Baby Hyper Aldosterone, CKD, High Blood Pressure, Bowenoid Skin Cancer-She Has Many Issues

Baby has been seen by vets and specialists since May due to low kidney values, hypertension (high blood pressure), skin lesions, kidney disease, and hyperaldosteronism.  I last wrote about this on Oct. 25, 2019.

The update: the cancer specialist on November 5, removed the Bowenoid lesion from her left paw and we are to continue to monitor for the appearance of others.

The CAT scan they did November 5 did not show any signs of lymph node or adrenal gland tumors. So, it's likely, for now, that her hyperaldosteronism is idiopahtic-no known cause. Her blood level aldosterone was 1011, up from 829 this summer. The vet will now put her on 1/4 tab a day of Spironolactone 20mg.  Spironolactone is an aldosterone antagonist and is supposed to help reduce the hormone level. We will retest the blood level in a month or so. 

This summer, "mast cells" were found in a lymph node by biopsy. Mast cells are more commonly signs of cancer in cats. BUT they can also be signs of IBD or mastocytosis or inflammation.
So they think she has inflammation in the gastro system. For now, we will monitor.

She has signs of asthma in her lungs despite the Albuterol she receives BID (twice a day.) But MSU vet had told us this summer to reduce it and wean her off of it. We reduced it for awhile but then continued twice a day since September. Perhaps reducing it to once a day and trying to wean her off wasn't a good idea. We may need to put her on Flovent, a steroid inhaler which I've been trying to avoid. Her heart is great so there wouldn't be an issue but steroids should not be taken lightly; and chronic use might lead to other issues. She sees the cardio yearly (she has never had heart disease; heart disease cats CANNOT have a steroid at all, even an inhaler.) 

We must continue to monitor with future ultrasounds of her gastro system and kidneys; test aldosterone levels; check blood pressure and kidney values; and keep her on a kidney disease diet. We must still monitor for inflammation vs. possible cancer. 

Fish Based Food Allergy Might Be What Affects Jimmy Stewart Again-or Idiopathic Illness?

Last week, on Saturday, Jimmy wasn't eating well. So, I put fish Fancy Feast on top of his chicken pate for two meals. By Sunday night, he wasn't eating at all. Then he vomited.  I gave him 1/4 tab of Cerenia (anti nausea medication.) By Monday, I had to hand feed using Hills AD mixed with water, fed with a plastic syringe.  He vomited twice on Monday. I have Cerenia once again and on Tuesday.  Tuesday we saw the vet.

We ran full CBC/chem panel, PLI, and urine. NO signs of illness or infection appeared. His glucose and other electrolytes were normal so he's not pre-diabetic again. His liver and kidney values were great and the liver continues to respond to Denamarin (a supplement to improve liver function; his blood values had gone up last year.) He also had no signs of a fever. I thought he wasn't able to use the litter box but the vet said there were no signs of a blockage (which can happen with male cats), he wasn't showing signs of pain on exam, and the bladder wasn't hard from an inability to pass urine. Vomiting and not eating would contribute to not having produced enough urine to excrete.

Without signs of an illness, inflammation, or infection, there were no other medications prescribed. Meanwhile, the vet gave a B12 shot, sub q fluids as he was dehydrated; and I used Cerenia for the next two days (1/4 tab once a day.) By Wednesday he was better and eating enough on his own. By Thursday, he was eating normally again.  He continues to do well.

Was the illness created from eating the fish? Or the herpes virus for which he receives daily lysine? About three years, he began to lose weight and was always hungry. Various tests were run to no avail. He had also had bouts of vomiting and diarrhea. The vet said to try non-fish based foods and the problem was resolved and didn't return. Because he can become finicky, I've given a smidgen of fish food from time to time without issue. But not last week. Was it the fish? The only way to tell is to not give it ever again; give him time to make sure he's fully recovered. If this happens again, we will need to do further tests such as a gastro ultrasound, etc.

Sometimes cats do this. An issue will arise, tests will be done and it will turn out to be idiopathic-no known cause; and that home remedies and things such as having Cerenia on hand, and hand feeding the cat food and water, go a long way to help the cat recover. Sometimes all we can do is treat the symptoms and never find a cause. Of course, the symptoms can also be related to any variety of serious illnesses-cancer, FVP/FIP, heart disease, pancreatitis, food allergy, etc. And that is why we go to the vet to rule out/find a cause. We don't want to take chances.

Good home remedies for sick cats are feeding Hills AD mixed with water by hand using a plastic syringe; adding 1/8 tsp of corn syrup to the mix (if the cat isn't diabetic) for energy; giving rice water to stop diarrhea (poured off of boiling rice) via plastic syringe by hand, and giving regular water via plastic syringe by hand, and-when the cat isn't allergic to it-giving tuna juice for protein via a plastic syringe by hand. You can also boil chicken or beef and use that water (without adding salt or onion or garlic or spices) as a protein source to give by hand. Medications that help cats are Cerenia (anti nausea med-get from the vet); and in some cases of illness, you may use Pepcid, 1/4 tab (for antacid and inflammatory inhibitor.) Use under vet supervision and not long term.

NEVER let a cat go a day without eating. Cats may be finicky but not eating is not normal, is dangerous as it leads to dehydration, and dehydration leads to a whole set of health issues-weakness, further not eating, and death. And never let a cat have a severe bout of vomiting and diarrhea without trying home remedies to ease it and without seeing the vet.