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Old 12th November 2002, 08:45 PM
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kkrista
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Hey guys, a cat that we have had for 2 years with severe chronic problems has just been diagnosed with Feline Eosinophilic Granuloma Complex (rodent ulcer). Of course allopathic treatment consists of finding a diet allergen and steriods to supress the inflamation.

This cat has already been unsucessfully treated by 3 different homeopaths whth remedies ranging from Sil to Sul to Phos to Merc. It has been going on such a long time that shelter volunteers are going to put a lot of pressure on me to treat allopathically.

If anyone has experience or feels they can guide to a sucessful homeopathic conclusion, please let me know. I have provided a link to some info. The oral ulcers are exact and the cats body ulcers most resemble the "diget ulcers"

web page
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Old 12th November 2002, 09:15 PM
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kkrista
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His case is as follows:

Spritzer is the cat with gingivitis and the sores. He is a lynx point (gry striped points) with a rather pale complextion. His eyes are naturally red (pinkish)rimmed. He is ~6 years old and male. His coat is short and tight (when he is healthy he is virtually non-shedding). He is lean. He sometimes gets chin acne, he has had all but his canine teeth and incisors (front between canines) pulled. That cleared his mouth for about 6 months. When his mouth is inflamed, his glands get very large to the point where he chokes. All bodily functions are normal. In terms of his personality, he is gentle, easy-going, not confrontational and generally always relaxed. He gets on with anybody, human and non, he is also fond of dogs. He likes to eat and is somewhat fond of his rituals (does the same routine everyday when his kennel is cleaned), he likes heights (as do most Siamese).Average water drinker and eater. Activity level is normal for his age. Sorry, I'm really having a hard time coming up with anything unique. He is just no trouble and really normal. He has been on Puls 200c and Sil 200c I gave him the Merc 30c which worked really well. He also had a lot of drooling from the gingivitis. His mouth looks good now, gums are nicely pink, throat does not look constricted, he is no longer drooling and his eyes are less stained.(During gingivitis flare-ups, his eyes will tear and stain). The Merc 30CH worked in 2 days, much healthier colour, but then we now had a re-emergence of an external skin sore he's had before. I'm thinking that’s a good thing, BUT do I keep letting the Merc work or do I give him something else to address the sore. The sore is circular, soft-rounded edges, very deep, glistening, shiny red and oozing yellow-green. It is located near the 1st site, just off centre to the right of his spine (the sore was there when we 1st got him, I believe from excessive previous steroid use). The last sore left a scar and was treated with aloe ointment. We were advised to use Puls200. I had a really good look in his mouth yesterday, still some slight inflammation around the teeth he has left, the back of the throat still looks swollen but not inflamed. Curious, a sudden formation of another 2 circular spots, inside the mouth (one on the back part of his tongue, the other to the side of his swollen throat), they look a little like the spot on his shoulder but no yellow. They are slightly raised and very shiny red -looks a little like traditional ringworm (which I know is possible in the mouth but not consistent with exposure). We were advised to keep an eye on, but not do anything to interfere with the Puls.

After some weeks the circular growths are increasing in size and becoming a problem when the cat eats, his throat is really red, sore and constricted as well

We were advised to use Merc 200 When I checked the cat this morning, the lumps were still there but the shiny, bumpy, redness was gone!

Ok the redness is gone, but the lumps are still there and causing choking, it might be worse? Suggestions?

Advised to give phos so I gave 6c -no change when I checked this morning. It seems to that the circles have grown in diameter as well as thickness.

Advised to give Phos 30,

I gave Phos 30c, seemed to do OK, there might have been a very small amount of shrinkage of the lumps. One of the volunteers felt it looked a little like canker sores, she had those in the mouth after a mono/strep infection. As stated they are very much less red, and no longer shiny. Kind of a pale pinkish colour. Whets next?

gave phos 30 - spots are now turning white, no change in diameter, slight change in height (smaller) - still choking

Phos 200 given Friday, lumps now turning back from white to pinky healthy gum colour, however, they appear more raised, swollen in appearance and he is gagging more.

No change in the ulcers, they might be getting a little bigger. Kitty was really choking on his food over the weekend to the point of regurgitation. Phos 200 done with no real change. His gums are still good from the merc (the other remedies have not seem to affected). The cat is in excellent health, other than the 2 -ulcer-like growths at the back of the mouth and tongue. Suggestions? Thanks

Advised to give hepar sulph 200 one dose.

Was dosing him with hep sulp 200 (remedy given), and discovered that the growth has changed dramatically in the past week. 4 times the size! It is now elongated from back of tongue to middle to towards left side. 3 or 4 lumps joined together very lumpy and tumor like. White specks interspersed. Ulcer on left, rear roof of mouth grown 3x the size 1.5 cm in diameter. We are concerned about cancer. Interfering with eating - throwing up bile and food when he tries to eat. Has a hard time swallowing. Due to the emergency, we are taking him to the vet tomorrow to see if they can diagnosed (possible remove).

I was administering the Hep Sulf 200c, only last night. As I was pouring down his throat I noticed the change in growths therefore the growth spurt happened sometime after the Phos 200. I rechecked his mouth again this morning, the growths are less intense from the Hep Sulf, but I think they are still the same size. The hep sulf has also brought out some mild nasal congestion. The cat himself if otherwise in good spirits and is determined to eat despite his obvious discomfort and difficulty, however I am alarmed at the sudden progression in growth. These growths are causing restriction of the throat and my fear is that if they grow much larger, the cat may go into respiratory distress.

Hep is definitely helping, growths may have shrunken a tiny bit and the intensity is again less, however cat is congested and his eyes are a little weepy

His eyes have been tearing a lot and the tears stain the rims of his eyes, other than that nothing. After the Hep sulph his behavior changed for the positive (the way it was before merc). Will have growths examined and report back. Thanks

We did take Spritzer in to be looked at, they want to do blood work as well and the biopsy. I've recently started giving him a meal of raw food which he loves and I'm sure will be beneficial to his condition. He seems much the same, I think he is compensating for the growths because they are still the same size but he is gagging

Advised silicea in 12 twice a day, 5 days, and monitor

Spritzer's sores have returned again in the last couple of weeks. I think they originally stem from medical abuse, but they have resurfaced 3 times now, since he has been in our care (which means no allopathic meds all this time). The sores eventually go away on their own after about a month, so I don't know if we even want to get into addressing them, but I will post a description anyway. The 2 sores are on the right lower shoulder, one is about 2 1/2 -3cm in diameter and the other ~1 1/2 cm. They look like burns, they weep and have a shiny, glossy surface. They don't appear to cause the cat any discomfort or pain. Eventually they will scab over and heal. They only ooze clear liquid, never anything remotely "pus-like". The cat is eating/drinking as normal.

Advised Sil 200

No change on Sil

Nov/02: went in for dentistry, the round raised sores turned out to be rodent ulcer upon lab confirmation. The ulcers were full of pus and were cleaned. No further dentistry planned. Recommend alternate protein sources for diet and prednisone for inflammation.
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Old 13th November 2002, 11:07 AM
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Anna Bryant
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with that swelling of the left side of the tongue you could try a tentative single dose of lach LM1 and see if you notice any changes.
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Old 13th November 2002, 08:50 PM
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kkrista
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Thanks Anna. I neglected to mention that both the ulcer on the palate and tongue where drained and cleaned and the cat went on antibiotics directly afterwards. I checked his mouth this morning and there is no sign of the ulcers anymore. Given his condition thay will probably reemerge at some point in the same or alternate location. I really don't care about the sores on his body (they are unsightly, but don't bother him), however the tongue growth had become so deeply infected that it literally bored a hole through much of the tongue. This of course effects his eating etc.

I did take him home with me yesterday (I can't even the count the number staying with me at present), but I'm determined to get him on to real food. Right now his condition seems pretty settled, so maybe its best to wait for a flare up?
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Old 13th November 2002, 09:15 PM
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Anna Bryant
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krista - not lach, just don't know.
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Old 14th November 2002, 08:31 PM
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Anna Bryant
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krista, i had another look at this - i still can't work out what is going on.
i don't know if antibiotics are being given currently - in which case it would be a mistake to try to prescribe any homoeopathic remedy at the same time.

all i can say is that if deep ulceration of the tongue is the mainsymptom, merc is worth a thought.
looking at the history, i am not sure why merc was switched out of in favour of phos.
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Old 14th November 2002, 10:00 PM
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kkrista
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Hi Anna,

The cat is finished the antibiotics, so right now he's not on anything. I have started his food change (easy -he loves to eat "right"). I spoke with the vet again today to let her know that I can not see any visable trace of the original ulcers (she doesn't believe me), certainly the one on the roof of the mouth is gone! I checked the tongue a 2nd time, still couldn't find anything, however just to be safe I'll get someone else to check it as well.

His body sores have pretty much healed since his surgery (when we took tissue for biopsy). The cat is active, eating well, urine & BM normal (he thinks it fun to live at my zoo!)

I spoke with a tech at the vet hospital, she urged me to look again because she saw 1st hand how deep and destructive this ulcer was to the tongue.

The mouth ulcers came up directly after giving merc 30c and did not improve from 200c. Not sure why phos was prescribed? The cat seemed a little "off" mentally while on merc 200c, but perhaps LMs would have been the way to go.

As I mentioned, there is a big push to start him on mega doses of prednisone, although I'm not sure why, given he is not currently showing lesions? But don't worry about that, I wouldn't combine treatments.

I guess the main concern is that the lesion will re-grow and potencially the damage to the tongue could turn into a "must amputate" condition.

Let me check out the tongue again and compile a proper symptom list. I would be very grateful to anyone for help.

PS: Going back over his case, I noticed that prior to his placement with us, the previous owner had given prednisone and depomedral in treatment to his then undiagnosed body sores and gingivitus. The steriods didn't help him back then. The gingivitus was cured with merc 30c.
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Old 15th November 2002, 03:16 AM
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scruffrat
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Krista
for what it's worth. I once had very painful ulcers on the tongue which drove me to despair.I took Graphites 30c, 1 dose and they were gone the next day. Might be something in it or not as regards the cat. Just a thought. Impressed the hell out of me!!!

Regards Scruffrat
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Old 15th November 2002, 04:51 PM
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Anna Bryant
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ah, i think i understand the current situation now.

NO CURRENT SYMPTOMS, RIGHT?

= NO INDICATED REMEDY.
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Old 15th November 2002, 08:04 PM
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kkrista
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Hi Anna, thats what I was thinking, however I was able to more closely inspect the mouth and there is a lot of redness to the back of the roof of the mouth and redness around the area of the tongue ulcer. Furthermore, the cat has started to exhibit upper respiratory symptoms (possible stress from surgery; he was very slow to recover from the anastesia).

*eyes watering clear, red rimmed (slight reddish-brown discharge adhering to the eyelids)
*slight nasal conjestion (nose has looked swollen, flattened since after the surgery)
*mucousy cough (simuliar to when the ulcers were really bad)
*wet mouth
*slightly decreased appetite (could be excitement of the move or a stuffed up nose)
*lesion on right shoulder still scabby (difficult to remove)
*may have new lesion starting on his tail (never in that spot before)
*active and very busy
*affectionate

As this is primarily an immune related illness, I'm concerned that the stress of the surgery or contact with an URI maybe sparking another episode.

We are going to switch him to a goat diet just in case chicken protien may be a problem (might be catalyst for allergic reaction).

Thanks
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