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Sarah Snow
Sarah Snow,
Category: Cat Veterinary
Satisfied Customers: 380
Experience:  Veterinarian at The Vet Clinic East
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10 year old Manx male who normally weighs about 9-10 pounds,

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10 year old Manx male who normally weighs about 9-10 pounds, treated with BID cisapride and Lactulose to avoid megacolon (1 episode about 7 years ago, none since) from mod case Manx syndrome. April 2016: clingy behavior, not eating properly, seems lethargic- went to cat vet again. X-ray and labs OK. weight= 8.94 lbs but still feels fairly solid.
August 2017: regular vet visit and vaccines. Expressed concern to Dr Chris Griffiths about his loss of weight. Weight= 7 ½ lbs. PAINFULLY thin. Labs drawn, nothing too far out of normal range. Cannot tell if muscle or fat atrophy occurring? Maybe NOT absorbing nutrients?
Able to jump and move around well as usual, no loss of balance or agility…
No appreciable change in behavior other than NOTABLE clinginess. Must be fed small controlled portions or he vomits entire meal despite meds already prescribed and religiously given. Stools hard small. No diarrhea or leakage. Urinates well as far as we can tell.
Food: grain free and mix of MOSTLY wet (Earthborne holistic, CORE, Wellness, etc) and dry small grain free pellets slowly thru out the day. Appetite good but increasingly picky… no human or raw foods.
very concerned- cannot tell if loss of FAT or muscle or both . vet SEEMS to think he is losing fat?
JA: I'm sorry to hear that. This sounds like it might be serious. I'll let the Veterinarian know what's going on ASAP. Is there anything else important you think the Veterinarian should know about the Manx?
Customer: nope he is purely indoors
Customer: replied 1 month ago.
Angus Nomicos: best Manx cat in the world….
Brief History of recent health:
Born April 2007. Parents were BOTH nearly tailless Manx cats (unknown to us they were BOTH tailless when we acquired Angus). We found out this was not a good pairing…
Very healthy and active until about 2009 when he developed signs of Manx Syndrome and was nearing “mega colon” which necessitated enemas, Reglan etc and CHANGE of diet to GRAIN FREE. Meds prescribed: Reglan PRN, BID: Cisapride and lactulose (morning and night). We know by x-ray he has “large kidneys” but nothing else structurally visualized.
2011-2012: one severe illness (cause or diagnosis unknow) which left him profoundly anemic (H&H= 7 and 21 or so), lethargic, clingy, with fast loss of weight to almost 7 1.2 pounds) resolved over time.
Relatively uneventful course with one more episode of possible obstruction (drooling and general severe malaise) went to TLC 2012 afterwards for Internal medicine eval with Dr Miller.
April 2014: GI upset and change in behavior: took him to Cat vet – Dr Karg (more cat expertise than regular vet and very familiar with Angus tricky GI situation) his weight was 9.94 lbs feels very solid.
April 2016: clingy behavior, not eating properly, seems lethargic- went to cat vet again. X-ray and labs OK. weight= 8.94 lbs but still feels fairly solid.
August 2017: regular vet visit and vaccines. Expressed concern to Dr Chris Griffiths about his loss of weight. Weight= 7 ½ lbs. PAINFULLY thin. Labs drawn, nothing too far out of normal range. Cannot tell if muscle or fat atrophy occurring? Maybe NOT absorbing nutrients?
Able to jump and move around well as usual, no loss of balance or agility…
No appreciable change in behavior other than NOTABLE clinginess. Must be fed small controlled portions or he vomits entire meal despite meds already prescribed and religiously given. Stools hard small. No diarrhea or leakage. Urinates well as far as we can tell.
Food: grain free and mix of MOSTLY wet (Earthborne holistic, CORE, Wellness, etc) and dry small grain free pellets slowly thru out the day. Appetite good but increasingly picky… no human or raw foods.Current meds:
Reglan PO 2-3 times a week (or more if he vomits more than 2 times in a day)
Cisapride PO BID
Lactulose PO BID
Psyllium powder: one cap opened and mixed into one can of food split 4 ways between all 4 cats (so he gets maybe ¼ cap dose once a day)
Customer: replied 1 month ago.
any decisions?

Hello,

I am Dr. Snow, and I just signed on and have read through the history.

Has Angus ever had an abdominal ultrasound?

I agree, the weight loss is concerning! Did they include a thyroid test in his labs?

Customer: replied 1 month ago.
full thyroid panel and all chemistries were benign. Ultra sound will occur Sept 22. also: no pain, no aggression, no other change expect clingier and sporadically not as perky... any ultrasounds that were done until 2 years ago= negative.

Ok, that is helpful to know. With the weight loss, I think its possible Angus is dealing with intestinal disease (like IBD or even cancer).

Whoever does the ultrasound should be able to get samples if they see any suspicious areas.

Another good diagnostic test would be to do a GI panel, which will test cobalamim (vitamin B), folate, and some pancreas enzymes. This can also help determine if there is an infiltrative intestinal disease present.

Alternatively, ask your vet about just starting some vitamin B supplementation for now while you wait on further testing!

Post back with further questions, and we will go from there.

Dr. Snow

Sarah Snow and other Cat Veterinary Specialists are ready to help you
Customer: replied 1 month ago.
many thanks, ***** ***** and take to Cat internist apt THIS sept 22, Friday.
Effie

Great! Let me know how it goes!!

Customer: replied 29 days ago.
hi sarah, went to cat internist and they will run all tests u listed. ultrasound benign, no thyroid issues, no diabetes so will have the full GI series of labwork and xrays performed in early Oct (he was too angry to get more than the ultrasound and H&P done today). no more weight loss since we last spoke. he is ok overall and not lethargic or sickly, just extremely thin.