9yo Diagnosed W/kidney Disease

trixiekitty

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Hi all! It’s been a while since I’ve posted here (college and exams got in the way) but I remembered how wonderful this community is and thought I’d post my questions here.

A couple weeks ago, we brought in our cats for their senior checkups. Two of three were healthy, but one, Diana, was diagnosed with kidney disease. I’ll attach a picture with her numbers to provide extra info.

For most of her life, Diana has been fed canned food (Merrick, Wellness, Nutro, as well as other brands), with some raw from Primal or Rad Cat mixed in every once in a while. The vet recommended the Blue Buffalo kidney prescription diet, which I started to feed last Friday (10/12), along with these supplements (one pill twice per day). We’ve also been instructed to give her sub-q fluids, sodium chloride, 100cc once per day, for 14 days. We’re on day 9 now, for the fluids and diet.

We will be following through with our vet’s instructions, but I do have some questions. She absolutely hates getting the fluids at home, so much so that I now bring her in to the vet every day for a tech to do it (thankfully it only takes 5 minutes, if that!). Is it normal for cats with kidney disease to continue needing sub-q fluids? My vet said we’d know more after her recheck. I just feel terrible she has to get poked every day.

Concerning the diet: How is the Blue Buffalo diet? Diana has lost a bit of weight since starting—I forget what her original weight was—it was just over 7lbs, but she’s now at 6lbs 8oz. Is this normal? She eats plenty, and a couple days ago I started giving her a lunch between meals. She also seems a little subdued (less active, less talkative, less "purr"y etc). I brought this up to the tech, and the vet will be calling me, hopefully within the next couple of days. I made an appointment in November with another vet in the area who is very knowledgeable in nutrition, just for a second opinion. We’ve gone to her before, but she is not our primary vet as visits are pretty costly.

And finally, how will this affect Diana’s future? My mom is worried we won’t have her around for very long, and I’m hoping this isn’t the case. She’s very loved.

Thank you for reading, and for any help/advice!!
 

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Chasethecat

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Hi all! It’s been a while since I’ve posted here (college and exams got in the way) but I remembered how wonderful this community is and thought I’d post my questions here.

A couple weeks ago, we brought in our cats for their senior checkups. Two of three were healthy, but one, Diana, was diagnosed with kidney disease. I’ll attach a picture with her numbers to provide extra info.

For most of her life, Diana has been fed canned food (Merrick, Wellness, Nutro, as well as other brands), with some raw from Primal or Rad Cat mixed in every once in a while. The vet recommended the Blue Buffalo kidney prescription diet, which I started to feed last Friday (10/12), along with these supplements (one pill twice per day). We’ve also been instructed to give her sub-q fluids, sodium chloride, 100cc once per day, for 14 days. We’re on day 9 now, for the fluids and diet.

We will be following through with our vet’s instructions, but I do have some questions. She absolutely hates getting the fluids at home, so much so that I now bring her in to the vet every day for a tech to do it (thankfully it only takes 5 minutes, if that!). Is it normal for cats with kidney disease to continue needing sub-q fluids? My vet said we’d know more after her recheck. I just feel terrible she has to get poked every day.

Concerning the diet: How is the Blue Buffalo diet? Diana has lost a bit of weight since starting—I forget what her original weight was—it was just over 7lbs, but she’s now at 6lbs 8oz. Is this normal? She eats plenty, and a couple days ago I started giving her a lunch between meals. She also seems a little subdued (less active, less talkative, less "purr"y etc). I brought this up to the tech, and the vet will be calling me, hopefully within the next couple of days. I made an appointment in November with another vet in the area who is very knowledgeable in nutrition, just for a second opinion. We’ve gone to her before, but she is not our primary vet as visits are pretty costly.

And finally, how will this affect Diana’s future? My mom is worried we won’t have her around for very long, and I’m hoping this isn’t the case. She’s very loved.

Thank you for reading, and for any help/advice!!
I m so happy to hear that you caught this early. We had a 3 legged baby girl that hated cars (we think she was thrown out of one when we found her on our farm next to dead) so the last vet visit she had to have her leg amputated. We were not able to get her in a carrier or car for 12 yrs to take her to the vet. NY the time she was too sick to fight us, she was beyond saving. That was 3 months ago. I don't have any advice but would love to know how your baby is doing. TY
 
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trixiekitty

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I'm so sorry to hear about your cat! You gave her a wonderful home.

Just an update, it seems I might've jinxed myself. Diana is not showing as much interest in the canned food--I don't blame her, she's used to eating a variety of flavors! I've ordered a Royal Canin prescription food to mix things up for her. I'm not thrilled about the ingredients, but I'll see what she thinks of it.
 

kittyluv387

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Did your cat diagnosed with kidney disease because of the elevated creatinine of 2.9? Just FYI a lot of cats who are on a high protein diet have a little bit of elevated creatinine. Dr. Pierson from catinfo.org told me not to worry about it. But if you want to be on the safe side there are some nice high protein canned foods with around 1% phosphorus which is pretty low.
 
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trixiekitty

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I don't believe so. When they called, they were concerned with "her high numbers." I know they also mentioned the high SDMA, and wanted to switch her diet. The vet didn't say she was concerned because of the high creatinine, but thank you for pointing that out! I'll ask when I bring her in for the recheck.
 

jen

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So the SDMA number shows she is in early kidney disease and your vet wants her to have fluids every single day? That seems a little excessive.

The key is to keep her eating. Use catinfo.org for a list of foods you can offer her.
 

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I also feel daily fluids seems aggressive if its early stage. I can only speak from my experience & 7 years tends to blur details.

My girl only had fluids at the very end & it didn't help. We agreed that she would only tolerate a limited amount of treatment. So fluids were considered a last option. She did live for several years after being diagnosed with the care we provided. I credit this to changing vet clinics pretty quickly. We needed a more flexible vet who would consider personality when coming up with treatment plans. I'm certain this decision gave us more quality time with her.

The most important thing for my kitty was changing from dry to wet food. Of course we tried various prescription foods, but she wouldnt eat those for very long. The new vet took the view that its more important she eats whichever wet food consistently than struggling to get her to eat prescripton food. She did eat the Hill's K/D (not positive on name) maybe 9-12 months at the end.

Just wanted to share that there are no wrong treatment options. See what Diana response well to & stay positive.

As far as Diana not acting like herself. I would think to daily vet visits/treatment are a factor. My current kitty is pretty sensitive (gets stressed over trips to the vet). Appetite could be effected by the fluids, diet change &/or stress. Vet should have some insight to share.
 

Chasethecat

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Did your cat diagnosed with kidney disease because of the elevated creatinine of 2.9? Just FYI a lot of cats who are on a high protein diet have a little bit of elevated creatinine. Dr. Pierson from catinfo.org told me not to worry about it. But if you want to be on the safe side there are some nice high protein canned foods with around 1% phosphorus which is pretty low.
gstressfulgreat info
I know nothing of this so need to get some reading in and switching foods for my cat and ferral babies this week to some healthier brand. Fancy Feast is not one of them. Wished I knew about cat nutrition few yrs back.
 

Chasethecat

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I also feel daily fluids seems aggressive if its early stage. I can only speak from my experience & 7 years tends to blur details.

My girl only had fluids at the very end & it didn't help. We agreed that she would only tolerate a limited amount of treatment. So fluids were considered a last option. She did live for several years after being diagnosed with the care we provided. I credit this to changing vet clinics pretty quickly. We needed a more flexible vet who would consider personality when coming up with treatment plans. I'm certain this decision gave us more quality time with her.

The most important thing for my kitty was changing from dry to wet food. Of course we tried various prescription foods, but she wouldnt eat those for very long. The new vet took the view that its more important she eats whichever wet food consistently than struggling to get her to eat prescripton food. She did eat the Hill's K/D (not positive on name) maybe 9-12 months at the end.

Just wanted to share that there are no wrong treatment options. See what Diana response well to & stay positive.

As far as Diana not acting like herself. I would think to daily vet visits/treatment are a factor. My current kitty is pretty sensitive (gets stressed over trips to the vet). Appetite could be effected by the fluids, diet change &/or stress. Vet should have some insight to share.
Do u think it would be in her chart from her last visit when she was put down? All I know is she couldn't eat and just cried and wanted outside..wasn't drinking. She ran away for 2 days and then when she came back she was very ill and we took her to hospital. 9 hrs later, they put her down. Worst couple days of my life.
 

Chasethecat

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I don't believe so. When they called, they were concerned with "her high numbers." I know they also mentioned the high SDMA, and wanted to switch her diet. The vet didn't say she was concerned because of the high creatinine, but thank you for pointing that out! I'll ask when I bring her in for the recheck.
ilife.is this SDMA bad? In most cat foods? Need to do some reading tonight about cat nutrition. I always thought spoiling them with treats and wet food and pure water was all I needed to do. Silly me..Ime..I m killing my babies
 

kittyluv387

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ilife.is this SDMA bad? In most cat foods? Need to do some reading tonight about cat nutrition. I always thought spoiling them with treats and wet food and pure water was all I needed to do. Silly me..Ime..I m killing my babies
SDMA is a test that can be performed in cats. 1-14 is normal. My cat has 15. But it's a relatively new test for cats compared to measuring the creatinine value. Hey you're not killing your cats! If you fed your cats ff that is seriously fantastic! So many cats out there are fed 100% dry. It is very normal for kidney functions to decline as they age. There isn't anything showing that feeding low phosphorus early prevents kidney disease. So it's important to be mindful about the phosphorus content when they're middle age to seniors.
 

ZepMom

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Do u think it would be in her chart from her last visit when she was put down? All I know is she couldn't eat and just cried and wanted outside..wasn't drinking. She ran away for 2 days and then when she came back she was very ill and we took her to hospital. 9 hrs later, they put her down. Worst couple days of my life.
Very sorry to hear about your loss. Losing a pet is so difficult. After our 12yo dog, I said I couldn't do it again. That lasted a little over 4 months before we adopted again.

After they pass, I feel I let them down, should have done more, realized sooner... If you let it, SHOULD HAVE will take over. We have to believe we did the best we could for them. We loved them & they had a good life with us.

IMO there is no perfect food. I try to research & be more aware now, but have to feed what they'll eat & do well on (no GI upset). I try to feed mid level food that's reasonably healthy IMO, but there are always questionable ingredients. I find its quite the balancing act for my crew with their health issues/sensitives.
 
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