Veterinary Q&A: Hyperthyroidism in cats
Question: My 15-year-old male cat has been diagnosed with hyperthyroidism. I have been informed of the three choices available to me. I am leaning toward the radioactive iodine treatment, because it is essentially a cure. But what are the risks and drawbacks associated with this procedure? I want to prolong his life, but I want it to be a good quality of life.
Answer: Hyperthyroidism is one of the most common diseases seen in geriatric cats.
Unlike some of the other geriatric diseaseseen in cats, hyperthyroidism is a curable disease. I always tell my clients that if I had to pick a disease for my cat, it would be hyperthyroidism. In fact, two of my own cats have been treated successfully with radioactive iodine.
Taking a step back, let's look at what causes hyperthyroidism and what its symptoms are.
Hyperthyroidism is caused by a benign tumor of the thyroid gland called an adenoma. The tumor cells secrete excessive thyroid hormone, causing an increase in your cat's metabolism. This could lead to an increased appetite and increased water intake, weight loss despite a ravenous appetite, behavior changes, vomiting, diarrhea and an increased heart rate.
If left untreated, your cat eventually would develop heart and kidney disease and high blood pressure, which could lead to blindness, vascular events (stroke-like episodes) and sudden death.
There are three options to treat hyperthyroidism. I'll review the pros and cons of each.
Option one: Radioactive iodine. This is my preferred-treatment option because it would cure the disease. Your cat would be given an injection of radioactive iodine, which would destroy the tumor cells but not the healthy thyroid tissue.
Pros:
a. It would be a painless, noninvasive procedure in which your cat would be given an injection through an intravenous catheter.
b. It would cure your cat from the disease. It also would stop or reverse any changes that have occurred to the heart muscle.
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