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Unread 03-09-2011   #1 (permalink)
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Unhappy Help with Ideopathic Chylothorax

Hi,
Hi,
After ruling out causes such as feline virus, heart disease, cancer etc, our beloved cat Sam has been diagnosed with ideopathic chylothorax. Its been 3 weeks now and his thorax has been drained twice and 5 days ago he was placed on rutin therapy and a low fat diet. The asthma like attacks he was having have decreased drastically from 20 a day to maybe 4 or 5. He is eating, drinking and using the litter box normally. Otherwise he just sleeps, all day and all night. The rutin and diet change seem to have made some difference but I wonder if anyone knows how long it takes or if our cat will ever be himself again. The prognosis from the vet for Sam to even live was not good. We have been giving him rutin 500 mg 3 times per day. Is that too much, or not enough? Are there side effects of rutin. It has been so frustrating, the information out there seems to be so limited and our vet has not been much help either.
Any advice would be much appreciated
Thank you
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Unread 03-09-2011   #2 (permalink)
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Hello and welcome to the forum! I'm sorry your beloved cat (Sam?) has this disease. Idiopathic means they don't know what is causing it, but I don't know anything about chylothorax, can you tell us in more detail what it means, and what your cat's symptoms were?

I wonder if the excessive sleeping is a side effect of the medication. Or is he just worn out from what he has been through. Sleeping and rest is, after all, nature's way of healing.

Have you sat down with your vet and asked your questions? Make a list of everything you want to know. Every question.

Consult with the vet, with your list in hand. Write down the answers your vet gives you, and if you don't understand something say so, and insist the vet expalin things until you do understand.

If you still feel dissatisfied with the answers you are getting (or not getting) I recommend you seek a second opinion with another vet.

Gather all records and copies of lab results and take them with you. You may need an internal medicine specialist.

Do you live near a vet school? (by near I mean within a 3 hour drive) Vet school hospitals usually have the most advanced knowledge on diseases and treatments.

<off to do some research on chylothorax and rutin>
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Unread 03-09-2011   #3 (permalink)
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Gail,
thank you for your response!
It's been frustrating for us exactly because of "ideopathic" Sam has been tested, ultrasound(ed), prodded, x-rayed..... and he seems fine except for the fluid surrounding his lungs, the "asthma like" attacks, the sleeping. The fluid has been identified as an "exudate" and "chyle"...lots of lymphocytes. They ruled out lymphoma.
Initially we were told that when there is fluid around the lungs the prognosis is poor.
So now here we are, giving Sam Rutin daily 3 times at a dose of 500 mg along with the low fat diet. I have looked up side effects of rutin to find nausea. Sam is not nauseaed.
I hope the sleeping is him healing.
Ugh.
Donna
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Hi Donna, I did a little reading, and found out that rutin is actually a supplement rather than a prescription medicine, but it is being used with some success in this disease. Also read that a low fat diet is also recommended.

I also read that lethargy is a symptom of the chylothorax. I'm not very good at searching, and feel helpless that I can't help you more.

Did the vet tell you how soon you should see improvement?

How old is Sam? Is he overweight?
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Unread 03-09-2011   #5 (permalink)
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Gail,
Sam is 5years old and is not overweight.
I didn't read about the lethargy, thanks.
Donna
Oh and the vet called tonight. She seems concerned but has no idea.
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How's Sam doing?
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Gail,
He seemed to be doing better the past few days; less attacks and a little more energy. Yesterday he seemed to be getting worse. We are considering the thoracentesis one more time hoping that his body can get control of the fluid with the diet and rutin once the excess is gone from before we started the diet and supplement. Planning on a talk with the vet this afternoon.
Its frustrating.
thanks for your concern.
Donna
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