Should my hyperthyroid cat get surgery or stay on medication?

I-131 (radioactive iodine) is a fantastic option if your cat's T4 (thyroid hormone) and kidney values on bloodwork have remained stable while she's been taking methimazole. In fact, it's considered the gold standard treatment modality in cats that are considered good candidates. There are some cats that have existing kidney disease "unmasked" once treatment for hyperthyroidism begins, so these cats are not considered good candidates for I-131 therapy. Hyperthyroidism is a condition that requires lifelong management, so your vet is correct in stating that treatment should continue indefinitely. However, you're correct in that you may have another good option. Methimazole is not advantageous over I-131. If anything, it has more potential side effects than I-131, but we use it since the good far outweighs the bad for the vast majority of cases. Few specialty hospitals actually administer I-131, but if you have one in your area, it is absolutely worth scheduling a consultation to help determine if your cat is a good candidate for this treatment modality. I hope that everything goes well!

Luv Bug is so very fortunate to have you as an owner. I am sure that you are one of the main reasons that she is going strong at 17 years of age. Kudos to you for your consideration and compassion for your pet. In terms of hyperthyroidism in cats, there are only three real treatments on the market today. These are methimazole treatment, thyroidectomy surgery, and radioactive iodine treatment. It is believed in the veterinary community that radioactive iodine is the gold standard treatment today. With the information you have provided, I can offer you a few possibilities for future treatment: 1. Perhaps you can get the math him is all in a tablet form to crush it into a fine powder and then mix it with any palatable substance that she likes and then squirt it in her mouth with a syringe. This, however, may cause some behavior problems because she may not like this either. 2. If you are willing to accept the costs and all of the different parts that go with the radioactive iodine treatment, I say go for it because the success rate for that specific treatment is excellent. Thank you very much for your question and I know you will make the right decision on her behalf. Have a great day.

Oh my. Poor girl. The most pressing issue here is the fluid on the lungs. You need to find out the underling cause for the fluid and hopefully it is something that is treatable. You will have to start with chest radiographs to find out possible causes and treatment options. The hyperthyroidism can be managed with medications until then. Hyperthyroidism in cats is typically treated with either the prescription diet Hill's Y/D or with Felimazole. I hope that your pet Lucy is able to stabilize her condition soon! Best wishes and take care.

Usually cats do well with the radio active iodine therapy. There is a chance for them to become hypo thyroid meeting they would need thyroid supplementation after the treatment. But generally speaking most cats do very well and no further treatment is needed. However your veterinarian will need to make sure there's no other underlying issues such as early kidney disease prior to doing the radio active iodine therapy. If they do find other issues then your cat may not be a good candidate for that treatment but other treatments such as daily medication or even surgery to remove part of her thyroid gland might be options.

If he does have a lump in his throat and has lost weight in the past year, then hyperthyroidism is a possibility. Costs will very from clinic to clinic and area to area, but as a ballpark, a blood test for thyroid function alone could be around 47 pounds, where a blood test for an old thin cat (that should cover the thyroid as well) could be around 100 pounds. There are three treatment options for hyperthyroidism: medication, surgery, or radioactive iodine. Each treatment has advantages and disadvantages, and the treatment choice depends on your cat's health, including heart and kidney function. Again, the cost will vary for each treatment, and your vet can let you know how much it could all potentially cost. There is nothing you can do for him at home to slow the disease, it's best that he's seen by a vet as soon as you can get him to one. If paying for a vet is an issue, you can see if your vet accepts payment plans, if there is a low cost clinic in your area, or you can apply for Carefree Credit online. http://www.carefreecredit.co.uk https://www.rspca.org.uk/whatwedo/vetcare http://www.easipetcare.com

Hyperthyroidism increases the risks of anesthesia. If possible, I wait for anesthesia until the thyroid level is more normal and well controlled. Some of this depends on how severely elevated the level was to begin with. However, in emergency situations I have taken a patient to surgery who was not well controlled. I would recommend calling and discussing the situation with your veterinarian so you can more thoroughly understand her thoughts, and then together you can decide if you should wait or not. Good luck, and I hope she improves soon!

I assume that Chetoh was diagnosed with hyperthyroidism, as cats are rarely diagnosed with hypothyroidism. Typically, I treat with methimazole pills twice daily as a starting point. I find that the T4 hormone is better controlled with oral medications than the transdermal medications on the ear because absorption is variable with this method. Once hyperthyroidism is well controlled and it is apparent that the kidneys are stable, it can be worth considering I-131 (radioactive iodine) treatment, as it stops the need for medication at home in most cases. All of that said, there are still plenty of cases that I do prescribe the transdermal ear version of methimazole because some cats are extremely difficult to medicate at home. Just make sure that Chetoh follows his vet's recommendation for follow up lab testing so that his medication dosage stays appropriate.