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Dispatches from Pops: Life with FHS

10/23/2015

7 Comments

 
One of the things that makes our little Sauerkraut unique, as I'm sure you've noticed, is that she wears clothes. Hopefully it’s one of the things that you find charming about her!

But it’s not unusual for us to get comments or questions about Sauerkraut’s clothing. It’s true that many cats do not like to wear clothing. I’m sure you’ve seen videos of a cat that someone has dressed up, and the cat either freezes and tips over as if they’ve turned to stone, or they race around trying to shake off the outfit as if it’s made of cat nip and firecrackers.

Some cats are cool with clothing, and for those cats I think it can be really cute to see them in a Halloween getup or dressed to the nines for the Oscars. As long as the cat is cool with it, and their owners have a good relationship with their cat, then all the better!​

But for Sauerkraut, we keep her in clothing for a reason. 
When Sauerkraut was still a wee tot, and she was just one of several fosters we had in our home, we knew almost right away she had some health issues. She seemed to be suffering initially from failure to thrive - she wouldn’t eat at first, so Humom had to come up with innovative ways to coax her to get enough nutrition to grow. ​

We also knew she had some facial deformities, which is part of what gives her that adorable scowl. If you look into her mouth (in pictures where she’s yawning, for example) you can see that she has an oddly-shaped palette, and her teeth, well, they’re not quite all there. This makes it tough for her to eat dry food. Although she loves it, it causes her to gag now and then - a sound something like a first-timer on a flugelhorn, and at the volume of a DC-10. The deformities also cause her to have trouble drinking and keeping things in her mouth, which results in food being distributed randomly around her food bowl, and the little stinker drools when she sleeps. 
Picture
Sauerkraut as a wee tot
All of these things we were able to handle. She started to eat on her own, and we made sure she had plenty of canned food high in moisture content so she stayed hydrated.
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Then one morning, we found that Sauerkraut had a wound, above her crest and below her neck. We looked closely but didn’t see anything immediately amiss. We speculated she’d gotten into a scuffle with someone else.  We separated her from the other cats so it wouldn’t happen again, but even sleeping in the bedroom with us, her wound continued to grow.​

We took little Kraut immediately to the vet, where they tested her for mites or other possible skin conditions that would cause a wound like that. All the test results were negative.

Humom did a fair bit of research, and in discussions with Sauerkraut’s most excellent veterinary caregivers, the idea of Feline Hyperesthesia Syndrome first came up. For those not familiar with it, Feline Hyperesthesia, also known as FHS or sometimes "Twitchy Cat Syndrome” is an abnormal sensitivity of the skin, and is most commonly caused by neurological disorder.  Sometimes the fur along her back will ripple, and she will suddenly start scratching or grooming herself incessantly.  The disorder will also display itself in sudden, unprovoked running or jerking, or twitching and thumping of her tail, as if she was startled. The injury to her neck, we deduced, was self-inflicted; she had scratched herself so obsessively that she has worn the fur away. ​
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To keep her from getting at the wound so it could heal, the vet suggested we put a bandana or something around her neck. (The traditional Cone of Shame resulted in her refusal to eat or drink, or even move. Keep in mind that at this point, she only weighed a little over 2 pounds.)

We couldn’t find a bandana that small, but we had a hooded harness we’d been using with her when we would bring her to her vet appointments. We put it on her backward, so the hood hung down in front and kept her from being able to get at the healing scar.​

What happened next was, well, almost a miracle. While she had on her little outfit, she stopped all of her abnormal behavior. No twitching, no scratching or over-grooming at all. The scar healed, and as long as we kept her in an outfit, she did no harm to herself.  We were pleasantly surprised, and absolutely delighted. And we knew it was solving the problem when a couple months later, Sauerkraut got out of her outfit overnight, and in that short time had another episode in which she scratched her neck raw again. 

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Sauerkraut's neck finally began to heal after starting to wear clothing
If you do research on FHS, and there really isn’t a lot, you will not find much around the idea of putting clothes on your cat as a medically-recommended treatment. We have been questioned about this course of treatment, even by veterinarians. But what we’ve found is that it works. And we have heard success stories from others that believed their cat, or a cat in their foster care, had FHS as well. ​

I certainly am not concluding that we’re right and anyone that questions us is wrong - far from it. There is still not a lot known about FHS. But we have found a workable solution to a behavioral issue. It’s taken a close partnership between Sauerkraut’s veterinarians, careful research of accredited online resources, and close observation by us. 
And it’s also taken a lot of trial and error. She doesn’t like sleeves. She doesn’t really like hats or hoods. She isn’t crazy about velcro. She loves the soft and thick fabrics. She sometimes enjoys supervised “nakey time” where she runs around without her clothes, until she starts to get twitchy.

If you notice any kind of difficulty with your pet, or your foster, take the time to get to know your cat, their preferences, and find the treatment that yields the best results. And as always, it’s important to do this in partnership with your veterinarian.​

Sauerkraut is doing well with clothes. She’s happy, healthy, and as adorably scowly as ever. Not to mention, she’s a fashion diva!  :)
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"NAKEY TIME!"
7 Comments
Marty Richardson-marks
10/23/2015 07:30:25 pm

So interesting,,,,very well written,POPS and thank you for doing the work that you do,,,,,,,,,,,,,,,

Reply
erika
10/23/2015 08:38:03 pm

Fascinating. Kraut is so lucky to have such a great Pops and Humom.

Reply
Jen (Keeley Kat's mom) link
10/23/2015 10:11:17 pm

Keeley was diagnosed with FHS when she was a little over a year old. She would bite her paws to pieces, scratch her neck and ears until sores were on top of sores and over groom ridiculously. Our vet recommended a thunder jacket because she had seen that the same swaddling technique used with human infants seemed to calm FHS cats. Keeley didn't like the jacket because it was too big and uncomfortable. I started making her clothes and then buying dog or doll clothes. The rest is history. She is a fashionista with a closet and bins full of clothes and she is happy and healthy. No more over grooming, twitching, or tail smacking.

Reply
Marian link
10/23/2015 11:46:34 pm

Thanks for the info! I think my cat would have FHS too.. I will try with clothes as you did!! Hugs for everyone and of course to Sauerkraut!!! Love from Venezuela!!! Marian

Reply
Becky
10/24/2015 09:46:43 am

My cat Finn was diagnosed as a kitten with the same thing. He has never gotten to the point of damage to skin but runs around like crazy nipping at back or tail when he has an episode. I have trained him to come to me when he has an episode and I start to pet firmly from his head to the tip of his tail to give him relief. I even slight tug on his tail during the process. I am thankful he has never damaged his skin but his first episode had him so scared that we belive he had a slight stroke. He has adjusted now and runs to me for comfort. Crazy syndrome. I have had cats for years and never heard of this til I adopted Finn. Love him to the moon and back.

Reply
Megan (@veganwtsn)
10/24/2015 11:42:16 am

Thanks for sharing, Pops! It is interesting to hear about what makes her unique and how you learned to best help her. Looks like she's doing well and is cute as always!

Reply
Jennifer K
12/1/2016 10:20:54 am

Would you be willing to share some of the clothes and where you got them?
I'd love to try some non-velcro, no sleeve, no hooded clothing for my kitty!

Reply



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    As a very small cat, and having no opposable thumbs to work the mouse, I leave the blogging to Pops or Humom.

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