Hello, thanks for your question. Do you know which antibiotics your vet used? I ask because some antibiotics could cause adverse reactions that cause the symptoms you are describing in your question. Did you vet give any injectable antibiotics?
It is OK to be on antibiotics for extended periods of time (unless having a reaction to them) Look after her as you have so far as there is not much you can do in terms of medicine. You could try heating the cat food to entice her to eat.
It can take time for tests to come back depending on where there are sent and what they are of. The more specialized the test the longer it takes
The next steps may be cultures and or biopsies. Not sure what direction they want to take this in but if you need more explanations as you work through this with your vet then you can still contact me through this exchange
Give me a minute to get a recommendation together. want to review your question again
I recommend that you call your vet to see if the tests have come in yet. I would also discuss with your vet doing further diagnostics like ultrasound of the bladder, liver and kidneys, possible blood culture for resistant infection and to address this weakness issue with nutritional supplements, high calorie foods or even the possibility of a feeding tube if necessary.
Thank you for your reply.
i dont have antibiotics names on hand; only one I have is from 3rd consultation was 0.5 ml Betamox LA and 0.3x Vetergesic Multidose
I have blood test results copy in my hands now, upset my vet couldn't spare few minutes explain it. In summary it says: ATL likely reflects hepatic disease and advises that further investigation recomended (eg. ultrasound). Also there is evidence of trombocytopenia which may account for hematuria. Also: there is an inflamatory leukogram and advises further investigation needed to establish site of inflammation. Also: monitoring of biochemistry and hematology are advised. You May wish to submit citrate sample for a coagulation profile.
Are you able to comment on blood test results? Any suggestions? Also, FIV and FeLV came back negative
This sounds somewhat like a toxicity. Do you have any house plants your cat likes to chew on? Or house plants at all? Does he spend time outside?
is there a value called T bili or total bilirubin?
total bilirubin: 7 umol/L (0 -15)
she doesn't eat any of my plants at home, but I let her outside (not alone and just for aprox 20 mins) where she sometimes eats the grass in back garden
just checking because of the blood in the urine and low platelets. It could be auto immune disease that the suggested clotting time test could help diagnose. That would explain the weakness and lethargy. This is usually treated with steroids. And it can be a transient disease meaning that you cat may get over it and not need steroids forever
highlited results:total protein 59 g/L Low; ATL 1588 IU/L High; Lactate Dehydrogenase 7320iu/L High; Bile Acid5.6 umol/L High; AST 769 IU/L high; CK 41440 IU/L High (obtained using 1/100 dilution); Glucose 7.6 mmol/L High; white cell count 27 10^6/ml High; neutrophilis 86% 32.22 10^6/ml high; monocytes4% 1.1 10^6/ml high; platelets 70 10^6/ml Low. numerous large platelets present (these are above the electronic threshold for counting platelets). blood smear indicates a REDUCED platelet count. neutrophilia with mature neutrophilis. mild monocystosis.
any good/bad news on these results?
That is quite a high white blood cell count and CK value. I go back to recommendation of a blood culture and ultrasound of liver for possible liver abscess or other internal infection
Is that possible to treat? Do you think it is hard to treat/painful to treat? Your personal opinion on what you see on blood test results?
I am so scared about my cat; afraid the vet took too long to start tests ash she looks so bad to me now
The blood test tells me that there is an increase in the white blood cells to the point of some type of infection, strong auto immune reaction or some cancers, along with this is a thrombocytopenia that could come from the same causes. Along with that is an increase in the liver values that is an indication that this is the area where the infection or reaction may be occurring. So from here I would explore the involvement of the liver through ultrasound that may identify an abscess that would need surgery to treat. and do a blood culture for resistance of the already used antibiotics
I recommend that you have your cat to the vet and discuss treatment options from testing to hospital care. you can even maintain a feeding tube at home if necessary after your vet puts on in
thank you very much; cat is booked to see another vet in next 2 hours; I am also taking all results including xray hoping new vet will be more helpful and provide all information I need, not like current vet referring to biopsy without explanation why he came to this decision. I am very happy with your reply and value your opinion and help today. Thank you!
your welcome! All the best! Cheers!