Over the last two weeks, Boudicca has had intermittent diarrhea and bouts of appetite loss, and recently she had been straining quite a bit in the litter box. Aaron noted that she appeared to have lost weight as well. When I picked her up to put her in the carrier, she felt incredibly light. Since Tuesday was the vet office’s surgery day, I scheduled to drop her off in the morning so Dr. R could see her when she had a free moment (Dr. R is very popular). As usual, Queen B behaved herself in the cat ward, talking up a storm and making dancy paws whenever a tech stopped by to give her any attention.
In the afternoon I consulted with Dr. R. It turns out that Boudicca actually had been rather constipated, hence the straining. This isn’t the first time that this has happened but I had been caught off guard by the diarrhea. She had indeed lost a pound since February. While she responded well to the anti-inflammatory and the vitamin B-12 injections, she did not respond to the steroid, which indicated that she did not have inflammatory small bowel disease. So that leaves cancerous small bowel disease, such as small cell lymphoma. While of course I was incredibly concerned about this turn of event, I knew that this was a possibility due to our previous conversations.
Ultimately, I DO NOT have to say goodbye to Boudicca just yet. First, we have to deal with her constipation and find a balance there. Second, the anti-inflammatory improves her quality of life. Third, she is still perky, talkative, interested in engaging (i.e. snuggling), and demonstrates doglike traits like she has all her life. If she was lethargic, withdrawn, shuffling around, and recoiling from me, that would indicate that she was in pain and not herself anymore.
Following Dr. R’s advice, we gave her ¼ tsp Miralax mixed in with her wet food (apparently Boudicca is fond of Friskies Seafood Pate) and, after a couple of doses, she is no longer constipated. Her appetite increased and she is very vocal any time she thinks we are in the vicinity or preparing to give her food. Her Meower Mouthiness cues the boys, so then it becomes a party. (“Excuse me, may we have some of whatever Her Majesty is having too please? We would be most grateful!”) We distract them with toys and/or treats so they don’t come to investigate and inadvertently make Boudicca food insecure. (We have noticed that Boudicca prefers to not only eat in private but with me as her escort/bodyguard. She will often stop eating if she notices either Charlie or Garrus nearby, even if they are just walking down the hallway.)
Nevertheless, we will continue to monitor Boudicca’ hyperthyroidism, small bowel disease, and weight. Now that she is eating kitten kibble and small portions of wet food (we were encouraged to give her whatever she would eat), perhaps she will gain a little. I want her to be comfortable, happy, and as healthy as possible. I am cherishing the time I have left with my sweet, googly girl.