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Old 19.04.2016, 21:24
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(chronic) kidney disease in cats

Would appreciate advice on a case of feline kidney infection. The cat is an 8 year old former stray. A few weeks ago he started losing weight. The vet couldn't determine whether it was a chronic or acute..Said if chronic, the cat had 1-3 years to live. Got medicine and another appointment in 3 days. Apparently low phosphat food is recommended. Would appreciate any other advice on how to help the cat through this, thank you.
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Old 19.04.2016, 21:33
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Re: (chronic) kidney disease in cats

No advice unfortunately, but



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Old 19.04.2016, 21:37
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Re: (chronic) kidney disease in cats

Lorena, I am sorry to hear this.

I'm afraid I can't help, as I do not know much about cats - other than to ask:

Do you think asking for a referral to a specialist might be of help?

If so, and if you are in the Zürich area, a colleague's cat is being treated for kidney disease at the Tierspital; she speaks very highly of the care she is getting.

http://www.kltmed.uzh.ch/de/fachgebi...phrourolo.html


We'll keep all paws here crossed for your kitty.
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Old 19.04.2016, 21:45
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Re: (chronic) kidney disease in cats

My mom had a kidney kitty that lived something like 10 years after diagnosis. I'll ask her other than the meds and food what the protocol was.
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Old 19.04.2016, 21:59
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Re: (chronic) kidney disease in cats

thanks for the well wishes glowjupiter and melloncollie. By the way, on two occasions, Ive had horror experiences with the tierspital.. both cases with what seemed to be inexperienced vets/vet students. The worst being they almost euthanized my cat without consent.. had him injected with narcotics and I was outside demanding to see him and got to him in time.. He is still alive and healthy today. Apparently they thought he had some mysterious illness that was deadly. ��
3wishes, many thanks for asking. It would be extremely helpful to know about any protocols.
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Old 19.04.2016, 22:07
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Re: (chronic) kidney disease in cats

You can get Kattovit renal in most qualipets. Have only experience with their urinary formula but its been good
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Old 19.04.2016, 22:13
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Re: (chronic) kidney disease in cats

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...3wishes, many thanks for asking. It would be extremely helpful to know about any protocols.
Happy to help! One thing I can tell you off the top of my head is that she switched to a water fountain instead of just bowls of water. It apparently entices kidney kitties to drink more water. They need LOTS of it!
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Old 19.04.2016, 23:26
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Re: (chronic) kidney disease in cats

Definitely provide lots of drinking opportunities, one of my cats is also prone to urinary stuff (the silly boy also refuses to eat wet food, even fresh beef is not his jam, kibble all the way for him), so there are four different places (all far away from the food bowls) for him to choose from. And because he is an extra-spoiled cat, he has a custom made ceramic fountain from Keramik im Hof, which he was not sure about initially (see attached picture, the plastic thingies are because he sprays everywhere when he drinks) but now loves. His sister on the other hand prefers bowls of water that have not been topped up for several days.
ETA: The bowl of the fountain is 30cm in diametre, it's just a rather large cat.
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Old 20.04.2016, 13:06
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Re: (chronic) kidney disease in cats

Thanks all. He didn't want to eat anything, but did ask for some water. He seems very weak. It looks like he has to go back to the doctor for IV fluids and medication.
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Old 20.04.2016, 13:18
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Re: (chronic) kidney disease in cats

Is it a kidney infection, or kidney malfunction? The first can probably be treated with antibiotics, the latter not so easily and the prognosis is not always that promising .
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Old 20.04.2016, 13:45
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Re: (chronic) kidney disease in cats

Vet couldn't tell which it was unfortunately
I was told to come back within 1-3 days if he didn't improve with the meds. Is there a test one can do to determine the degree of organ failure or whether it is acute or chronic?
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Old 20.04.2016, 14:16
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Re: (chronic) kidney disease in cats

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Vet couldn't tell which it was unfortunately
I was told to come back within 1-3 days if he didn't improve with the meds. Is there a test one can do to determine the degree of organ failure or whether it is acute or chronic?
Again, bearing in mind that my experience is with dogs only:

There is a new (in Switzerland since 1 January 2016) kidney function test, the SDMA test, that is supposed to be able to detect loss of renal function earlier than the previous test did. This test is used in both cats and dogs; I have had the SDMA test done with the Belltie.

If you are concerned about organ function, you might ask your vet is this would be an appropriate step in your cat's case, or not. It is a simple blood test.

https://www.idexx.com/files/small-an...-test-sdma.pdf

Although 'watch and wait' is often the right way to go, given that your cat is refusing food don't be afraid to speak to your vet again, ask about other options, including a referral. My primary decision maker is usually that little voice in the back of my head... when it starts chattering away, I tend to push for further exploration a bit sooner.

Again, wishing you all the best.


ETA:

Just caught this part:

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By the way, on two occasions, Ive had horror experiences with the tierspital.. both cases with what seemed to be inexperienced vets/vet students. The worst being they almost euthanized my cat without consent.. had him injected with narcotics and I was outside demanding to see him and got to him in time.. He is still alive and healthy today. Apparently they thought he had some mysterious illness that was deadly.
What a horror, Lorena! I'm sorry that happened to you - that is unconscionable. Did you lodge a complaint?

Just an FYI, we do not go to the general clinic, we go to the Tierspital only with referrals from my regular vet, thus bypassing the new docs and students. (Well, a student might do an intake questionnaire, but we are then seen by the professor.) A referral from your regular vet to see a specific professor is the way to get access to the top minds and top resources available at the Tierspital.

Or, perhaps we can suggest other referral clinics to you. I go to two clinics, in SZ and ZG, but perhaps those are too far for you. Nonetheless, others here can likely suggest further resources in ZH.

Last edited by meloncollie; 20.04.2016 at 17:48.
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Old 20.04.2016, 17:14
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Re: (chronic) kidney disease in cats

Sorry to hear this lorena1. Is the vet sure it's kidney failure and not cancer? Did he take an X-ray to check?
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Old 20.04.2016, 21:50
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Re: (chronic) kidney disease in cats

It's not uncommon for kitties with kidney issues to need some fluids at the vet to help prop them back up after diagnosis, so don't be shy about asking for that.

My mom recommends you ask the vet to check for hypertension, as apparently kidney kitties are prone to developing it. Her cat lived a long life thanks to meds and dietary changes.

She recommended this group for more info and support. There are members all over the world: http://groups.yahoo.com/group/Caring-for-CRF-Felines

Please keep us posted.
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Old 20.04.2016, 22:22
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Re: (chronic) kidney disease in cats

Lorena1,

Is this kitty the one with the kidney problems?



Yes, please keep us posted.
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Old 20.04.2016, 22:49
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Re: (chronic) kidney disease in cats

Thank you for the good advice and get well wishes. Neither the blood test mentioned above or X Rays were performed. Those would be the next steps. I will be back with an update tomorrow. This is him.. He is one of the kindest cats around, always grooming other cats and just being there for others..

Last edited by lorena1; 14.06.2016 at 21:41.
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Old 21.04.2016, 00:55
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Re: (chronic) kidney disease in cats

How many cats do you have?

He looks like he's trying to squeeze in the box
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Old 25.04.2016, 17:36
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Re: (chronic) kidney disease in cats

To give a brief update, he has been doing very poorly over the weekend and is now at the vet and likely staying there overnight. It is very hard seeing him like this. He refused all foods, peed in random places (not typical for him) and seemed to be in pain. He seemed to feel better outside, but it may have been that he wanted to run off and be alone as death was nearing. I am hoping he can make a recovery, though I know chances seem grim.
In that picture, he was told not to go on the table and smart as he is, he found a way to be on the table and not on the table
Thank you all for the kind words, I know he appreciates all your positive thoughts.
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Old 25.04.2016, 19:02
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Re: (chronic) kidney disease in cats

Your little guy will be in our thoughts, Lorena.
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Old 26.04.2016, 00:43
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Re: (chronic) kidney disease in cats

In my thoughts too.
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