Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

This answer was rated:

Pretty positive she has hyperthyroidism, she also has acne…

Pretty positive she has...

Pretty positive she has hyperthyroidism, she also has acne even though she uses glass dishes, she also has a red spot on her gum above her canine tooth. She still eating, it isn't bleeding

Veterinarian's Assistant: I'll do all I can to help. What is the cat's name and age?

Lorelei. We were told she was born in Sept of 2015 but with her recent health issues she might be older. We got her from some people that took her in as a stray.

Veterinarian's Assistant: How old is Lorelei?

Well we thought 3 but she seems older with all these illnesses

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Lorelei?

She lost 2 pounds last week. In June she was 10 pounds. Now she's 4.5 pounds. Constantly hungry, very little sleep

Show More
Show Less
Ask Your Own Cat Veterinary Question
Answered in 2 minutes by:
3/18/2018
Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 18,851
Experience: Over 20 years of experience as a veterinarian.
Verified

Hello, I'm Dr. Kara. I have over 20 years of experience as a veterinarian and I'd like to help. Please give me a moment to review your concerns.

Ask Your Own Cat Veterinary Question
Customer reply replied 4 months ago

HHer fur is also very unkempt, dull, yet greasy. All of this started when we had a flea infestation. They got her really bad and she started losing fur, and her other symptoms like essesive hunger, lack of sleep, etc started

I am sorry to hear that Lorelei is getting very thin even with a good appetite, has an inflamed area on her gum above her upper canine tooth, and has acne.

Cats of all ages can have inflammatory gum disease, we see some cats as young 6 months to a year with that. It is also possible that she had some sort of trauma to that tooth before she came to you which affected the root and she is developing an abscessed root now.

Likewise acne can occur at any age and isn't always due to a plastic contact allergy. Although this is more of a cosmetic thing in most cats they can get deep secondary infections so I do recommend treatment. Amazingly enough it doesn't appear to be painful to most cats.

I generally recommend you start with topical treatment for acne.

Cleaning the affected area with Phisohex or Hibiclens once or twice daily and keeping the chin clean and dry is helpful. Phisohex is an over the counter facial cleanser used as an acne wash for people. Hibiclens is an antibacterial cleaner used to ready skin and clear bacteria before or after surgery.
Phisohex flushes out the pores/hair follicles so is very helpful with feline acne too. Just don't get it in the mouth as it can cause drooling and stomach upset.
I usually put a dab of either one on a wet cotton ball or gauze square and clean the affected areas.

Pay attention to the flavors of foods she's eating as some cats with food allergies/sensitivities will get acne with a particular protein, for example fish. If that's the case avoid that protein. Her weight loss may be related to food allergies too, and I will address that later in my write up.

If this condition becomes very inflamed I will use cortisone to try and get things back to normal and sometimes oral antibiotics, but most of the time topical therapy is enough.
If it is getting severe I recommend looking for food allergies or other allergies as a reason for the flare.
I'd have to say food allergies are probably the most common trigger. It can also be a sign of a flare up of demodex mites (which tend to worsen with a suppressed immune system) so it can be a sign that internal health isn't perfect.

Fungal infections very rarely cause this condition so it wouldn't be something that I would look for immediately.

If her acne doesn't clear with topical therapy, using metal or glass bowls and careful dietary control then antibiotics and a skin scraping may be necessary.

When we see weight loss with an apparently normal or increased appetite we need to worry about disease processes that either don't allow her to digest and/or absorb the food she is taking (such as diabetes, liver disease, primary intestinal or pancreatic disease including cancers) or those that lead to a higher metabolic rate such as hyperthyroidism or cancer.

In an older cat the more common diseases we see include hyperthyroidism (a tumor of the thyroid gland that overproduces thyroid hormones) or if she were drinking more and urinating a tremendous amount, diabetes. Sometimes early on with diabetes we only see weight loss.

Both diabetes and hyperthyroidism are treatable or at least manageable.

Hyperthyroidism is controlled with daily oral medication (Tapazole, also called methimazole) or a very special diet called y/d both of which must be done for the rest of his life or treatment with radioactive iodine to selectively kill tumor cells which is usually a one time therapy. There are pros and cons to each therapy which your veterinarian can discuss with you after getting a firm diagnosis.

Diabetes is controlled with diet and insulin therapy.

It sounds like some testing should be done including a complete blood count and biochemistry profile with T-4 checked as well as a urinalysis. If that is not diagnostic then it is time to move on to more specialized testing. I recommend checking vitamin B levels to look for signs of intestinal disease, a test for pancreatic insufficiency called a TLI, and an abdominal ultrasound to look for signs of changes in the walls of the intestines as well as evaluating her organs. She may need an endoscopy to collect biopsies of her intestines if they look abnormal

Since she has evidence of dental disease then she may need some radiographs of her mouth and tooth roots.

In the meantime you might try feeding her a higher calorie prescription food called Hills a/d or Iams Maximum Calorie from your veterinarian and make sure she has access to plenty of fresh, clean water.

It has been my pleasure to help you today, and I hope that I have earned my 5 star rating. Please remember to rate my service by selecting the 5 stars at the top of the screen (rating me now does not close your question). You are welcome to ask follow up questions about my response here until you are satisfied, simply use the reply box and let me know. Thank you!

Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 18,851
Experience: Over 20 years of experience as a veterinarian.
Verified
Dr. Kara and 87 other Cat Veterinary Specialists are ready to help you
Ask your own question now

Cats that are sick enough to lose weight often have poor skin and coat condition. There are no extra energy/proteins resources available for non essential parts of the body. Any nutrition that does get digested and absorbed is used to keep the brain and heart as healthy as possible.

Ask Your Own Cat Veterinary Question
Customer reply replied 4 months ago

Can I submit a picture of some what I hope is wax from her ear?

Yes, you are welcome to do so. But really excess ear wax is produced due to inflammation/irritation and can look the same when caused by many different things. It can be helpful to put the wax on a slide, stain it and look at under the microscope to check for bacteria, mites or fungal spores. But just looking at the wax itself is not very beneficial.

Ask Your Own Cat Veterinary Question
Hi Liz,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Kara
Ask Your Own Cat Veterinary Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a cat veterinarianLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Kara Your Own Question
Dr. Kara
Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 18,851
18,851 Satisfied Customers
Experience: Over 20 years of experience as a veterinarian.

Dr. Kara is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, 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

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Gary

Dr. Gary

Cat Veterinarian

3,959 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,834 satisfied customers

UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management

Dr. Bruce

Dr. Bruce

Veterinarian

4,652 satisfied customers

15 years of experience as a small animal veterinarian

Dr. Scott

Dr. Scott

Veterinarian

3,998 satisfied customers

15 years of small animal, equine and pocket pet experience in medicine and surgery.

Rebecca

Rebecca

Cat Veterinarian

3,943 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,076 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,959 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
Bleeding from hurt vagina. She is 19 yrs old. Has been
Has been ravenous . Drinks her water as well. Fooddoesnot satisfy her… read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
4,652 satisfied customers
We have adopted a 15 year old stray cat. She is very often
we have adopted a 15 year old stray cat. She is very often sick , once every 3 days on average. … read more
Rebecca
Rebecca
Cat Veterinarian
Doctoral Degree
3,943 satisfied customers
I have an 11 year old Siberian cat whose liver panel is very
I have an 11 year old Siberian cat whose liver panel is very abnormal. My local vet believes that she has a tumor on her liver and that she is not processing the food that she eats. Last June 2015 he … read more
Dr. Ellie
Dr. Ellie
Veterinarian
doctor of veterinary medicine
302 satisfied customers
My 20 yr old Persian cat, Minou, was euthanized on 4 Sept
My 20 yr old Persian cat, Minou, was euthanized on 4 Sept 2015. About 3 years ago he started to lose weight. Tests were done regularly, first of all monthly, then quarterly and this year half-yearly. … read more
Rebecca
Rebecca
Cat Veterinarian
Doctoral Degree
3,943 satisfied customers
My cat is throwing up everything she eats. she was diagnosed
my cat is throwing up everything she eats. she was diagnosed as possible hyperthroidism and given Tapazole 5mg twice a day. It turned the skin on her head bright red and sore looking so the vet told u… read more
Expert
Expert
6,607 satisfied customers
My cat has lost a lot of weight. She is constantly hungry and
My cat has lost a lot of weight. She is constantly hungry and asking for food. despite eating the food, she is not putting on any weight, but is not loosing any more. Her stools are normal, but she do… read more
Dr. Dave
Dr. Dave
Doctor of Veterinary Medicine
3,213 satisfied customers
I know my cat is pregnant...she was a stray and before we had
I know my cat is pregnant...she was a stray and before we had a chance to spay her, there were the signs. Nipples are large and pink, very hungry and a bit of a belly. I am a little nervous though bec… read more
Dr. Debbie
Dr. Debbie
Veterinarian
Doctoral Degree
1,728 satisfied customers
/We have a femail cat we got her because she was abandon and
/We have a femail cat we got her because she was abandon and pregant she has six kittens born June 7, 2011. my problem is this. she is alwasy hungry and we dont know what to do for her, she only eats … read more
Dr. Loretta
Dr. Loretta
Large and small animal Veterinarian
Doctoral Degree
22,387 satisfied customers
cat: 11 year old..shes alway hungry..stopped eating..diarrhea
My 11 year old cat was diagnosed with IBD 2 years ago. She has done pretty well on venison and pea from Royal canin but recently suddenly lost almost 2 pounds (she only weighed six to start with) she'… read more
Denise Colgrove
Denise Colgrove
Relief veterinarian
Doctoral Degree
4,495 satisfied customers
My cat Pi, has had a recurring spot on her chin, that bleeds,
My cat Pi, has had a recurring spot on her chin, that bleeds, loses the hair, just under her jawbone. My first thought was a bad tooth but she shows no sign of distress about it. It's come twice now..… read more
Expert
Expert
6,607 satisfied customers
I have a 14 year old black and brown tabby who has something
I have a 14 year old black and brown tabby who has something on her chin, it almost looks like blackhead and a few of the spots are raised like a pimple. The "black" bits seem to come off easily howev… read more
Dr. Christian K.
Dr. Christian K.
Veterinarian
Doctoral Degree
7,725 satisfied customers
cat: rubbed..No swelling and not annoying to her in anyway but looks
my cat looks like she has rubbed her chin up something. At first ithought it was dirt but after weeks it is still here. No swelling and not annoying to her in anyway but looks like she is loosin some … read more
VetCares
VetCares
veterinarian
DVM
458 satisfied customers
I have recently aquired 3 kittens from a stray outside. I have
I have recently aquired 3 kittens from a stray outside. I have one older (15) indoor female who took them in as her own. What im seeing is a decrease in her weight not activivty though and my question… read more
Dr. Jenn
Dr. Jenn
Veterinarian
Doctoral Degree
5,610 satisfied customers
My Calico cats name is Pixie and shes now 15+ years old.
My Calico cat's name is XXXXX XXXXX she's now 15+ years old. She's losing weight; she throws up her food every day which is mostly fur balls, but she continues eating often. Now she seems to be runnin… read more
Dr. Theiss, DVM
Dr. Theiss, DVM
Veterinarian
Doctoral Degree
54 satisfied customers
cat: 13 yrs old she is indoors only - never outside..lost a few pounds
I have a female cat 13 yrs old she is indoors only - never outside. Over the past few months she has lost a few pounds. She was always pretty heavy. She seems to always be hungry - I give her wet food… read more
Dr. Scarlett
Dr. Scarlett
Veterinarian
Doctoral Degree
2,225 satisfied customers
my 14 year old cat was 16 lbs six months ago. Due to a vet
my 14 year old cat was 16 lbs six months ago. Due to a vet ear cleaning six months ago, she is now deaf. She now weighs about 3-4 lbs and is constantly hungry. She no longer eats dry food, just canned… read more
Dr. Drew
Dr. Drew
Cat Veterinarian
Doctoral Degree
3,076 satisfied customers
cat: 13 years old, he has lost so much weight..stop eating..more food
My cat is 13 years old, he has lost so much weight over the past year and won't stop eating. He follows be around the house constantly wanting more food. He looks skeletol and I do not want him to die… read more
Rebecca
Rebecca
Cat Veterinarian
Doctoral Degree
3,943 satisfied customers
I wrote earlier, but did not have my credit card. I have taken
I wrote earlier, but did not have my credit card. I have taken in a stray calico cat. She is always hungry and constantly mewing at me to feed her more. She also has diarrea. Over the weekend, she was… read more
Dr. Katz
Dr. Katz
Doctoral Degree
66 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x