tpvets_logo.jpg (2726 bytes)TOA PAYOH VETS
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Date:   29 May, 2010  
Focus: Small animals - dogs, cats, hamsters, guinea pig & rabbits.

Toa Payoh Vets Clinical Research
Making veterinary surgery alive
to a veterinary student studying in Australia
using real case studies and pictures

 
The Kind Soul
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
D
ate:  29 May, 2010
toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129
TWO MONTHS AGO

A lady e-mailed to me regarding a cat whose owners sought help online as they had spent some money at a big veterinary practice. So the kind soul enquired whether I accept payments (by the owner) by instalments. I accepted the case.

Cat 5 kg. 5.1 years. 39.2 deg C. Very painful throat.
Difficulty in swallowing food for 1-2 months

History

"My cat eats a bit, drinks a bit but stops after a few seconds," the owner said.

What is the cause of dysphagia (difficulty in swallowing). No cats permit the vet to open the mouth and examine for more than a minute before the claws will flash out to scratch the vet. In this case, a general anaesthesia was necessary.
 
Sedation: Zoletil 100 at 0.05 ml IM sedated this old cat without problems. Isoflurane gas anaesthesia via mask was necessary to do a proper examination of the throat. However, I would not just give some antibiotics and send the cat home as there was something wrong with a cat not able to swallow for two months. Anaesthesia was costly but it needed to be done. In this case, there was a big ulcer at the side tooth PM4. Dental scaling and the right upper canine tooth was fractured and extracted.

Only the right nostril discharged pus. This was a case of right nasal sinusitis
Not surprisingly, only the right tonsil was inflamed and enlarged. I palpated he throat. It was very painful. He would die if he was not treated. He needed to be put under general anaesthetic for a proper examination. Not just antibiotic injections and medications as the cat could not swallow.   
 

"Can't swallow. Noisy breathing sounds".
 What's the cure?

The kind soul wanted to help the cat by seeking out a vet who might accept payments by instalments.  The kind lady contacted me by e-mail. The cat recovered fully after the dental work according to the owner who came 2 months later. Cats suffering from FORL (Feline Odontoclastic Respiratory Lesions) needs dental work to go back to normal as they have great pain inside the mouth.    

2 MONTHS PASSED. The couple came back for medication without the cat. "The cat started eating the next day. He put on weight. He was OK for the last 2 months. Now he has some sneezing. My wife could have infected him."

"It is difficult to diagnose what's wrong without seeing your cat," I was happy for the cat who had been suffering for the last two months. Due to financial reasons and the recession, many owners simply ask for repeat medication. The vet has to advise accordingly. "It is not the tablets that work," I said. "There needs to be a proper examination."

UPDATE
The cat came in for an examination because the oral medication did not work. He had lost around 1 kg in weight and was thinner. "He suffers from an upper respiratory tract infection and high fever," I informed the owner. "Do you permit your cat to go outdoors?" The owner said: "Just outside the door. He will not go further." I replied: "Other cats may visit him if he really does not wander further from your door step. I doubt it. He has a viral infection now and will need IV drips and antibiotics." The owner decided to bring the cat home for treatment in the meantime. I hope the old feline can recover this second time of infection. A more serious one the second time as it probably involved a virus. No blood tests or other tests could be performed due to economic reasons.    

Male cat, 7 years. upper respiratory tract infection. not vaccinated. toapayohvets  singapore Male cat, 7 years. upper respiratory tract infection. not vaccinated. toapayohvets  singapore Male cat, 7 years. upper respiratory tract infection. not vaccinated. toapayohvets  singapore

Two months after the first consultation,
the cat had  runny nose and fever
  Vaccinate your wandering cat to prevent cat flu
 if you can't keep her or him at home

He had never been vaccinated. "A 20% loss of weight," I told the owners. "This is serious."  I taught the owner how to open the mouth to examine for ulcers and how to give the oral medication and electrolytes as he wanted the cat to be home.

P.S
Many Singaporean cat lovers permit their cats to stray outdoors. Vaccinate your cat yearly to prevent the common respiratory and other viral infections. Yearly dental checks help your cat to live longer. 

April 2010 is Autumn in Perth, Australia. Toa Payoh VetsBE KIND TO OLDER DOGS & CATS --- GET TUMOURS REMOVED EARLY --- WHEN THEY ARE SMALLER.  More case studies, goto:  Cats  or  Dogs

To make an appointment: e-mail judy@toapayohvets.com
tel: +65 9668-6469, 6254-3326

toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129
tpvets_logo.jpg (2726 bytes)Toa Payoh Vets
Clinical Research
 

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