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CRF & hyperthyroidism questions
Hello, first post on this ng. I was trying to see if anyone here had any
advice/wisdom on treatment options for a cat with chronic renal failure and newly diagnosed hyperthyroidism. My cat is an 8 yr. old neutered male who has been on medication for about 2 years for CRF. Just this past weekend, after his yearly visit to the vet, his tests came positive for hyperthyroidism. Our options are a) more meds twice a day for him or b) radioiodine treatment. My wife and I are trying to decide which is best. The R/i treatment sounds best, as it is almost 100% effective in curing the disease, but we are afraid of how he would cope with the necessary isolation. He is very much a "dog" cat, as in he needs to be with his people at all times, so we don't know how he'd react to not being able to be held and petted and loved by someone. Any advice on this matter would be greatly appreciated! Thanks, Ryan |
#2
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CRF & hyperthyroidism questions
My wife and I are trying to decide which is best. The R/i treatment sounds best, as it is almost 100% effective in curing the disease, but we are afraid of how he would cope with the necessary isolation. He is very much a "dog" cat, as in he needs to be with his people at all times, so we don't know how he'd react to not being able to be held and petted *and loved by someone. Any advice on this matter would be greatly appreciated! There are other things to think about for the r/i treatment: 1) it's rather expensive 2) they can't control how much of the thryoid will be "killed" with this treatment. Sometimes, they overdo it and the cat can become hypothryoid, still requiring medication My parents late cat was diagnosed with hyperthryoidism at age 17 and took medication under she passed at age 19. If pilling is a concern, you can have the meds compounded into a cream, which is rubbed into the ear (this is what my parents did). I'm not trying to steer you in any direction, but just give you some things to consider. Good luck with whatever you do! Rene |
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CRF & hyperthyroidism questions
relkins wrote:
Hello, first post on this ng. I was trying to see if anyone here had any advice/wisdom on treatment options for a cat with chronic renal failure and newly diagnosed hyperthyroidism. My cat is an 8 yr. old neutered male who has been on medication for about 2 years for CRF. Just this past weekend, after his yearly visit to the vet, his tests came positive for hyperthyroidism. Our options are a) more meds twice a day for him or b) radioiodine treatment. My wife and I are trying to decide which is best. The R/i treatment sounds best, as it is almost 100% effective in curing the disease, but we are afraid of how he would cope with the necessary isolation. He is very much a "dog" cat, as in he needs to be with his people at all times, so we don't know how he'd react to not being able to be held and petted and loved by someone. I've had two female cats with hyperthyroidism. The first was diagnosed around 11 and I pilled her twice a day until she finally passed at age 17. The second was diagnosed around age 17 and I pilled her until age 20. I didn't pursue the R/i treatment for the first because like your cat, she was very dependent upon the family and absolutely freaked out at the vets and around other people. The second I decided was just too old to warrant the expense - and since I was already pilling the other cat at the same time, what was one more? The pills are tiny and we just stuck the pill in a treat and that was that. fwiw, they were both Calicos. Good luck...it's a scary diagnosis, but once under treatment, they do fine. Laurie |
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CRF & hyperthyroidism questions
"relkins" wrote in message ... Hello, first post on this ng. I was trying to see if anyone here had any advice/wisdom on treatment options for a cat with chronic renal failure and newly diagnosed hyperthyroidism. My cat is an 8 yr. old neutered male who has been on medication for about 2 years for CRF. Just this past weekend, after his yearly visit to the vet, his tests came positive for hyperthyroidism. Our options are a) more meds twice a day for him or b) radioiodine treatment. My wife and I are trying to decide which is best. The R/i treatment sounds best, as it is almost 100% effective in curing the disease, For a cat with both hyperthyroidism and CRF the most important decision isn't which treatment to use but whether to treat the hyperthyroidism at all. His hyperthyroidism may be keeping him out of a uremic crisis. Your vet should have explained to you that hyperthyroidism increases the heart's output which in turn increases renal blood flow which in turn elevates the glomerular filtration rate (GFR) and augments kidney function. IOW, your cat's hyperthyroidism is making his kidneys appear to be functioning much better than they really are. If you treat his hyperthyroidism until his T4 levels are in the normal range and he becomes euthyroid again, his renal blood flow and GFR could drop dramatically sending him into a uremic crisis. The initial treatment for hyperthyroid cats- especially cats with obvious CRF- should be a *reversible* form of therapy (Tapazole, Carbimazole) so you can determine the true state of his kidneys. This way if his kidney function declines to an unacceptable level while his on the medication, treatment can be discontinued or decreased until you strike a balance between an "acceptable" level of hyperthyroidism and an "acceptable" level of azotemia. OTOH, if his kidney function remains stable while he's on the medication, then- and only then- you can consider I-131 tx. When you start his medication, begin with a very low dose (e.g., 1.25 mg/b.i.d.) and gradually work up to a therapeutic level. Decreasing his serum T4 levels g-r-a-d-u-a-l-l-y will in turn result in more gradual changes in renal hemodynamics which will in turn allow his kidneys to autoregulate better and avoid crashes and uremic crisis's. Best of luck, Phil |
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CRF & hyperthyroidism questions
On 1 May, 21:29, "relkins" wrote:
Hello, first post on this ng. I was trying to see if anyone here had any advice/wisdom on treatment options for a cat with chronic renal failure and newly diagnosed hyperthyroidism. My cat is an 8 yr. old neutered male who has been on medication for about 2 years for CRF. Just this past weekend, after his yearly visit to the vet, his tests came positive for hyperthyroidism. Our options are a) more meds twice a day for him or b) radioiodine treatment. My wife and I are trying to decide which is best. The R/i treatment sounds best, as it is almost 100% effective in curing the disease, but we are afraid of how he would cope with the necessary isolation. He is very much a "dog" cat, as in he needs to be with his people at all times, so we don't know how he'd react to not being able to be held and petted and loved by someone. Any advice on this matter would be greatly appreciated! Thanks, Ryan i have had 2 cats with hyperthyroidism, for both i have had the radioactive iodine treament offered and for both i have opted for medication twice daily instead. personally i coudl not put either cat through the stress of isolation for so long (6 weeks is it? that's a long time for a cat) especially as they were both rescue cats and had had a stressful life already. Particularly the first cat jasper, who had been left to live by himself in his mum's house after she died and was fed once a day when her son or daughter came to feed him until they got their acts together and contacted cats protection (cretins). when he came to me he would cry if i went upstairs sometimes as he though I had left him alone for good, so imagine how unahppy he woudl be if he were isolated for so many weeks? hardly good for recovery is it? he soon got used to being pilled and i worked out a routine of hiding it in varuious nice foods for him, peeled and cooked prawns were particularly good as you can just push them inside a whole prawn and he had no idea! he just thought he was gettign a treat twice a day. jessie was already used to getting pills twice a day anyway when I got her and she has no teeth so no issues with biting me when i pill her, she seems ok with it, kind of resinged to it now, i always give her a treat or nice food afterwards though to help her forget. i think she woudl not enjoy the isolation either as she very enjoys company albeit on her own terms. personally i don't like the radioactive iodine thing because of the isolation perioud required and i think that the stress involved may affect the cat more than we realise and also their recovery and possibly make them iller, especially as a lot of these cats are older ones who are attached to their mums and dads. stick with the pilling, it isn;t that bad you get used to it after a while and so does the cat Bookie |
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CRF & hyperthyroidism questions
relkins wrote:
Hello, first post on this ng. I was trying to see if anyone here had any advice/wisdom on treatment options for a cat with chronic renal failure and newly diagnosed hyperthyroidism. My cat is an 8 yr. old neutered male who has been on medication for about 2 years for CRF. Just this past weekend, after his yearly visit to the vet, his tests came positive for hyperthyroidism. Our options are a) more meds twice a day for him or b) radioiodine treatment. My wife and I are trying to decide which is best. The R/i treatment sounds best, as it is almost 100% effective in curing the disease, but we are afraid of how he would cope with the necessary isolation. He is very much a "dog" cat, as in he needs to be with his people at all times, so we don't know how he'd react to not being able to be held and petted and loved by someone. Any advice on this matter would be greatly appreciated! Thanks, Ryan It's going to be a tough road! Your cat was quite young when diagnosed with CRF & he's obviously been tolerating medication pretty well till now. I've had 2 cats with thyroid problems, 1 who also later had CRF & a 3rd with CRF. If your cat is OK with pilling, this is a relatively easy route & it's possible to keep the cat going a long long time depending on your determination & how well he's being monitored & controlled to balance out his potassium, phosphorus & calcium levels, fluid balances etc. Whatever choices you make, do your best, & at the same time watch him for the signs his life is no longer a pleasure for him. I kept my cat Ginger going for at least 4 years with CRF but I very much regret keeping him alive that last year - year & half. He needed fluids, appetite stimulants & nutritional supplements at different times. It took me awhile to ask myself the hard question - who are you doing this for? He loved me & my husband unconditionally, but hated the pills, hated any medication & looking back at all my pictures, it's very plain he must have been suffering. Gingy was my orange boy & there's pictures of him on webshots as a 3 month kitten just taken from a research center, until just before his death in 2002. Ginger as a 3 mo kitten 1986 http://pets.webshots.com/photo/27277...50028271kgPnOa Ginger about 1 yr 1987 http://pets.webshots.com/photo/22303...50028271ZmFHbU Ginger in 2001 http://pets.webshots.com/photo/23617...50028271AgIizh Ginger in Mar 2002 about 1 mo before he was put to sleep http://pets.webshots.com/photo/22171...50028271GNLkhV I waited too long & it's still painful to think about. M. -- Message posted via CatKB.com http://www.catkb.com/Uwe/Forums.aspx...ealth/200705/1 |
#7
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CRF & hyperthyroidism questions
"mariib via CatKB.com" u22469@uwe wrote in message news:719548dbb5098@uwe... relkins wrote: Hello, first post on this ng. I was trying to see if anyone here had any advice/wisdom on treatment options for a cat with chronic renal failure and newly diagnosed hyperthyroidism. My cat is an 8 yr. old neutered male who has been on medication for about 2 years for CRF. Just this past weekend, after his yearly visit to the vet, his tests came positive for hyperthyroidism. Our options are a) more meds twice a day for him or b) radioiodine treatment. My wife and I are trying to decide which is best. The R/i treatment sounds best, as it is almost 100% effective in curing the disease, but we are afraid of how he would cope with the necessary isolation. He is very much a "dog" cat, as in he needs to be with his people at all times, so we don't know how he'd react to not being able to be held and petted and loved by someone. Any advice on this matter would be greatly appreciated! Thanks, Ryan It's going to be a tough road! Your cat was quite young when diagnosed with CRF & he's obviously been tolerating medication pretty well till now. I've had 2 cats with thyroid problems, 1 who also later had CRF & a 3rd with CRF. If your cat is OK with pilling, this is a relatively easy route & it's possible to keep the cat going a long long time depending on your determination & how well he's being monitored & controlled to balance out his potassium, phosphorus & calcium levels, fluid balances etc. Whatever choices you make, do your best, & at the same time watch him for the signs his life is no longer a pleasure for him. I kept my cat Ginger going for at least 4 years with CRF but I very much regret keeping him alive that last year - year & half. He needed fluids, appetite stimulants & nutritional supplements at different times. It took me awhile to ask myself the hard question - who are you doing this for? He loved me & my husband unconditionally, but hated the pills, hated any medication & looking back at all my pictures, it's very plain he must have been suffering. Gingy was my orange boy & there's pictures of him on webshots as a 3 month kitten just taken from a research center, until just before his death in 2002. Ginger as a 3 mo kitten 1986 http://pets.webshots.com/photo/27277...50028271kgPnOa Ginger about 1 yr 1987 http://pets.webshots.com/photo/22303...50028271ZmFHbU Ginger in 2001 http://pets.webshots.com/photo/23617...50028271AgIizh Ginger in Mar 2002 about 1 mo before he was put to sleep http://pets.webshots.com/photo/22171...50028271GNLkhV I waited too long & it's still painful to think about. M. -- Message posted via CatKB.com http://www.catkb.com/Uwe/Forums.aspx...ealth/200705/1 Thank you all so very much for your words of wisdom and advice! I have a feeling that we'll choose the pills, as the isolation required for the other treatment would be to much for all of us. It's been tough for my wife, though, as she has technically had him since before his eyes were opened. He was the runt of the litter, and the people who had his mommy thought she'd like him. He pretty much imprinted on her the first time she held him, as no one was able to hold him for a second or two before he escaped. When he was old enough to leave, she came and got him and everyone was just shocked when he walked up to her on the couch, meowed, then jumped up in her lap and promptly fell asleep. So, seeing him get sick like this is bringing home the fact that one day he'll have to leave her, and that is just killing her. You'd never know by looking at him that he is sick, as he still races around and plays with the other cat. I'm hoping this is a sign that he'll be with us for a long time. Ryan |
#8
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CRF & hyperthyroidism questions
"relkins" wrote in message ... Thank you all so very much for your words of wisdom and advice! I have a feeling that we'll choose the pills, Wise choice. Just remember to speak to your vet about beginning with a very low dose- insist on it if you have to. Best of luck, Phil |
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