos of the respiratory noise if anyone could compare the noise with their experience of having an asthmatic cat (?)

        I am sorry if this post seems long and I would be extremely grateful for some help.

        xxxx








        [Non-text portions of this message have been removed]
      • tourtaney
        Here is my personal experience: My cat Maggie was diagnosed with Asthma a few years ago during a routine exam. She did not have daily symptoms so I was
        Message 3 of 3 , Mar 1, 2013
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          Here is my personal experience: My cat Maggie was diagnosed with Asthma a few years ago during a routine exam. She did not have daily symptoms so I was hesitant to treat. I didn't want her on steriods if they weren't needed. Well, November 2012 I decided I had to get her in because she was coughing daily and her breathing was rapid. Low and behold, I found out she has RCM and was in heart failure. Fluid was drained from her chest, she was put on an ace-inhibitor and a diuretic and prednisone for the asthma. Her breathing stayed rapid and she seemed to be getting worse. So we stopped the steriod. She got better although her breathing rate has never dropped. We suspect it is due to the actual heart condition but my vet suggested the inhaled steriod. It takes about 2 weeks to build up in the system. But for my Maggie, at 1 1/2 weeks in, she breathing was awful. She was gasping for air after a treatment. I stopped the inhaler right away. Apparently she is just too sensitive to steroids in general. Although the inhaled is not systemic, there can be a slight amount that does get in your system.

          With the heart condition, I would be VERY concerned about treating with oral steriods as it sounds like you are. However, even with what Maggie went through, I would be tempted to try the inhaler. As I said before, Maggie's asthma was never very severe so I think that's partly why adding the inhaler upset her. But if your cat has symptoms and because heart condition can make the asthma worse (vice versa), I think it could be beneficial. You will know by 2 weeks if you're seeing an improvement or not.

          Good luck! Also, check out the Yahoo feline asthma inhaled meds group. There might be someone there who has more info regarding asthma and heart cond. treatment.

          Courtney & Maggie

          --- In feline-heart@yahoogroups.com, "Sinead" <sinead1982@...> wrote:
          >
          > Dear Group,
          >
          > My cat is male 5 years old, non pedigree neutered.
          >
          > In December 2011 I noticed noisy breathing, he had every xray/ scan possible including trachael wash, nose endoscopy and ct scan of nose throat and lungs.
          >
          > antibiotics were given in case of hidden infection.
          > asthma was suspected and oral steroids(prednisolone) were given on three seperate courses even doubling the dose and they did not work one tiny bit.
          >
          > In May 2012 he had an echocardiogram and was diagnosed with HCM he also had his ct scan of nose throat and lungs at that time and all that showed was inflammation in the lungs, quite a bit of mucus and red soreness at the back of the nose as well as slight swelling inflammation at the back of the throat.
          >
          > My boy has been left unmedicated at the advice of the Royal Veterinary Hospital in UK as they fear beta blockers for the HCM could worsen his respiratory issues.
          >
          > He is due another echocardiogram in May 2013 and I have started him on vetriscience cardiostrength supplement 1 a day since 29/01/2013.
          >
          > Recently I sent a video to his vet and the vet says that it has been watched by the best ear nose and throat specialist in the UK, and that they still feel it is asthma and that it is frustrating that he did not respond to oral steroids.
          >
          > Since he has HCM I would now NEVER allow him to have oral steroids again, but the vet said the two options for the suspected asthma are 1) try inhaled steroids
          > 2) have more xray/scan imaging of the airways to look for any changes.
          >
          > The fact that he had all the imaging in may 2012 which isn't really that long ago and his symptoms have not changed since, I feel apprehensive about having him anaesatised AGAIN especially since he has HCM.
          >
          > The vet says that since oral steroids didn't work then he does not feel that inhaled steroids will work but says we can try the Aerocat spacer chamber and fluticasone inhaler pump if we wish to.
          >
          > Has anyone had their cat not respond at all to oral steroids and then seen some improvement with inhaled steroids?
          >
          > Also are inhaled steroids safe for cats with HCM?
          >
          > My boy doesn't seem to cough anymore thankfully but he is so noisy breathing and frequently swallows as if he is swallowing the mucus.
          >
          > I have videos of the respiratory noise if anyone could compare the noise with their experience of having an asthmatic cat (?)
          >
          > I am sorry if this post seems long and I would be extremely grateful for some help.
          >
          > xxxx
          >
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