Feline Hyperthyroidism

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Dr_Rick

Original Poster:

1,601 posts

250 months

Wednesday 30th January 2013
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So, I think our BSH rescue cat has developed hyperthyroidism. I've got an appointment this evening to get a blood test, but I figured the responses here are fairly swift so I'd ask for opinion based on observed symptoms.

Duke is around 10-11 years old. No one is sure as he came in as a street cat via Cats Protection League. They estimated him at around 4yrs at the time based on looking in his gob. He was skinny at the time but put on weight once we'd taken him in. Active cat, loves wandering and outdoors in general, but can be persuaded to lounge in front of a fire if required. Activity wise, he's got a large range (about 1km radius) and brings in double digit number of mice each season plus pigeons and other asorted wildlife.

However, this winter he's been a bit different. He's not put on the winter bulk of previous years and seems (to visitors who've noticed a change) to have lost weight on his haunches. He's not too keen on dry food any more and will quite easily go through 3-4 wet food packets plus raw meat from dinner if offered. Previously he'd get dry food in the am (and through the day) and wet in the pm (usually 2 packets as he's large). Water is fresh and available at all time.

Despite being an outside cat he has his limits, so with the evil weather we've been having he's not been keen to go to the loo outside and has been using the litter tray. In the last couple of weeks I've noticed that there's proportionally more pee clumps in the try than there used to be. So I'd assume he's drinking more. Poop wise, same as always.

His activity has been constrained by really poor weather; we've had snow / rain / wind the same as everyone but we're in an exposed country place so he's been less keen to go out. This is true of most winters so I can't tell whether his energy levels have dropped.

Like I said, internet opinion only, but does this sound like hyperthyroidism?

Dr_Rick

Original Poster:

1,601 posts

250 months

Wednesday 30th January 2013
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bexVN said:
I'm not sure,

Cats normally tend to lose weight all over but increase appetite a lot, they can seem more skittish and hyped up than they used to be.

Your vet will be able to basic cks such as heart rate (usually very high with the condition) however a general blood test (to ck kidneys, glucose, thyroid and liver) would be a good idea. You are right to get him ck'd over.
Bex, thanks for the reply.

He still has the odd mental-moment where he goes haring off round the house after his own shadow, but the next minute he'll settle down on the sofa, turn turtle and fall asleep.

Food wise he doesn't eat anything odd, and frequently cleans our plates in preference to his. We did wonder whether age / teeth would be coming into play by pushing him away from dry (formulated) food and more onto the soft wet food.

Grooming wise he's not looking too scraggy and vocally he's on top form when there's the option of food so he's not exactly lethargic.

One weird one, my dad noticed that one of his back legs appears to be preferentially placed a little more under his body than the other one. Don't know if that makes sense. Now, he's not been clipped by a car or anything as we live at the end of a private track with no houses beyond ours. Only thing other than metabolic that could injur him would be if he fell off a wall. Which has happened in the past.

Suppose we'll see what the vet has to say.

Dr_Rick

Original Poster:

1,601 posts

250 months

Thursday 31st January 2013
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Vet did a check up and took some bloods. Seems he's dropped around 0.6kg since his last visit; not skin and bones but a 'significant amount'. He's not diabetic as they dipped for sugars and it was in bounds.

Should get a phone call this evening with results. Suggested it was leaning towards hyperthyroidism and that there were two flavours of tablet, radio-iodine or surgery as options. But that tablets were the standard and suggested approach.

We'll see as the results from the 'Old and Skinny Cat Test List' cover liver, kidney, heart and thyroid. Can't see it being anything but tablets though whatever way you cut it.

Dr_Rick

Original Poster:

1,601 posts

250 months

Thursday 31st January 2013
quotequote all
bexVN said:
I hope it's all OK. 0.6kg is a significant amount of at loss. Iodine tx is worth considering. There is some criteria to meet and probably for the insured cat, unless money no object!

Tablets can be very effective and relatively simple as long as you have a complient cat! But they occ have there side effects.
He's gone from 4.7kg to 4.1kg but his frame hides it well. He's not a lap cat so there was no real way to 'feel' the change.

He is insured, I just need to dig out the paperwork and make the call.

Compliant in this instance means I've worked out his technique for accepting the tablets so I'm not worried about that. He doesn't do crushed or hidden tablets and the wrapped-cat technique is no good. Simplest option is to prise the jaws apart and chuck the tablet down while dodging the flailing claws. Then simply a matter of clamping the jaws shut till he's swallowed the smartie.

Dr_Rick

Original Poster:

1,601 posts

250 months

Friday 1st February 2013
quotequote all
Well the phone call confirmed hyperthyroidism. And just to make us feel even worse, the vet said the measured value was off the top of the regular scale that they use, which suggests he's had it for longer than we acknowledged. The scale goes to 12.9 (I think that's what was said) and he hit that quickly.

So this evening The Duke will start a course of tablets that will last for the rest of his life. Fair enough, he's a grumpy sod but worth it.

Incidentally, do those that have experience of this recommend upping the meals to counter the loss, or is this going to cause other problems?

Dr_Rick

Original Poster:

1,601 posts

250 months

Friday 1st February 2013
quotequote all
So its £18 pcm for tablets. The only thing I've failed on is an annual insurance policy rather than a whole life. Which means that come renewal time I'll not have cover as it'll be a pre existing condition. Will have to find a solution either cheaper meds or a compliant insurer.

Dr_Rick

Original Poster:

1,601 posts

250 months

Saturday 2nd February 2013
quotequote all
Vidalta @ 10mg and one per day. Not a problem taking the tablets. Fingers crossed

Dr_Rick

Original Poster:

1,601 posts

250 months

Tuesday 26th February 2013
quotequote all
Some success I suppose. We're due a 4wk check soon. His energy levels are back to sensible levels and not being wiped out by the hyper metabolism. Still eating 4 - 5 packets a day but he needs it to minimise the weight loss. We tried kitten food for the calories once but he was sick so we stopped. Just have to see what the quack says his levels are come MOT time.

Dr_Rick

Original Poster:

1,601 posts

250 months

Sunday 17th March 2013
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Check of bloods now indicates (according to the vet) that the measured figure has come down from 192 to 65, with acceptable range being 0 - 50. So we're close, but not quite.

On another plus side, he's also down from 6 packets of food a day to just 2. Which is nice.

He's also put back 0.5kg from the 0.8kg he lost.

Progress.....