Treatment FAQ

what is the treatment for thyroid problems in older cat

by Michale Koss Published 2 years ago Updated 2 years ago
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  • Methimazole needs to be taken orally for life. If it is impossible to give your cat pills, there is a gel alternative that is rubbed in the ear instead. ...
  • Surgery to remove the thyroid gland. Surgery may cure hyperthyroidism, as long as all of the affected gland can be removed. ...
  • Radioactive iodine, administered once by injection. This medication irradiates the hyperactive tissue. This alternative requires no sedation or surgery but requires several days of hospitalization. ...

How is hyperthyroidism in cats treated? One way to treat a cat with hyperthyroidism is with an oral medication that contains methimazole. The medication can be given life-long or to stabilize the cat before other treatment options, such as radioactive iodine therapy or surgery.Dec 3, 2019

Full Answer

How do you treat hyperthyroidism in older cats?

The anesthesia administered during surgery can be challenging for older cats, however, as the hyperthyroidism may have affected their hearts and other organs. Surgery is also costly. Radioactive iodine, administered once by injection. This medication irradiates the hyperactive tissue.

Is it safe to remove thyroid gland in cats?

Removal of the thyroid glands, called surgical thyroidectomy, is a relatively straightforward surgical procedure that has a good success rate. The advantage of surgery is that it is likely to produce a long-term or permanent cure in most cats, and therefore eliminates the need for long-term medication.

How old do cats have to be to have thyroid problems?

Therefore, lose weight while eating as usual, or even if you eat more than usual. This thyroid problem in cats is not usual in the youngest, only 5% of cases occur in cats under 10 years. Typically, it occurs in older cats; the risk multiplies from about 13 years, although genetics and race influence.

Can a cat with hyperthyroidism have surgery?

Surgery may cure hyperthyroidism, as long as all of the affected gland can be removed. The anesthesia administered during surgery can be challenging for older cats, however, as the hyperthyroidism may have affected their hearts and other organs. Surgery is also costly.

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How do you treat an elderly cat with hyperthyroidism?

When available, radioactive iodine therapy is the treatment of choice for cats with hyperthyroidism. During treatment, radioactive iodine is administered as an injection and is quickly absorbed into the bloodstream.

How long can an old cat live with hyperthyroidism?

If effectively managed, cats with hyperthyroidism can live for many years with a very good quality of life. If untreated, this disease will cause uncontrolled weight loss, severe heart disease and eventually death.

What is life expectancy of a cat with thyroid problems?

The median survival times reported are 25 (iodine 131 treatment),1 24 (radioiodine treatment),2 and 48 months (iodine 131 treatment),3 with a more recent paper citing 14 months (carbimazole or methimazole treatment alone or in combination with thyroidectomy).

Why do older cats get thyroid problems?

Feline hyperthyroidism is one potentially serious condition, but it's quite manageable. Hyperthyroidism in cats is caused by an overproduction of thyroid hormones. It's a common disorder in senior cats, but is rarely seen in younger kitties. About 95% of cats diagnosed with hyperthyroidism are more than 10 years old.

Should I put my cat down with hyperthyroidism?

When to put a cat to sleep with hyperthyroidism is a heartbreaking decision. If your cat is in pain and has lost a lot of weight or declining health, then it may be time to consider euthanasia. If your cat, however, is still relatively healthy and comfortable, then you may want to wait a little longer.

Are cats in pain when they have hyperthyroidism?

In addition, hyperthyroidism can cause hypertension or high blood pressure, and result in damage to the eyes, kidneys, and brain. Cats with untreated hyperthyroidism can also endure pain and a lower quality of life due to the symptoms of the disease.

What are the final stages of hyperthyroidism in cats?

Over time, this progresses to increased blood pressure, severe weight loss, heart disease, blindness, and kidney damage. The slow onset of signs means that cat owners will often miss these changes until the late stages of disease.

Is hypothyroidism in cats painful?

The side effects of untreated hypothyroidism can be painful. In kittens with congenital hypothyroidism, pain and discomfort can arise from the lameness associated with the illness.

How much does it cost to treat a cat with hyperthyroidism?

The cost for any treatment for feline hyperthyroidism is significant. The fee for radioiodine therapy ranges from $1,685 - $1,910, depending on how much drug is required to treat each patient (which also factors into the required length of hospitalization in the nuclear ward).

What is the best food to feed a cat with hyperthyroidism?

It is best to feed: Canned or raw diets, that contain little to no fruits, vegetables, or grains. Any canned cat food is better than any dry, which contains too much carbohydrate and plant-based protein.

What are the symptoms of a cat with thyroid problems?

Symptoms can include:Weight loss despite an increased, sometimes insatiable appetite.Increased thirst.Increased urination (sometimes in inappropriate places like outside of the litter box)Vomiting.Diarrhea.Restlessness/hyperactivity.Aggressive behavior.Difficulty breathing.More items...•

How long does thyroid medication take to work in cats?

The cat's natural thyroid hormone levels will be reduced in one to three weeks. After your cat is stabilized on methimazole, blood tests for thyroid hormone levels usually are performed every three to six months.

What is the best treatment for hyperthyroidism in cats?

Radioactive Iodine Therapy . When available, radioactive iodine therapy is the treatment of choice for cats with hyperthyroidism. During treatment, radioactive iodine is administered as an injection and is quickly absorbed into the bloodstream.

What is the procedure to remove a cat's thyroid gland?

Removal of the thyroid glands, called surgical thyroidectomy, is a relatively straightforward surgical procedure that has a good success rate. The advantage of surgery is that it is likely to produce a long-term or permanent cure in most cats, and therefore eliminates the need for long-term medication.

What causes a cat to vomit?

Vomiting. Diarrhea. Anorexia. Anesthesia. Hyperthyroidism is a common disease in cats, and mostly afflicts cats middle-aged and older. Also called thyrotoxicosis, hyperthyroidism is caused by an increase in production of thyroid hormones (known as T3 and T4) from an enlarged thyroid gland in a cat’s neck. In most cases, enlargement of thyroid ...

How long does radioactive iodine therapy last?

Radioactive iodine therapy is curative within three months of therapy in approximately 95 percent of all hyperthyroid cases. In cases where radioactive iodine therapy is not successful, the treatment can be repeated.

How long does it take for a cat to get iodine?

The majority of cats treated with radioactive iodine have normal hormone levels within one to two weeks of treatment. The advantages of radioactive iodine therapy are that the procedure most often cures hyperthyroidism, has no serious side effects, and does not require anesthesia.

What causes a thyroid gland to enlarge?

In most cases, enlargement of thyroid glands is caused by a non-cancerous tumor called an adenoma. Some rare cases of hyperthyroid disease are caused by malignant tumors known as thyroid adenocarcinomas.

How do anti-thyroid drugs work?

Medication. Anti-thyroid drugs act by reducing the production and release of thyroid hormone from the thyroid gland. These medications do not provide a cure for the disease, but they do allow either short-term or long-term control of hyperthyroidism.

What Is Hyperthyroidism?

Hyperthyroidism, the opposite of hypothyroidism, is also known as thyrotoxicosis and occurs when the thyroid gland becomes enlarged and produces extra hormones. The thyroid gland is located in the neck and makes hormones called T3 and T4, which play a role in a variety of bodily functions, including metabolism and body temperature regulation.

Causes of Hyperthyroidism in Cats

There are two types of tumors that cause hyperthyroidism in cats. Most cases of hyperthyroidism are due to a benign tumor called an adenoma but in rare cases, a cancerous tumor called an adenocarcinoma is the cause. Both tumors cause the thyroid gland to become enlarged but no one knows what causes either type of tumor to grow to begin with.

Diagnosing Hyperthyroidism in Cats

If your cat is showing symptoms of hyperthyroidism, a visit to their veterinarian is warranted. The vet will perform a physical examination and obtain your cat's history before recommending blood screening be performed. Sometimes, enlarged thyroid glands can be detected during the physical exam.

Treatment of Hyperthyroidism in Cats

There are four ways to treat a cat that has been diagnosed with hyperthyroidism: dietary treatment, surgery, medication, and radioactive iodine therapy. Each option has its pros and cons and may not be right for every cat but the majority of cat owners opt to treat the disease with either diet or medication.

How to Prevent Hyperthyroidism in Cats

Because no one knows what causes a cat to develop the tumors that cause hyperthyroidism, there is no way to prevent the disease. The best thing you can do as a cat owner is to address any symptoms of hyperthyroidism as soon as you see them. Additionally, treating the disease promptly upon diagnosis will help prevent other problems from developing.

Risk Factors for Hyperthyroidism in Cats

While no specific cat breed has a definitively higher risk for developing hyperthyroidism than another, any cat senior is at a greater risk for the disease. Some studies suggest that cats that eat mostly canned food, especially fish-based canned food, are at increased risk.

How to tell if a cat has thyroid issues?

Read Also: Can Cats Eat Dog Food. When a cat has hyperthyroidism, it usually shows the following signs: Significant weight loss, even if there are no changes in your usual diet. Accelerates the heart rate. Respiratory problems.

Why does my cat lose weight?

Thyroid Problem in Cats. Hyperthyroidism is an excess of secretion of thyroid hormone, which generates a general imbalance throughout the body of the cat. Your metabolism accelerates and causes you to lose weight since your body does not have time to assimilate the nutrients of the food you eat.

Why does my cat's hair look aged?

Overactivity. Depression, unstable mood. As you can see, these are very varied symptoms, because hyperthyroidism affects the cat in many different organs.

Is hyperthyroidism common in humans?

It is likely that some of you or someone you know have thyroid problems. It is quite common in humans today. The fact is that animals also suffer them. Here we will talk about hype and hyperthyroidism in dogs and cats. Its symptoms and implications. Contents [ hide]

Can you treat hyperthyroidism in cats?

Treatment with radioactive iodine, increasingly used and very effective. If your cat has hyperthyroidism, it’s not your fault! It is a disease that can not be prevented. Just take care of your cat as much as possible always, whether it is sick or not.

Can a blood test show thyroid?

Typically, a blood test is sufficient to make a diagnosis. However, as thyroid hormone levels fluctuate, sometimes the results are inconclusive and it is necessary to repeat the test. Sometimes the increase in the size of the thyroid is even detectable by touch.

Is radioactive iodine a lifelong treatment?

Therefore, it is a lifelong treatment. Surgery, which just roots with the problem. Treatment with radioactive iodine, increasingly used and very effective.

How to treat hyperthyroidism in cats?

Another treatment option is surgical removal of the abnormal thyroid gland (s); this procedure is called thyroidectomy. Although surgery does resolve the hyperthyroidism quickly, it requires anesthesia and hospitalization, and some hyperthyroid cats are at increased anesthetic risk. Rarely parathyroid glands may be accidentally removed during thyroidectomy. This surgical complication results in hypocalcemia (low blood calcium) and lifelong calcium supplementation. Finally, surgical correction of thyroid hyperactivity may be detrimental to the patient’s kidney health. Rapid reduction in thyroid activity alters renal (kidney) blood flow. In patients with concurrent renal disease, this rapid change in blood flow may aggravate the renal disease.

What is the treatment for thyroid cancer?

Treatment Option: Oral Medication. One treatment option involves the use of an oral medication called methimazole (Tapazole®). Methimazole works by reducing the thyroid gland’s ability to produce T4. This medication is readily available and relatively inexpensive.

What does T4 mean in cats?

Most hyperthyroid cats will reveal an elevated thyroid hormone (T4) in their blood stream. However, a small percentage of cats do not have a “diagnostic” elevation in their blood T4 level. In these instances, further testing of the thyroid function should be considered.

How long can a cat stay in the hospital after I-131?

Visitation during this hospital stay is not permitted because of state and federal mandates. This typical hospital stay is generally 5 to 7 days. Also, some cats treated with I-131 may become irreversibly hypothyroid, a condition that requires lifelong thyroid hormone replacement therapy.

How do you know if your cat has hyperthyroidism?

The most common signs are weight loss, increased appetite, patchy hair loss, failure to groom, increases in water intake and urine output and restlessness or nervousness. Vomiting and diarrhea are also common.

What is the function of the thyroid gland?

The primary function of thyroid hormone is to enhance the rate at which cells function. Too much hormone makes the cells work very fast, while too little causes the cells to slow down.

Why do older cats get hyperthyroidism?

Older cats often get hyperthyroidism because they eventually cannot deal with all the chemicals in their aging bodies anymore and everything just goes haywire. You can try to prevent this process, however, by switching your cat to a diet of primarily raw meat.

What is the most common glandular disorder in cats?

Rhonda owns a small holistic pet care business online and consults on the subject. pinterest-pin-it. Hyperthyroidism is when the thyroid gland produces too many of the hormones that regulate the metabolism. It is the most common glandular disorder in cats.

How many ounces of a bottle of sanitizer for cats?

Each bottle is 2 ounces (59 mL) and provides a 4-month supply for most cats (at 6-12 lbs). 3. Vitamins and Supplements. There are several good supplements that will help boost your cat's immune system.

What are the benefits of eating raw food for cats?

Eliminate canned and dry pet food, if possible. The benefits of eating raw food are the same for cats as they are for people: Raw food boosts the immune system by giving our bodies the needed enzymes for digestion and health . Living foods give life to the body's cells.

Why does my cat lose weight?

A very common problem, especially in older cats, is hyperthyroidism. This disorder can affect your cat's hormonal balance, causing her to lose weight and feel all out of sorts. If it is left untreated, it could, and very likely will, slowly kill your feline companion, but not without extreme suffering first.

Can surgery cure hyperthyroidism?

Surgery may cure hyperthyroidism, as long as all of the affected gland can be removed . The anesthesia administered during surgery can be challenging for older cats, however, as the hyperthyroidism may have affected their hearts and other organs. Surgery is also costly. Radioactive iodine, administered once by injection.

Can cats take methimazole?

Methimazole needs to be taken orally for life. If it is impossible to give your cat pills , there is a gel alternative that is rubbed in the ear instead. A percentage of cats that take methimazole experience side effects including loss of appetite, vomiting, lethargy, and occasionally blood cell abnormalities.

What is the best way to diagnose a cat's disease?

A medical history and complete physical examination are important for the diagnosis of this disease. You will need to provide your veterinarian with a thorough history of your cat's health leading up to the onset of symptoms.

What tests are needed for hypothyroidism?

Your doctor may be able to make an initial diagnosis based on the results of these tests, but endocrine testing is also an important panel for the diagnosis of hypothyroidism.

What hormones do cats produce?

Hypothyroidism in Cats. The thyroid gland is an essential gland in the body, producing a number of hormones, including T3 (liothyronine) and T4 (levothyroxine), both of which are required for normal metabolism in the body. Hypothyroidism is a rare condition in cats, with its occurrence being based on measurably lower than normal levels ...

Can cats have hypothyroidism?

In cats, usually no treatment is required for hypothyroidism, as this condition is frequently transitory in cats. When treatment is required, it is typical for it to be a life long treatment plan. The deficient hormones are given in synthetic form, with the dosage adjusted occasionally based on your cat's individual physical condition and progress. Most clinical symptoms will resolve after a few months, but only your veterinarian can determine whether your cat's medicine dosage should be adjusted or changed.

Is hypothyroidism a rare condition in cats?

Hypothyroidism is a rare condition in cats, with its occurrence being based on measurably lower than normal levels of thyroid hormones being produced and released throughout the body, and resulting slower metabolism along with other complications. This condition is usually seen in cats after thyroid surgery or radioactive iodine therapy has been ...

How do you know if your cat has hyperthyroidism?

Symptoms of Hyperthyroidism in Cats. About five years ago, Ripley began vomiting and losing weight. She still had a great appetite, but she just couldn’t seem to maintain her weight. On her physical exam, Ripley was underweight, had a fast heart rate, and her thyroid gland, located in her neck near the trachea, was enlarged.

How to treat hyperthyroidism in a female?

Options include medication, surgery and radiation. Medication may be either oral or a transdermal, which is a gel absorbed through the skin. Surgery and radiation offer permanent solutions.

What are the secondary issues of hyperthyroidism?

A Common Secondary Issue: Renal (Kidney) Failure. Sometimes treating hyperthyroidism can be a little more challenging. High thyroid hormone levels increase metabolism. This, in turn, increases blood flow to the kidneys, which can mask signs of kidney disease.

Does Ripley's thyroid affect metabolism?

A simple blood test determined that Ripley’s thyroid hormone was, in fact, high. Changes in thyroid can affect many body systems. One of the biggest effects is on metabolism. An increased thyroid hormone level speeds the metabolism, causing weight loss and an increase in heart rate.

What to do if your cat has CKD?

The first thing will be to treat any underlying condition that has cause your cat’s CKD. For example, if your cat has a blockage, that will need to be resolved immediately. Dietary changes will likely need to be made to keep your cat’s kidneys functioning as well as they can.

How old is a cat with kidney disease?

Chronic kidney disease. Chronic kidney disease (CKD) is typically seen in cats aged 7 years and older. Chronic kidney disease usually happens more slowly and over a longer period of time than acute kidney failure. Sometimes there’s no known cause of chronic kidney disease, and no other medical issues will be found.

How to diagnose kidney disease in cats?

How is kidney disease in cats diagnosed? Kidney disease diagnosis is normally done with both blood and urine tests. Both of these will test how many waste products that the kidneys normally process are present in the urine and blood. Blood tests will be looking for the presence of blood urea nitrogen and creatinine.

Why is it important to see a vet for a cat with a urinary tract infection?

Injury to the abdomen or pelvis can hurt the kidneys and cause failure. Kidney infection. This is why it’s so important for your cat to see a vet if you suspect a urinary tract infection. Untreated UTIs can easily lead to a kidney infection that has life-long consequences. Poisons.

What happens to a cat's kidneys as they age?

As a cat ages though, the kidneys can become damaged , and all these processes can be harmed.

How do you know if your cat has kidney failure?

Both forms of kidney failure have the same symptoms. Frequent urination. This is a sign that your cat’s kidneys can no longer hold onto water, and so their body is getting rid of it more quickly. The urine might also look cloudy. Drinking a lot of water. Loss of appetite. Weight loss. Ulcers in the mouth.

What to look for in a cat's urine?

When testing your cat’s urine, the vet will also be looking for things that the kidneys should be filtering out, such as proteins, blood cells, bacteria and other waste. This test will also rule out urinary tract infections as the cause of your cat’s symptoms.

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Causes

Pathophysiology

  • Thyroid hormones affect nearly all of the organs in the body; therefore, thyroid disease often causes secondary problems.
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Symptoms

  • Clinical Signs Cats afflicted with hyperthyroidism usually develop a variety of signs that may be subtle at first but that become more severe as the disease progresses. The most common clinical signs of hyperthyroidism are weight loss, increased appetite, and increased thirst and urination. Hyperthyroidism may also cause vomiting, diarrhea, and hyperactivity. The coat of affected cats …
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Diagnosis

  • Diagnosis A veterinarian who suspects a cat has a thyroid problem will conduct a physical examination and palpate the cats neck area to check for an enlarged thyroid gland (see Figure 2). The cats heart rate and blood pressure may also be checked. If thyroid disease is a possibility, your veterinarian will likely order a blood chemistry panel and an analysis of thyroid hormone lev…
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Treatment

  • Treatment There are four treatment options for feline hyperthyroidism: medication, radioactive iodine therapy, surgery, and dietary therapy. Each treatment option has its advantages and disadvantages. The treatment a cat receives for hyperthyroidism will depend on specific circumstances, including the patients overall health status, the owners abi...
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Results

  • Radioactive iodine therapy is curative within three months of therapy in approximately 95 percent of all hyperthyroid cases. In cases where radioactive iodine therapy is not successful, the treatment can be repeated. Rarely, a permanent reduction in thyroid-hormone levels called hypothyroidism occurs after radioactive iodine treatment. If this is accompanied by clinical sign…
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Benefits

  • Removal of the thyroid glands, called surgical thyroidectomy, is a relatively straightforward surgical procedure that has a good success rate. The advantage of surgery is that it is likely to produce a long-term or permanent cure in most cats, and therefore eliminates the need for long-term medication.
See more on vet.cornell.edu

Clinical significance

  • Because of the important role the thyroid gland plays in the body, some cats with hyperthyroidism develop secondary problems, including heart disease and high blood pressure. Elevated thyroid hormones stimulate an increased heart rate and a stronger contraction of the heart muscle, and can cause thickening of the left ventricle of the heart over time. If left untreated and unmanaged…
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Prognosis

  • Hypertension, or high blood pressure, is another potential complication of hyperthyroidism, and can cause additional damage to several organs, including the eyes, kidneys, heart, and brain. If hypertension is diagnosed along with hyperthyroidism, drugs may be needed to control the blood pressure and reduce the risk of damaging other organs. As in the case of heart disease, after th…
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