How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Kara Your Own Question

Dr. Kara
Dr. Kara, Veterinarian
Category: Cat
Satisfied Customers: 14881
Experience:  Over 20 years of experience as a veterinarian.
49838867
Type Your Cat Question Here...
Dr. Kara is online now

my cat has sore gum has had biopsy no cancer4 cell hes still

Customer Question

my cat has sore gum has had biopsy no cancer4 cell hes still not eating so was tested for fiv which has proved positive now hes just laying down not eating due to pain dont want him euthanised
Submitted: 3 years ago.
Category: Cat
Expert:  Dr. Kara replied 3 years ago.

Hello, my name is Dr. Kara and I have over 20 years of experience as a veterinarian.

I am so sorry to hear that Barney has been diagnosed as FIV positive.

 

FIV positive cats often have painful secondary bacterial infection and ulcers in the mouth. We cannot cure these lesions but we can make them more comfortable by controlling the infections with a thorough dental cleaning to reduce the bacteria population, oral antibiotics, and oral rinses like CET rinse to decrease bacteria in the mouth. I also recommend pain medication such as buprenorphine.

These are temporary control measures but they are worth trying if you are not ready to euthanize him yet.

 

I also recommend a complete blood count and biochemistry panel to look for underlying organ failure. FIV cats will often have kidney failure at a young age which leads to mouth ulcers, a poor appetite and anemia. We can help control the symptoms of kidney failure with specialized diets, acid reducers such as Pepcid ac (famotidine), fluid therapy, and other medications based upon whether he has secondary high phosphorus levels or high blood pressure.

 

In the meantime I do recommend fluid therapy now so he doesn't become dehydrated, an appetite stimulant such as Mirtazapine or Cyproheptadine and feeding soft, easy to eat canned foods.

 

Best of luck with Barney, please let me know if you have any further questions.

 

Customer: replied 3 years ago.

thank you for your reply is the buprenorphine used in uk his gums are very pale hes still passing urine can the vets refuse to treat him as she said she didnt think he would live a week we dont want to lose him please help

Expert:  Dr. Kara replied 3 years ago.

Buprenorphine is a very common pain medication that is easily absorbed across the gums. I would be very surprised if it isn't used in your cat's veterinary clinic. Subutex is one trade name that is listed as available in the UK.

 

Even if he is passing urine his kidneys may be failing. Only when there is no functional kidney left will they completely stop producing urine and those cats will pass away fairly quickly due to the toxins building up in their body. Cats that have kidneys that are failing often drink and urinate more to try and flush out the excess toxins that the kidneys aren't able to do as efficiently as usual. If his gums are very pale then that may indicate anemia and I would be very suspicious of kidney failure.

I cannot say if your veterinarian will refuse to treat him or not. If they do refuse perhaps a second opinion is in order to take him to another veterinarian that is willing to try.

Sometimes they are at a point however that no matter what we do we cannot keep them comfortable and we lose them, or treating them is inhumane in that we cannot give them their deserved, good quality of life. I know that it is hard to face losing him as he has been a wonderful companion but you must put his enjoyment and quality of life first. I know that you love him very much and do not want him miserable.

 

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
< Previous | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. Joey

    Dr. Joey

    Board Certified

    Satisfied Customers:

    576
    15 yrs in practice, specialist canine/feline medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/ZF/zforward/2012-6-6_202211_headshot1.64x64.jpg Dr. Joey's Avatar

    Dr. Joey

    Board Certified

    Satisfied Customers:

    576
    15 yrs in practice, specialist canine/feline medicine
  • http://ww2.justanswer.com/uploads/VE/vetdeb/Debbie Headshot 500.64x64.jpg Dr. Deb's Avatar

    Dr. Deb

    Cat Veterinarian

    Satisfied Customers:

    179
    I have been a practicing veterinarian for over 30 years.
  • http://ww2.justanswer.com/uploads/NE/nekovet/2013-8-20_23339_nekovet.64x64.jpg Dr. B.'s Avatar

    Dr. B.

    Cat Veterinarian

    Satisfied Customers:

    1322
    I am a small animal veterinarian with a special interest in cats and am happy to discuss any questions you have.
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    3955
    15 years of small animal, equine and pocket pet experience in medicine and surgery.
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    3073
    UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Cat Veterinarian

    Satisfied Customers:

    2359
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/fshlee/2009-7-15_23110_drlee.jpg Dr. Lee's Avatar

    Dr. Lee

    Cat Veterinarian

    Satisfied Customers:

    1219
    8 years of experience in veterinary medicine and surgery
 
 
 

Related Cat Questions