Vet doesn’t think it’s cushings - I’m not sure

ladybug991

New Member
Hi all! So she doesn’t have diabetes but it’s hard to find people who might be able to help me and I figured a lot of cushings kitties are diabetic. My cat Ladybug is a 10 year old female who recently got diagnosed with mild/moderate HCM. She just got an echo and has a pro-BNP OF 280. The cardiologist recommends monitoring every 6 months and no meds yet. I do have the full cardiac report and generally I like my regular vets office a lot incl my vet. There are 2 vets I believe at the office.

End of last year she had elevated thyroid hormones (though not to the point of thyroid disease) as well as either a (I believe low but could have been high WBC count) she had a slightly elevated pro bnp.

On a recheck 6 months later she had normal thyroid levels and a normal WBC count. Pro bnp slightly elevated. However she gained 4 pounds.

Recheck about 3 months later- gained about a 1/2 a pound. pro bnp 280. Then saw cardiologist. Haven’t been able to get urine sample as she is too large. Failed at home and vet no longer wants urine sample now that she is drinking normal amount of water (more than 20 ML). However her thirst and appetite and urine have increased although not consistently and thirst is in normal range. She has gotten more talkative (but has always been talkative so it’s hard to tell), more lethargic (though not to an extreme amount and again not consistently), and hides more (though not often). She also has a bigger belly and has lost muscle in her legs and around her spine. She has lost fur on belly and front legs. Skin might be more fragile as well. Breathing is increased but not when sleeping or when resting. Does seem to take a while to get to normal after activity. Hair coat also seems curlier thinner and oilier.

Vet thinks it’s all incidental findings or aging. I haven’t “demanded” cushings tests but have asked for them multiple times and vet has said it’s not necessary.

Don’t wanna subject her to unneeded invasive tests or bring her back to the vet unnecessarily but is there a urine cortisol I could do at home and brine urine in? She hates the pellet urine and won’t pee but I haven’t tried hydrophobic sand yet.

This is hard…. Maybe I’ll try to push my next appointment earlier and schedule when the other vets the one there. I’m trying calming treats supplements and Feliway to see if the hair grows back and it’s stress grooming like the vet thinks. But I haven’t noticed her licking a ton…..

Any thoughts advice or insight appreciated. Ladybug is my baby and I don’t wanna let her down.
 

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Hello and welcome. Vets have been taught that Cushings is cats is rare. They used to thing the same thing about acromegaly, until a recent (2015) study was published showing about 25% of diabetic cats has it. We do see a number of cats here with it and also some Cushings cats, though less of them. More of the stories and information on kitty's with Cushings here in this forum: Acromegaly / IAA / Cushings Cats. We've also seen the odd one that isn't diabetic (yet).

My cat was diagnosed with acromegaly before than 2015 study came out - I had to battle my vet to get testing done. The folks on FDMB were right, my vet was not. But she "humoured me". And was surprised when the results came back positive. I had worked with her a long time and she was willing to learn so I kept her as a vet.
 
Hello and welcome. Vets have been taught that Cushings is cats is rare. They used to thing the same thing about acromegaly, until a recent (2015) study was published showing about 25% of diabetic cats has it. We do see a number of cats here with it and also some Cushings cats, though less of them. More of the stories and information on kitty's with Cushings here in this forum: Acromegaly / IAA / Cushings Cats. We've also seen the odd one that isn't diabetic (yet).

My cat was diagnosed with acromegaly before than 2015 study came out - I had to battle my vet to get testing done. The folks on FDMB were right, my vet was not. But she "humoured me". And was surprised when the results came back positive. I had worked with her a long time and she was willing to learn so I kept her as a vet.
Thanks for your reply. I’m considering paying for an at home creatine cortisol on my own through a lab company where I mail it out and then taking results to my vet if positive so they can conduct further testing.
 
Thanks for your reply. I’m considering paying for an at home creatine cortisol on my own through a lab company where I mail it out and then taking results to my vet if positive so they can conduct further testing.
Well looks like this website might be a scam so I don’t know what to do now. I guess I’ll tell them she’s not improving and getting worse and say if I want to do more testing for Cushings preferably the Urine testing at home and I’m willing to oh will they do it for me.
 
The vet clinic should be able to help you by getting the test done. If they don't feel comfortable doing it, maybe you should ask if you can get a reference to an internal medicine vet?
 
Yes I think I will just say her symptoms are not improving and are getting worse I have tried recommended methods to reduce stress but I think something further is going on and her water intake has increased over the threshold you mentioned to me. I’ve watched her and she’s not grooming more than normal but still loosing hair and she’s not eating more than normal and still gaining weight while losing muscle. Might mention she’s in the right age range and gender if he mentions she’s not diabetic. I would like to get Urine cortisol done and am willing to pay for it. If you prefer different testing and want to refer me to a specialist that’s fine too.

Just worried about isolating him as a vet because their office has been amazing overall.

This is also hard because I’m dealing with a lot of human medical issues also. I’m in a better place and have great doctors but having multiple common under-diagnosed conditions is exhausting. And now I have to deal with it all again with my cat.
 
My vet didn't feel comfortable doing the acromegaly testing, but I got the detailed instructions for her (first time asking for the test) and she worked it through.
 
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