Search This Blog

Loading...

Tuesday, May 21, 2013

Jimmy's Prozac Needs Adjusting for Urine Retention Again and Myrna Has Issues Using the Litter Box

Jimmy Stewart, Myrna's brother (non-HCM cat) is on Prozac for litter box use and anxiety. He usually goes in the box once every 8-12 hrs which is fine. His bladder isn't enlarged and doesn't seem to be uncomfortable for him. He often goes when we do the litter box/treat routine which is always around the time we think it's time for him to go. Often, he uses the box on his own. But this past month, he seems to be showing signs of not going more than once a day. Sometimes, it turned out he had gone but smaller amounts than normal and sooner than expected. But not in the past week. In the last few days, he seems to only go once in 24 hrs and by the end, has such a large bladder that he seems uncomfortable. There's not been enough activity in the late afternoon/evenings to account for him although we could be wrong. But we know last night he had a bladder and did not go by dinner or after; didn't go at bedtime; didn't go overnight when I was up with Myrna; finally went on his own at 6 a.m. He sat in the box for about a minute and urinated a lake.

What's wrong? Urine retention can lead to UTIs, and for males, blocked urethas that lead to much pain and needed surgery. It can also stretch the bladder making it difficult to hold urine.

I'm going to decrease the Prozac to .115 for a few days to see if there's a change. Problem could be that he has accidents if he can't adapt to the lower meds but needs them to fight anxiety. Will need to keep a close eye on him and on his going.



And Myrna went out of the box on Saturday night unto the pads that cover the washer and dryer. We were late taking her to the litter box and should have known better, knowing it was about time for her to go. But it was about 9 p.m. and she was watching out the window when the window was opened, doing what she loves best which is watching the wildlife and bugs. Why disturb her? Well, now I know why. Why she targets the washer/dryer we don't know. Used to happen all the time and we eventually got it down to once in a blue moon and Valium helped among behavioral techniques.
Jimmy Stewart

Baby It's Hot Outside-Heat, Humidity, Storms, and Reasons and Means to Keep HCM Cats Cool

Not too hot, not too cold. HCM cats must be just right.

It's hot weather season again. Need to make sure our HCM cats are kept cool but not too cold. HCM cats can't handle heat and humidity. In general, the heart is too weak to handle the stress of changes in weather-fighting to keep a body cool or warm; and breathing will become difficult-as it does for humans-in humidity. Opening windows is fine as long as hot or humid air is not coming in. Use fans or AC units. Also pull shades. Dark rooms are often cooler. We don't have AC so we are using a series of window fans and portable and window AC units to keep the house cool and air moving. Myrna and the other cats at this time of the year also live under the furniture and in the shade in the rooms. Our oldest, Baby, has spent most of the last three days in the basement where it feels about 20 degrees cooler. If only I could get Myrna to live in the basement but no, she prefers to be somewhat more social.

If you've been through storms this week, or will be, good luck handling your HCM cat. If possible, close windows and shades, so the cat doesn't see the lightening; maybe move the cat to the basement or first floor where the storm may not be heard as much as upstairs; if possible, distract the cat with treats if the storm is very loud. If a huge storm or tornado is in the area, you might want to place the cat in the cat carrier. It's a contained, controlled environment that you can cover or place in a closet to not only keep the cat safe but try to keep it calm.
 
Myrna (left) and her much larger and older sibling Cooper (not related by blood) doing what they love at night-looking out at bugs and wildlife.

Friday, May 10, 2013

Myrna Urinated Out of the Box and Onto a Window Today


Myrna went out of the box today and almost again this evening.  This happens every couple of months or so but usually on the bed pads around the litter boxes or on the bed pads that line the washer/dryer  (we can’t figure out the attraction.)   But not today. There was a new spot.

It’s so frustrating when this happens.  She is on Valium to prevent anxiety and help her use the box.  She’s been on it since 2012.  Myrna gets me up once or twice a night to use the litter box. It’s our routine to make sure she uses the litter box-of course I’m the ONLY one she wakes.  This week, she’s gotten me up three times a night.  Last night, Myrna got me up three times again.  I also think she used the box just before I got up or just after because there was a lot of box use around that time.  But she didn’t let me know in either case.

Because we need to make sure she uses the box, we must pay attention to signs that she needs to go and time her or figure out the schedule for her each day.  She lets us know by crying, giving us a certain look, or by walking around and acting suspicious.  Some days she goes every 2-3 hrs; other days every 3-5.  It depends.  But we can’t ignore the signs she gives us.

Except this morning, I did.   I fed the cats, did meds, did the usual routine of collecting dishes after they were finished eating, tried to get Cooper the oldest male to finish eating, had my breakfast, etc.  Usually by 10 a.m. the routine is done and we do the post breakfast litter box treat time routine where I take them to where the litter boxes are located and they get treats and are encouraged to use the boxes.  This routine is great for Myrna (who is on Valium) and Jimmy (who is on Prozac) to get them to see the litter box as something positive, to get them near the box which makes them think about actually using it.  It works very well and works for the others as well.  

Well, I was running late and was about to start the routine when I thought I should fold the one set of sheets that had been washed so that I could take them upstairs and put them away when we did treat time upstairs.

As I was folding the sheets, Myrna jumped onto the washer and dryer and began to sniff around.   When she wants to urinate on the washer and dryer, she jumps up and begins to sniff around.  Because she kept urinating up there before Valium, and sometimes after Valium, the washer/dryer is covered in bed pads (23x32 package of 18 from Target.)  The sheets are taped to the walls behind the washer/dryer and draped over the appliances.  This prevents the urine from running down the walls around the washer/dryer.  We also cover the counters next to the appliances because sometimes she would go there or would urinate in that direction. Because she used to go out of the box all the time starting in 2011 (if not before), she has been on Valium since January 2012. 

Well, I did a really stupid thing.  As I folded the laundry, while she sniffed, I quickly spoke to her and said let’s go use the litter box but I kept folding because I was almost done.  She then began to scratch the washer/dryer like she does in the litter box and STILL I folded because I was ALMOST done.  Then she jumped up into the window and before I realized what she was doing and before I could stop her, she urinated on the window and window ledge.  Yelling for her to stop, I grabbed the pad attached to the wall and quickly mopped up the urine on the ledge and let Myrna finish urinating on it.  At least I prevented it from running down the wall.  She jumped down.  I grabbed her, gave her more Valium, and gave her Methigel-a food additive that is a urine acidifier. That was at 10:10 a.m.   Later, after I cleaned up the mess and took care of the other cats, we did treat time and at 11:10 Myrna used the litter box.  But she didn’t need the box again all afternoon.  They had lunch at 1:30 and she had a bladder; we did treats before and after; we did treats upstairs and in the basement.  While upstairs, she sniffed the boxes but never used them.  She then went to sleep and I went shopping.   She finally used the box again at 6:40 p.m.  Did she have an accident or two between 11 a.m. and 6:40?  I don’t know. I haven’t found or smelled anything yet but that doesn’t always mean that something isn’t there. 

Tonight wasn’t much better.  So, she went at 6:40 p.m. and then jumped up onto the washer and dryer and into the laundry room window again at 8 p.m. I was making dinner and heard the noise of a cat jumping up onto the appliances.  She began sniffing the window and my husband took her to the litter box and five minutes later, she went.  As of 10:30 p.m. she has yet to go again. 

So, what went wrong?  Why does she not want to use the litter box today?  Is the Valium cut smaller than usual?  Is her bladder irritated, does she have a UTI, is her pH level too high?  Does she have a new disease?  It’s one thing to have a one time out of the box accident because every couple of months that’s what happens but usually on pads.  Usually I give her Methigel or Valium and things immediately improve as if it was just a one off.  But not using the boxes for hours? Trying to go on the window again?  What’s wrong? 

If you have a cat that goes or has gone out of the box, you’ll understand the feeling that even when you think you’ve solved the problem-she eats the right CD or SO-the cat food meant to protect against crystals and UTIs; you might give supplements like Methigel to acidify urine to prevent crystals and keep a balanced pH level in the urine; you might give water in the food, feed mostly wet food, give water by mouth as we do to keep her hydrated to prevent bladder irritation; and you might have your cat on Valium or Prozac to rid anxiety and help the cat feel comfortable using the litter box-these accidents are confusing.  You’ll understand the frustration, the anger, the disappointment, the heartbreak, the bewilderment.  What is going wrong? What do they need? What do I do now?  If she can urinate against the window, she could again against the walls, on the floor, the furniture, etc.   And because she is a heart patient, on heart meds, does this mean the meds are causing kidney issues or is she not feeling well enough to use the litter box?

So, for us, back to square one:  watch for the signs; time her and see if she needs to go every hour or so; try increasing the Valium a bit; make sure to cut the pills accurately; give her Methigel and more water; make sure she gets less dry food/treats and more wet food.  And if this continues through the weekend, call the vet for a urine test. 




Tuesday, April 23, 2013

Over a Week and Myrna Doesn't Need Extra Lasix So Far

Well, while anything can dramatically change at any time, I'd like to report that it's been over a week since Myrna Loy needed extra lasix last Friday, after spending the previous two weeks needing it every three days. Not sure why or what but I'm sure she did and now I'm sure she doesn't. She's breathing very well-down 28 to 32 instead of around 40 breathing rate; she's engaged, energetic, alert and not exhausted and out of it.   In order to know how our cats feel physically and how they are doing, we must become attuned with their emotions, looks on their faces, actions, physical stamina, etc. in order to gage even the subtle changes from not just day to day but moment to moment.

Of course I love analyzing Myrna's every move which drives my husband crazy: Me-"I don't think the cat (insert cat name here) is feeling well. See how she's sitting/didn't eat all her lunch/see how she furors her brow/she's not playing with her favorite toy today." Husband: THEY'RE NOT SICK!

Saturday, April 13, 2013

New Video-How to Brush Cat's Teeth Starring Our Ms. Myrna

HCM Related YouTube Videos

http://www.youtube.com/watch?v=0rSvDvvg6eM

http://www.youtube.com/watch?v=A0cffhLLwTo

Heart echo HCM.


http://www.youtube.com/watch?v=bpdRea_Ws8I

Found on YouTube a video showing a cat in breathing distress due to heart disease. It's only a few seconds but if you look closely, you can see the chest heaving extremely quickly, almost to fast to count. I've seen this in Myrna. Meanwhile, the cat looks unhappy but not miserable. This is why it might be easy to miss and why we must pay close attention to the speed of the breathing/chest heaving.

I Made A Video Starring Myrna Loy

http://www.youtube.com/watch?v=vQz3DHDUX5s

Check out the video on YouTube about pilling a cat.  Very basic, mostly to show off Ms. Myrna.
But I hope you enjoy it.