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Cat Health:
Hyperthyroidism

 

This is a fairly commonly seen condition in the older cat.  Rarely are dogs affected by this disease.  Usually seen in cats over 10 years of age, the condition is caused by a growth in one or both of the thyroid glands located under the neck of the cat. 

The growth, or goiter as it is know as, is a benign tumor, which means it doesn't spread elsewhere, or grow uncontrollably to immense proportions.  However, the goiter does cause an elevation in the cat's thyroid hormone level.

Thyroid hormone is responsible for an individual's metabolism (the break down and processing of nutrients in the body).   When in excess, the patients metabolic rate speeds up, and weight loss is most commonly seen, with a normal or greater than normal appetite.  These cats can become over-active and more vocal as well. 

Aside from the weight loss, more importantly is the affect excess thyroid hormone has on the cat's heart.  Excessive hormone actually causes the cat's heart muscle to thicken and work harder than that of a normal cat.  This excessive strain on the heart muscle eventually can cause it to fail, a condition known as Hypertrophic Cardiomyopathy.

Diagnosis of hyperthyroidism  is done through testing the cat's blood for thyroid levels.  Excessive levels of thyroid hormone is diagnostic for the condition.

Treatment of this condition can be quite successful.   Oral medication is the most commonly chosen course of treatment, but medication must be maintained on a daily basis, or the levels of thyroid hormone will rise again if discontinued.

Surgery involves removal of the affected gland(s), which removes the source of the excessive thyroid hormone production.  Rarely do cats require supplementation with thyroid hormone after removal of both glands, due to residual thyroid tissue elsewhere in the body.  This residual tissue begins producing normal levels of thyroid hormone. thus removing the need to daily medicate the patient.

Radiation therapy is the third method of treatment.  This method is limited to certain veterinary centers which have capability to dispose of radioactive waste material.  If referred to a center for this procedure, the cat must stay on premises for at least one week, in order to completely eliminate all waste from the system which may be potentially radioactive. 

The treatment itself involves administering a radioactive compound to the cat intravenously (in the patients vein), and then monitoring the patient afterwards for one week.  All thyroid tissue is destroyed with this method, yet rarely is supplementation with thyroid hormone necessary for more than a few weeks post procedure.

Cost can vary with each procedure.  Medication is the least expensive approach initially, but continual medication will add up.  Surgery and radiation therapy offer an immediate fix, without long term medication, yet initial cost for each procedure may be quite high. 

Check with your veterinarian for recommendations on what's best for your cat.