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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Any vets about?

22 replies

EwwwwwwDavid · 22/04/2024 20:06

Would someone be kind enough to tell me what these bloods mean and the best course of action?

For my cat

OP posts:
EwwwwwwDavid · 22/04/2024 20:07

Results

Any vets about?
Any vets about?
Any vets about?
OP posts:
sproutsandparsnips · 22/04/2024 20:37

I am definitely not a vet.
However, it looks like kidney impairment. The parameters look similar, though not the same as human ones. Urea is a waste product, which is not being excreted properly by the kidneys. Creatinine is a measure of how well the kidneys are doing their job as it is almost entirely excreted by the kidneys and an elevated level means they are not working properly.

sproutsandparsnips · 22/04/2024 20:40

Also haemoglobin is low. The kidneys produce erythropoietin which is necessary for red blood cell production. It is possible that the kidney impairment is therefore the cause of the low haemoglobin.
White cell count high. Could be infection?

EwwwwwwDavid · 22/04/2024 21:32

Thank you, what if any action would you expect a vet to suggest

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FeelingVeryDisturbed · 22/04/2024 21:41

I'm a vet
There's lots to talk about here but needs interpreting with knowledge of the cat's signalment (age, sex etc), history, clinical signs and clinical exam.
If you're unsure of the situation, please discuss it with your vet - they should be able to explain things satisfactorily to you. If they can't, see if another vet in the practice can.
Is there an issue that's causing you to look for advice on line?
If you have a more significant concern for some reason, then you could go to another practice for a second opinion.

EwwwwwwDavid · 22/04/2024 22:11

Male age 13 house cat domestic moggy

I'm just wanting to know if I was advised correctly and to know what action other vets might recommend

OP posts:
EwwwwwwDavid · 22/04/2024 22:12

No medical history

Daily vomiting several times a day for a week
5% weight loss

No other obvious symptoms
Still eating and toileting

OP posts:
FeelingVeryDisturbed · 22/04/2024 22:34

The result that catches my eye is the low albumin - this is a blood protein. Also the low TT4 - presuming your cat has not had previous therapy for hyperthyroidism, this result suggests a significant (non thyroidal) disease.
Hypoalbuminaemia is generally due to kidney disease, liver disease, gut disease or fluid loss eg ascites (fluid in albumin) eg due to cancer.
Urinalysis is needed to determine the significance of the kidney values.

Bearing in mind I have not laid eyes or hands on your cat, from what you've told me I would be thinking primary gut disease or gut cancer.

If you have concerns about your cat's treatment, please discuss it with your vet. Getting (mis)information on line will likely complicate matters rather than help. Any self-respecting vet or practice will want to resolve any grievance satisfactorily.

tabulahrasa · 22/04/2024 22:49

I think… if you distrust your vet enough that you’re asking random people online about test results - you should get a new vet.

EwwwwwwDavid · 22/04/2024 23:50

No grievance

Advice was to put down immediately

Due to other unrelated circumstances we had no time to wait and had to put him down within 15 mins of getting results.

I'm struggling thinking we did the wrong thing

OP posts:
FollowTheFuckingInstructions · 22/04/2024 23:55

EwwwwwwDavid · 22/04/2024 23:50

No grievance

Advice was to put down immediately

Due to other unrelated circumstances we had no time to wait and had to put him down within 15 mins of getting results.

I'm struggling thinking we did the wrong thing

That's very sad. Did they do other tests too?

EwwwwwwDavid · 23/04/2024 00:00

No, just phoned and recommended immediate euthanasia

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Alloveragain3 · 23/04/2024 01:16

Sorry for your loss OP.

I secomd the above concern for possible intestinal cancer/lymphoma and would wonder about kidney disease (if the urine is poorly concentrated).

However, your vet wouldn't advise euthanasia based on blood results alone. Presumably your cat was very unwell and not coping, hence the recommendation.

tabulahrasa · 23/04/2024 07:02

EwwwwwwDavid · 22/04/2024 23:50

No grievance

Advice was to put down immediately

Due to other unrelated circumstances we had no time to wait and had to put him down within 15 mins of getting results.

I'm struggling thinking we did the wrong thing

Oh I see - sorry for your loss

IME vets rarely recommend it tbh, so it’s very very unlikely it was the wrong thing to do

Hateliars34 · 23/04/2024 07:12

12 years ago my 7 year old cat was taken to the vets with similar symptoms except she was not eating, but blood tests were just like yours. The vet said we had to put her to sleep immediately as she likely had cancer and must have been in a lot of pain.

I don't know if this helps at all. Just sharing so you know this happens to other cats too. At the time I also felt maybe the decision was rushed but in the end, any treatment would have caused more discomfort and been unsuccessful, so I know it was the best for our cat.

I'm very sorry for your loss xx

fieldsofbutterflies · 23/04/2024 07:25

I'm so sorry for your loss Flowers

IME vets never recommend having animals PTS unless there really is no other option, so I very much doubt you did the right thing.

I know that's not much consolation but I hope it helps a little.

EwwwwwwDavid · 23/04/2024 07:52

Thank you all

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FeelingVeryDisturbed · 23/04/2024 10:57

I'm sorry to hear all this - must have been very shocking.
I hope your vet is approachable - I would be very bothered if I thought a client was still unsettled about this sort of situation after the event and would encourage them to speak to me if that were the case.

I hope you can get some closure and I'm sorry for the loss of puss.

AnnaMagnani · 23/04/2024 11:01

In a human these blood results would indicate the person was critically unwell.

I think your vet was honest with you and should be commended for not recommending trying antibiotics for 24 hours, something I very much regret doing to my cat.

TalkedTooMuchStayedTooLong · 23/04/2024 11:10

I'm sorry to hear that but wish it had been recommended for one of my previous cats with similar blood results who instead ended her days in the emergency hospital after several days of scans and tests... I'd much rather she'd had a peaceful, quick end than spend days feeling awful than being put to sleep anyway.

EwwwwwwDavid · 23/04/2024 18:52

I think our personal circumstances meant the vet probably had no choice - we were leaving the country that day. It's good to know it was probably the right course of action.

I don't know this vet as it was an emergency appt so not the usual one we see. So there isn't a relationship there.

OP posts:
Borris · 23/04/2024 19:08

I'm a vet and I've always been happy for owners that have had a shock like this to book an appointment once they feel able and come in to discuss exactly what happened and why. I think (hope) it helps people come to terms with things.

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