Chylothorax Awareness Treatment & Support


"CATS" was created for the purpose of sharing treatment techniques that have been successful in resolving Chylothorax. This information is provided with the hope that it can help save the lives of other animals that have been diagnosed with Chylothorax.


How Medical Management helped my cat Pepper, beat Idiopathic Chylothorax into remission.


- My personal experience. -

The following information provided was used in conjunction with chest taps a.k.a "thoracocenteses" only as they were necessary. Here are the steps I took that helped my cat Pepper get better from Idiopathic chylothorax:


- Always monitor your cat: -

When your cat is at rest, breaths per minute should be between 20 and 30.

These are tell tale signs your cat might need tapped:
• nostrils flaring in and out.
• open mouth breathing.
• abdominal breathing


- Medical Management: -

Rutin.
This was advised for me to buy over the counter by a resident DVM (Dr. Bowman) at the University of Illinois Veterinarian teaching hospital on 1/5/2017.

Try to buy 450mg capsules of Rutin. I bought my 450mg capsules from Amazon.com. These can also be purchased from any health food store or pharmacy.


Dosage:
250 mg morning, noon and night.
A 1/8th measuring teaspoon comes out to approximately 250 mg.

- How I was able to get my cat to take it: -

Drained a can of “salmon in water”.
This is found in the canned tuna section of the grocery store and comes in the same type of similar can as tuna.  Drain into a Ziploc bag. This will be the draw bag you draw from every day. Write the date on the bag of when you opened the can. (Put the salmon meat into a separate bag to save for sandwiches, salads or salmon patties!)

Next, fill a 5 ml syringe (you can get from any pharmacy) with the salmon/water juice from the draw bag and squirt that into the corner of a new plastic bag. This will be your mixing bag. Put the draw bag and salmon meat in the fridge.

Next, empty a few 450 mg capsules of Rutin in a glass or ceramic bowl. Crush the Rutin into as much of a powder as possible using the back part of a spoon. This makes it easy to dissolve and mix up.

Next, fill a 1/8th measuring teaspoon with Rutin. This comes out to approximately 250 mg. Dump that into the corner of the mixing bag with the salmon/water juice. Use your thumb and index finger to grab the corner of the bag and and move the sides of the bag back and forth to mix the Rutin and juice together making sure to dissolve any hard Rutin peices that may not have got crushed up.

Next add 1/8 teaspoon of Collagen Hydrolysate powder. Use your thumb and index finger to grab the corner of the bag and move the sides of the bag back and forth once again to mix the contents up throughly.  The reason for adding this, is that the more an animal is “tapped”, the more they can lose amino acids. Eventually, the immune system can even become compromised due to lymphocytes, (a type of white blood cell) being extracted when chest taps are done. What Collagen Hydrolysate does, is put essential amino acids, protein and minerals back in the body, while at the same time it provides additional cellular matrix support to help rebuild blood vessels, lymph vessels and tissues such as preserving lung tissue and it's elasticity in order to help delay the chance or onset of what is known as Pleural fibrosis which is caused when chyle in the Pleural cavity (chest cavity), can scar lung tissue over a prolonged period of time. This is why starting medical management as soon as possible is so important.

You can read more about Pleural fibrosis here: https://www.ncbi.nlm.nih.gov/pubmed/15612954

  Collagen Hydrolysate can also help with weight loss which is also one of the goals if your pet is overweight like mine was. The less body fat your pet has, the better their lymphatic system can work since ultimately there will be less chance of obstructions on lymph vessels.  Naturally if there is less obstructions on lymph vessels there will be less pressure in the lymphatic system. This is why a strict diet consisting of very low fat is also important, to help your pet produce less chyle allowing for ruptured lymphatic vessels to heal as well.

After having all of this mixed, I would draw all the fluid out of the mix bag into the syringe, then present it to my cat and she would very slowly begin to lick the nozzle as I pushed the mixture out slowly. She has always voluntarily taken this. After she was finished, I would wait 10 to 15 min to let the Rutin get absorbed into her system and then feed her as described below the Prednisone section.


Prednisone:

Despite some Veterinarians claims that Prednisone will raise triglycerides, it will only happen if you over feed your pet on high fatty food. This is why diet is so important. It helps your pet eat less when you provide them with low fat, nutrient dense food. Some Veterinarians might also claim that Prednisone will not help idiopathic chylothorax, but that is quite the contrary. Here is one Reference which will explain:

http://www.bayareaveterinaryspecialists.com/educationallibrary/respiratory/chylothorax/


 Prednisone should only be used for a temporary amount of time while adhering your pet to a strict diet which I have outlined below under "Feeding the right food".  Prednisone was originally prescribed to my cat Pepper on 12/23/2016 by DVM, Dr. Vatti at Bortell Animal clinic in Bloomington, Illinois. From my experience, the benifits I noticed were:

• Allows your pet the opportunity to go for longer lengths of time between chest taps, which:

• saves you money,

• spares your cat from unnecessary stress from what could otherwise be more frequent taps, which also:

• lowers the chance of infection since chest taps are less frequent, and finally:

• it reduces inflammation

 If a Veterinarian would refute these points, it's possible (but hopefully not likely) because monetary reasons might be overshadowing the Veterinarian ethics and oath they pledged. Always get more than one Veterinarians opinion especially if they recommend euthanizing your pet or if they want to do intrusive surgeries like Thoracic duct ligations and paracardiectomy surgeries which is what was recommended to me to have done to my cat by one Vet at the University of Illinois. These are not only expensive but very taxing on your pet's body and the chance of survival after operation is 50/50. There are even cases where pets have had these surgeries done and three weeks later their chest cavity fills back up. Here is one such case where this occurred:

http://consciouscat.net/2015/03/16/chylothorax-in-cats/comment-page-1/#comment-362293


 Research all options thoroughly so you are in the know. Surgery should always be the very LAST option if medical management does not work. My cat began getting better just barely over a month and a half after I finally understood how to use medical management. Had I known what I know now and started doing all of this at the very start when she first showed symptoms on 12/13/2016 with her breathing, there is no doubt in my mind that she would have recovered even faster and I would have been money ahead. This is why I felt it was important  to write this post. To help others get on the fast track right from the beginning.


- Important: -

 Prednisone can suppress the immune system which can make fighting infection more difficult. It is classed as an immunosuppressant, which is a good thing if you need it to suppress an autoimmune disease. This is only to be used for a temporary period of time as stated above. When your pet has lost enough weight from diet and weekly X-rays begin to validate that chyle is subsiding in the chest, then it is a good time to consider lowering the dosage every several days until your pet is weaned off Prednisone completely.


- Dosing caveat: -

 The dosage below was based on my cat’s weight, which at the time was twenty pounds. If your animal is smaller your Vet may suggest a smaller dose.
ALWAYS CONSULT WITH YOUR VETERINARIAN BEFORE ADMINISTERING ANY DRUGS  TO YOUR PET!
Some Veterinarians may recommend a very small dose in the beginning to see if your pet has any side effects to Prednisone. If they do not, I recommend doing so just to be cautious since we don't want to make matters anymore challenging for your pet than they already probably are.


- Dosage: -

 Below is what my cat was advised to take.

 20 mg pill cut up in eighths. This comes out to 2.5 mg. Give 2.5 mg morning and night. Crush 1/8 pill with spoon in a ceramic or glass bowl and mix that into a very small portion of wet cat food, about the size of a quarter. Once the small clump of food with medicine is eaten, you may give your cat more wet cat food until they are full. Doing it this way helps you to know they have ingested all the medicine first before you feed them anymore.


- Feeding the right food: -

 Originally my cat was always free feeding on kitten chow dry cat food but I stopped all of that and also stopped giving her Temptations treats because of the BHA and BHT in it. After researching many cat food brands, I began feeding her only two kinds of wet cat food. “Petguard” and “I and Love and You”. The “I and Love and You” brand was eventually the one I settled on. Both these brands have no BHA/BHT, Carrageenan, animal by products, grains, soy, gluten or fillers. This wet cat food is only available in pate'. So if your cat does not like the pate' wet cat food, the only alternative wet cat food option I know of that is the minced kind which is grain, BHA/BHT, soy, Carrageenan free and healthy is the Nutro cat food.
All of my cat's love the turkey and chicken kinds. Always check the labels to be sure the food is as natural as possible without all the junk stuff in it as I mentioned above.


- Feeding regiment: -

 I feed Pepper three times a day, morning, noon and night. Each feeding she will eat a third to a half of a 3.3 ounce can .  If your cat will eat more than this, I would think it would be fine since the fat content in this brand of food is so low. Use your own discretion. Since having her on good quality food, her poo no longer smells when she uses her litter box and this is a cat that refuses to cover it up! Information online suggests when their poo does not smell, it's a sign they are on good food.


- Litter: -

 In my opinion, it is best to use a litter that has no scents added, otherwise there is no telling what it does to your cats body as they get out of their litter box and clean those harmful chemicals off of their paws! I use “The World’s Best Cat Litter” brand and I love it because it’s all organic. I recommend cleaning your cats litter boxes as often as possible so they are always encouraged to use it.


- Update on my cat Pepper: -

 So far she’s lost four pounds and is still losing. Recent weekly X-rays have verified chyle in her chest is subsiding. One other thing that's worth mentioning is before I started her on Salmon/water juice mixed with Collagen Hydrolysate along with her wet cat food diet I mentioned above, she had dander and her coat was a little rough, but now after having her on this new regiment for three months, her dander is gone and her coat is silky smooth!  


- Closing Summary: -

 Never allow anyone to try and undermine or invalidate the love you have for the life of your pet. To your pet you are their world and love can heal if you are relentless in pursuing every option to help them that's available but be wary, because unfortunately there are some DVM's and clinics out there that will use this to their benefit for monetary gains, not all mind you, but some. So try to use your instincts and your best discretion. You will know when you find a vet or clinic that absolutely loves what they do. It took me TEN tries until I found a vet that is absolutely amazing with animals. So try not to get discouraged.

 Good luck to all of you going through this. My heart is with everyone who’s little one is battling through this condition.

Chylothorax Awareness Treatment & Support

"CATS" was created for the purpose of sharing treatment techniques that have been successful in resolving Chylothorax. This information is provided with the hope that it can help save the lives of other animals that have been diagnosed with Chylothorax.

How Medical Management helped my cat Pepper, beat Idiopathic Chylothorax into remission.

- My personal experience. -
The following information provided was used in conjunction with chest taps a.k.a "thoracocenteses" only as they were necessary. Here are the steps I took that helped my cat Pepper get better from Idiopathic chylothorax:

- Always monitor your cat: -
When your cat is at rest, breaths per minute should be between 20 and 30.
These are tell tale signs your cat might need tapped:
• nostrils flaring in and out.
• open mouth breathing.
• abdominal breathing

- Medical Management: -
Rutin.
This was advised for me to buy over the counter by a resident DVM (Dr. Bowman) at the University of Illinois Veterinarian teaching hospital on 1/5/2017.
Try to buy 450mg capsules of Rutin. I bought my 450mg capsules from Amazon.com. These can also be purchased from any health food store or pharmacy.

Dosage:

250 mg morning, noon and night.
A 1/8th measuring teaspoon comes out to approximately 250 mg.
- How I was able to get my cat to take it: -
Drained a can of “salmon in water”.
This is found in the canned tuna section of the grocery store and comes in the same type of similar can as tuna.  Drain into a Ziploc bag. This will be the draw bag you draw from every day. Write the date on the bag of when you opened the can. (Put the salmon meat into a separate bag to save for sandwiches, salads or salmon patties!)
Next, fill a 5 ml syringe (you can get from any pharmacy) with the salmon/water juice from the draw bag and squirt that into the corner of a new plastic bag. This will be your mixing bag. Put the draw bag and salmon meat in the fridge.
Next, empty a few 450 mg capsules of Rutin in a glass or ceramic bowl. Crush the Rutin into as much of a powder as possible using the back part of a spoon. This makes it easy to dissolve and mix up.
Next, fill a 1/8th measuring teaspoon with Rutin. This comes out to approximately 250 mg. Dump that into the corner of the mixing bag with the salmon/water juice. Use your thumb and index finger to grab the corner of the bag and and move the sides of the bag back and forth to mix the Rutin and juice together making sure to dissolve any hard Rutin peices that may not have got crushed up.
Next add 1/8 teaspoon of Collagen Hydrolysate powder. Use your thumb and index finger to grab the corner of the bag and move the sides of the bag back and forth once again to mix the contents up throughly.  The reason for adding this, is that the more an animal is “tapped”, the more they can lose amino acids. Eventually, the immune system can even become compromised due to lymphocytes, (a type of white blood cell) being extracted when chest taps are done. What Collagen Hydrolysate does, is put essential amino acids, protein and minerals back in the body, while at the same time it provides additional cellular matrix support to help rebuild blood vessels, lymph vessels and tissues such as preserving lung tissue and it's elasticity in order to help delay the chance or onset of what is known as Pleural fibrosis which is caused when chyle in the Pleural cavity (chest cavity), can scar lung tissue over a prolonged period of time. This is why starting medical management as soon as possible is so important.
You can read more about Pleural fibrosis here: https://www.ncbi.nlm.nih.gov/pubmed/15612954
  Collagen Hydrolysate can also help with weight loss which is also one of the goals if your pet is overweight like mine was. The less body fat your pet has, the better their lymphatic system can work since ultimately there will be less chance of obstructions on lymph vessels.  Naturally if there is less obstructions on lymph vessels there will be less pressure in the lymphatic system. This is why a strict diet consisting of very low fat is also important, to help your pet produce less chyle allowing for ruptured lymphatic vessels to heal as well.
After having all of this mixed, I would draw all the fluid out of the mix bag into the syringe, then present it to my cat and she would very slowly begin to lick the nozzle as I pushed the mixture out slowly. She has always voluntarily taken this. After she was finished, I would wait 10 to 15 min to let the Rutin get absorbed into her system and then feed her as described below the Prednisone section.

Prednisone:
Despite some Veterinarians claims that Prednisone will raise triglycerides, it will only happen if you over feed your pet on high fatty food. This is why diet is so important. It helps your pet eat less when you provide them with low fat, nutrient dense food. Some Veterinarians might also claim that Prednisone will not help idiopathic chylothorax, but that is quite the contrary. Here is one Reference which will explain:
http://www.bayareaveterinaryspecialists.com/educationallibrary/respiratory/chylothorax/

 Prednisone should only be used for a temporary amount of time while adhering your pet to a strict diet which I have outlined below under "Feeding the right food".  Prednisone was originally prescribed to my cat Pepper on 12/23/2016 by DVM, Dr. Vatti at Bortell Animal clinic in Bloomington, Illinois. From my experience, the benifits I noticed were:
• Allows your pet the opportunity to go for longer lengths of time between chest taps, which:
• saves you money,
• spares your cat from unnecessary stress from what could otherwise be more frequent taps,            which also:
• lowers the chance of infection since chest taps are less frequent, and finally:
• it reduces inflammation
 If a Veterinarian would refute these points, it's possible (but hopefully not likely) because monetary reasons might be overshadowing the Veterinarian ethics and oath they pledged. Always get more than one Veterinarians opinion especially if they recommend euthanizing your pet or if they want to do intrusive surgeries like Thoracic duct ligations and paracardiectomy surgeries which is what was recommended to me to have done to my cat by one Vet at the University of Illinois. These are not only expensive but very taxing on your pet's body and the chance of survival after operation is 50/50. There are even cases where pets have had these surgeries done and three weeks later their chest cavity fills back up. Here is one such case where this occurred:
http://consciouscat.net/2015/03/16/chylothorax-in-cats/comment-page-1/#comment-362293

 Research all options thoroughly so you are in the know. Surgery should always be the very LAST option if medical management does not work. My cat began getting better just barely over a month and a half after I finally understood how to use medical management. Had I known what I know now and started doing all of this at the very start when she first showed symptoms on 12/13/2016 with her breathing, there is no doubt in my mind that she would have recovered even faster and I would have been money ahead. This is why I felt it was important  to write this post. To help others get on the fast track right from the beginning.

- Important: -
 Prednisone can suppress the immune system which can make fighting infection more difficult. It is classed as an immunosuppressant, which is a good thing if you need it to suppress an autoimmune disease. This is only to be used for a temporary period of time as stated above. When your pet has lost enough weight from diet and weekly X-rays begin to validate that chyle is subsiding in the chest, then it is a good time to consider lowering the dosage every several days until your pet is weaned off Prednisone completely.

- Dosing caveat: -
 The dosage below was based on my cat’s weight, which at the time was twenty pounds. If your animal is smaller your Vet may suggest a smaller dose.
ALWAYS CONSULT WITH YOUR VETERINARIAN BEFORE ADMINISTERING ANY DRUGS  TO YOUR PET!
Some Veterinarians may recommend a very small dose in the beginning to see if your pet has any side effects to Prednisone. If they do not, I recommend doing so just to be cautious since we don't want to make matters anymore challenging for your pet than they already probably are.

- Dosage: -
 Below is what my cat was advised to take.
 20 mg pill cut up in eighths. This comes out to 2.5 mg. Give 2.5 mg morning and night. Crush 1/8 pill with spoon in a ceramic or glass bowl and mix that into a very small portion of wet cat food, about the size of a quarter. Once the small clump of food with medicine is eaten, you may give your cat more wet cat food until they are full. Doing it this way helps you to know they have ingested all the medicine first before you feed them anymore.

- Feeding the right food: -
 Originally my cat was always free feeding on kitten chow dry cat food but I stopped all of that and also stopped giving her Temptations treats because of the BHA and BHT in it. After researching many cat food brands, I began feeding her only two kinds of wet cat food. “Petguard” and “I and Love and You”. The “I and Love and You” brand was eventually the one I settled on. Both these brands have no BHA/BHT, Carrageenan, animal by products, grains, soy, gluten or fillers. This wet cat food is only available in pate'. So if your cat does not like the pate' wet cat food, the only alternative wet cat food option I know of that is the minced kind which is grain, BHA/BHT, soy, Carrageenan free and healthy is the Nutro cat food.
All of my cat's love the turkey and chicken kinds. Always check the labels to be sure the food is as natural as possible without all the junk stuff in it as I mentioned above.

- Feeding regiment: -
 I feed Pepper three times a day, morning, noon and night. Each feeding she will eat a third to a half of a 3.3 ounce can .  If your cat will eat more than this, I would think it would be fine since the fat content in this brand of food is so low. Use your own discretion. Since having her on good quality food, her poo no longer smells when she uses her litter box and this is a cat that refuses to cover it up! Information online suggests when their poo does not smell, it's a sign they are on good food.

- Litter: -
 In my opinion, it is best to use a litter that has no scents added, otherwise there is no telling what it does to your cats body as they get out of their litter box and clean those harmful chemicals off of their paws! I use “The World’s Best Cat Litter” brand and I love it because it’s all organic. I recommend cleaning your cats litter boxes as often as possible so they are always encouraged to use it.

- Update on my cat Pepper: -
 So far she’s lost four pounds and is still losing. Recent weekly X-rays have verified chyle in her chest is subsiding. One other thing that's worth mentioning is before I started her on Salmon/water juice mixed with Collagen Hydrolysate along with her wet cat food diet I mentioned above, she had dander and her coat was a little rough, but now after having her on this new regiment for three months, her dander is gone and her coat is silky smooth!  

- Closing Summary: -
 Never allow anyone to try and undermine or invalidate the love you have for the life of your pet. To your pet you are their world and love can heal if you are relentless in pursuing every option to help them that's available but be wary, because unfortunately there are some DVM's and clinics out there that will use this to their benefit for monetary gains, not all mind you, but some. So try to use your instincts and your best discretion. You will know when you find a vet or clinic that absolutely loves what they do. It took me TEN tries until I found a vet that is absolutely amazing with animals. So try not to get discouraged.
 Good luck to all of you going through this. My heart is with everyone who’s little one is battling through this condition.