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Cats are very good at hiding signs of pain, so cat owners need to be very observant to recognize behavior changes that indicate their cat needs help. Some of the most common behavior changes are associated with grooming and litter box habits. This handout describes these and other changes to watch for, as well as advice on how to support your aging cat.
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The term hypercalcemia is used when the level of calcium in the blood is higher than normal. Calcium levels are controlled by a pair of parathyroid glands. High calcium levels may signal the presence of serious underlying disease including kidney failure, adrenal gland failure, a parathyroid gland tumor, and some types of cancer. Pets with hypercalcemia may show signs of weakness, listlessness, increased drinking and urination, and loss of appetite. Your veterinarian will perform diagnostic tests which may include total calcium, ionized calcium, albumin, and parathyroid hormone levels.
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Hyperlipidemia refers to elevated levels of lipids (fats) in the bloodstream and can be due to several causes. Often times there are no clinical signs. Hyperlipidemia is confirmed using a 12-18 hours fasting sample. The pet's medical history and a search for an underlying cause is important for its treatment. If no underlying cause is found, your pet will need to start eating a low-fat, high-fiber diets, and may be started on the appropriate medications and supplements.
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Calcium is a mineral that is found in small quantities throughout the body and plays an important role in muscle contraction, transmission of nerve impulses, blood clotting, and bone growth. Hypocalcemia means that the level of calcium in the bloodstream is low. Early signs of hypocalcemia include restlessness, stiffness, weakness, irritability, muscle tremors and hypersensitivity (exaggerated responsiveness) to touch and sound. Calcium and phosphorus levels are closely inter-related and when phosphorus levels increase as a result of chronic kidney disease, calcium levels decrease. With hypocalcemia due to chronic renal failure, treatment is directed at lowering the serum phosphate concentrations by dietary restriction of phosphorus and administration of intestinal phosphate binders. Hypocalcemia may also occur with lactation in a nursing mother cat, low blood protein levels, pancreatitis, certain drugs and toxins, and as a post-operative complication following surgical treatment for hyperthyroidism. If the hypocalcemia is severe, immediate correction of the decreased levels will require calcium injections.
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Hypokalemia is a term that refers to a low blood concentration of potassium. Potassium is an important electrolyte within the body and is vital for the normal function of muscles and nerves. Mild to moderate hypokalemia often does not cause clinical sigs, but severe hypokalemia can result in generalized muscle weakness, lack of appetite, and some cats may become constipated. The underlying cause of hypokalemia is often chronic kidney failure. Hypokalemia and its associated clinical signs may be quickly corrected by potassium supplementation. Depending on the cause, it may be necessary to continue supplementing potassium permanently.
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Ibuprofen is commonly used to treat fever, pain, and inflammation in humans. Ibuprofen poisoning occurs when a cat ingests a toxic dose of ibuprofen, either through misuse or by accident. Ibuprofen poisoning causes many different clinical signs because many different organ systems can be affected. Most commonly, cats show signs related to kidney problems.
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Icterus is also known as jaundice is an excessive accumulation of a yellow pigment in the blood and tissues, most easily seen in the gingivae and sclerae. Icterus can be caused by hemolysis, liver disease, or obstruction of the bile duct. Your veterinarian will perform screening tests to determine the root cause of icterus. Based on the preliminary tests, your veterinarian may recommend fine needle aspiration, needle biopsy, or a surgical biopsy. Icterus will resolve once the underlying disease is identified and treated. The prognosis depends on the underlying cause.
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Idoxuridine is an antiviral topical medication used to treat viral infections of the eye, such as feline herpesvirus-1 in cats. Idoxuridine comes as eye drops or can be compounded by your veterinarian into an eye ointment. Give as directed. Side effects of idoxuridine include eye irritation. Pregnant women should NOT handle this medication.
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Imidocarb dipropionate is an injectable medication that is administered by a veterinarian to treat babesiosis in dogs. It is also used off-label to treat other protozoal infections in dogs, cats, and horses. Most common side effects include mild drooling, tearing, vomiting, or nasal drip. Do not use in pets with exposure to cholinesterase-inhibiting drugs, pesticides, or chemicals. If a negative reaction occurs, please call your veterinary office.
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Inappropriate elimination generally refers to urination and/or defecation in places other than the litter box. The behavior is sometimes referred to as ‘house soiling’. Inappropriate elimination may be due to a medical condition, a behavioral disorder, or both. Treatment is very specific to the underlying cause.