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Cat Forum / Health and Behavior / February 2007dental with creatinine issue
My 7 year old Siamese (Neiman) has had a creatinine level of 2.5 for the past 6 months. BUN is on the high side at 46. Vet says he is 'compensating well'. Neiman does not have any dental problems but i understand its time to have his teeth cleaned to avoid dental problems in the future. I am nervous that the dental process (anesthia, fluids, stress) will take him 'out of compensation' and cause his kidney function to suffer. Has anyone ever had a BAD experience during or after a routine dental cleaning? > My 7 year old Siamese (Neiman) has had a creatinine level of 2.5 for the past > 6 months. BUN is on the high side at 46. Vet says he is 'compensating well'. [quoted text clipped - 5 lines] > Has anyone ever had a BAD experience during or after a routine dental > cleaning? ---------- Someone posted here a few weeks ago about her 14-year-old cat (without any known medical conditions) who died after a routine dental cleaning. The vet was not sure what happened. It could have been due to a bad reaction to the anesthesia or due to something else. The reality is (and this certainly applies to human beings as well as to animals), the most dangerous part of any surgical procedure is always the anesthesia. In an operating room, the surgeon may be the proverbial "Captain of the ship," but it's the anesthesiologist who's keeping you alive. There is a risk for any surgical procedure. OTOH, Neiman is a fairly young cat, and he needs his teeth cleaned, and the older he is, the greater the risk. The reason he needs his teeth cleaned is to clear away bacteria, which if not removed could later enter his bloodstream and damage his internal organs, including his heart, so there is a good reason to do the cleaning. Have you spoken to your vet about your concerns regarding Neiman's kidneys? What does your vet say? (I have a six-year-old cat with no known medical issues who also needs a dental, and I admit I'm kind of nervous about it, just because of the anesthesia). Best regards, ---Cindy S. >> My 7 year old Siamese (Neiman) has had a creatinine level of 2.5 for the past >> 6 months. BUN is on the high side at 46. Vet says he is 'compensating well'. [quoted text clipped - 22 lines] >Best regards, >---Cindy S. Vet advises to have the cleaning....but this is how they make $$$. The appt is Saturday but i am thinking of cancelling..... > Vet advises to have the cleaning....but this is how they make $$$. > The appt is Saturday but i am thinking of cancelling..... Are his teeth bad now--are his gums inflamed? Your original message said that "it was time," but what was that based on--his actual teeth or his age? Might be worth getting a second opinion. Get a copy of his most recent bloodwork(s) and bring them to another vet. >> Vet advises to have the cleaning....but this is how they make $$$. >> The appt is Saturday but i am thinking of cancelling..... [quoted text clipped - 5 lines] >Might be worth getting a second opinion. Get a copy of his most recent >bloodwork(s) and bring them to another vet. thanks for the advise. His gums are fine. He doesn't seem to have problems at all. The teeth are on the yellow-side tho and the vet has been advising a cleaning for about a year now. I believe his teeth are normal for a 7 year old cat that had never had them cleaned. On the other hand, i hate to 'wait' till there is a problem as his creatinine may be higher and then the risk is greater! Should i get it done now while the risk is as low as it could be concidering age/health? >> thanks for the advise. His gums are fine. He doesn't seem to have problems > at all. The teeth are on the yellow-side tho and the vet has been advising a [quoted text clipped - 4 lines] > may be higher and then the risk is greater! Should i get it done now while > the risk is as low as it could be concidering age/health? You raise a good point. I've dealt with several vets, most of whom wanted to make as much money as they could. If his gums aren't red or inflamed, this isn't a critical issue. Do you brush his teeth at home? (If not, good idea to start. CET toothbrushes are the best IMHO) You could always call another vet and give his blood information over the phone and ask if they think a dental is a good idea. I did this last year when my cat had pancreatitis and I needed other opinions. >>> thanks for the advise. His gums are fine. He doesn't seem to have problems >> at all. The teeth are on the yellow-side tho and the vet has been advising a [quoted text clipped - 10 lines] >the phone and ask if they think a dental is a good idea. I did this >last year when my cat had pancreatitis and I needed other opinions. Neiman wouldn't allow teeth cleaning at home. It would be impossible....he is too much of a 'control freak'. 2nd opinion seems to be a good idea. I did find a vet however that does the cleaning without anesthia but i think it would be too tramatizing for Neiman. The sounds alone of all the equipment would freak him out. I understand stress is not good for the kidneys too so being under anesthia does have that benefit. Neimans breath is noticeable when you get real close to him so that makes me think it is time for a cleaning.... Anethesia is hard on a person with kidney disease so I can't imagine that it's any easier on a cat. In fact they won't put you out unless there is absolutely no choice because it's just too risky for the kidneys. I personally would not have them done unless there was a real need to do so. If they are in good shape now maybe just a change in diet and going with some of the crunchies designed to help with tarter would help keep them clean in the future. Celeste > My 7 year old Siamese (Neiman) has had a creatinine level of 2.5 for the > past [quoted text clipped - 8 lines] > Has anyone ever had a BAD experience during or after a routine dental > cleaning? |
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