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Thank you very much.
As 90% of cats over the age of 12 have some form of joint disease, I would be suspicious of arthritis.
Cats are experts at hiding joint pain so we often only see subtle signs such as:
While x-rays are the best way to confirm the diagnosis, another option would be a pain relief/ inflammatory trial of a medicine such as Meloxicam. Your vet would need to prescribe this. We would also consider some joint supplements such as Yumove, but these offer no pain relief.
Thank you, that's very useful.
As the urine is not concentrated enough, a blood test is sensible, just to ensure his kidneys are ok. This is especially important before starting medicine for his joints as it will dictate which we use.
GI food should be fine to use long-term and we could always repeat the urinalysis to ensure there are no crystals.
Whether or not we go ahead with the x-ray or the medical trial will be a personal decision. The reason for the x-ray would be in case there is something else going on other than joint disease, but as you say, you would rather not do the x-ray if not needed. We could perhaps make a compromise of doing the trial and, if that doesn't work, going ahead with the x-ray.
Absolutely, joint supplements are worthwhile and though they offer no pain relief, can prevent further joint disease.
A urine sample cannot rule out bladder stones; we would need to do an x-ray or scan for this. This is because even those with no crystals can have stones.
It may be worth checking his SDMA levels; this is a newer and more sensitive test for kidney function that will help us determine if perhaps the kidneys are the issue. I'm very sorry to hear about your last cat.
And yes, this window stays open for several more days so you can continue the chat at any time.
SDMA is a specific blood test you often have to request separately from the lab. It is as easy to take from the cat as any other test and we can run e.g. kidney enzymes and SDMA tests together.
Some stones show up on x-ray, while other types show up on ultrasound. As his stones previously dissolved with diet, they were likely Struvite and these can show up on x-rays well.
I'm so sorry to heat this. I lose my elderly Shih Tzu a few years back and it was one of the hardest things I have gone through.
That is a Stunning photo!
I use IDEXX here in the UK and they do it; I would be surprised if the German lab didn't but can't confirm for sure.
That's incredible; they are so uncannily similar! Fate for sure!
No, this is not recommended. Though I understand why you would ask!
We need anaesthetic for this so the cat can be intubated to prevent saliva / calculus being inhaled into the windpipe.
Similarly, sedation may not provide enough of an effect to allow a thorough clean