HELP! Can't diagnose eating problem

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judy and squamee(GA)

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Sept 13 2010 I need help. So far no one has been able to successfully diagnosis Squamee.
A year and a half ago she developed what looked like a jaw symptom. She would start eating and then move her jaw around like she was trying to dislodge something stuck in her mouth, while pawing at the sides of her face. There was also a slight clicking noise. She would stop eating and return again a few minutes later. Sometimes she would then be able to eat. She was put on long acting steroids which resolved the problem and she developed diabetes. She was on insulin for several months and then went OTJ on Aug 20 2009. About a month ago the jaw symptom returned. It did not respond to oral medicam. My vet thought it might be a tooth or TMJ. I took her to a dental specialist who could find nothing amiss on oral examination, but with x-rays found a badly rotten tooth which was extracted on Sept 7. That night she was able to eat more freely (anaesthesia?) and in the following days was on buprenex, but the difficulty eating got worse. My local vet has seen her and said the extraction was healing well and saw no inflammation. Gave injections of Medicam and Buprenex which seemed to help for a short while. Is considering x-rays of skull to look for bone spurs(?) and also sonogram of stomach, (which the dental specialist recommended---said cats often present with mouth problems when it is really their stomach---but I wonder why that would make her rub the sides of her face). Took her in again today (this is running into thousands!) and he took blood for a full workup which he will get back tomorrow. Also gave a shot of Buprenex to see what the effect would be, and it did not alleviate the symptom. Watching her struggle to eat is very painful. (I am giving her soft, mostly liquefied food, using canned foods that have a lot of gravy---Fancy Feast, Friskees, Meow Mix).

Her behavior is somewhat changed. At times she sleeps a lot more, and she is much more affectionate and wants more physical contact with me and my husband than she has in the past---frequently lying next to one of us, with a paw on us, and the other night when I was in bed she lay down on my chest! (not unwelcomed, but definitely a first!).

I am most grateful for any thoughts and suggestions.
 
Awww sending Angels and prayers and lots of healing green light. Fairies are suppose to be pets GA so sending a room full to help your little Squamee Hugsssssss Kath
 
Did your vet do an ultrasound? Sometimes ultrasound can show things that don't appear on an X-ray. And the jaw symptom may not be related to anything in your kitty's mouth - could be a swallowing issue related to something in the alimentary tract - foreign body, cancer, probably some other choices I haven't thought of. Please consider this as an option...I'm sorry that you and your kitty are going through this. Laura
 
Thanks for your concern and your responses. Laura, I asked the vet if it could be a swallowing problem, and he said if it were she would probably be spitting back some food. Anyhow, after he gets the blood results (tomorrow) he is thinking about proceeding with both a skull xray and an ultrasound (although I think this was supposed to be an ultasound of her stomach, I don't know if that includes the whole alimentary tract, but I will definitely ask him about it.) Thanks!
Judy
 
Tuesday Sept 14
Blood work came back all normal. She was worse last night, pawing at her face even when she was not trying to eat. Took her to vet this morning who is consulting with the dental specialist who does not think it is TMJ. Is planning to do an ultrasound and if that finds nothing, an xray. He says that even if they are not able to diagnose it, they can put her back on steroids, which worked last year, and then deal with the diabetes that it induces by giving the insulin again. I can live with that---you all helped me to be able to do it that last time around!
 
judy and squamee said:
Thanks for your concern and your responses. Laura, I asked the vet if it could be a swallowing problem, and he said if it were she would probably be spitting back some food. Anyhow, after he gets the blood results (tomorrow) he is thinking about proceeding with both a skull xray and an ultrasound (although I think this was supposed to be an ultasound of her stomach, I don't know if that includes the whole alimentary tract, but I will definitely ask him about it.) Thanks!
Judy


Not necessarily. Smokey had these same symptoms. Never vomited.

When I tried to syringe feed or force-feed, he would resist an begin to tremble with fear.

Painful swallowing. Throat cancer.

Not what you want to hear, I'm sure. Look at the throat and esophagus areas--ultrasound.
 
How awful for you and Smokey. I am so sorry to hear that.
Unfortunately, things are not good with Squamee. The vet said the ultrasound and skull xrays came back normal. But the symptom is getting worse---now she does it when she is not eating. The dental specialist the vet is consulting with said the next step should be endoscopy, and if that shows no results, a cat scan. He said there was too much air for the ultrasound to show anything in the esophagus. The endoscopy and cat scan are with some kind of cancer or tumor in mind. We are at an impasse here, I have already spent several thousand and this would be several thousand more--not to mention the possibility of chemo or surgery. I just don't think I can do this. The vet suggested giving her steroids (which worked a year ago). She will become diabetic, but I can deal with that, and hopefully the symptoms will abate for awhile. So this all stinks and she is miserable and so am I.
 
Oh dear - I'm sorry that things are still not resolved. There are diagnostic limits to the various imaging techniques - things have to be at least a certain size to be visible. But, this is really odd and disturbing behavior. I hope you find an answer soon. Laura
 
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