I hoping someone can give some input on a case. Dr.Leela has recommended Secale cor, however I can not obtain this remedy until Monday. The cat is very week, and I'm wondering if anyone has other suggestions in case I get into a pinch over the weekend.
The cat was in perfect health in June, she was found in a terrible state approx 5
days ago. Her "Owners" will not respond to phone messages or written letters!
She was found in a profound state of emaciation, an infected, previously ruptured
absess on her left temple approimately 3mm in diameter and .2mm deep. It was
cleaned,and has not drain or filled up, but is scabbing over. The blood at the site
was a dark to bright-deep red and the area is scabbing over almost black. Within
24 hours I realized that her kidneys were also failing and I gave her Ars alb 30c, I
have since noticed that her her urine is very diluted and the urine is somewhat cool when she relieves herself. She is thirsty but has NO appitite although she does not overly resist my force feeding. She is very weak but extremely affectionate. She
loves other cats and dogs and I think she might not like to be left alone. She has
twice urinated outside her litterbox, once on the floor and this morning on the
couch -arg!She may be having trouble controlling the urge. Her breath has an odor to it, but it is not typical of kidney failure breath according to our vet, but at the same time it is not a pleasant oder. I have fed her quite a bit but yet she still has not had a bowel movement, I'm assuming
she is constipated. Her extremities are cold to the touch, yet she doesn't appear
to feel chilly.She has hind end stiffness, and yes she is such a sweet cat,
that she may not let me know if she is in pain, although I can poke and prod
without her protesting. I also noticed that her toungue is white and furrowed in the
middle, but the outer tips are smooth, shiny and bright red. Her teeth and mouth
overall appear in a healthy state. Her eyes are extremely suken in, dark and look
aged (she only 1-2yrs old) Mentally she seems horribly depressed, although perks
up when around other animals or when getting attention from me. She likes to
"headbutt" and knead anyone and anything (pretty normal show of affection). On
occassion she has appeared to be interested in food, but could not bring herself to
eat. I would consider her of medium complextion and average build. She always
back away from agression. She does not seem to have any sensitivity to noise or
activity. Her heart rate is on the "low-normal" end of the scale.I have repeated the Ars alb at 200c, it may have helped a bit, but not significantly. I have been concentrating on the urinary system but nothing seems to fit the overall picture.
Any suggestions are well appreciated.
Thanks, Krista

From the Boenninghausen Pocketbook
51 eyes sunken
548 Kidneys
1741 abcess
2271 company amel

Leaves only the classic feline remedy, Kali Carb.
You might try a 30, or if you can obtain it quickly, a 200, crushed and dissolved in water [don't touch it yourself] - just a few drops will be adequate, and save the remainder in a clean bottle for possible future use.

Do I understand it that the cat has blood poisoning from an infected wound? Pyrogen is a 3 for that. It has urine clear like water. It has bad breath. Cold skin. I thought of Lach. with the wound healing over black. It's also a remedy for septic wounds.

Also, the cat seems to have a Phos. personality and is very thirsty, so you can keep Phos. in mind. Hope this offers some help.

Snoopy

Thanks for all your replys,but now I'm getting confused. I did think of Kali c but the make up turned me off (I don't think she suits) I do also see a Phos personality. We did a full blood panel over the weekend and spun down th urine. There were no crystals evident, therefore suggesting that the kidney failure is not related to a toxin. She is urethmic, highly toxic, we have put her on anti-nausea , we also have on anti-b. Her potasium was low but not life-threatening (I have been giving her Rena-food; kidney failure supplement)Her absess is healing up nicely, the scab was removed (came off easily) on Sat. and left a nice pink, slight clear ozzing underneath (her immune system is still responding!)COntrary to my own beliefs, I was convinced to feed her low-protien diet, after 1 day it left her energy even more drained so I have switched back to a high, easy to digest protien source and her energy is a bit restored. She has finally had 2 bowel movements, both were perfect specimens -no diarhea so I held of on giving her China. She is lossing fluid at a tremendeous rate, I may have to put her on an IV, I can give her~325ml without drowning her, but according to calculations she should be getting ~500IV. Her overall symptoms seem very much the same, even with the anti-nausea, she still refuses to eat a but resists little when I feed her. The has been some improvement with her body heat, she is able to maintain good body temperature, and her extremities are less cold. However she still remains an animal that does NOT seek heat (even when she was chilling). She does not vomit or have diarhea -how do we get the toxins out? I've read of Serum Ang -it struck me as an antidote for antifreeze poisoning so I haven't really considered for this case, but should I? The Secale cor will be in today, it still fits?
Thanks, Krista

Kkrista, did you give her Phos? it could be indicated with the symptoms you mentioned, and especially if her personality seems phos. A dose of 30 should be good. The first imporvement would then be her appetite.

Its a bit difficult to see what to take as important here:
You mention Uremia
Also a loss of fluids
Not sure I understand these manifestations. Could you clarify them? The symptoms, I mean?

I'll get back once you post this info.
Doctorleela

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http://www.homeopathy2health.com

Doctor Leela,
Do you suggest I give her Phos over Secale cor? Her urea level is off the cahrt, which means that the kidneys are not processing toxins and filtering through, instead these toxins are leaking into the bloodstream; they creat great nausea. "Loss of fluids" refers to the amountof urine she is producing and its concentration. She can not concentrate her urine, therefore she looses a lot of water when she urinates which is very frequently and large amounts. To counter this, I have been giving her fluids under the skin (subqutaniously), however the drip is much faster subq that IV and the body must distribute re tissue, which is why I can not give her the full amount she needs. I always do this, I get fancy lab results and start to focus on the disease rather than the symptoms! The symptoms are little changed from my original posting, the only slight change is that her extremities are no longer so cold and we now know that she is not having diarhea. Hope that helps, let me know about the Phos, and dosage (30c?)

I think it is worth trying Phos 30 Kkrista. It covers renal failure, as well as the profuse urination, uraemia and the nature. Sorry I did not insist on it earlier.

All the best,
doctorleela

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http://www.homeopathy2health.com

Dr.Leela,
Will give Phos 30 tonight. Just as well as I went to p/u Secale cor from apothecare and they did not have. Extremely hard to find remedy here, they had to order from another supplier and I should have by tomorrow if I need it. I will let you know how the Phos works.
Thanks, Krista

The coldness of the urine is a key for AcNit and Agar.
All the best with Phos. I hope it works, but if it turns out to be a complex case you might consider one of those remedies.

[ 22 October 2001: Message edited by: Anna Bryant ]

Thank-you Anna, although her urine now comes out warm to hot (more normal) I would attibute the initial coolness to the overall cooling of her body -her body temp those first 24 hours was 37 degrees c, now it is up to a more normal range of 38. I recieved a private e-mail from Geir. His suggestion was that I halt all conventional treatments (fluids, supplements, anti-b) and antidote Ars with hep sulf, then Arnica, then Nat mur and then Kali carb. The Nat mur has reminded me about her slow heart rate and the blood as well as salt. I'm awaiting a return e-mail, does anyone want to contribute and advise on this course? Your speedy reply is appreciated.
Thanks, Krista