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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 28428
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
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Our 15 Y/O cat has recently diagnosed heart disease and has

Customer Question

Our 15 Y/O cat has recently diagnosed heart disease and has mild abdominal edema. We took him to vet 2 days ago and vet didn't prescribe any diuretics like lasix. He doesn't seem to be uncomfortable, is eating heartily and drinking well. No issues with defecation or urination either and seems like his normal self. Vet said that he may have weeks or months left. His abdomen is a bit swollen but not overly so to affect his behavior. Is there something I can give him OTC as a diuretic to reduce this or is it just going to get progressively worse without anything I can do. Vet tapped and said she shouldn't drain because it can cause shock. Family understands that he is at his EOL but his QOL is still good right now.
Submitted: 1 year ago.
Category: Cat Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.

I believe that his vet misspoke. "It can cause shock" is a specious argument. If the ascites is significant, it can be drained. If a diuretic will suffice, it should be prescribed. In fact, a diuretic (only) may be as effective for increasing longevity than a battery of heart drugs. There's nothing reliably of value OTC as a diuretic in cats. I would insist that furosemide be prescribed to be given at least once daily. Please respond with further questions or concerns if you wish.

Expert:  Dr. Michael Salkin replied 1 year ago.
I'm just following up on our conversation about your pet. How is everything going?
Dr. Michael Salkin

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