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Gallbladder stone

Species: cat | Category: medical-surgical | Submitted: 13 November 2011 11:52AM | viewed 90458 times
Q Carmina asks about Fluffy (cat - Birman, F) :

Our 13 yo birman cat has the following symptoms: loss of weight (from 3.2kg to 2.7kg), lethargy, vomiting (not severe), lack of appetite. We took her to the vet who ordered blood tests and an ultrasound. The tests showed an increase in ALT and bilirubine. The ultrasound revealed a small gallbladder stone which is not obstructing the duct and a few small urinary bladder stones. The vet is unable to diagnose precisely the disease and has put the cat on steroids and antibiotics (metronidazole). Since getting the medicine two days ago she has not improved. Could you help us pinpoint what to do next? Thanks!

Q Our vet says: I am sorry to hear that Fluffy has not been well. The signs of weight loss,vomiting and reduced appetite are not specific for any particular disease but are a sign that your cat is generally feeling "unwell".

The blood sample and ultrasound was a logical step for your vet to take in trying to diagnose the condition, however in Fluffy's case they did not lead to a specific diagnosis. This can sometimes be the case, but it still has given a clearer indication of Fluffy's state of health since it will probably have allowed your vet to rule out some diseases. (This is often very important for vets- but can seem frustrating to owners because you still do not have a specific "answer")

I do think that your vet's treatment is a good first step under the circumstances. But it can take a little while for medicines to have an effect and two days may not be enough to make a judgement regarding success.

If your vet has given a longer course of treatment, do continue with it (unless there are untoward side effects- in which case stop and let your vet know, so that an alternative can be provided).

It can be tempting to expect immediate improvement when medication is being given but usually this will not be the case- so do continue until the course is finished.

The most important thing to do is keep your vet informed and communicate with them. You and your vet are a healthcare team for Fluffy and it is important to work together.

I hope Fluffy feels better soon and makes an excellent recovery.

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