Liz Buchanan BVSc MRCVS
Keymaster
Hello - and I'm sorry to hear that your cat is strugging with pulmonary (that just means 'to do with the lungs') disease, kidney disease and is off their food. That sounds to be a lot for an 18 year old cat. While the first two likely have diagnoses attached to them (eg feline asthma for lung disease - is that confirmed?) being 'off food' is a symptom, which can be caused by various means - including kidney failure, including athsma and including various other processes that cant immediately be ruled out, including pancreatitis which is common in older cats that are ill with something else. Now; from where I'm sitting, its hard to know what's going on. Athsma can often be treated to some extent, but I don't know how certain that diagnosis is or how likely it is to be the cause of your cat's refusal to eat at the present time. Can you be sure that there isn't cardiac involvement or metastasis from a lump or some other disease process going on? Since the steroid puffs have not been helping, have you been back to your vet / called them to discuss other approaches? I would reccommend this as your next step. For me, when dyspnoea (failure to breathe properly) is suddenly more noticable, this is serious and a red flag - so please consider the involvement of an emergency vet if need be.
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