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20 year old cat with heart murmur

Hi, was wondering if i could have some advice.

My cat was 20 years old in novemeber last year, apart from cystitis once and an injured leg. she has never been ill. She was only vaccinated as a kitten. She had a litter of kittens when she was around 11 months old.

She has had pulsatilla in the past but this isn't helping her situation at the moment.

For the past few weeks Molly has completely went off her cat food - was a prescription diet for intestinal health. She has some gum inflammation at the back of her mouth so i was mashing her food up for her to eat it.

On Sunday, i fed her cod and she ate 2 full fillets, sunday gave her chicken which she also ate, yesterday she had some turkey and refused the haddock that i gave her. today she hasn't eaten as much as the previous 3 or 4 days and was sick today also. The sick was the chicken that she ate along with clear watery liquid

On physical examination, we were told by the vet, her stomach is a bit inflamed but to be expected, kidneys and liver all feel fine, but heart rate is accelerated and she has a murmur.

Temprement wise, Molly is more lethargic, not eating very well, no excessive drinking - when she is drinking though, she is using her paw? her bed is a pillow but over the past few days she has been lying on the kitchen work top or out on the floor in the hall.

The weight loss - she is now 2.39kg, has been quite rapid over the last 10 days or so. She is still quite lively jumping up and down off the work tops, wanting up for cuddles, purring but she is weakening.

The vet didn't recommend we do anything conventionally due to her age, but could this case be looked at and homoeopathically advised on?

Any advice would be grately appreciated.

Best wishes,

Kirsty
 
  kirsty28 on 2014-02-06
This is just a forum. Assume posts are not from medical professionals.
Please answer applicable questions and I may be able to select a remedy. Answer in front of the questions leaving them in place:

1. Your appearance (age, weight, height)
2. What are the symptoms of the problem
3. In your view, what caused this problem
4. What makes the problem better
5. What makes the problem worse
6. How are you feeling mentally & emotionally during the problem (restless, calm, stubborn, weepy, want to be alone, fear of death etc)
7. Are you feeling cold or warm
8. How is your level of energy
9. How is your thirst
10. Are your lips or mouth dry
11. Your likes in food regarding taste (salty, sweet, sour etc)
12. Your likes in food regarding temperature (cold, hot etc)
13. Your dislikes in food regarding taste (salty, sweet, sour etc)
14. Your dislikes in food regarding temperature (cold, hot etc)
15. Any other health issues that you have
16. What allopathic medicines are you taking
17. What homeopathic medicines have you taken in last 6 months (dates, dose, potency)
 
fitness 6 years ago
1. Your appearance (age, weight, height) Molly, female cat, was 20 years old in november, now 20 years and 3 months. Weight 2.39kg
2. What are the symptoms of the problem - initially she had gastritis (i have posted this case before and gave her pulsatilla) about 6 months ago. She improved significantly on this remedy for those problems. Over the last 10 days or so she has rapidly lost weight, she's unsteady on her feet (slightly) back end is very emaciated. She was completely refusing to eat her cat food - hill science pet id but persistently stealing our food, even whilst it was cooking - was in pots, stealing turkey rashers/bacon from grill pans - clearly still hungry but not interested in cat food at all. we were advised about 6 months ago that feeding her non cat food was not the best way forward for her, that advise has now changed. Since Sunday she has enjoyed cod, chicken on monday, refused to eat haddock on tuesday so was given turkey, wednesday 250g of fresh cooked chicken breast was fed to her and eaten, yesterday went with chicken again, ate in the morning and a few hours later at the most, it was vomited back up along with clear watery liquid. She later ate a smaller amount of chicken about 4pm and that has stayed down. Since last night she has had tuna approximately 120g and no vomiting of the food but a very small amount of clear liquid has been brought up - much less than before. This morning she was a bit better in herself, more vocal and up to greet me when i got up, which was lovely. She has eaten again this morning, and again no vomiting as yet. she is a cat that loves to be cuddled and although she is still like this, she is getting more inclined to wanting to just sleep, she comes up for a quick cuddle and then back off again to sleep by herself. She is still using her toilet tray and doesn't appear to be having any difficulties with her toilet. When she was examined by the vet last night, they're still quite impressed by her, being 20, we were told, her kidneys, liver all feel fine, stomach was a bit inflamed, lungs sound clear but she has an accelerated heart beat and heart murmur. You can actually feel her heart rate. There was no high temperature either. the vet wasn't recommending we do anything conventionally due to her age and she said tests would only tell us what was going on, with very little being able to be done for her at her age. I have noticed she drinks after she eats. i wouldn't say she drank excessively though. I did google the paw drinking - old age - not being able to see properly, she does have cataract, depth of bowl - numerous behavioural reasons.
3. In your view, what caused this problem - her age?
4. What makes the problem better
5. What makes the problem worse
6. How are you feeling mentally & emotionally during the problem (restless, calm, stubborn, weepy, want to be alone, fear of death etc) temperament wise, she's still a very friendly, loving cat, she is spending more time sleeping on her own and cuddle times for her seem to have shorted. Previous to the last week she was very determined to get attention - she is known for climbing up my trouser leg, she will come in over my shoulder if I'm sitting somewhere she can't just jump up from. She's a very determined cat! when i try to put her down, if i have to do something, she has become quite clingy with it, seems more in a fearful way though, once she's on the floor she's fine again. When looking for food, she is still very enthusiastic about getting it, more so over the last few days as she's getting food she is enjoying.
7. Are you feeling cold or warm - Her bed is a pillow on a table, against a radiator. she hasn't been doing this up until recently, but now goes between lying on her bed and lying on the kitchen work tops or hall floor as its obviously cooler there for at the times she's needing it
8. How is your level of energy - still got a fair bit of energy about her, although less again over the last week or so. She is weaker on her back legs, a bit of a stagger from time to time but still jumping up on the work top, balancing to get to her food, sleeping more often though, to some degree for sure, her age will account for that too.
9. How is your thirst - wouldn't say excessive thirst - drinks straight after eating and small amounts periodically throughout the day.
10. Are your lips or mouth dry
11. Your likes in food regarding taste (salty, sweet, sour etc) - she is at the moment, liking chicken, tuna, turkey, cod
12. Your likes in food regarding temperature (cold, hot etc) - id say she isn't bothered either way with regards to temperature as she has her her paws in cooking pots - can't understand how she hasn't burnt herself either. she was removing lids to get to the food - bolognaise, crab linguine, beef mince, lamb, ham. Other than her regular cat food and haddock, haven't come across any meat/fish or poultry that she doesn't like - so far. She has always been one for licking gravy from meat dishes including her cat food.
13. Your dislikes in food regarding taste (salty, sweet, sour etc) - haddock and regular cat food
14. Your dislikes in food regarding temperature (cold, hot etc)
15. Any other health issues that you have - she has only ever had 1 case of cystitis about 12 months ago and an injury to her leg which has completely healed
16. What allopathic medicines are you taking - zantac twice a day for 3 days to settle her tummy
17. What homeopathic medicines have you taken in last 6 months (dates, dose, potency) pulatilla LM1 I gave her a dose of this a few weeks back as she does seem to do well on it overall but not making any difference to the symptoms described above.

Thanks for offering to look at her case, i have another cat, Lucy who has been getting staphysagria and she's doing great. Im too scared at this time to treat her myself and appreciate more expert advice.

Best wishes,

Kisrty
 
kirsty28 6 years ago
Please try Pulsatilla 30c, two doses, 12 hrs apart.
 
fitness 6 years ago
Hi,

Thanks for getting back to me!

I will have to order pulsatilla 30c but should have it by Monday. Should i give her a further dose of the LM1 in the mean time or just wait?

She has been a little bit brighter today, still lethargic, weak/staggering a little but one of my friends was in for a while and her pulsatilla nature came right out in her. the dog was pushed out the way and she was in for quite a while for a cuddle :o) thank you,


Tried her with mackerel today, not sure at this time if she doesn't like it, or if she just wasn't particularly hungry. I will let you know as soon as i do.

Best wishes,

Kirsty
 
kirsty28 6 years ago
No LM dosing please, wait for Pulsatilla 30.
 
fitness 6 years ago
Ok, thank you!

Will order asap and get back to you as soon as I have given it to her.

Best wishes,

Kirsty
 
kirsty28 6 years ago
Hi,

Just a quick update. My mum has pulsatilla 30c granules so Molly has had her first dose at 2pm and will give her, her 2nd at 2am.

I forgot to mention in your form but did mention in my post - she has gum inflamation at the back of her mouth so she's not very happy with me at the moment. Would you be ok with her having the second dose dissolved in water so I can give it via a small syringe? If so, could you give me your instructions for doing so. I could order 30c in liquid form if that's better?

She is still ok today, not eating quite as much as she was at the weekend but based on her being a bit better in herself, I'm thinking that's due to not being starving. Can see her filling out a little and no more vomiting as yet.

She does like mackerel - she just wasn't hungry! :o)

Thank you,

Best wishes,

Kirsty
 
kirsty28 6 years ago
FOR ANIMALS:
One dose is made by dissolving one pill of the remedy (or one drop, if you have liquid remedy) in half a glass of water. Stir it and take one tea spoon from it.
 
fitness 6 years ago
Thank you!

She was protesting quite a bit due to pain but all happy again and now lying behind me in the living room looking very relaxed.

When would you like me to report back to you?

I will be keeping notes on anything happening and will let you know when you need to.

Best wishes,

Kirsty
 
kirsty28 6 years ago
Report back in 3 days.
 
fitness 6 years ago
Ok, will do.

Have a nice weekend,

Best Wishes,

Kirsty
 
kirsty28 6 years ago
Hi fitness,

I have the hospital tomorrow so posting results tonight. Molly is improving!

I have taken observation notes so will write what I have, if you need it done differently, please let me know.

First dose of 30c 2pm on Saturday

Slept for a few hours, woke up and ate. She seems more relaxed in her sleep, stretched out. Also, behind me on the couch in the living room which she hadn't been doing for a few weeks. Her bed in the kitchen is only there for her if we are not in or overnight as we keepthe living room door closed. She was using her bed more previous to 30c

Early evening following me about, this is more like her and more vocal too.

Still sleeping on the hall floor periodically.

As the night went on she was more alert, wanting cuddles in between sleeping. Her want for affection/attention increased. Again, more like her old self.

2nd dose at 2am - dissolved in water as per your instructions via a small syringe. She put up a major fight on this and have the scratches to show for it :o) for about 10 mins after this her tail was wagging, no purring, nothing. She soon settled.

Sunday morning.

8am - hadn't eaten any of her food overnight. Wasn't sure if she was off her food so tried her with a bit of chicken which she ate so left the food on her plate to see if she would eat for a few hours to see if she would eat, she did. She still seems to like company when eating and I've noticed she's eating more if I stay around her.

Sleeping lots in the living room today so less time on her own. Sleeps behind. Me on the back of the couch and coming for cuddles when she wakens, the time she wants cuddles are shorter and lying on the hall floor for periods of time today still but not as often.

She was alert, quite energetic when I got up this morning - following me about still. Noticed the staggering has stopped, and although stronger on her feet, been cleaning herself standing up so standing on 3 legs for brief periods, she's still a bit shakey.

She has definitely started putting weight on, no vomiting, she hasn't had the Zantac either - wouldn't take it and due to homeopathic treatment I wasn't forcing it.

Monday

7.30am - again she's up and about this morning following me about, quite vocal, had eaten overnight, more this morning and wanted more still so I gave her more - mackerel and tuna.

Can still feel her heart rate, still extremely fast - I've tried to count it, but too fast, but not quite as forceful as it was. No vomiting at all so far either.

She came across a piece of paper on the floor and actually played with it, only for a few seconds, but it's a few more seconds than she has been.

Staggering has definitely stopped but legs are still weak to some extent. Not as significant as it has been.

Healthy appetite again today/tonight but still sleeping on hall floor periodically.

Again, the poor dog was having a cuddle, Molly woke up, squeezed her way in.

Considering how unwell she was on Thursday, and the prospects for her weren't great there has been some significant changes in her.

I'll wait for further instructions from yourself and thanks for your help so far.

Best wishes,

Kirsty
 
kirsty28 6 years ago
Good. We'll just observe for now. If there seems to be a slide back or stalling of improvement, then give her one dose, just one dose.
 
fitness 6 years ago
Thank you!

I'll post back if/when that happens.

Thanks once again!

Best wishes,

Kirsty
 
kirsty28 6 years ago
Hi fitness,

Molly has been sick tonight. Food and clear bile. Still ok in herself - aggravation or should I further dose?

Also noticed, tonight she's chewing herfood slightly better so potentially, her gum inflammation is improving also.

Best wishes,

Kirsty
 
kirsty28 6 years ago
Its not aggravation. Observe today and if things don't improve, give her another dose.
 
fitness 6 years ago
Ok, thank you, I will do!

I've managed to get a heat rate reading this morning, first time I've done this ever so done it twice to make sure it was as accurate as possible. Both readings were exactly the same. 52 beats in 15 seconds - 208 beats per minute which is in the normal range, still feeling it quite forceful, but at least it's readable now! I will continue with this and will also start a respiratory rate. Providing she's still well and with us, I'll also take her back to the vet in another 4 weeks or so for a more accurate evaluation on how she is improving, weight, murmur etc. I was too upset last week to even ask what grading her murmur was. Will report that back to you as well.

On me getting up this morning, she was right out the kitchen, been up for cuddles, not eaten as much overnight, a slight stagger again.... Will continue to observe and report back what's been happening.

Thanks again,

Hope you have a nice day,

Best wishes,

Kirsty
 
kirsty28 6 years ago
Hi fitness,

Since 6am this morning Molly has eaten very little, she is very alert - I was out for a few hours, and when I came back in she quite energetically greeted me, she is wanting to eat but refusing, with her doing so well under the circumstances, my concern at the moment is her lack of food.

The small amount that she has eaten has stayed down and she's definitely showing signs of improvement as far as her gum disease goes. Before any pulsatilla over a year ago she was drooling, and eating to the side but food was having to be mashed up for her to make it easier. She now appears to be chewing quite well, with her head less to the side.

She has spent less time on the hall/work tops today. It is snowing so much cooler.

So, although improvements and generally ok, if I don't hear from you to wait I will give her a further dose tonight and see how she is over the next couple of days. Will report back on Friday?

Best wishes,

Kirsty
 
kirsty28 6 years ago
Don't repeat the dose unless:

- There is a significant relapse
- Improvement stalls for more than 24 hrs

Report back in 3 days.
 
fitness 6 years ago
Sorry, also meant to add, when I picked her up, she was less clingy, paws were wrapped round my hand rather than her getting in to a panick and clinging on.

Thanks,

Kirsty
 
kirsty28 6 years ago
Ok, so just observe for the rest of today and if no better, give a further dose tomorrow?

Best wishes,

Kirsty
 
kirsty28 6 years ago
In the last 16 hours there has been a relapse in her eating but improvements elsewhere which made me wonder if it was a slight aggravation. Improvements still, just relapse, return of digestive symptoms.

Best wishes,

Kirsty
 
kirsty28 6 years ago
Hi fitness,

Hope you're well!

Posting earlier than scheduled as Molly has been bringing up watery bile again through the night and this afternoon at 12.30. If you are advising anything different from 30c, I have to order by tomorrow morning at the latest to haveit by Monday.

Wednesday by 6pm she was quite quiet, still wasn't eating - gave her a further dose of pulsatilla 30c

Thursday

Much better this morning in comparison to last night/yesterday. Had eaten overnight and quite chirpy.

Playful today, she hasn't really been for a few years. Sitting up on her hind legs (like a meerkat) trying to grab the belt off my dressing gown. Lasted a minuteor so.

Vomiting 11.40 - small amount of clear watery liquid but no food in it.

Healthier appetite today, in comparison to yesterday but was better on Monday.

No further vomiting for the rest of the day or night.

Friday from 6am

Noticed some clear liquid on the kitchen floor, became clear later on today that she has been vomiting clear liquid again, quite a bit so far.

Ate overnight, and again some more this morning, even though she is being sick, she still wants to eat.

She was and still is bright and alert.

Sleeping on the hall floor more often again. Snow has gone, so not sure if the drop in temp when it was here, made her less inclined too.

Sleeping more on her bed, rather than around us, but, when I go in to the kitchen, she's up and on her feet, vocal and wanting attention. She is making attempts at climbing up on to my lap when sitting on the dining chairs but not quite got the strength to do it yet, 4 or 5 weeks ago she was able to climb up my body with me in a standing position (just giving an indication of where she was) she can and still is able to jump up and down from furniture/workshops etc so she's able.

Still eating better during the day, if I stay with her in the kitchen. We were out for a few hours yesterday and she was in the hall waiting on us coming in the door. She hadn't touched any food whilst we were out, but ate all she had as soon as I was with her again.

Still chewing her food better, just slightly holding her head to the side but she is now able to properly chew.

Still using her litter box and overall better than she was just this time last week.

Thanks again for your help and advice,

Best wishes,

Kirsty
 
kirsty28 6 years ago
We may need Pulsatilla 200c at a later stage so you can order it if you like or wait.
 
fitness 6 years ago
Ok, I'll do that so I have it ready.

Will we wait and see today/over the next few days?

Best wishes,

Kirsty
 
kirsty28 6 years ago

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