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old cat issues - thoughts?

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  • old cat issues - thoughts?

    Female cat, 18+ years old, orig. owner declawed all 4 feet.
    Have had her 15+ yrs, always walked sort of funny, and was never the typical athletic cat. Persian type princess.
    Over last year, she slowly dropped weight. Started a calorie counting thing to get more food in her maybe 3 months or so ago and she's gained about a pound. Still more than a pound and 1/2 below her more youthful weight of 10-11 lbs
    Bloodwork fine in April.
    Started her on oral dose of gabapentin also in April timeframe, as she was very arthritic acting and not comfortable. This helped her noticeably.
    More recently - last couple weeks she has been vomiting in the early mornings almost every day. Liquid, orangy color. Not hairballs.
    I've read about something called bilious vomiting syndrome, but cat eats dry food overnight.

    As I wait for the weekend to end so I can schedule a vet appt, any thoughts? possible delayed reaction to the gabapentin? How much testing does one do to see what else it could be? If there is another med recommended - how many meds do I want to keep putting in old cat? She already is not happy with the dosing syringe, lol.

  • #2
    Her kidneys could be failing. That's what happened to my 19 yo cat many years ago. I did fluid therapy for her. Learned to give them home. It kept her going for a year. Maybe try switching to wet food. Dry food is bad if it's a kidney problem.

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    • Original Poster

      #3
      Originally posted by just shoot me View Post
      Her kidneys could be failing. That's what happened to my 19 yo cat many years ago. I did fluid therapy for her. Learned to give them home. It kept her going for a year. Maybe try switching to wet food. Dry food is bad if it's a kidney problem.
      Thanks for the input. Didn't occur to me that vomiting and kidney issues could be related... She actually eats wet food during the day and the dry is put out overnight. Its maybe 1/4 of her intake. Hoping its not kidneys; vet tried to teach us on a prior cat who had kidney issues and she pitched such a terrorist fit in the office that even he couldn't get it done. Drew blood on two people, knocked stuff onto the floor, etc. UGLY.

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      • #4
        Giving sub cu fluids can be an enjoyable experience for the kitty. I warmed mine up to about 102, and the cats would purr as the warmth flowed around the belly.

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        • #5
          Did your vet check a thyroid level in April? It could be a lot of things in a older kitty from kidney disease, hyperthyroidism, intestinal lymphoma, etc. I would consider running bloodwork again and a urinalysis to start with and going from there.
          "No matter what anybody tells you, words and ideas can change the world."
          -Dead Poets Society

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          • Original Poster

            #6
            Originally posted by MustangSavvy View Post
            Did your vet check a thyroid level in April? It could be a lot of things in a older kitty from kidney disease, hyperthyroidism, intestinal lymphoma, etc. I would consider running bloodwork again and a urinalysis to start with and going from there.
            Good suggestion re thyroid. Not sure, but will verify and or have it checked. The strange thing, maybe, is that she is acting perky - for her age - interactive and not hiding which she does do when not feeling well.

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            • Original Poster

              #7
              So: vet appt. scheduled but in interim I have stopped the evening dose of the Gabapentin. And what do you know - there is no early morning vomiting. Fourth day. Her comfort level seems still good with only the one dose so I'm hoping we have the solution.

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              • #8
                Gabapentin is processed renally. If her kidneys are failing (which is also my first thought for an old puking kitty ) she may not be clearing the gabapentin in a timely manner, and building up to slightly toxic levels. Nausea and vomiting are seen in gabapentin ODs (in people.)

                That's one possibility, anyway. I hope the vet has favorable news for you. There's a new kidney test that could be worthwhile. SDMA detects kidney failure far earlier than looking at BUN and creatinine changes. Most vets are running a SDMA now, but you might ask about it. Good luck!

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                • #9
                  Thyroid or kidneys seems likely.

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