Bad blood test results

jikin

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Hi there! Long time, no post.
My 12 year old cat, Oliver, is having issues. I have about 2 weeks until the next vet appointment, and I am looking for anything: ideas or past experience. Trying not to worry, as that won't help him.

I had thought for quite awhile he felt too thin when I would pet him, but he never matched pictures of underweight cats. I kept pushing it off, thinking I was just too used to the bigger, furrier boys in the house. I finally took him to a walk in clinic last week.

The vet said she never saw another cat like him. Apparently the reason I couldn't figure out if he was underweight is that he really doesn't fit the normal profile. He does have a layer of fat on him, what he is missing is muscle. She was actually very fascinated by him. He's had a funny gait for as long as I can remember, and I have never really questioned it.

She was certain a simple blood test would come up with an answer. Well the blood work came back- more questions than answers. It is a bit of a mess, but he doesn't really have any correlating symptoms.

He is low on: WBC, RBC, HGB, HCT, platelets, neutrophils, lymphocytes, and has a slight amount of poikilocytes.
From what I read online, this cat should be listless, tired, not eating, and looking generally rough. He is none of these things. He has energy, eats well, and generally acts like a normal happy cat. His only real symptoms appear to be muscle wasting. And maybe a small amount of hair loss( a tiny bald spot just popped up last week, but he may have been scratching. He stopped scratching after a bath to sooth it) The only other thing they flagged him for was a bad tooth.

The clinic vet was throwing around scary sounding words, like cancer and blood marrow disease. As he needs more advanced testing, it is off to the normal vet in a couple of weeks. They have the initial results, but don't want to give any opinions until they see him.

So, long post. Any ideas or similar sounding experience is welcome. Just trying to get an idea about what they might look for. Hoping there is something non-scary sounding this can still be.
 

Furballsmom

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Hi
I don't know, but he sounds amazing. Is there something scheduled to take care of that bad tooth before it starts to cause issues of its own?

I'm sending as many good thoughts as I possibly can!! :vibes::heartshape::crossfingers:
 
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jikin

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Thank you!
Nothing scheduled for the tooth yet. It is on the discussion list for the visit.
 

fionasmom

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A simple blood test will not reveal every condition possible and I agree that you should go to the regular vet and have a more extensive test done. Discuss with the vet anything that might be at play as you make a decision about diagnostics for him.

You did the right thing to go to a clinic once you became concerned, but a walk in clinic or ER that operates only as an ER (no regular vet staff and not set up for extensive testing) is limited in what they can diagnose for you.

Don't worry about this until you have more information and don't google every possibility that you can think of.
 
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jikin

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Fionasmom- thank you. I know I shouldn't panic. It's just hard not having any answers yet and having to wait.
Plus the clinic saying it could be multiple serious things makes me a bit anxious. I was expecting something relatively simple to treat, like normal thyroid issues.
But I guess worrying really doesn't help anything.
 

Alldara

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J jikin It can still be a simple issue! You never know. It's the vet's job to prepare for the worst though.

Just one step at a time ☺ I remember that panic feeling well. Sounds like you have a good vet though.

Basically from what I'm understanding from the test, your cat is anemic and has infection. The cause of both is yet unknown.
 
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jikin

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Just thought I'd post an update.

The appointment at his regular vet was Saturday, they did another blood test and they said they were referring him to a specialist. The specialist called this morning and said I needed to bring him to their urgent care office today.

Between the blood tests and sonograms he was diagnosed with advanced stage intestinal lymphoma. What the first vet thought was squishy fat in his belly was actually water retention.

So, he is on steroids to buy some more time, but not sure how long he has. They did offer to refer him to an oncologist, but they weren't sure how much time it would add on due to how much it has spread. After I turned down the offer the vet said he would have made the same decision for his cats, so that made me feel a little better.

As for Oliver: he is still happily playing and eating like nothing is wrong. Apparently the steroids will make him "hangry", so that is something to look forward to.

Wishing he would have shown some sort of symptoms earlier, and maybe it could have been caught sooner.
20221108_192632.jpg
 

fionasmom

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I am sorry that you received this news. I have had two cats with SCL and, in neither case, did it just jump out at me in an early stage. The pred will provide some comfort for your lovely boy and he may do better on it for longer than you are anticipating. Keep him happy and as comfortable as possible and remember that what probably makes him the happiest is your company. Please keep us posted and remember that we are here.
 

FeebysOwner

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The very fact that he is still acting as well as he is, means that despite Oliver's cancer, he is resilient and apparently can withstand a lot of what is thrown his way. There are just some cats that are like that. And the steroids could prove to do good things for him - and, for longer than you might think.

Have they checked Oliver's cobalamin (B-12) level? A lot of cats that have intestinal lymphoma are deficient, which does lead to weight/muscle mass loss. According to the oncologist and IM vets Feeby has seen, it is pretty standard to give B-12 shots even without testing for a low level. I did test Feeby and she was wickedly low, so now I administer B-12 shots to her at home. Regardless of this, Feeby is actually considered overweight, and she too has 'belly fat'. Her ultrasound showed 'liquid' in her intestinal tract, but that was explained to me that she still had food processing in her intestine, which meant her fasting was not as long or 'efficient' as it should have been. (I am guilty in that I didn't deprive her of food for as long as they asked me too. :fear:)
 
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jikin

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Have they checked Oliver's cobalamin (B-12) level? A lot of cats that have intestinal lymphoma are deficient, which does lead to weight/muscle mass loss. According to the oncologist and IM vets Feeby has seen, it is pretty standard to give B-12 shots even without testing for a low level.
They did not mention this. I will have to look into it. Thank you!
 

Furballsmom

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he is resilient and apparently can withstand a lot of what is thrown his way. There are just some cats that are like that.
I had the same thought ❣

Hopefully the tooth isn't painful. I think these below are more preventive, but maybe, if your vet approves?

use Oratene, a water additive to put in their drinking water.
Logic and Virbac claim to work without brushing as it works with saliva , just put a small amount on your finger or her paw for her to lick. They come in chicken, fish and malt flavour.
 

iPappy

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I've had more cancer pets in the past year or so than I ever hoped I'd see in a life time. I still get a butterflies in my stomach when I hear "quality of life". It feels like this scary doomsday count down to their end, but it doesn't necessarily have to be that way because I'd much rather mine have 6 months of goodness vs. 7 months of hell.
My latest loss showed very subtle symptoms for 2 years before the diagnosis was confirmed. I still feel guilty about that. Had I asked for a biopsy on day one, we might have caught it sooner. But the prognosis with his cancer, even with aggressive treatment (which we didn't do) was 5-18 months or so, 5-10 months without. I first noticed subtle signs during the Covid lock down in 2020, and he just passed in September. So even despite not getting chemo/radiation, he lived 2.5 years assuming his cancer was present at that time (which, I feel it was.)
Despite a scary diagnosis with words like "advanced stage", Oliver is still eating, playing, and acting completely normal. This is absolutely awesome! FeebysOwner FeebysOwner mentioned talking to your vet about B-12 shots, this could be a game changer for him (and administering them at home means less stress for everyone). :hugs:
 

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My vet gives my 15 year old cat B12 shots once a month and that plus the pred has done wonders. You sound like a great cat owner. Don’t blame yourself for not catching anything sooner than you did: cats are good hiders of things. Apparently giving the B12 shot is very very VERY simple to do, and over in a second, I’m just a wuss, but there are many examples of TCSers doing it themselves, easy peasy, in the quiet comfort of your own home. I know you are probably anxious about all this, but, try to transmogrify it into being with him here and now, appreciating the NOW. You will know and sense if quality of life changes. Sounds like you have good vets, which is a huge bonus, and as Fiona’s Mom said, we are here for you.
 
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jikin

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Does anyone know if there is an alternate steroid to the prednisolone that could be prescribed?

Unfortunately after 4 doses he had a bad reaction: he vomited blood. I stopped the steroid after that. No more bloody vomit after that. None in the litter box either.

5 days later and He's still eating normal, and isn't showing any signs of pain. Maybe slowing down a bit, but still demanding whatever he wants at the moment.

I admit I am hesitant to contact the vet, as I assume they will suggest just putting him down. But if there is an alternative steroid that won't cause that reaction, I would like to try it. I just want to know if That's even a possibility, should I call them. It was a liquid form that he was taking. Not sure if that would matter with the side effects or not.
 
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jikin

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Thank you, iPappy and FeebysOwner!
Just knowing there might be more options gave me some more hope. I have had a couple of bad experiences in the past, and worry about the vet jumping to euthanasia before it is necessary.
I did end up calling the vet after your responses. She is out today, but is supposed to call me back tomorrow. Hoping She's willing to try something else.

Has anyone ever tried LifeGold before? Does it actually help?
 

iPappy

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If he's still eating and acting normally, euthanasia wouldn't even enter my mind. :hugs:
I'm using lifegold for a cat with a small tumor, and it hasn't grown. She's been on it for about 2 1/2 months. She will remain on it!
 
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