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Hypertension, Hypothermia, Rapid Weight loss with no appetite change

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  • alisquinn
    I took Dove, my 18 y/o male, neutered cat in for a checkup last Friday. His blood pressure at the time of the visit was 170 and the vet said he detected a
    Message 1 of 4 , Jan 9, 2014
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      I took Dove, my 18 y/o male, neutered cat in for a checkup last Friday. His blood pressure at the time of the visit was 170 and the vet said he detected a grade 3 murmur out of 6. he didn't specify which type of murmur it was. he also took his temp and it was 99.5. He had lost 4lbs in the past 7months, but otherwise looked good the vet said. 

      blood work was ordered and his BUN was 59, Creatinine was 2.1 (normal). Urine was normal, no protein, but his urine was dilute (SG 0.1016 - low normal). Vet recommended an echocardiagram and an abdominal sonogram for the kidneys. 

      His appetite has been robust, but he sleeps almost constantly, but is always up and alert when i sit down and spend time with him. He still humps my 15 yo Siamese Lucy even. But he drinks water like it's nobody's business. Though his urine output is not increased. Maybe he goes like once or twice a day. 

      His Free T4 was checked and was low normal, though for the past five years it had always  been up around 3-4. And his glucose was normal and always had been at around 112. 

      So, I went home over the weekend and started feeding him double the amount of food, which he greedily ate all of and still wanted more. He had an injection for arthritis and his vitamin b shots last Friday at the vet. 

      Wednesday, I decided to take him in and give him drontal and marquis (ponzaril) just in case the weight loss was due to tapeworms or coccidia. I also had them give him some more vitamins and SubQ fluids as his dandruff was getting really bad. I asked them to do his vitals while he was there. 

      Since the previous Friday, he had gone from 9.75lbs to 9lbs and his skin was hanging off of him in folds. Even though his eating over the past 5 days had doubled. His BP was 220, and his body temp was down to 98. Immediately, I had them hospitalize him and scheduled the echocardiagram and the abdominal sonogram. 

      They put him on heated water bottles, and gave him transdermal enalapril. Within several hours his temp went up to 101 and his BP went down to 140. Vet said he continued to eat very well. 

      This morning his BP was back up to 200, though his body temp remains at 101. He continues to eat greedily. 

      He's currently in the middle of about 5 different sonograms and I am just sitting here waiting to hear the results. 

      I know the vet suspects heart disease, possible cardiomyopathy, and also thinks he is in early kidney failure, though since his creatinine is normal my impression is that his more serious symptoms seem heart related and not at all kidney related. 

      Anyway, I am reaching out to hear if anyone has any insight into what may be going on with Dove, or support from others who have been through a similar situation. I will update once I get the results from the sonograms. 

      Alis 

    • Elfinmyst
      Hi ALis I am sorry you are having so many problems. It sounds as if he is having the right scans. I`d be very concerned of that blood pressure and wonder if
      Message 2 of 4 , Jan 9, 2014
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        Hi ALis

        I am sorry you are having so many problems. It sounds as if he is having the right scans. I`d be very concerned of that blood pressure and wonder if they will start him on amlodipine. His low body temperature is a worry too. What were his liver results? I think the scan will help and may give you more information. His kidney results aren't so high and creatinine normal range is good, as is no protein in the urine. Please let us know the scan results, I don't want to advise until you get a diagnosis.

        :yn
      • Emily Valentin
        Hi Alis, You cat s name is beautiful. I never heard of a cat named Dove. Very unique name choice... A lot seems to be going on with your fur baby but through
        Message 3 of 4 , Jan 9, 2014
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          Hi Alis, 

          You cat's name is beautiful. I never heard of a cat named Dove. Very unique name choice... A lot seems to be going on with your fur baby but through it all he has continued to keep his appetite. I think that's a good thing. If it turns out that he has a form of cardiomyopathy, there are medications that will help and improve the quality of his life. I think that for now you have come to the right place. This place is filled with a lot of knowledgable people who truly care and will give you support. I'm new at this too. My baby was just diagnosed in November. We are on our second month of treatment. I've learned to take it one day at a time.... I'm praying for Dove and please come back and tell us what the results say. 

          Emily and Tiger 

          Emily Valentin-Baker, SSP
          Licensed Specialist in School Psychology 
          Nationally Certified School Psychologist 

          "Winners never quit. Quitters never win" ~ Mom  
        • hemizonia
          Hello Alis- Wow, Dove is making everyone scratch their heads. Depending upon the results of the ultrasounds, you might think about doing a consult with an
          Message 4 of 4 , Jan 10, 2014
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            Hello Alis-
             
            Wow, Dove is making everyone scratch their heads.  Depending upon the results of the ultrasounds, you might think about doing a consult with an internal med vet.
             
            Dove's urine is that badly dilute, and could be related to his water consumption.  The BUN is on the high side; maybe have your vet do a fecal occult blood.  How is Dove's hematocrit/PCV?  Any anemia?  Blood loss thru the GI tract can raise the BUN, and some kind of GI malabsorption problem may be causing his weight loss even with a vigorous appetite.
             
            The weight loss and hi BP is suggestive of hyperthyroidism, but the free T4 doesn't seem to indicate this.  Two thoughts about this ... with older cats, the high norm for thyroid function is much lower than in younger cats.  Thyroid hormone decreases normally with age.  Am also wondering about a thyroid abnormality that causes transient shifts in hormonal output (could also arise from the pituitary gland).
             
            Please do let us all know what your vet finds out, and I sincerely hope it is all easily treatable.
             
            mary
             
             
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