Cancer In Kidney, Has Spread To Lungs, Feeding Tube

LokiBella

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This site is a wonderful resource and I am hoping I can get some thoughts on our situation.

Our 15-year-old Loki was just diagnosed with end-stage kidney cancer that has spread to his lungs. The tumor has completely taken over his left kidney and he has several nodules in his lungs. He showed no symptoms until about a month ago when he was having trouble with bowel movements and we took him to the vet. The vet performed an ultrasound and found his kidney to be odd shaped. After we mentioned that he recently ( less than a month) developed a rasp when he purred ( which has now progressed to getting out of breath when he walks longer distances) the vet checked his lungs and the outlook was grim. We were sent to an internal medicine specialist for a CT scan. While we were there the vet advised us to put in a feeding tube. Loki had slowly begun to turn away food to the point we were helping him with syringe feeding. The vet was worried he may have "fatty liver" so we agreed to the e- feeding tube. ( anything to help him we would do in a blink of an eye.) The vet called us that evening with the results of the CT Scan and confirmed cancer. He said Loki was doing well from the e-tube procedure and we could pick him up the next day and discuss palliative care.

Here we are a little over a week later and Loki is handling the feeding tube well. He is on Metoclopramide for nausea and digestion. He takes a steroid ( liquid) daily. He has begun to have an occasional daily or every other day one-time coughing fit, which we were warned could happen. He does seem more " tucked in" for most of the day, but when we are home he has no problem being around us ( he's always been quite the affectionate, stuck by our side, cat ). It's like his mind and heart tell him to do his normal routine like being interested in a can of food opening and when we are sat at the dinner table coming to see what we have. He has moments where you would never think a thing was wrong with him. And others where I can look at his face and see he's feeling off. Or when his mind has told him to walk all around following what we are doing in the kitchen and he has stop to catch his breath. ( no open mouth breathing) just seems winded and crouches down. We calm him and he gets in a more rested position and then his breathing rate returns to a rested or more normal state.

The vet has given us a timeline of a month :(. He is like a child to my husband and I. We make up stories about things he would say or do in a situation to make us laugh. He's a big cat with a big personality and even bigger heart. He loves to lay in our bed with his front paws pushed into our hair. He's survived the worst conditions. ( He was trapped in a house during Hurricane Katrina in 2005, a house that flooded with 6 1/2 feet of water and spent a week after with hardly any food or water while rescue attempted to get him out). We have been his parents since his rescue.

I know so many of you know the feeling and understand how much he means to us. We feel like we know him well enough to know when "its time" and we are cherishing every minute he's here with us. I am hoping some others here have been through this in some way and can help with a few questions we have.

- What has been your experience with the dosage time of the steroid?

( our vet suggests evenings ) but we found when we gave it to him midday he was more himself in the later afternoons. I've read cats are usually better with the evening dosage, but our Loki is a "sleep all day, active in the late afternoon and evening, and in bed with us full sleep thru the night" kind of cat. We have slowly transitioned him to evening dosage ( it's only been 2 days on evening dosage) to see if that works the same or better for him.

- Are there "cat's with cancer" support groups or forums out there?

- Thoughts on pain medicines?

Our vet prescribed gabapentin - the first dosage we gave him with his feeding he gagged horribly and made this noise like we stepped on his tail. It was awful. Since we have tried to avoid it, and honestly we don't know how we feel about drugging him up all the time knowing that it isn't due to a condition that will get better over time.

- Any other words of advice, thoughts, or experience are most welcome.
 

Furballsmom

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Hi! My heart is wrapped around you all!
I can't help with anything except to send my love and I was wondering,-- have you checked Facebook? It is sometimes a source for/of feline illness groups.
 

duckpond

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I dont have answers for you. Other than i think some pain management might be a good thing, make his last days as comfortable as possible. Maybe talk to the vet about a different one, or maybe even drops, i dont know if they have those for cats? If not, well they should.

I am sorry that he is going through this. My heart also breaks for you and your husband. Its so hard to go through this with a loved one! Sending you guys hugs :grouphug: Please do keep us updated with him!
 

silkenpaw

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I am so sorry about Loki. I think just everyone here knows what it is to lose a beloved animal and we are all here for you.

My kitty with bone cancer was on buprenorphin (a narcotic) and it did take an edge off his pain. Did Loki hate the gabapentin when given by mouth or through the tube? If the former, maybe he wouldn’t mind it through the tube. You’d just have to crush the pill first. (In fact, I don’t think a cat with a feeding tube needs to take any medicine by mouth.)

Thank you for trying to give Loki a good quality of life. Let us know how he does. Sending you comforting hugs.
 

Erinlinkcappy

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Hello , I don’t have a lot of advice but I’m sorry your family member and your family is going through this.

We also had a big beloved cat who got lung cancer ( we found out very late - it was days) and although it was years ago I think about him often.Some cats are very extra special. Such a hard and sad time. You are doing a good job.
 

white shadow

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Hi LokiBella!

Are there "cat's with cancer" support groups or forums out there?

- Thoughts on pain medicines?
First, yes, there are specialized online communities (for almost every chronic condition)....here's the one I recommend: For people Whose Cats Have Cancer (I find it's easier to get a new dedicated email account for these groups - Yahoo works well)

If you were giving the Gabapentin through the feeding tube, I don't understand why he'd have a problem with it....and also, that should be just one of a 'cocktail' of pain control meds....I used Gabapentin with meloxicam and Buprenorphine. I'm sure people in the cancer group will help on pain control info.

Keep us posted.....and, we never refuse pics !
.
 

happilyretired

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I totally empathize with your situation. Dealing with a terminal pet is heartbreaking. But when continual pain meds are needed, for me it would be time for the Rainbow Bridge. I don't want to seem heartless, but my best vet told me that quality of life is important for a cat, and I would never want to allow my cat to linger in a terminal condition that's causing discomfort.

I've lost two cats to renal disease, and the extremely distressing end came so suddenly that it was impossible to avoid the cats' distress. Having experienced that, I would always opt for euthanasia when the situation is dire and the cat obviously not comfortable.
 
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LokiBella

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Thank you everyone for the advice, thoughts, and kind regards. It truly means a lot to us.

Thank you, White Shadow for the link to the cancer support group. I’ve signed up to join their group

Loki had a good day yesterday. He even rolled over to show his belly! Today was kind of a mixed bag day. He started off not so good, vomiting bile this morning before we could get his feeding started. And he had a coughing episode early this morning. my husband and I work about 10 minutes from home so we set up some cameras in the places he likes to tuck away to with motion and sound alerts ( they are similar to baby monitors). This has given us some peace of mind when we are away for the hours between coming home for his lunch feeding and the afternoons. This evening he was more alert and planted himself in the middle of the kitchen floor ready for his evening feeding.

The gabapentin is a compound liquid administered in his feeding tube. We are going to try to give him half a dose (.2ml as opposed to .4ml ) with his evening feeding tomorrow to see how he reacts. We are hoping it will provide him with a better or more comfortable night’s rest.

Our vet has been extremely kind. She calls to check in on him and has assured us when it is time she will come to our home. We are trying to be our strongest for him and hold ourselves together. I’m pretty sure he’s getting tired of all the constant kisses from me and “you okay buddy?” from my husband. But I know he knows we do it all out of love and that we will not let him suffer when it does get to that point. So far good days outweigh bad days and for that we are thankful.

I’ll keep posting updates and look forward to keeping in touch with everyone.

I’ve uploaded a photo of him with his special Kitty Kollar I ordered the day he got his feeding tube.
 

white shadow

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WOW! What a fashionable collar......

Make sure to inquire about pain control meds from that group - I'm concerned that the Gabapentin alone may not quite meet the need.

Cats are renowned for masking signs of pain......secluding themselves/hiding being one of their methods.

Here's a tool you can use to identify other signs. It was developed at Colorado State U's College of Vet Med: Feline Acute Pain Scale - CSU (Internet Archive)

Thinking of you three:redheartpump:
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