904. DRAFT REPORT - The cat with the FLUTD - The beginning of the case

I will need time to review this case. Below is my earlier correspondence with the owners - after treatment of Tobi in April 2011.




Tobi's not peeing again ?!
2010emailsx


E-mails_Jun6,2009x


You Tubex


Owner
8/9/11

to me


Hi Dr Sing,

It's been a few months since i updated you about Tobi.
He was doing fine, up till 2 days ago.
Straining to pee and now vomitting after straining.
Some fur in his vomit too.
Very limited appetite too, as if he's scared to eat lest he throws it up.

I'll bring him to the clinic tomorrow morning.
Hope you can see him and advise what's troubling him.

Happy National Day !

J & S

-------------------------------------------------------------
Reply Forward


Owner S
8/10/11

to me


thanks. will try to be there by 1030. he managed to pee this morning!


On 9 Aug 2011 20:50, <99pups@gmail.com> wrote:
>
> Ok. 10am best
>
>
> Sent from my iPhone

>
> On Aug 9, 2011, at 6:02 PM, ...@gmail.com> wrote:
>
> > Hi Dr Sing,
> >
> > It's been a few months since i updated you about Tobi.
> > He was doing fine, up till 2 days ago.
> > Straining to pee and now vomitting after straining.
> > Some fur in his vomit too.
> > Very limited appetite too, as if he's scared to eat lest he throws it up.
> >
> > I'll bring him to the clinic tomorrow morning.
> > Hope you can see him and advise what's troubling him.
> >
> > Happy National Day !
> >
> > J & S
> >
> >
--------------------------------------------------
Reply Forward


Owner S
8/12/11

to me


Hi Dr Sing,

Tobi's much more alert and not hazy-dazy anymore.
Pee's ok although i didn't get to see it.
Taken his meds too.
Up till now, he's been confined to a room.

Thanks so much for ur treatment and advice.
Will keep him indoors and deny entry to the garden and car porch.

:) suzy



On Fri, Aug 12, 2011 at 7:14 AM, Kong Yuen Sing <99pups@gmail.com> wrote:

I spoke to your husband and fax copies of blood and urine test results to him yesterday.

1. Significant finding of the blood test is the low platelet count and the high glucose level. The low platelet count is probably due to the cat ingesting some toxic chemicals via grooming his coat. There was some "fur vomited" too. Abdominal pain was present.

2. For the urine test, there are bacteria, epithelial cells, white cells and red blood cells and a trace of protein present. This indicated a urinary tract infection involving primarily the bladder. A trace of protein may not be serious at this stage.

3. There is no kidney disease based on the blood and urine tests. No urinary crystals are detected. As for the high glucose level, a 2nd test is needed in 2 months' time to assess whether he has diabetes.

4. A test 2 months later is advised.

5 Advice: Keep the cat indoors and away from eating grass and soil. He has lost weight and this may be due to the ingestion of toxic chemicals tainting his coat and paws when he plays in the garden outdoors. Toxic chemicals may include insecticide and fertilisers and mosquito fogging chemicals. Some cats love to nap under the car, staining themselves with engine oil etc. So, it is best to keep this cat indoors all the time.

------------------------------------------

On Wed, Aug 10, 2011 at 9:49 AM, Owner S...@gmail.com> wrote:
thanks. will try to be there by 1030. he managed to pee this morning!

On 9 Aug 2011 20:50, <99pups@gmail.com> wrote:
>
> Ok. 10am best
>
>
> Sent from my iPhone
>----------------------------------------
> On Aug 9, 2011, at 6:02 PM, Owner S...@gmail.com> wrote:
>
> > Hi Dr Sing,
> >
> > It's been a few months since i updated you about Tobi.
> > He was doing fine, up till 2 days ago.
> > Straining to pee and now vomitting after straining.
> > Some fur in his vomit too.
> > Very limited appetite too, as if he's scared to eat lest he throws it up.
> >
> > I'll bring him to the clinic tomorrow morning.
> > Hope you can see him and advise what's troubling him.
> >
> > Happy National Day !
J & S
> >
>
-----------------------------------------------------------------
Owner S to me
8/13/11




yes, he does spend a good amt of time lying under the car.
he's more alert yesterday.
has started consuming more fluids and eating a little.
Pees fine too.
On 13 Aug 2011 07:35, "Kong Yuen Sing" <99pups@gmail.com> wrote:
> Did he go under the car to seek refuge in the past 2 months?

>
> On Fri, Aug 12, 2011 at 11:08 AM, Owner S...@gmail.com> wrote:
>
>> Hi Dr Sing,
>>
>> Tobi's much more alert and not hazy-dazy anymore.
>> Pee's ok although i didn't get to see it.
>> Taken his meds too.
>> Up till now, he's been confined to a room.
>>
>> Thanks so much for ur treatment and advice.
>> Will keep him indoors and deny entry to the garden and car porch.
>>
>> :) S
>>
>>
>>-------------------------------------------------
>> On Fri, Aug 12, 2011 at 7:14 AM, Kong Yuen Sing <99pups@gmail.com> wrote:
>>
>>> I spoke to your husband and fax copies of blood and urine test results to
>>> him yesterday.
>>>
>>> 1. Significant finding of the blood test is the low platelet count and the
>>> high glucose level. The low platelet count is probably due to the cat
>>> ingesting some toxic chemicals via grooming his coat. There was some "fur
>>> vomited" too. Abdominal pain was present.
>>>
>>> 2. For the urine test, there are bacteria, epithelial cells, white cells
>>> and red blood cells and a trace of protein present. This indicated a urinary
>>> tract infection involving primarily the bladder. A trace of protein may not
>>> be serious at this stage.
>>>
>>> 3. There is no kidney disease based on the blood and urine tests. No
>>> urinary crystals are detected. As for the high glucose level, a 2nd test is
>>> needed in 2 months' time to assess whether he has diabetes.
>>>
>>> 4. A test 2 months later is advised.
>>>
>>> 5 Advice: Keep the cat indoors and away from eating grass and soil. He
>>> has lost weight and this may be due to the ingestion of toxic chemicals
>>> tainting his coat and paws when he plays in the garden outdoors. Toxic
>>> chemicals may include insecticide and fertilisers and mosquito fogging
>>> chemicals. Some cats love to nap under the car, staining themselves with
>>> engine oil etc. So, it is best to keep this cat indoors all the time.
>>>
>>> On Wed, Aug 10, 2011 at 9:49 AM, suzy lau wrote:
>>>
>>>> thanks. will try to be there by 1030. he managed to pee this morning!
>>>>
>>>> On 9 Aug 2011 20:50, <99pups@gmail.com> wrote:
>>>> >
>>>> > Ok. 10am best
>>>> >
>>>> >
>>>> > Sent from my iPhone
>>>> >
>>>> > On Aug 9, 2011, at 6:02 PM, suzy lau wrote:
>>>> >
>>>> > > Hi Dr Sing,
>>>> > >
>>>> > > It's been a few months since i updated you about Tobi.
>>>> > > He was doing fine, up till 2 days ago.
>>>> > > Straining to pee and now vomitting after straining.
>>>> > > Some fur in his vomit too.
>>>> > > Very limited appetite too, as if he's scared to eat lest he throws it
>>>> up.
>>>> > >
>>>> > > I'll bring him to the clinic tomorrow morning.
>>>> > > Hope you can see him and advise what's troubling him.
>>>> > >
>>>> > > Happy National Day !
>>>> > >
>>>> > > J & S
>>>> > >
>>>> > >
>>>>
>>>
>>>
>>

Reply Forward


Kong Yuen Sing
8/15/11

to S


What is he eating now?


On Sat, Aug 13, 2011 at 10:09 AM, Owner S...@gmail.com> wrote:
yes, he does spend a good amt of time lying under the car.he's more alert yesterday.
has started consuming more fluids and eating a little.
Pees fine too.On 13 Aug 2011 07:35, "Kong Yuen Sing" <99pups@gmail.com> wrote:
> Did he go under the car to seek refuge in the past 2 months?
>
> On Fri, Aug 12, 2011 at 11:08 AM, suzy lau wrote:
>
>> Hi Dr Sing,
>>
>> Tobi's much more alert and not hazy-dazy anymore.
>> Pee's ok although i didn't get to see it.
>> Taken his meds too.
>> Up till now, he's been confined to a room.
>>
>> Thanks so much for ur treatment and advice.
>> Will keep him indoors and deny entry to the garden and car porch.
>>
>> :) S>>
>>
>>
>> On Fri, Aug 12, 2011 at 7:14 AM, Kong Yuen Sing <99pups@gmail.com> wrote:
>>
>>> I spoke to your husband and fax copies of blood and urine test results to
>>> him yesterday.
>>>
>>> 1. Significant finding of the blood test is the low platelet count and the
>>> high glucose level. The low platelet count is probably due to the cat
>>> ingesting some toxic chemicals via grooming his coat. There was some "fur
>>> vomited" too. Abdominal pain was present.
>>>
>>> 2. For the urine test, there are bacteria, epithelial cells, white cells
>>> and red blood cells and a trace of protein present. This indicated a urinary
>>> tract infection involving primarily the bladder. A trace of protein may not
>>> be serious at this stage.
>>>
>>> 3. There is no kidney disease based on the blood and urine tests. No
>>> urinary crystals are detected. As for the high glucose level, a 2nd test is
>>> needed in 2 months' time to assess whether he has diabetes.
>>>
>>> 4. A test 2 months later is advised.
>>>
>>> 5 Advice: Keep the cat indoors and away from eating grass and soil. He
>>> has lost weight and this may be due to the ingestion of toxic chemicals
>>> tainting his coat and paws when he plays in the garden outdoors. Toxic
>>> chemicals may include insecticide and fertilisers and mosquito fogging
>>> chemicals. Some cats love to nap under the car, staining themselves with
>>> engine oil etc. So, it is best to keep this cat indoors all the time.
>>>
>>> On Wed, Aug 10, 2011 at 9:49 AM, Owner S...@gmail.com> wrote:
>>>
>>>> thanks. will try to be there by 1030. he managed to pee this morning!
>>>>
>>>> On 9 Aug 2011 20:50, <99pups@gmail.com> wrote:
>>>> >
>>>> > Ok. 10am best
>>>> >
>>>> >
>>>> > Sent from my iPhone
>>>> >
>>>> > On Aug 9, 2011, at 6:02 PM, Owner S...@gmail.com> wrote:
>>>> >
>>>> > > Hi Dr Sing,
>>>> > >
>>>> > > It's been a few months since i updated you about Tobi.
>>>> > > He was doing fine, up till 2 days ago.
>>>> > > Straining to pee and now vomitting after straining.
>>>> > > Some fur in his vomit too.
>>>> > > Very limited appetite too, as if he's scared to eat lest he throws it
>>>> up.
>>>> > >
>>>> > > I'll bring him to the clinic tomorrow morning.
>>>> > > Hope you can see him and advise what's troubling him.
>>>> > >
>>>> > > Happy National Day !
>>>> > >
>>>> > > jeffrey & suzy
>>>> > >
>>>> > >
>>>>
>>>
>>>
>>


Reply Forward


suzy lau
8/15/11

to me


SD canned food.
becos he doesn't drink fresh water from bowl nor pet fountain, i add water to his food.
he laps up the soup but leaves the harder meat bits alone.
he can pee in a stream but only for a few seconds, then stops and come out of tray to lick his penis.
then he goes back again into the tray.
in out 4 or 5 times like that, then goes off elsewhere to lay down.
his antibiotic of half a tablet of baytril finishes today.
should i still continue his quarter tablet of prednisolone?
thank u so much for advice.