My cat has high calcium and ear infection. What are the next steps?

Question

So this is my tuxedo cat with her blood test results, the vet told me she has hypercalcemia but I don’t trust her because I live in Saudi Arabia and a good vet is hard to find, so I think there’s something else triggering high calcium in my cat? Can you please check on the blood test result and give me a feed back ? Also my cat has ear infection (my vet failed to see that) whenever she shakes her head water drops from her ears, what can I do to treat it ? Do I need to take her to another vet? Pet's info: Cat | Domestic Mediumhair | Female | spayed | 5 years and 8 months old

Dr. Massimo Orioles, DVM, Cert AVP, MRCVS · Accepted Answer

Hi and thanks for your request. Neoplasia, chronic renal failure (CRF), and idiopathic hypercalcemia are common causes of elevation of Calcium levels. The approach to this problem with elevated Ca++ I would recommend is: - repeat the blood test and analyze the ionised Ca++ (which can give you a reliable information about the calcium levels). At the same time I would recommend to perform a urine analysis and determine the SDMA value on the blood which can be an early indicator of renal failure; - If then this is a true elevation (Ionised Ca++ elevated) I would recommend to perform x rays of the chest and an abdominal ultrasound. This is to rule out any possibility of a tumor, especially lymphoma which is a common reason for this problem. - Based on these results you can then either treat appropriately or look for other uncommon causes like Hyperparathyroidsm (HP), Vitamin D toxicosis, granulomatous diseases such as Actinomycosis and Criptococcosis, and Hypoadrenocorticism. Regarding the ear discharge, these are typical signs of an infection and antibiotics ear drops are often resolutive. Hope this answer was helpful, and at least gave you an idea of the next steps necessary in these cases, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. If this answer was helpful please let us know, this will be used to improve our service!

My cat has high calcium and ear infection. What are the next steps?

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