Feeling Lost

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Erinia

Member Since 2014
When is it okay to euthanize? I know I don't post here a lot, but I'm feeling really lost and upset.

Maahes is diabetic, and most likely has IBD/lymphoma. There are also mast cell tumors here and there that I'm monitoring. Despite excellent glucose management, methyl B-12, and a steady diet of low carb canned food and Young Again Zero carb, his diabetic neuropathy never improved. He vomits at least once a week (if not 2-3 times), and at least once every two months he vomits 15 times in a row. Other than that, he never seems nauseous, and typically runs back to the food bowl to refill his stomach. He used to weigh 28 lbs, and is down to around 13 now. His latest blood work had many abnormalities.

But, the final nail:He also has a very advanced case of stomatitis that literally came on suddenly. I took him for a dental cleaning in late 2014, and everything was fine, and not six months later, he's developed that terrible disease. I managed to afford getting 3 teeth extracted, but getting the rest of his teeth removed is simply not financially possible (credit isn't an option, unfortunately). This really has upset me because he's the one cat I have that gets routine dental care at least once a year for 5 years, on top of at least 2 comprehensive appointments a year. I have spent thousands on him and just don't have anything left. Yes, I've done pulse antibiotics to help manage this.

Yesterday I had to wipe his mouth because I noticed some food had crusted. His breath nearly knocked me out. I did restart his clavamox (which he promptly vomited) and have doxy to use as a back up (I'm...well stocked) Last night, I noticed blood on my sheets where he curled up. Naturally, I panicked. I know it came from his mouth, and most likely because I agitated it. Logically I know that the antibiotics are going to help, and he'll be right as rain in a week, but at the same time, how can I keep putting him through this?! I'm even doubting the clavamox and considering a covenia shot since it makes him less likely to have GI upset. Last time he had a course of clavamox, the poor guy got poop all over himself.

Does he seem like he's in pain? Not really, especially with how advanced the dental issue is. This cat has a voracious appetite! He gets around pretty well for a cat walking on his hocks, and will manage tip toe walking when he is sufficiently motivated. He bites when he's decided that he's done being pet. He even manages to jump astounding distances (up into the cat tree). His behavior hasn't really changed. He's always been lazy, but he's purring, pooping, peeing like normal. He has never played. Grooming has always been trouble for him, and he's due for a bath.

I can sit here and justify why I shouldn't euthanize, but at the same time, I know he's got to be suffering with the dental crap, and is just hiding it well. There is no way I can justify spending $1300 that I don't have to remove teeth for a 50/50 chance at complete recovery when all the signs are pointing to lymphoma, and a diminished quality of life anyway, and likelihood that the surgery will NOT add years to his life considering all of the other health crap.

This cat is my child. He is my heart. I just don't know what to do any more. Any advice? Words of wisdom?
 
Erinia, sorry for your difficulties. It a hard decision but you will know when the time is right.

Have you tried metronidazole AB? It helps inflammation of periodontal disease as well as intestinal tract. Cerenia for nausea? You tried the Zobaline for neuropathy?

Wish I could offer more. Hugs to you.
 
I'm so sorry to hear about all of Maahes' health problems, it must be terribly stressful for both of you. I understand your dilemma; it's a decision you and Maahes need to make together. Look to him for guidance, and he will let you know when it is his time to go. He trusts you to make the right decisions for him, whatever they may be.

I can't really address most of the issues you mentioned but I do know, when my cat was walking on his hocks and I thought it was neuropathy, it turned out to be a very slight potassium deficiency, not a big one, but enough to cause the hock walking. I started adding a potassium supplement to his food and he recovered fairly rapidly. I'm sure your vet has already checked for issues like that but, just to be sure, you might want to ask about it.

Sending prayers and healing vines for you and Maahes.

Lucy :bighug::bighug::bighug:
 
Also, check with your local humane society or animal shelter. They may be able to recommend a vet that provides low cost or free vet services.

I understand how you feel. My cat Tiger was diagnosed with lymphoma this week and it is painful to watch her suffering. I have an appointment with the vet tomorrow about changing her pain meds to something a lot stronger. If a different pain med does not help relieve her pain, I also will have to make that difficult decision.
 
Also, check with your local humane society or animal shelter. They may be able to recommend a vet that provides low cost or free vet services.

I understand how you feel. My cat Tiger was diagnosed with lymphoma this week and it is painful to watch her suffering. I have an appointment with the vet tomorrow about changing her pain meds to something a lot stronger. If a different pain med does not help relieve her pain, I also will have to make that difficult decision.
So sorry to hear this, Lisa. Prayers and healing vines to you and Tiger, too. :bighug::bighug::bighug:
 
Years ago, we prolonged the life of our dog because we just could not handle putting her down. I think it was mostly for us, because she was ready. After one really horrible nite, and a visit to the Vet, she came home and she made the decision herself. I was holding her, and told her it was OK to go, and she went right then and there. I actually had to do the same with both parents (not comparing them to a pet), and I honestly believe that they were all waiting to know that I was prepared to not have them, and they could finally be out of pain.

I think and hope at some point, you will know/feel the right thing to do. Healing rainbows being sent to both of you.
 
There's lots of great information in this "Making the Decision--Help to know when and how" post

It's very much a quality of life issue and although I'm not there so can't really give you any meaningful advice, it sounds like although his mouth is a mess, he's still doing pretty well....eating, getting around, doing "cat things"....maybe getting him some pain relief for his mouth is a good idea for now until you know it's time.

We have a lot of cats here that get daily buprophenine for a variety of pain issues and it seems to really help with some of those "quality of life" issues
 
Thank you guys so much for your kind reply. I had to kind of "check out" yesterday to keep myself from crying. It's so emotionally tumultuous. I needed validation from someone that I'm not a monster for considering euthanasia. Maahes is the first pet that has ever been mine. Of course, I had to deal with death of pets when I was younger, but he's my first "adult" pet, and everything about him is up to me. I've done everything that has been suggested in this thread (research is how I cope with anxiety).

Lisa, I'm so sorry that you are having to make the same decision with Tiger. I'm sorry he is in pain. =(
 
Thank you guys so much for your kind reply. I had to kind of "check out" yesterday to keep myself from crying. It's so emotionally tumultuous. I needed validation from someone that I'm not a monster for considering euthanasia. Maahes is the first pet that has ever been mine. Of course, I had to deal with death of pets when I was younger, but he's my first "adult" pet, and everything about him is up to me. I've done everything that has been suggested in this thread (research is how I cope with anxiety).

Lisa, I'm so sorry that you are having to make the same decision with Tiger. I'm sorry he is in pain. =(
You are NOT a monster.
 
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