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My cat with HCM has ATE, is in pain, not eating or urinating.

Updated On September 23rd, 2025

Pet's info: Cat | American Shorthair | Female | spayed | 7 years and 2 months old | 17 lbs

My 7 year old cat was diagnosed with HCM (in addition to heart disease and other related issues) yesterday, after sudden ATE - she lost use of both her back legs. Today she was discharged, and we have her home attempting recovery with meds. She hasn't eaten or urinated for over 36 hours, and is yowling loudly in pain when she attempts to move. She has been able to roll herself over, and seems to want to use her back legs, but is making the most painful yelps. Is there anything I can do for her?

2 Answers

Most Helpful Answer

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Answered By Joy Fuhrman, DVM, MBA, CPA

Veterinarian

Published on March 28th, 2017

ATE is an extremely painful condition. This level of pain can be difficult to manage at home (even if your vet has prescribed oral pain medications) and Louise may need to be re-hospitalized in order for her to have some pain relief. Additionally, I am concerned about the fact that she has not urinated in 36 hours. This can be life threatening because it can lead to an enlarged bladder and possibly even a bladder rupture. The only way to alleviate this is by bladder expression (which needs to be done by a veterinary professional) or by placement of a urinary catheter. Finally, if Louise is not eating she could develop hepatic lipidosis, a potentially life threatening metabolic process that occurs when cats do not eat. The only way to prevent this is through force feeding or through placement of a feeding tube. Given all these factors, I think Louise's condition would be better managed if she were back in the hospital.

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    Answered By Christie Long, DVM

    Veterinarian, Certified Veterinary Acupuncturist

    Published on

    I am very concerned that Louise has thrown a clot from her heart, which is a pretty common follow on problem to HCM. It it exceptionally painful and she needs emergency care immediately. Sometimes blood thinners can be used to try to break up the clot, but she needs to be hospitalized to try to treat her pain during this process. Please take her in immediately.

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