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It is amazing to hear from people who truly understand. Thank you for sharing his memory and for your kind words! Dr. K

Wow great job managing through all the diet trials! Rashes, staph bacteria on the skin, yeast, and parasites all need to disappear first in order for me to figure out if a patient is truly food sensitive. It's my first goal. Because then they are more comfortable. Plus, the inflammation begets...

Hi Blixxa! Sometimes these things can work out ok! It's always overwhelming at first. The key to success comes from finding out what your cats specific requirements are.  Is he eating? Vomiting? Losing weight? Is he anemic? Have high phosphorous or low potassium? Is he leaking protein through...

Thanks everyone, that's a wrap! It was a pleasure to read all the excellent questions from this dedicated and friendly community! Take care, Dr. Kris

Hi CatPAck! I've never used RenAvast - I've checked it out but could not confirm what the actual ingredients were. I have a tendency to move towards fish oils and Vitamin B12 supplementation if we are suspecting some sort of kidney/pancreatic situation though! Hope that helps, k

Hi! Poor thing - yes those are persistent elevations there. Not all our cancer kitties need fluids. I'll use them if i can document that they don't want to eat and become chronically dehydrated though. So i do include it for palliative care, along with a few medications. Best wishes, Dr. Kris

In general, we are still not that great at predicting CKD when the kidneys just start to become effected. And hydrated cats send lot's of blood and oxygen to those kidneys, which is a good thing. So there is this big grey area in the life of a cats kidney. Stay tuned! As time goes on I will...

Agreed Denise! k

Thank you for your kind words! I always make a problem list. Stuff I can readily identify. When I present it to my clients, I usually concentrate on the first 3 things only. Once they have mastered that, onto the next. For many folks, overwhelming them with 8 things to do all at once is a...

Yikes! So if i read you correctly, he was blocked (he could not pee and needed a catheter in place for most of the week). If that is what is going on, the main thing is that he must pee. He might be exhausted and sleepy. That is fair game. But if he looks like he actually did before this all...

I hear you. We have to beg Zack to eat sometimes. You’ve usually got several issues affecting appetite to contend with for a 16 year old with CKD - any they can change over time! The first things I would think about are: 1) gastritis and metabolic acidosis 2) uremia, dehydration and nausea...

Thank you for your kind words! I've worked in all kinds of clinics - modern, oldschool and everything in between. I see mostly cats and dogs, but i've also seen turtles, pet chickens, and fish! Im technically a locum vet, which means I contract my services to different vet clinics. Since my...

Ahh the fever - Fluids are actually my first approach. Room temperature IV or SQ fluids (i live in Canada so room temperature isnt going to be tropical!).  The administration of the fluids itself can drop a fever. Typical with fever comes anorexia - the food and water intake drops off. So I...

Yes, I really like that idea. I do that all the time - the more things like this you do, the better able you are to interpret the blood work and your cats inner workings. Reading their secret diaries!

Carolina! Love the questions! And the attention to detail you have for all those furbabies! 1) For my thoughts on low protein and cats with CKD, see this thread here I posted this morning that discusses cats, protein and carbs...

For a 10 month, female cat (i.e. extremely low risk of getting a blockage), who is otherwise healthy in every sense of the word, the first thing i would do before changing the diet is to see if i could repeat the result. I would have that little kitty in my office, obtain a urine sample by...

Yes - balance is key. If they are getting SQ fluids, there is merit to watching the sodium content in those fluids as well. Calcium should be in normal range - even if high normal, I am ok with that. For phosphorous on bloodwork, i interpret it in context with urea, creatinine, blood pressure...

Wasabipea, that is awesome you are adopting that older kitty! Lisa & 1.5cats I’ll answer your questions too in this post! In the vet industry, food manufactures have done an incredible job marketing their perspectives. Any industry producing food products are absolute experts at marketing. It...

Interesting! I have not tried hormone replacement therapy for that reason. But in the same vein, here is a similar idea: There are studies that show Cyclosporin A being used for cystitis in people. Cyclosporin A (Atopica) is approved for cats, available in a cat formulation. I will use it...

I always continue to be blown away at how good some of these little guys can look with massage or laser therapy. I have a friend who does acupuncture and loves cats - I’ll see if i can get her expert opinion on it’s utility for cystitis! If you are willing to make a balanced homemade diet for...