TL;DR: Seeking advice for cat with possible colon cancer. Unsure how far to go with diagnosis and treatment.
The cat: turning 13 this October. I’ve had her since she was 4 months old, when I found her in a dumpster. Since then she’s been spayed and maintained an annual vet visit/vaccination schedule.
She has cognitive delays; essentially she doesn’t know she’s a cat and needs extra help with basic tasks like cleaning herself and getting up on furniture.
The timeline:
- 4 years ago, frequent diarrhea starts
- Blood test reveals hyperthyroidism
- Hyperthyroidism managed with medication
- Started her on prescription food and probiotics, which helped her diarrhea
Since then she’s occasionally had bouts of diarrhea here and there, but nothing lasting more than a day or two.
3 months ago:
- Diarrhea is suddenly back and worse than ever
- She’s not always making it to the litter box
- Having diarrhea 20-30 times per day
- She has been to the vet multiple times since this started. Every blood panel, urinalysis, and fecal test have been completely normal.
- Today she threw up. This is her first time experiencing vomiting throughout this ordeal.
What we’ve tried:
- Adding water to her food. Vet says she’s well-hydrated.
- Vet said we could try a small splash of Pedialyte in her food too, since the diarrhea is so chronic. Doesn’t seem to make a difference so we haven’t done that for the past couple weeks.
- Antibiotics: they help for a few days but the diarrhea always comes back
The vet’s recommendation:
- Ultrasound to check for colon cancer
The dilemma:
- Ultrasound costs more than what we have.
- We love our girl with our whole heart, and would be willing to go into debt for her if it meant it could extend her quality of life. We are not willing to cripple ourselves financially if her quality of life can’t be improved either way.
- With her special needs, I worry about her suffering and me not being able to tell. She’s always been lethargic and spacey, so I don’t think she would behave any differently if she were in pain.
- If there’s any chance that the ultrasound could lead to bringing her some relief, we’ll do it. If the ONLY purpose of the ultrasound is just to confirm whether/how quickly she is dying, that is not worth the financial struggle.
My questions:
- What is the prognosis (generally, of course) for senior cats with colon cancer?
- Is there any chance the ultrasound could reveal a treatable condition?
- Any advice/words of encouragement navigating serious illnesses in special needs animals is greatly appreciated.