Glad to hear he is doing well. Hopefully the previously low calcium has also resolved. Feline heartworm causes cough which can mimic asthma, as well as occasional neurological disease, so if respiratory or neurologic symptoms persist, a heartworm test may be helpful.
Good luck,
Kimberly Coyner DVM DACVD
He was not tested for feline heartworm disease because has not vomited at all.
Here are his lab results with reference ranges: bicarbonate = 12 (13-25mEq/L range), K=5.6 (3.9-5.3mEd/L), Na= 145 (147-155 mEq/L),alb=4.0 (2.3-3.9 g/dL), nutrophil seg= 91 (35-75%), lymphocytes = 4 (20-55%), absolute neutrophil seg = 15552 (2500-12500/uL), absolute lymphocyte =688 (1500-7000/uL).
He ate very well last night.
I'm so glad to hear he is doing better! Has he been tested for feline heartworm disease as well?
Follow up exam with vet today. Max lost 1 pound in 1 1/2 weeks, most likely from eating less calories. His anal tone returned to normal. Vet doesn't think it's neurological, but metabolic. Repeated blood test with special feline pancreatic lipase test for pancreatitis. He ran up the stairs upon returning home. He's still not jumping onto his scratching post, but will onto my lap when I am on a chair or couch. He jumps down fine too.
He was already evaluated by an internist 2 weeks ago. She is the one who ran the ultrasounds, and x-rays. There was a professional radiologist report from these images.
A bite to an electical cord could cause mouth burns, seizures, heart arrhythmias and acute respiratory distress due to fluid in the lungs. Without evidence of mouth burns, I would find it hard to believe that your cat's persistent symptoms are due to biting an electrical cord, they are more consistent with a primary neurological disease such as brain inflammation, infection, or tumor. The low calcium is also hard to explain, since the most common causes would be toxins such as antifreeze or lily poisoning (causing kidney failure), severe intestinal disease causing nutrient malabsorption, certain drugs such as those to treat cancer or seizures or Fleet enemas, an all meat diet with no mineral supplements, or milk fever (in a lactating cat), and nothing in the history (except the IBD history) or other labwork supports any of these possibilities. The low calcium may be lab error and should be repeated. With the history of "asthma" I also wondered about feline heartworm disease, which in addition to respiratory signs can also cause chronic vomiting and occasional neurological symptoms. I recommend evaluation by a veterinary internist or neurologist (www.acvim.org).
Good luck,
Kimberly Coyner, DVM DACVD