by spaceshare » Mon Dec 28, 2009 3:33 pm
Thanks, Abbey. I hope you got my return message. I had posted the results of Yang's ordeal in the LR forum ("Urine Seeping Into the Drawer" topic) but had not returned to add the results here which I will do, now. Yang was about 9 months old and none of this is typical for a 9-month-old cat.
On Dec. 16th, Yang, despite her drinking, was seriously dehydrated. Back at the Vets for the third day in a row, she received subcutaneous hydration. That night, on Wednesday, she began accepting some food, and seemed better on Thursday morning with the exception of her stomach which had expanded considerably. I took her back to the vet for hydration. I think our plan at that point was to hydrate her intraveneously to clear more toxins from her system, and repeat the blood and urine tests to determine any changes (hopefully in a positive direction). But, in the late afternoon, when the vet staff got ready for the blood tests, Yang's stomach had grown even more. Fluids meant to hydrate her were ending up in her stomach. She was anestasized, the fluids drained, and I rushed her to the 24-hour emergency surgery center for pets in a nearby community where she had an ultrasound that night and on Friday morning, a radiograph to determine if there was a tear in her urinary tract that was causing the urine to leak into her stomach. If so, perhaps the tear could be repaired. Instead the staff found that urine was seeping bilaterally from both kidneys, also an odd finding, and the kidneys were not (obviously) processing urine. I was told there was nothing they could do for Yang.
After her ordeal that week, I brought Yang home so she could be here for a bit, sitting in the meditation room, being outside in the fresh air, being petted for awhile. She had very little energy. And then with a great deal of grief and sadness, I took her to a nearby Vet clinic and had her "put to sleep". Her last minute was spent in a quiet purr. Between the dehydration and urine seeping into her stomach, she would not have lived long if even through the weekend.
Yang had no obvious signs of illness -- so few that I was the one insisting something was wrong during our initial visit to Vet. Here's a sequence of her subtle symptoms in case this helps any other cat:
1) Litter box accidents started in mid to late October but were in definitely in process by October 31. (I attributed the accidents to the wrong cat and for the wrong reason -- kitten growth, not turning around in the LR, and urinating outside the door. My solution was to order some accessories for the LR that would encourage the cat to enter the LR fully and turn.)
2) Yang's loss of energy became somewhat apparent in early December. She didn't play as vigorously with her feather toy. I was puzzled by this but did not see it as indication of illness and at this point, had not connected the litter box accidents to Yang.
3) By the second week of December, she was obviously not feeling well: she crawled under a bed with her feather toy and stayed there.
4) We had a heavy freeze for five days, lost electricity for two days. Yang's protest was a gentle "meow" at her water fountain that wasn't flowing. The other cats modeled lapping behavior in still water and she immediately caught on! I put out a second litter box for the cats and used crystal litter part of the week. The crystals helped determine two things: (1) Yang was having the litter box accidents since she used the very edges of this box: (2) Yang's urine went from yellow one week to clear the next. Clear urine can mean that the kidneys are not processing toxins. This causes dehydration. The cat begins to drink more to compensate. The urine output increases and the color of the urine is clear. (NOT good)
5) She vomited on two different occasions.
6) On December 13, she didn't eat. I called the Vet on the 14th and took her in. Her symptoms were not typical -- no fever, high white cell count; her kidneys were enlarged (also NOT typical), tests were run, hydration started, antibiotics given, and you know the rest.
I don't know what happened. I didn't want an autopsy done (and maybe I should have done that for peace of mind if nothing else). Her history and symptoms fit FIP but she didn't have it according to two Vets. All viruses were ruled out. She may have had a genetic disorder or had damage done to the kidneys at some point that continued to progress or she may have had cancer, tumors in the kidneys. If one kidney had been healthy, she could have lived. If hydration had been successful, she might have lived.
The kidneys can function quite well until they have lost 70% of their filtering process and then obvious signs of illness will turn up. Yang's signs were the litter box accidents, lack of energy, vomiting, loss of appetite. Cats will also start drinking considerably more, begin to look for and drink at odd places (out of a faucet, for example -- Yang chose the jets in the bath tub), urinate more, lose weight, and their coats will become rough. With chronic kidney failure (usually in older
cats or young cats with FIP), the signs are subtle and the loss of kidney functioning slow as appeared with Yang. Acute kidney failure as with poisoning (antifreeze) can be quite obvious and quick.
Of course I am not a kidney expert and only learned the above through Yang's ordeal.
Yang was a sweet, sweet kitty and is missed.
Kitties: Zen & Ariel. Litter Box: Litter Robot. Remembering Nuba, Ceba, and Yang Su Ling.