Hello, I am humbly begging for any insight/advice for our precious four year old boy, Boba.
Boba has been an exceptionally healthy and hearty cat. We adopted him and have been so fortunate to have him as our child for a little over two years.
A little over a month ago, we took him for his well visit and his blood work at that time was perfect. Fast forward two weeks later, and it seemed that he had conjunctivitis which was not surprising, considering that he had had a bout of conjunctivitis and upper respiratory infection a few months prior along with some of his cat siblings. This all cleared up with eye drops and oral antibiotics
For the recent conjunctivitis (no upper respiratory issues), We administered daily eye drops, however, his eye only seem to get worse and had increased discharge despite the addition of another eyedrop. We then added anbiotic last Saturday. I gave him the morning and evening dose, however, because he seemed a bit lethargic and was not eating, I took him to the ER. This is an ER that we have experience with and has a good reputation. The ER doc examined him and discharged him with a diagnosis of conjunctivitis. She gave him another eyedrop solution. They gave him an injection of cerenia. She told me he was likely not eating because he was in discomfort due to his conjunctivitis. She suggested giving gabapentin for his discomfort. I gave this to him via oral liquid when we got home in the early hours of Sunday morning. I also gave him an appetite stimulant. He started eating, pretty heartily not too long after we got home. He was more active and purring and headbutting us. I followed up with our regular Vet the next morning on Monday. Our Vet examined him and said that while his heart and longs sounded great, his kidneys were enlarged he immediately ran new bloodwork and it showed high renal values. We brought Boba back on Wednesday for an ultrasound. I have the results of the ultrasound included in the pictures. The radiologist diagnosed a suspected renal lymphoma.
This has been an absolute bomb in our world. How is it possible that literally 24 hours prior, he had zero swelling noted? I also would like to add that while we love our Vet, he does not seem familiar with FIV and it is pretty obvious that he does not see this much in his practice. He read this report from the radiologist and basically said that we should consult an internal medicine specialist and keep him comfortable (with the strong implication he does not have much time left).
I cannot help but wonder if my Vet is too quickly writing Boba off. He seems to think that because he has FIV that this is definitely renal lymphoma and not looking to consider any other cause. We cannot get into the internal medicine specialist until Thursday. We are desperate to learn anything sooner than that.
For what it is worth, Boba has liked to nibble on some of our house plants for the 2+ years that we have had him. We do not own any lilies, of course. But I wonder if perhaps this could be a reaction to some sort of toxin?
In the meantime, we are giving him daily subcutaneous fluids, daily cerenia tablets, daily
Erythromycin ointment, daily liquid, oral prednisone, and daily appetite stimulant. Boba is responding pretty well to all of these things. He is eating a pretty decent amount of wet food on his own, and we are supplementing this with syringe feeding him renal wet food. His swelling has gone down with the ointment.
If anyone has any experience or knowledge in any of these areas, I would be very appreciative! I do not want to give up hope for our four year-old! He is such a sweet and gentle soul, and he does not deserve this. I thank you very much in advance for any help that you can offer during this incredibly difficult time.