Cat is vomiting. Please help

[FeebysOwner]

I think he is anemic from the hemoglobin reading. What did they say about the CBC? I’m not used to reading things in percentages either...anything from 1.6 to 2.5 or so is considered high normal and they are already at stage two kidney disease...If he is having some sort of injury to his kidneys from whatever is going on with him, it would be better if he could have IV fluids versus subcutaneous.

I looked up the percentages, and Snowy's levels are within normal range, other than hemoglobin.

As far as the creatinine, yes it is considered Stage 2 by IRIS, but not 'dangerous', and if it is acute (vs. chronic) due to toxins, etc. it could come down into normal range with treatment. But, 1.5 is not the top end of a range I am familiar with, so it makes it seem worse than it is from what we know to be the ranges. Perhaps, it reflects the range as it pertains to Stage 1 or below?

IV fluids would probably be better, especially if this acute, but more possible injury to his poor legs at this point is a bad idea. That is why I suggested either jugular IV, or subcutaneous instead. They could also use his back legs that haven't been injured, but that is a gamble depending on who does it.

His hemoglobin is pretty low, so there is anemia going on. I believe it has been going on for a while now (think it was talked about earlier in this thread) - whether that is from some sort of toxin/parasite/etc. is unknown, but should be looked into, if at all possible. Anemia can be affiliated with kidney issues too, but not sure if his kidney values are high enough to cause anemia. I suppose that can vary from cat to cat.

 

[silent meowlook]

Hi. Do you have the CBC results? Should be a platelet count on there.

When evaluating creatinine, you have to remember that there has to be enough muscle mass to have an elevated creatinine. So, cat without much muscle will not get a high creatinine level even if they have kidney disease. A creatinine of 2.29 is high.

I would be very careful with this cats activity. He needs to be quiet. I am concerned he may not have the ability to clot very well.

 

[FeebysOwner]

Do you have the CBC results? Should be a platelet count on there.

The handwritten note from the vet showing the CBC numbers given are in Post #72. Perhaps, there is more than just that one slip of paper. But, keep in mind, if you don't know/remember, this is going on in India, and the vets there do some things very differently.

 

[Meowmee]

I looked up the percentages, and Snowy's levels are within normal range, other than hemoglobin.

As far as the creatinine, yes it is considered Stage 2 by IRIS, but not 'dangerous', and if it is acute (vs. chronic) due to toxins, etc. it could come down into normal range with treatment. But, 1.5 is not the top end of a range I am familiar with, so it makes it seem worse than it is from what we know to be the ranges. Perhaps, it reflects the range as it pertains to Stage 1 or below?

IV fluids would probably be better, especially if this acute, but more possible injury to his poor legs at this point is a bad idea. That is why I suggested either jugular IV, or subcutaneous instead. They could also use his back legs that haven't been injured, but that is a gamble depending on who does it.

His hemoglobin is pretty low, so there is anemia going on. I believe it has been going on for a while now (think it was talked about earlier in this thread) - whether that is from some sort of toxin/parasite/etc. is unknown, but should be looked into, if at all possible. Anemia can be affiliated with kidney issues too, but not sure if his kidney values are high enough to cause anemia. I suppose that can vary from cat to cat.

I think it is high enough to cause anemia, my Wizard had anemia at around that level and was treated with epogen and b12. Tess also had anemia related to crd but I can’t remember her creatinine at the time. However as I said I am not sure if it’s related to the kidney value or if the kidney value is even caused by chronic kidney disease or by some other thing affecting the kidneys.

To me the anemia is the most alarming thing now. I would like to see a pcv and the rest of the cbc. My guess is the bruising from the iv could be due to that. That type of bruising but worse happened to Angie, however she was rapidly more severely anemic after convenia, when I gave her subq at home at dvm recommendation. So sub q may not be better in terms of bruising etc.

What is causing it we don’t know- possibilities could be kidney injury due to unknown, crd, parasite, bleeding, other infection, cancer etc.

 

[FeebysOwner]

I think it is high enough to cause anemia, my Wizard had anemia at around that level and was treated with epogen and b12.

Although I recognize the anemia and kidney disease correlation, it never happened with Feeby. Even when Feeby was maintaining a creatinine of 3.5 - and even when she had a mini-crash with a creatinine of 5.1 - her RBC, hemoglobin, and platelets were all normal. I was also able to bring Feeby's creatinine down with sub-Q flids at home, but maybe that would work better for CKD as opposed to something acute.

Epogen sounds like it might be a good idea for Snowy at this juncture.

I hope there are more results from the CBC than what we saw; it would be helpful for sure.

 

[Meowmee]

Although I recognize the anemia and kidney disease correlation, it never happened with Feeby. Even when Feeby was maintaining a creatinine of 3.5 - and even when she had a mini-crash with a creatinine of 5.1 - her RBC, hemoglobin, and platelets were all normal. I was also able to bring Feeby's creatinine down with sub-Q flids at home, but maybe that would work better for CKD as opposed to something acute.

Epogen sounds like it might be a good idea for Snowy at this juncture.

I hope there are more results from the CBC than what we saw; it would be helpful for sure.

Tess crd was caused by lasix from hcm / chf. She went into total kidney failure at first, but she survived that so it was different than the typical CRD, which often happens at an older age than she was and progresses usually more slowly.

Her anemia was very bad, at the one point she had to get a blood transfusion from Byron and then she was on Epogen. That was when they had first started using Epogen in cats. She had her pcv monitored a lot.

 

[Dheeksha]

Meowmee FeebysOwner S silent meowlook
Can snowy's creatinine levels come to normal again? Can his kidneys retain its function? Is it reversible? He is just a baby please
The bruises and swelling on his limbs have gone now.
I identified his kidney problem after 2 weeks. Is it too late to reverse his kidneys to normal state? The vets didn't give proper treatment till now.
This blood report was given on oct 14th. There's no other recent blood report.

 

[Dheeksha]

Hi. Do you have the CBC results? Should be a platelet count on there.

When evaluating creatinine, you have to remember that there has to be enough muscle mass to have an elevated creatinine. So, cat without much muscle will not get a high creatinine level even if they have kidney disease. A creatinine of 2.29 is high.

I would be very careful with this cats activity. He needs to be quiet. I am concerned he may not have the ability to clot very well.

Vets in USA give any medicine for blood clotting for cats with this condition?

 

[FeebysOwner]

If that was the last CBC test done, what was the handwritten note by the vet dated 10/22 for? The 10/14 shows Snowy's hemoglobin to be fine, unlike the handwritten note which indicated his hemoglobin was low. The 10/14 report shows his platelet count to be within range, although a bit on the low side, but that was not part of the testing noted by the vet on the 10/22 handwritten note, so I am confused.

As far as his kidneys, it somewhat depends on whether or not there was something like toxins that caused his high creatinine level. That test was done just 6 days ago, so I don't know if it would be worth having it re-run just yet.

What treatments has Snowy been getting over the past couple of days, and how is he doing?

 

[Dheeksha]

If that was the last CBC test done, what was the handwritten note by the vet dated 10/22 for? The 10/14 shows Snowy's hemoglobin to be fine, unlike the handwritten note which indicated his hemoglobin was low. The 10/14 report shows his platelet count to be within range, although a bit on the low side, but that was not part of the testing noted by the vet on the 10/22 handwritten note, so I am confused.

As far as his kidneys, it somewhat depends on whether or not there was something like toxins that caused his high creatinine level. That test was done just 6 days ago, so I don't know if it would be worth having it re-run just yet.

What treatments has Snowy been getting over the past couple of days, and how is he doing?

That handwritten report is from the govt hospital. It is not proper. They didn't give full blood count.
Now Snowy is eating 2/3rd of his recommended feeding voluntarily. I am feeding him only canned food. I am mixing some water in it. As his limbs were swollen. I requested the vet to give him only subcutanepus fluids. From today I will take him for IV fluids.
The vets are saying the serum creatinine level is due to some infection in his body. They couldn't say what caused the infection. It doesn't effect his kidneys permanently, right?

( I am having viral fever since 5 days and due to my mom's spinal injury.. I couldn't update regularly. I apologize for it)

 

[FeebysOwner]

I am sorry about your viral fever, and hope your mom is doing better.

Anything infection wise, or other form of attack on the kidneys, can be reversible, if treated correctly. There can be permanent damage, depending on what has happened. But, if it is an acute kidney issue, once it is properly treated it shouldn't progress as chronic kidney disease does.

 

[Dheeksha]

I am sorry about your viral fever, and hope your mom is doing better.

Anything infection wise, or other form of attack on the kidneys, can be reversible, if treated correctly. There can be permanent damage, depending on what has happened. But, if it is an acute kidney issue, once it is properly treated it shouldn't progress as chronic kidney disease does.

Is it too early for another cbc and kft?

 

[FeebysOwner]

You can do them just to see if anything has changed. Is he back on antibiotics?

 

[Dheeksha]

You can do them just to see if anything has changed. Is he back on antibiotics?

No. He is not on antibiotics since 2 weeks. They gave him antibiotics for only 3 days.. 13th, 14th and 15th. After that seeing that 10/14 blood report.. The vets said there is no infection in his body currently and stopped the antibiotics.

And how do I know his kidneys are not damaged? Looking at his x rays one vet said his kidneys were enlarged. If they come to normal size and his serum creatinine levels comes to normal range.. It means his kidney disease is cured?

 

[FeebysOwner]

I am so sorry, but it really all depends on what caused his kidney issues to begin with. However, if his creatinine level comes down, that is a good sign.

What has any of these vets said about why his platelet count is low?

 

[Dheeksha]

I am so sorry, but it really all depends on what caused his kidney issues to begin with. However, if his creatinine level comes down, that is a good sign.

What has any of these vets said about why his platelet count is low?

They are saying his platelets are not very low. They are in range. I am not satisfied with their response and asking it again n again. They are getting irritated.

I didn't ask the online vet about platelets. I will ask her. Thanks for reminding me.

He is eating and drinking ok now. Those iv fluids won't effect, right? Online vet said toxins in his blood stream must be cleared with iv fluids to reverse his kidney function.

 

[FeebysOwner]

His platelet count is in range, but just low. Right now, since the swelling and bruising are gone, just let it go. Hopefully, it will be part of the tests they re-run and we will see then how it is.

The creatinine level being re-tested will give you something to go on too. You could have a urinalysis done too, if that is not a problem.

 

[FeebysOwner]

He is eating and drinking ok now. Those iv fluids won't effect, right? Online vet said toxins in his blood stream must be cleared with iv fluids to reverse his kidney function.

IV fluids should not affect his eating. It could affect his drinking, but only because he might not feel as thirsty. The fluids are to help flush out his urinary tract, and any toxins that might be in system, thereby possibly improving his kidney function.

 

[FeebysOwner]

How are things going now?

 

[FeebysOwner]

Not trying to be a bother, but I was hoping for a positive update, maybe even some new blood work results.

I am crossing my fingers that things are OK with Snowy, you, and your mom.