Looking for advice/guidance on my parent's cat (weight loss, extreme fur matting). Bloodwork in post. | Feline Diabetes Message Board - FDMB

Looking for advice/guidance on my parent's cat (weight loss, extreme fur matting). Bloodwork in post.

Seth&Bell

Member since 2024
Hi all,

My parents' cat, Moe, has been losing a lot of weight in the last few months and just recently has started to get really bad fur matting all over his sides. This isn't matting near places he can't reach, it is all over the place.

Some background on Moe. He is 13. Indoor all his life. He has hyperthyroidism (although his current T4 levels are good, more on that below in the bloodwork). I would say his normal weight is around 10 to 10.5 lbs and he has dropped to about 8 lbs in the past year. He is a very sweet cat, more like a dog than a cat, and loves people and licking people 😄 . He also has (at least what we think) really bad herpes side effects. He's constantly sneezing up gunk and lysine doesn't seem to help. He is an energetic cat, and even with all the weight loss, he still is playful and eating and pooping and acting like his normal self.

My parent's took him in for bloodwork a few weeks back and the vet basically said nothing was wrong and that he is old enough to be considered a geriatric cat and this was normal. Basically said to groom him more. IMO there is something definitely going on, as he pretty rapidly lost this weight and does not look good. So that response is pretty frustrating. My parents are going to take him back in next week and I am just looking for some advice on questions they should ask and other diagnostics that they should push for. They (and me) really really appreciate any wisdom this community has.

Here is Moe's bloodwork:
1760139388745.png


1760139406051.png


His BG was high at the vet's (he gets super stressed on vet visits). I went over today and poked him and he was at 90. So I don't think it is FD. Cancer is obviously the worry here, but we've never dealt with that in a cat before so any advice there would be great. My dad is worried about a parasite (Moe caught a mouse earlier this year), so they are planning on bringing a stool sample. He has lost weight due to the hyperthyroidism in the past, but once they got it under control, he has gained it back. And the bloodwork in those cases showed abnormal T4.

Thanks so much, all!
 
Hi all,

My parents' cat, Moe, has been losing a lot of weight in the last few months and just recently has started to get really bad fur matting all over his sides. This isn't matting near places he can't reach, it is all over the place.

Some background on Moe. He is 13. Indoor all his life. He has hyperthyroidism (although his current T4 levels are good, more on that below in the bloodwork). I would say his normal weight is around 10 to 10.5 lbs and he has dropped to about 8 lbs in the past year. He is a very sweet cat, more like a dog than a cat, and loves people and licking people 😄 . He also has (at least what we think) really bad herpes side effects. He's constantly sneezing up gunk and lysine doesn't seem to help. He is an energetic cat, and even with all the weight loss, he still is playful and eating and pooping and acting like his normal self.

My parent's took him in for bloodwork a few weeks back and the vet basically said nothing was wrong and that he is old enough to be considered a geriatric cat and this was normal. Basically said to groom him more. IMO there is something definitely going on, as he pretty rapidly lost this weight and does not look good. So that response is pretty frustrating. My parents are going to take him back in next week and I am just looking for some advice on questions they should ask and other diagnostics that they should push for. They (and me) really really appreciate any wisdom this community has.

Here is Moe's bloodwork:
View attachment 74420

View attachment 74421

His BG was high at the vet's (he gets super stressed on vet visits). I went over today and poked him and he was at 90. So I don't think it is FD. Cancer is obviously the worry here, but we've never dealt with that in a cat before so any advice there would be great. My dad is worried about a parasite (Moe caught a mouse earlier this year), so they are planning on bringing a stool sample. He has lost weight due to the hyperthyroidism in the past, but once they got it under control, he has gained it back. And the bloodwork in those cases showed abnormal T4.

Thanks so much, all!
Hi Seth, it looks like Moe’s T4 is in the normal range at 2.5.
What do they treat him with (Methimazole?) pills, liquid or transdermal ear meds?

The losing weight is very concerning (common with thyroid issues, diabetes) and other things.
The mouse thing would worry me, too (good to check stools).
I would push for more tests as well just to try to get to the bottom of what’s going on.
Very glad you tested him and his glucose was ok.

It’s so good you are helping them with trying to get more information and advice.
Sending Moe lots of good wishes 🍀🍀🍀💕💕💕
 
For the herpes flares, you can get antiviral medications that can help. Oral famciclovir or eye drops.

Has the vet really looked inside his mouth? Dental issues may make it harder to groom. As can arthritis.

I'd also investigate possible GI issues. Maybe something as simple as low B12 can limit absorption. But doesn't explain matting.

If this vet doesn't come up with any ideas, an internal medicine vet consult might be worth it.
 
Hi Seth, it looks like Moe’s T4 is in the normal range at 2.5.
What do they treat him with (Methimazole?) pills, liquid or transdermal ear meds?

The losing weight is very concerning (common with thyroid issues, diabetes) and other things.
The mouse thing would worry me, too (good to check stools).
I would push for more tests as well just to try to get to the bottom of what’s going on.
Very glad you tested him and his glucose was ok.

It’s so good you are helping them with trying to get more information and advice.
Sending Moe lots of good wishes 🍀🍀🍀💕💕💕
Thank you, Staci! He gets transdermal ear meds, but I'm not sure what the medication is, I'll ask tomorrow.

Agreed, I was so sure it was going to be his thyroid, but that was good. Relieved for them it isn't FD.

Thanks so much for your advice, I know how knowledgable his you are with all the thyroid stuff you have to deal with with Ivy. I did forget to mention that the vet also noticed a nodule on his thyroid gland (i think?). I can confirm that tomorrow too. We're definitely worried about cancer, but I'm not sure what diagnostic tests are available for that.
 
For the herpes flares, you can get antiviral medications that can help. Oral famciclovir or eye drops.

Has the vet really looked inside his mouth? Dental issues may make it harder to groom. As can arthritis.

I'd also investigate possible GI issues. Maybe something as simple as low B12 can limit absorption. But doesn't explain matting.

If this vet doesn't come up with any ideas, an internal medicine vet consult might be worth it.
Thank you Wendy!

Good to know about the herpes flares. He deals with it all the time. Just constant sneezing.

Vet did look in his mouth and did notice some redness around a tooth. He has never had a dental, so he could very well be due for that. It just seems strange to me that his fur got so bad, so fast. I do not think he has arthritis. He is a super active cat and even today I noticed him (sorry) licking his butt with no problem at all. He was running and jumping and flopping all over the place, as is usual for him. He is also eating very well.

Good note on the GI issues. I will pass all this along. If you have any specific tests that they should push for (GI, cancer-related, anything else) I can pass that along too.
 
If there’s any question about parasites, they could ask to do a broad-spectrum dewormer (that includes coverage for tapeworm) for good measure. A fecal sample is a good idea but not foolproof — if a tapeworm isn’t actively shedding, for example, the fecal won’t catch it. And speaking of tapeworm, have they seen any small rice-like segments in any of the cat beds or areas where the cat hangs out? Have they had any fleas this year?

If they haven’t done X-rays, that might also be something to consider. It doesn’t take the place of an ultrasound but it can help rule in/out some things.
 
Great advice, JL. Thank you. Just asked my mom, and no fleas and no rice-like debris around their bedding.
What do they treat him with (Methimazole?) pills, liquid or transdermal ear meds?
Confirmed that it is transdermal Methimazole.


My mom wants me to let you know that you are all amazing and to thank you.
 
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