Lilith wrote: ↑Tue Sep 26, 2017 3:53 pm
I think the centre is likely to know more than that website
Don't bet on it. They are experts for sure, but the best experts can't know everything.
Example: Molly was diagnosed as a result of me saying let's do a full blood screen now we've got her here for the first time in 3 years, and we had got her there for suspected early hepatic lipidosis following refusal to eat or drink and yellow dire-rear and a sticky slimy yellow bile pookey.
Her T4 was up and ALT slightly up, indicating HT, but vet said she had one freak reading, high bilirubin, that was unexpected with HT and could indicate some other liver issue.
I'm not buying that. An afternoon on Google and nothing about this in cats but a ton of NCBI proper science papers of this link and its pathways in humans. So hyperthyroidism can cause a change in bilirubin in humans but in cats it's completely unrelated? I got an itchy chin! What's more, the pathway involves blockage of the bile duct, so it would also wrap up the mystery of the bile pookey.
As for Mousey and her constipation - bile acid plays a role in absorption of fats, as well as increasing motility in the colon. So logically if hyperthyroidism affects bile, and bile affects normal stools, I'd be reluctant to dismiss Mousey's post treatment issues as a possible cause. I don't know how because I'm neither a vet nor a biologist, but I'd be surprised if it wasn't connected.
If my Moglet had been much older I might have run with the y/d and the weight problem, but she's 11/12 ish and otherwise very well with only slight heart thickening and a little issue in one eye which they think might be the result of a past trauma (including infection, not necessarily getting dropped on her head though anything is possible) and very healthy kidneys. My head knows I'm doing the right thing but my heart is breaking for her, especially as she doesn't know she's ill. And I already know what quarantine advice I will be taking and what I might just have selective dementia about.
I will be offering constructive feedback about their internal communications but thank you from the bottom of my heart for your time today and sharing your Mouse's story in such detail and with such lightness and humour. You have really helped me calm down from the worry and anger even if it's just for a while. I know she will be fine, but I also know she isn't fine right now and like you say I'm helpless to help her.