Complete Care for Your Aging Cat

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Complete Care for Your Aging Cat Page 20

by Amy Shojai


  joint problems unless care is taken in the breeding matchmaking

  process.

  “When they discovered the first Scottish Fold in 1951, they were

  breeding folded-eared cats to folded-eared cats,” says Michel e.

  “Their kittens had al kinds of spine problems, stiff joints and stiff tails,

  short tails and club feet, spina bifida, that kind of thing. They realized

  very quickly if you breed a fold to a straight-eared cat, you didn’t get

  these problems,” she says. Today, ethical breeders avoid these health

  problems in their cats by breeding folded-eared cats with a straight-

  eared cat. “But there’s a lot of folded to folded in every Scottish Fold’s

  background, because they al started with just one cat,” says Michel e.

  “That’s probably part of the problem with stiffness that they have.”

  Many cats get stiff and hunched up when they’re older, says

  Michel e. “We don’t know if Scottish Folds have normal arthritis, or if

  it’s something special to folds.” Carol W. Johnson, DVM, PhD of

  Kalamazoo, Michigan, is col ecting histories and X-rays on affected

  and asymptomatic cats to help determine how widespread Scottish

  Fold Osteodystrophy (SFO) is within the breed. Al submissions

  remain confidential. The ultimate hope is to find out whether or not the

  problem is associated with the fold gene, and/or find families of cats

  within the breed that do not get SFO so that selective breeding wil

  prevent the problem in future generations.

  Punkin’s problems first showed up in her stiff back legs, and then

  she began to hunch over as though her back was painful. “It seemed

  to come and go,” says Michel e. It was especial y bad during

  pregnancy perhaps because of the extra weight and strain on her

  joints. “She had a real y rough time,” says Michel e, and she final y

  stopped breeding her. More recently, Punkin has developed knobs on

  the inside of her wrists. “Like smal marbles, they’re smooth. They’re

  so bad now that even when she’s at rest you can see the little knobs

  sticking out there.”

  Over the years, Michel e has made adjustments to help keep Punkin

  comfortable and maintain her quality of life. “I put little boxes

  everywhere right by the bed so she never has to jump more than six

  inches. And I put a step stool and table by the window so she could go

  up steps. That does seem to help.”

  She also found information and advice on the Scottish Fold

  email list, in particular about changing Punkin’s diet. When a new

  senior cat food came out that included glucosamine and chondroitin,

  Michel e decided to give it a try. “I healed my own arthritis with

  glucosamine and chondroitin, so I’m a big fan,” she says. Michel e

  offers a mix of different foods to her cats, so for Punkin she added 50

  percent of the new food to the cat’s previous diet. “I started on her

  birthday last year, so it’s been just about a year and she’s much

  better. It has real y worked for her,” says Michel e. Punkin no longer

  walks al hunched up, she’s not as stiff, and she’s much more lively

  and plays more.

  Michel e has also noticed that the cat’s ability to groom herself has

  declined, probably because she’s not as flexible. “She used to be one

  of those cats that if you touched her, she’d clean her whole body for

  twenty minutes,” says Michel e. “She’s mostly white, and she kept

  herself sparkling clean and perfectly smooth. Now she’s starting to

  develop little mats around her neck and under her chin—and she’s a

  shorthaired cat. So now I have to brush her for the first time.”

  Also, Michel e has never had to clip her cat’s nails. “I teach them to

  scratch like maniacs, and it keeps the nails in perfect condition. But

  because of her arthritis, Punkin can’t scratch so much.” She’s noticed

  problems with the nails getting too long, especial y on the back toes,

  and curling into the tender flesh of the pad. “It seems to be a slippery

  slide. Once she gets stiff, she can’t clean herself as wel , so therefore

  mats, and she can’t scratch and therefore toenail problems,” says

  Michel e.

  She knows that Dr. Johnson wants Punkin’s body to study when she

  dies. “I hope she’s going to live another 10 years,” she says, but she’s

  made the necessary arrangements for when the time comes. She

  hopes learning from Punkin wil help advance understanding about

  SFO and help other cats.

  Today, taking care of the beautiful cat and accommodating her

  senior needs doesn’t feel like a hardship to Michel e, or to Punkin.

  “Her quality of life is just fine,” says Michel e. “We’re great together.

  She real y loves me and I real y love her.”

  BLINDNESS

  Cats can become blind at any time, but it occurs mainly when they

  are older. Vision loss often is gradual, but may be sudden, complete

  or partial. Injury or eye disease such as infections, cataracts or

  glaucoma can frequently cause blindness. “The greatest problem we

  see in aging cats is hypertension secondary to renal [kidney]

  problems,” says Paul A. Gerding, Jr., DVM, an ophthalmologist at

  University of Il inois. Hypertension can also develop as a consequence

  of heart disease. “It’s far more common to see vision loss due to

  retinal detachment because of hypertension than anything else.”

  Even if the cat loses vision, the owners typical y aren’t aware of it—

  at least not at first. “They can be down to their last bit of vision, and in

  their own home they compensate very wel ,” says Dr. Gerding. Blind

  cats remember the layout of the house, and rely on sound and scent

  landmarks to get around. Vision loss typical y causes problems when

  they’re in unfamiliar surroundings. Owners may suddenly realize

  there’s a problem if they rearrange the furniture, for example.

  Catching vision loss in the earliest stages has the best chance of

  preserving the cat’s sight. Specific drug treatments and sometimes

  surgery are available for glaucoma and cataracts, discussed further in

  the chapters on those topics. Eye infections and inflammation may

  also respond to prompt medication.

  Similarly, cats suffering from kidney or heart disease often benefit

  from anti-hypertensive drugs, says Dr. Gerding. “If you catch it early

  and treat it medical y you may catch it before the retina completely

  detaches, or it may reattach so there’s stil some viable vision

  afterwards.”

  Senior Symptoms

  “Usual y you’l see vision loss in an unfamiliar environment. They’l

  have memorized their own home or yard if they’ve been there the last

  5 to 10 years,” says Dr. Gerding. Symptoms of vision loss are

  therefore noticed more in an unfamiliar environment. “Cats to tend to

  become a little more withdrawn if they lose their vision,” he says. Look

  for these signs:

  The cat hides, and her activity level decreases.

  Shows reluctance to navigate stairs or jumps, especial y in

  unfamiliar places

  Becomes clingy

  Bites when touched unexpectedl
y

  Moves more slowly and cautiously

  Pupil of eye stays dilated

  Accommodations

  When blindness due to disease or injury can’t be reversed, you

  need to adjust your cat’s environment to help her better cope in a

  sightless world. Blind pets compensate for the loss by relying more on

  other senses, and won’t be nearly as concerned about the deficit as

  the owners, says Harriet Davidson, DVM, an ophthalmologist at

  Michigan Veterinary Specialists.

  Cats prefer the status quo anyway, and this becomes even more

  important when they can no longer see. Don’t rearrange the furniture.

  Keep things in the same place so the cat can map the house, and

  doesn’t become disoriented. “Keep their food, water bowl and bed

  always in the same spot so the animal knows where his things are at

  al times,” says Dr. Davidson. Cats don’t tend to run into objects, but

  they may decide to stop moving altogether in a strange landscape.

  “The animal’s behavior wil change somewhat in that they wil

  sometimes become more dependent on the owner,” says Dr.

  Davidson. “They tend to stand very close and fol ow you around more.”

  That can be a problem especial y for elderly owners if the cat stays

  underfoot and causes fal s. To counter this tendency, try providing a

  safe, cat-friendly retreat such as a bed or cat tree in each room.

  Cats that have always loved to be the center of attention may

  become reserved once vision is lost, especial y when guests visit.

  That’s only natural, says Dr. Davidson. The cat’s sense of self-

  preservation keeps her out of harm’s way—under the bed—instead of

  beneath the feet of guests where she might be stepped on.

  As long as the environment stays the same, blind felines become

  adept at compensating and may stil be able to accurately judge wel -

  known leaps simply by memory. But take care to block off danger

  zones, such as the basement stairway, to protect your blind cat from

  an accidental fal . If you must pick up and carry the cat, set her down in

  a place she recognizes—near her litter box, for example—or she may

  become disoriented. Setting her on high unfamiliar surfaces could

  cause her to fal off because she doesn’t know where she is. Also,

  warn visitors that the cat can’t see, and to avoid startling her.

  Frightened cats often bite out of reflex, and you want to protect friends

  and family – and your senior kitty. Interestingly, other cats often seem

  more tolerant of blind cats than they are of others that can see.

  A blind cat is stil a very happy cat. She can enjoy and remain

  engaged in life and the world around her. “People are told by a

  neighbor that when they’re blind, you have to put them to sleep,” says

  Dr. Gerding. is further from the truth.

  Comfort Zone

  Sound is much more important to blind cats. Try attaching a bel

  to the col ar of other pets in the home, so the blind cat can more

  easily find them. It may also be helpful for you to wear a bel , or

  speak to announce your presence to avoid startling the cat.

  Offer toys that have a sound, such as bal s with bel s inside, a

  noisy paper sack, or scrunch up wads of paper she can hear

  and “dribble” across the room.

  Golden Moments: Blind Stubbornness

  Rudy is a 10-year-old fawn Abyssinian, but she doesn’t act the

  least bit old. “Abys are kittens forever!” says Linda Weber, and shares

  a picture of Rudy as a baby. The children’s book author from Reno,

  Nevada shares her home with seven cats, aged 2, 6, 8, 9, 10, 17, and

  19, but Rudy rules the roost—even though she is mostly blind. “She

  stil runs through the house at 90 miles an hour,” says Linda.

  Rudy began having problems with her eyes at age 4, as a

  result of an earlier upper respiratory infection. “We had to fight to keep

  her alive. She didn’t seem to have any immunity to herpes,” says

  Linda. The il ness started with congested lungs and stuffy nose, and

  got progressively worse. “We thought we were going to lose her then,

  because she couldn’t eat or drink.”

  Rudy managed to fight her way back from this near-death

  experience. But then the infection got into her eyes. “She was healthy

  except for her eyes, and these things kept growing and growing

  through the corneas.” In many such cases, owners final y decide to put

  the cat to sleep. “That wasn’t an option with her because she was just

  fighting too hard to survive,” says Linda. “That seems to be a quality in

  fawn Abyssinians. They seem to be extra stubborn.”

  The infection caused chronic inflammation of the cornea, which

  resulted in a corneal sequestrum—a growth of dead tissue on the

  cornea. This dark plaque interferes with the cat’s ability to see, and

  treatment involves removing the bad spot and patching with tissue.

  “She ended up having three surgeries on her left eye and two on her

  right eye to remove them,” says Linda.

  Each time the surgeon would remove the sequestrum from each

  cornea, and pul up the inner eyelids and stitch them shut to give the

  corneas a chance to heal. “Rudy would be completely blind for a

  week,” says Linda. “We’d put her in the funnel col ar, and she’d use

  that as a white cane, stomp around the house and run into furniture

  with it to figure out where the furniture was. She’d walk along the back

  of the couch, scraping it against the wal , but I think she was doing that

  just to annoy us.” At the end of the week the stitches were removed,

  the eyelids opened and she could see again.

  But two years later, after she’d had two surgeries on the left eye and

  one on the right, Rudy’s left eye was so thin that it ruptured.

  “Fortunately, it coagulated right away and didn’t completely drain, but

  it was scary,” says Linda. “We lived in Fresno at the time, and the

  ophthalmologist was two hours away in Stockton.” The surgery to fix

  the damage left her blind. The left eye had too little remaining cornea,

  and that eye developed cataracts. “The right eye has a skin patch

  across the middle of it,” says Linda.

  The last surgery didn’t seem to bother Rudy any more than the

  previous ones, until the stitches were cut. “She was tense because

  she knew what was happening,” says Linda. But this time when her

  eyelids opened up, she didn’t relax into happiness; she stiffened up

  again. “You could feel her anger. It radiated out of her in waves,” says

  Linda. “When her vision didn’t come back, she got mad that we’d

  broken the rules. I don’t blame her. She showed us that she was

  pissed, literal y, and sprayed the house.”

  Rudy eventual y adapted to the loss, and she is a very happy cat

  most of the time. She’s got just enough sight in that right eye that she

  can see where she’s going, says Linda. “The ophthalmologist

  compared it to looking through a ful coke bottle with a label in the way

  —I don’t know how she does it.”

  Rudy stil manages to leap to her favorite sleeping perches on

  top of the furniture. “She fakes depth
perception to know how far to

  leap,” says Linda. “She loves to be up high.” It takes two eyes to judge

  depth accurately—the brain processes vision from each individual eye

  and automatical y makes the necessary calculation. To compensate,

  Rudy gets more than one “reading” with her single, damaged eye by

  moving her head into different positions. “She’l spend about 30

  seconds stretching her neck out, and then pul ing it back so that one

  right eye has moved a distance of about two inches,” says Linda.

  “Somehow in her brain she has used that to fake the depth perception

  you get of two eyes side by side. Then she’l leap flawlessly and land

  on top of the 8-foot tal entertainment center.”

  Despite being virtual y blind, Rudy enjoys life to the ful est and

  keeps the rest of the Abys in line. So far her innate stubbornness has

  brought her through multiple chal enges. “I expect Rudy to live to be

  about 30,” says Linda.

  BRAIN TUMORS

  Although cats of any age can develop them, brain tumors are

  more commonly considered a disease of older animals.

  “Typical y the cats with brain tumors are anywhere from nine to

  fourteen years of age,” says Lisa Klopp, DVM, a neurologist at

  University of Il inois. Even when tumors are quite large, cats can

  appear to be “normal” on a neurological workup. Symptoms of

  brain tumors are often chalked up as simply behavior changes of

  old age when the cat becomes less active, more vocal, hides, or

  has changes in litter box al egiance. As with any tumor, prompt

  treatment offers the best hope of remission and/or recovery.

  Pets are more likely to develop certain types of brain tumors. “I

  think now everybody agrees we see by far more

  meningiosarcomas, tumor of the covering of the brain. That’s true

  especial y in cats,” says Dr. Klopp. Meningiomas are usual y

  removable, and the biggest issue for the surgeon is the location

  and how accessible the spot is. The majority of these tumors in

  cats develop in locations that you can get to, she says—in the

  forebrains.

  The symptoms depend on the location of the tumor. “By far the

  most common presenting sign is seizures,” says Dr. Klopp.

  Another sign is when the cat stops jumping up. Of course, this

  could also be an indication of arthritis. Vascular injury—a stroke

 

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