How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask catzanddogz Your Own Question

catzanddogz
catzanddogz, Veterinarian
Category: Cat
Satisfied Customers: 221
Experience:  I am a Veterinarian and a pet owner. I have practiced cat and dog clinical medicine for over 25 years.
75340398
Type Your Cat Question Here...
catzanddogz is online now
A new question is answered every 9 seconds

My 18 1/2 year old cat used to be 9 pounds years ago and is

Resolved Question:

My 18 1/2 year old cat used to be 9 pounds years ago and is now 4 lb 7 oz. She has orange colored diarrhea every time she eats. My vet has looked at her liver, pancreatic and kidney enzymes. All are pretty normal. An internal medicine vet did an ultrasound on her and said her bile duct looked twisted, otherwise everything looks very good!  She is just a skeleton with fur, I am beside myself at her state. Please can you tell me what is wrong with her? Could it be gallbladder disease? Please for goodness sake help us.

Submitted: 10 months ago.
Category: Cat
Expert:  catzanddogz replied 10 months ago.

catzanddogz :

Hello, I am Dr. Andrea Russo and I will be happy to try to answer your questions about Puffin. I am so sorry to hear about her condition. I have a few questions: I am wondering if any of the medication helped at all? especially the steroids? How long ago was bloodwork and the ultrasound done? Do you have a copy of the ultrasound report (if you get that you might post the results here). It sounds like Puffin isn't able to digest or metabolize food well anymore. How is her appetite? what are you feeding her? Have to tried different types of diets? Does her skin or the whites of her eyes look yellowish or orange in color? From your description of her history, the orange colored stool and "twisted" bile duct could indicate that she has disease related to her gall bladder. However, at her age, with chronic weight loss, I would also be concerned about lymphoma, or some other type of intestinal cancer.

Customer:

All the tests are recent as in less than 2 months old. It's very hard to say if she has jaundice because of her eye and fur coloring.... Her appetite is VERY poor, hence the 4.7 lb (now maybe less than that:() weight The best she felt was about 3 weeks ago, right after she'd gotten a long acting antibiotic injection. She was eating and acting like herself, grooming, etc. Then last week the vet gave her antibiotic injection and a steroid injection together and this did not perk her up at all. That's why I'm thinking it could be bacterial cholicystitis. There is such a thing, correct? What antibiotic would work best for this?

catzanddogz, Veterinarian
Category: Cat
Satisfied Customers: 221
Experience: I am a Veterinarian and a pet owner. I have practiced cat and dog clinical medicine for over 25 years.
catzanddogz and 4 other Cat Specialists are ready to help you
Expert:  catzanddogz replied 10 months ago.
Cats can get cholangitis. Sometimes it is acute disease and other times chronic, it can be bacterial to begin with then sometimes advances to a chronic immune-mediated condition. Therefore we usually use antibiotics and steroids. I am guessing that the long acting antibiotic she was given was Convenia, which is one of the antibiotics we use. I have also used Clavamox or Amoxicillin. Sometimes we also use Metronidazole although it is harder to give cats because even the flavored liquid form is somewhat bitter. Depending on the condition of the liver and the bile duct, we will also give them Urosodiol to help bile flow. This condition can involve the liver and pancreas as well. These cats sometimes need fluids and Vitamin B12. The vet who did the ultrasound can do a needle aspirate of her gall bladder or liver to get a more definitive diagnosis but this sometimes requires sedation and can have risks associated with it. Sometimes we will repeat bloodwork for comparison to see if values looks better or worse but despite any diagnostic tests - the prognosis is guarded at her age and cancer is the hardest thing to rule out. I would also ask for probiotics from your vet - that might help with the diarrhea.
Customer: replied 10 months ago.

My vet thinks it's lymphoma... he tried to give her half a Zeniquin pill but she threw it up as her stomach was empty. He also injected her with Cerenia and Buprenex and also gave her a fluid pac with B vitamins and has given me a prescription for Leukeron to start tomorrow... what do you think?

Expert:  catzanddogz replied 10 months ago.
I think his plan makes sense. You can do endless diagnostic tests (needle aspirated, surgical explorations, biopsies) and in the end you still have a sick cat with multiple symptoms. Perhaps the ultrasound showed thickened intestines as well as a twisted bile duct. The majority of cats this age with chronic weight loss have lymphoma, and it commonly affects the intestinal tract. I am comfortable with the Cerenia, Buprenex and Fluids and B- Vitamins - these medications treat possible infectious gall bladder disease and treat for pain and dehydration. You can ask him about Mirtazepine - a medication that helps stimulate appetite, and probiotics if the stools stay loose. I hope some of this makes her feel better. It's so hard to see them get old and sickly. Feel free to keep me updated - I'd like to know how things go.
Customer: replied 10 months ago.

She weighs 4 lbs now :(((((( And she still isn't eating anything, I don't know how she is going to keep any pills down on an empty stomach...


:(((((( I am so sick about what's happening to my Puffin, i don't know what to do... seems like there isn't anything I can do :(((((((


She seems a little high, probably from the Buprenex... I just hope she will eat something soon because she is evaporating right before my eyes :((((((((

Expert:  catzanddogz replied 10 months ago.
Some medications can be "compounded" into liquid form - some vets have something called Flavor-X which gives recipes to take pills and mix them with flavored liquids or there are online pharmacies, such as Wedgewood, that can supply certain medications as liquids. There are even some people pharmacies (not the big standard ones but the smaller independent ones usually) that can make pills into liquids. I hate to have you struggle to get pills into her. The Leukeran is pretty small if I remember. You should be careful to wash your hands after handling the pills so you don't absorb the medication yourself. I'm so sorry that she is so ill. I know it won't make you feel any better to say that she has lived a long life, 18 1/2 years, thanks to your care and love. The most important thing now is her comfort.
Customer: replied 10 months ago.

She just won't eat and I don't think she will survive very long if she doesn't eat... I nursed her back from FIP but this seems pretty hopeless.


We just tried to give her some Catsure with a syringe and she just wouldn't take it and now is hiding from us...


Maybe this is the end after all...

Expert:  catzanddogz replied 10 months ago.
I am so sorry. I can tell that you love her very much. You may have to let her be for the night and let nature take its course. Hopefully she will come out from hiding after a little while. You have certainly tried to everything you can.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • The response from the Expert literally saved my cat's life. Thank you from the bottom of my heart -- I will recommend all of my friends to you!!! Lucia Rincon, Georgia
< Last | Next >
  • The response from the Expert literally saved my cat's life. Thank you from the bottom of my heart -- I will recommend all of my friends to you!!! Lucia Rincon, Georgia
  • I will use your service again. I was very pleased with the response and the fact that you have a low cost option so that those of us on fixed income can have questions answered. I will also recommend you to others. Karen Jackson Heights, NY
  • You helped us to come to what we believe is a better next step in Jack's treatment, and hopefully have saved us $800!! Thanks again! Jack's Mom Tuscon, AZ
  • The vet said that the information and my following it will be what made the difference. Thanks again for being so very helpful. Tracy Grayson, LA
  • My oldest male cat had a seizure this evening. This site was the first place I could think of to go after the seizure had passed. Dr. Lucy was fantastic and she was spot on! Debbie USA
  • I must tell you I found this site by accident and was amazed when I asked a question of the Veteranians online. I wish I could have found it sooner it could have made such a difference in the outcome of my pet's surgery. However, I am passing along the information to my sister-in-law (a cat-rescue person who is also a nurse), and perhaps it will help someone else who may experience the same problem. The doctor who answered my question was amazing, and while it didn't come it time to change the outcome of my situation, it is reassuring to know the caliber of Vets/Doctors that you have at JustAnswer. Thank you for being there. Alice H. Jacksonville, Fl.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
 
 
 

Meet The Experts:

 
 
 
  • Terri

    Feline Healthcare Expert

    Satisfied Customers:

    18938
    Expert in feline health and behavior. 20 years experience with cats.
< Last | Next >
  • http://ww2.justanswer.com/uploads/purrfectkitty/2008-07-10_084515_2006-06-10_me2.jpg Terri's Avatar

    Terri

    Feline Healthcare Expert

    Satisfied Customers:

    18938
    Expert in feline health and behavior. 20 years experience with cats.
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Cat Veterinarian

    Satisfied Customers:

    868
    DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
  • http://ww2.justanswer.com/uploads/CE/Cerecita/2011-3-16_2565_JAPIC500x500.64x64.jpg Cher's Avatar

    Cher

    Feline Specialist

    Satisfied Customers:

    9637
    Feline Healthcare & Behavior Specialist 40+ years Experience
  • http://ww2.justanswer.com/uploads/kydoll/2008-11-26_190500_me.jpg Lori's Avatar

    Lori

    Feline Healthcare

    Satisfied Customers:

    3325
    16 yrs health care mgmt & issues relating to cats, reproductive issues and multicat environments
  • http://ww2.justanswer.com/uploads/mccprn/2009-11-20_185102_JA_profile.jpg Micki's Avatar

    Micki

    Expert in cat behavior and health

    Satisfied Customers:

    3153
    Expert in cat medical and behavior issues.
  • http://ww2.justanswer.com/uploads/ER/ERPetNurse/2011-11-7_1293_b.64x64.jpg Candy R.'s Avatar

    Candy R.

    Veterinary Technician

    Satisfied Customers:

    2887
    Practicing Veterinary Technician for 26 years.Former Veterinary Practice Owner, Technician Trainer
  • http://ww2.justanswer.com/uploads/BA/babybloo/2011-3-10_62613_DavidandI.64x64.jpg Theresa's Avatar

    Theresa

    A Voice for your Pet

    Satisfied Customers:

    2124
    19+ years in animal medicine as a veterinary technician