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#1
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hyperthyroidism in cats
I took my cat, Willie in to see why he is licking and chewing his belly
excessively. They did blood work and an echocardiogram because the vet heard a heart murmur. Heart murmur was mild but blood work shows hyperthyroidism. His levels are 12.5 ug/dl and the normal range for this lab is 1.5 to 4.5 ug/dl. The cat is 9 years old and seems to be in good health otherwise. The vet is recommending iodine radiation which will for better word, kill the thyroid. The other only reasonable option is the drug Tapisol. He's on that right now, she says start with 2 - 5 mg pills daily. I only started today and started on one pill, half daily for a little while. I read on the internet that it is good to start slow. With this drug, it requires frequent blood tests and I was told it's not good for a cat to be on Tapisol for years. Has anyone had any experience with hyperthyroidism in their cats or are there any veterinarians here who could chime in? Is there anything I should know before going the radiation route? Really, I am interested in any help. Thanks. Jean |
#2
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hyperthyroidism in cats
wrote in message ... I took my cat, Willie in to see why he is licking and chewing his belly excessively. They did blood work and an echocardiogram because the vet heard a heart murmur. Heart murmur was mild but blood work shows hyperthyroidism. His levels are 12.5 ug/dl and the normal range for this lab is 1.5 to 4.5 ug/dl. The cat is 9 years old and seems to be in good health otherwise. The vet is recommending iodine radiation which will for better word, kill the thyroid. The other only reasonable option is the drug Tapisol. He's on that right now, she says start with 2 - 5 mg pills daily. I only started today and started on one pill, half daily for a little while. I read on the internet that it is good to start slow. With this drug, it requires frequent blood tests and I was told it's not good for a cat to be on Tapisol for years. Has anyone had any experience with hyperthyroidism in their cats or are there any veterinarians here who could chime in? Is there anything I should know before going the radiation route? Really, I am interested in any help. Jean, I went through this with my 12-year-old two years ago. You can search for "hyperthyroid" (in Google for this group) to get the details, but after a LOT of research and discussion, I opted for the pills and I am really glad I did. The surgery is risky as it is hard to ablate the thyroid while leaving another gland in place that is needed--parathyroid?--I don't recall, but my vet told me that. Plus, it is $800 and the animal must be put under, which really makes me nervous. The radioactive iodine is known as the only true cure, HOWEVER there are reports of cats coming out of it hyPOthyroid and having to be on pills every day ANYWAY, so why not do the Tapazole? (I mean, if it really does cure, then great, but it cost $1,200 last I checked. For this I want to have to pill my cat twice a day anyway?) I opted for the pills--she takes 5 mgs twice a day. I feed her canned food every 12 hours, and pop the pill into her mouth after her first few bites, when she is more willing to swallow and not fight, just so she can get to her food! lol She is healthy and happy. Very frisky. P.S. I do not think the fur loss is related to the thyroid condition. I have another cat with that, and she just needed stressor reduced. I did it and now she has a full body, belly included, of fur! Good luck. |
#4
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hyperthyroidism in cats
I have been thinking it would be a good idea to have the blood test again.
Willie is fat as a butterball, he has lost about 1.5 pounds in the last 3 months but I think that is because I've been trying to make him. He is thirstly all the time and drinks a lot of water, of course, he eats a lot too and is unusually nervous. The thing about taking the Tabisol is that he will have to have blood tests often, I am told at least every 3 months. The vet did say that he is young to have this and might have to be on medication for years since it will be a life long thing. I just want what is best for Willie and will get him re-tested. I did start the Tabisol today so I'm sure I need to get it done quickly. From what I understood, he wouldn't have to be on meds if the radiation was done so I had better get more details. Thank you both for your replies, I'll keep you informed. Jean |
#5
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hyperthyroidism in cats
wrote in message ... I have been thinking it would be a good idea to have the blood test again. Willie is fat as a butterball, he has lost about 1.5 pounds in the last 3 months but I think that is because I've been trying to make him. Your cat does not have to be thin to be hyperthyroid. My cat was obese when she was diagnosed, with a heart rate over 300 beats per minute. The dead giveaway that it was hyperthyroid is the heart rate. A cat's normal heart rate is about 180, it might be 200-220 when they are frightened. Hyperthyroid cats also exhibit a "hypervigilant" demeanor. |
#6
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hyperthyroidism in cats
Well, now it does sound like he has the symptoms of being hyperthyroid.
But another blood test certainly would be in order. And if that proves to be the same, I would further investigate the iodine radiation treatment since your kitty is so young. Now it was my understanding that the kitty has to stay there for a while, since it will be "radioactive" for a period of time - which is why I did not do it for my 18 year old kitty. I think I had blood work done every couple of months with mine on Tapisol. Hopefully someone like Phil will come in on this topic and help you. wrote: I have been thinking it would be a good idea to have the blood test again. Willie is fat as a butterball, he has lost about 1.5 pounds in the last 3 months but I think that is because I've been trying to make him. He is thirstly all the time and drinks a lot of water, of course, he eats a lot too and is unusually nervous. The thing about taking the Tabisol is that he will have to have blood tests often, I am told at least every 3 months. The vet did say that he is young to have this and might have to be on medication for years since it will be a life long thing. I just want what is best for Willie and will get him re-tested. I did start the Tabisol today so I'm sure I need to get it done quickly. From what I understood, he wouldn't have to be on meds if the radiation was done so I had better get more details. Thank you both for your replies, I'll keep you informed. Jean |
#7
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hyperthyroidism in cats
OH MY GOSH! Is Phil still there? Hello Phil! In case you don't recognize
me, you helped me tremendously with my cat Spot when he was diagnosed with cardiomyopathy and he's still doing great at age 9. Willie is Spot's litter mate brother. I was afraid that Willie had developed the same thing but he only has a mild heart murmur with no signs of cardiomyopathy. This condition doesn't sound like a piece of cake and I really want to do what is best for the kitty so all help is appreciated. We are thankful to Phil every day for taking time to find us a doctor in Alabama, give me advice and comfort on many occasions. Jean |
#8
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hyperthyroidism in cats
"cybercat" wrote in message ... Jean, I went through this with my 12-year-old two years ago. You can search for "hyperthyroid" (in Google for this group) to get the details, but after a LOT of research and discussion, I opted for the pills and I am really glad I did. The surgery is risky as it is hard to ablate the thyroid while leaving another gland in place that is needed--parathyroid?--I don't recall, but my vet told me that. Plus, it is $800 and the animal must be put under, which really makes me nervous. Yeah, if the parathyroid is nicked during surgery you can have some major problems with calcium levels and the parathyroid glands are really tiny and hard to find sometimes. I did have one cat that we opted to have the surgery--she didn't tolerate the Tapizole very well--nauseated, vomitting etc. She did okay during the surgery but I was a nervous wreck! The radioactive iodine is known as the only true cure, HOWEVER there are reports of cats coming out of it hyPOthyroid and having to be on pills every day ANYWAY, so why not do the Tapazole? (I mean, if it really does cure, then great, but it cost $1,200 last I checked. For this I want to have to pill my cat twice a day anyway?) I opted for the pills--she takes 5 mgs twice a day. I feed her canned food every 12 hours, and pop the pill into her mouth after her first few bites, when she is more willing to swallow and not fight, just so she can get to her food! lol She is healthy and happy. Very frisky. I have another cat that has been taking thyroid medication for two or three years now and is doing well. He was about 8 or 9 when he was diagnosed. He's still on 5 mgs once a day and has been very stable so I've been happy about that. He takes his pill in a bite of wet cat food--he thinks it's a treat! P.S. I do not think the fur loss is related to the thyroid condition. I have another cat with that, and she just needed stressor reduced. I did it and now she has a full body, belly included, of fur! Good luck. |
#9
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hyperthyroidism in cats
wrote in message ... OH MY GOSH! Is Phil still there? Hello Phil! In case you don't recognize me, you helped me tremendously with my cat Spot when he was diagnosed with cardiomyopathy and he's still doing great at age 9. Willie is Spot's litter mate brother. I was afraid that Willie had developed the same thing but he only has a mild heart murmur with no signs of cardiomyopathy. This condition doesn't sound like a piece of cake and I really want to do what is best for the kitty so all help is appreciated. We are thankful to Phil every day for taking time to find us a doctor in Alabama, give me advice and comfort on many occasions. Jean Hiya Jean! Its great to hear from you! Its been a long time! How've you been? Of course I remember Spot! I can't tell you how happy I am that he's doing great! That's really fantastic news! It sure made my day! Please give him a scritch for me and tell him I said Hi. I'm sorry to learn about Willie- Try not to worry too much, hyperthyroidism is fairly easy to treat and manage. The beginning of therapy can get a little hectic until you find the right dose. After that its a breeze. The initial therapy should always be Tapazole- unless he has a problem with the drug. If he's hard to pill you can have Tapazole (methimazole) compounded into a flavored suspension (liquid) or a transdermal gel that is applied to the inside of his earflap (pinna). The reason for starting with Tapazole is so you can evaluate his kidney function after his thyroid levels are normal. Hyperthyroidism can mask chronic renal failure because it speeds up the blood flow through the kidneys and makes the kidneys seem like they're in better condition than they really are. If his kidney function remains stable when his thyroid levels return to normal on Tapazole, you can really think about radioiodine treatment (I-131). If his kidney function deteriorates while on Tapazole, then radioiodine wouldn't be an option. In that case, you would adjust his Tapazole dose until you strike a balance between an "acceptable" level of hyperthyroidism and an "acceptable" level of azotemia. My 13 year old was diagnosed with hyperthyroidism last September but she couldn't tolerate Tapazole in any form. So I opted for radioiodine this past May and she's doing great. Most of the stories about cats becoming hypOthyroid after I-131 tx aren't entirely accurate. The hypOthyroidism is almost always transient. The reason for this is because the hyperfunctioning thyroid tissue suppresses the normal thyroid tissue. After the hyperfunctioning is destroyed it takes a few weeks to a few months for the normal thyroid tissue to begin functioning again. Unless the cat received an excessively high dose of I-131, most cats never need thyroid hormone supplements. My cat was hypOthyroid for about 3 months before her thyroid levels returned to normal. They only drawback to I-131 tx is that the cat must stay in the facility until his radiation levels drop to a "safe" level. My State requires cats to stay in the facility for 96 hours unless the separation causes complications. My cat stopped eating on the third day so I was able to take her home early. The facility will give you instructions on how to dispose of his waste. Usually, you have to store it in a container away from people and other pets for a few weeks before throwing it away. Its not as bad as it sounds. Just remember- anything you leave with him- bedding, toys, articles with your scent, you won't get back because they will be contaminated. You can make pilling much easier if you cut the pill in half and put both halves in a #4 gelcap so he doesn't taste the drug. Most cats that become a problem to pill do so because the drug tastes so bad. Follow the capsule with about 5 or 6 ml of water- or tuna water or even normal saline to make sure the pill doesn't get stuck in his esophagus and start to dissolve there. You always follow any pill with water or canned food. If you can't get #4 gelcaps, email me with a mailing address and I'll send you some. I have thousands (literally)- I use them in my cats and all the rescue and shelter cats I treat. I hope I didn't hit you with too much all at once. I just wanted to make sure you got the whole story. If I missed anything please let me know. I'll try answer you questions as best I can. You try to relax a bit, ok? Phil |
#10
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hyperthyroidism in cats
wrote in message ... OH MY GOSH! Is Phil still there? Hello Phil! In case you don't recognize me, you helped me tremendously with my cat Spot when he was diagnosed with cardiomyopathy and he's still doing great at age 9. Willie is Spot's litter mate brother. I was afraid that Willie had developed the same thing but he only has a mild heart murmur with no signs of cardiomyopathy. This condition doesn't sound like a piece of cake and I really want to do what is best for the kitty so all help is appreciated. We are thankful to Phil every day for taking time to find us a doctor in Alabama, give me advice and comfort on many occasions. Jean Jean, it was my pleasure. I'm just so happy that he's doing well. Phil |
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