As a practicing veterinarian, Dr. Dym has over 19 years of experience and dedication to enhancing the overall health and well-being of pets. His commitment and passion for pet health continuously drives him to learn more about the art and science of homeopathy through ongoing training and education.Submit Your Question
Question:Hi! I have been wondering what to do or think since my sister's 14 year old cat (her son, my nephew) was believed to have hyperthyroidism. His thyroid will go high (the highest being 13.5) but his red and white blood cell counts are normal, his liver, kidney, and Creatinine levels are all normal. In fact, his liver count upping and heart murmer only "appeared" just VERY recently and to someone who's lived with cats all her life...doesn't that suggest old age? Especially since he has always been a very wary cat. I'm surprised it took this long for his heart to develope a murmur! Plus, he was put on methemazole since January and he was REALLY sick! Throwing up, seizuring, going blind, unable to eat, lethargic, losing weight. When our vet tried to put him on the transdermal methemazole, we are NOT GOING TO do that because we believe it will kill him! Surely, there are more homeopathic remedies or even that it's NOT hyperthyroidism, but thiamine deficiency?
Answer:Most of the symptoms you are describing (elevated liver enzymes, heart murmur, vomiting, going blind, losing weight, etc) are of uncontrolled hyperthyroidism and if his level is/was around 13.5 (kind of depends on the reference range you are using but that's pretty high) I'm leaning toward thinking he needs more methimazole, not less. I have used a lot of Methimazole in the last 22 years and it usually works pretty nicely with very few side effects unless the cat has another disease process going on (kidney disease, cancer, etc) at the same time. One thing that you say that isn't consistent with hyperthyroidism is that he is "unable to eat" so I would definitely have your veterinarian recheck him and all of his blood levels relatively soon. There is always radiated iodine treatment to consider for him as well.
Question:I'm still feeling like I was neglecting the fact that I ignored my dead cat's weight loss as nothing to worry about. I feel really horrible that I made an appt for one of my other cats and not for her days before her death. If she truly had hyperthyroidism, would it have been expensive? Still feeling neglectful (3) weeks later.
Answer:Please don't feel bad - I have clients that don't bring them in until they are around 4 pounds. Hyperthyroid cats seem fine to most owners - they have normal energy levels for their age and increased! appetites and show no clinical signs. You can treat hyperthyroidism a few different ways. Radiated iodine is the cadillac way to go and, yes, it's pretty expensive. There are pills called methimazole that aren't too expensive BUT they have to be given orally either once or twice a day, so that is usually an issue with cats.
Question:Thanks for the info earlier about my cat that died. I have 2 more older cats and they always seem hungry, but no weight loss. Should I be concerned?
Answer:They sound more like me - if they have no weight loss, they probably just like to eat. It wouldn't hurt to have them checked for intestinal parasites and have some blood work run on them. It's ideal to run blood work on them about once a year once they get older. If they have never had routine blood work run, definitely do it when you can just to establish what their normal levels are.
Question:What is the safe level?
Answer:It entirely depends on the lab that ran the test - all labs (and/or machines) have different established normal ranges, so ask whomever ran the test.
Question:My fluffy has a thyroid problems and the vet prescribed levothyroxine .3 mg she takes half a pill in the morning she's extremely hyper she cant stay still drinks a lot of water constantly licking her bed and blankets is this normal ?
Answer:That dosage may be a little high for her - have your veterinarian recheck her blood levels.
Question:Would this cause my dog to pee in the house? She can't seem to hold in.
Answer:I have never diagnosed a dog with hyperthyroidism in 22 years of practicing. Certain breeds are supposed to be predisposed like the sighthounds, but it is VERY rare in dogs. We see hyperthyroidism mainly in cats. So to answer your question, No, hyperthyroidism doesn't cause this is dogs.
Question:I Have A Rather Urgent Situation. I Am Trying To Find Out What Is Going On With My Black Domestic Cat. He Is 15 And Will Be 16 In August. he Has Been Losing Chunks Of His Hair For Months Now And Is Now Very Skinny To Where You Can Feel His Spine. Out Of Nowhere Yesterday Afternoon, I Noticed Him Lying Next To The Food And Water Dish But Wasn't Partaking. I Knew Something Wasn't Right. He Always Follows Me Everywhere, And When I Am Cooking He Is Next To Me Trying To Talk Because He Smells The Good Food. This Time, He Wasn't. when I Tried To Pick Him Up, I Couldn't Get Him To Pick Up His Head. He Couldn't. When I Tried To Get Him To Walk He Couldn't. He Started To Go Down More On His Left Side And Just Collapsed On The Floor. Same Thing Happened When I Put Him On The Couch. He Would Try To Stand Up And Walk, But Quickly He Would Collapse. Several Times He Would Put His Head Down On His Left Side On His Paws, But He Struggled To Get His Back Legs Down, Like He Was Hurting Back There. With Cats I Know It's Very Hard So I'm Sorry If This Is Confusing In Anyway. I Stayed Up With Him Until 4 Am Central Time And When I Went To Bed, I Took Him With Me So I Could Monitor Him Closely. He Was Using The Pan But I Did Not See Him Eat Anything Yesterday. Not Saying He Didn't, I I Just Didn't Witness It Because The Kitchen Is Around The Corner From He Living Room. this Morning When My Mom And I Tried To Hold Him He Started To Cry. So, I Took Him To The Kitchen To Try And Get Him To Eat And Or Drink But He Wouldn't. Then, Out Of Nowhere, My Mom Made Him A Soft Plain Egg With A Little Cheese And He Raised His Head For The First Time Himself And Stood Up By Himself. I Was In Tears. He Started To Lick The Eggs, Then He Did Drink Water Twice And Used The Pan With My Assistance Since He Couldn't Get In Himself. through Some Research This Morning, I'm Wondering If He Has Had Hyperthyroidism For Some Time And That Could've Led To A Stroke. His Heart Rate Has Been Very Fast, Even After Sleeping Next To Me All Night. What Do You Think? Money Is Very Very Tight Right Now If I Was Able To Go Into Details. Any Help And Advice Would Be Greatly Appreciated. The Vet We Have Used Will Not See Any Of Our Pets Without Payment. They've Been Burned Too Many Times By Past Clients.
Answer:Many Possibilities From A Stroke In The Brain To Primary Hyperthyroidism, Etc To Plain And Simply Cardiomyopathy, A Common Disease Of Cats That Can Lead To Emboli In The Circulation Or Stroke Like Episodes. Needs Vet Exam And Evaluation. Not Much Can Be Done At Home Without Diagnosis
Question:I Was Blessed To Become The Owner Of A Wonderful Little Gray Furball Which Turned Out To Be A Russian Blue Named Ashlee..he Is Now 14 Years Old, Over The Last 2 Years He Has Lost More Than Half His Weight And He Is Very Thin.. He Always Eats And Drinks And His Urine Is Diluted.he Has Been Having "accidents". It Only Smells Like Ammonia A Little.. The Vet Says He Might Has Diabetes.. But I Dont Not Want To Make Him Suffer With Insulin Shots Everday..and The Insulin Is Soo Expensive For My Fixed Income..is There Anything I Can Do For Him To Keep Him Comfortable..
Answer:Cant Make Any Recommendations On This One As Could Be Other Problem As Well Like Overactive Thyroid Which Needs Blood Test To Diagnose. Hyperthyroidism Easily Treated With Medications.