2017 Free Eye Exams for Service Dogs
The American College of Veterinary Ophthalmologists (ACVO) will host its annual public service event providing free eye exams for service animals in May 2017. Drs….Read More
Advancing the Standards of Veterinary Care
This service is available at:
The thyroid gland is located in the neck and plays a very important role in regulating the body’s rate of metabolism. Hyperthyroidism is a disorder characterized by the overproduction of thyroid hormone and a subsequent increase in the metabolic rate. This is a fairly common disease in older cats. Although the thyroid gland enlarges, it is usually a nonmalignant change (benign). Less than 2% of hyperthyroid cases involve a malignancy.
Many organs are affected by this disease, including the heart. The heart is stimulated to pump faster and more forcefully; eventually, the heart enlarges to meet the increased demand for blood flow. The increased pumping pressure leads to a greater output of blood and, as a result, high blood pressure. About 80% of cats with hyperthyroidism have high blood pressure.
Advanced age is the main factor that increases a cat’s risk for hyperthyroidism. Environmental and dietary risk factors have been investigated and may play a role in predisposing cats to hyperthyroidism, though the specific mechanisms are not known.
No individual breed is known to be at increased risk, although Siamese cats appear to have a 10-fold lower risk of developing hyperthyroidism than other breeds.
The typical cat with hyperthyroidism is middle-aged or older; on average affected cats are about 12 years of age. The most consistent finding with this disorder is a loss of weight secondary to an increased rate of metabolism. To compensate for this, a cat will develop an increased appetite; some of these cats develop a ravenous appetite and will literally eat anything in sight! Despite the increased intake of food, most cats gradually lose weight. The weight loss may be so gradual that some owners will not even realize it has occurred. Affected cats usually drink more water and urinate at an increased rate. There may be periodic soft stool or diarrhea, and their coat may be unkempt. In some cats, anorexia develops as the disease progresses.
Two secondary complications of this disease can be significant. These include:
A specific cause has not been identified. The possible role of dietary iodine continues to be investigated as a dietary influence on development of hyperthyroidism.
In most instances, diagnosis of this disease is relatively straightforward. One of the first things to happen is an increase in size of one or both thyroid lobes. If they can be palpated (felt) during the physical exam, the disease is very likely. The first blood test that is performed measures the level of one of the thyroid hormones, called thyroxine (or T4). Usually, the T4 level is so high that there is no question as to the diagnosis. Occasionally, a cat suspected of having hyperthyroidism will have T4 levels within the upper range of normal cats. When this occurs, a second test, called a T3 Suppression Test, is performed. If this is not diagnostic, a thyroid scan may be performed, or the T4 could be measured again in a few weeks.
Fewer than 2% of these cats have cancerous growths of the thyroid gland, as a result, treatment is usually very successful. There are three choices for treatment; any one of them could be the best choice in certain situations. Many factors must come into consideration when choosing the best therapy for an individual cat.
When possible, tests are conducted before adopting any form of treatment. These tests are necessary to evaluate the overall health of the cat and predict the chances for complications. Tests include blood work and urinalysis, radiographs, an EKG and a cardiac ultrasound.
Many owners of cats with hyperthyroidism are hesitant to have radiation therapy or surgery because of their cat’s advanced age. The outcome following both surgery and radiation therapy is usually very positive, and most cats have a very good chance of returning to an excellent state of health for many years.
There are no known preventive measures, but middle-aged and geriatric cats should all receive a complete physical examination by a veterinarian every 6-12 months.