Cat Forum / Health and Behavior / February 2005
Help!!! My cat is dying of kidney failure!!!
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lydiainflorida - 11 Feb 2005 00:19 GMT Hi,
I took my 4 year old cat Magic to the vet today because he has pretty much stopped eating and lost a lot of weight. He was diagnosed with Chonic Renal Failure with secondary anemia. Since Magic was not happy at the vet (they had to sedate him in order to examin him because he was very angry, scared, and started attacking everyone once we got into the exam room). The vet also put "Cat is very difficult to work with and may not be able to give SQ Fluids at home" on the diagosis.
So the vet pretty much gave Magic the death sentence. He said Magic only has a few weeks left, and other people in similar situations usually come back two days later to put the cat to sleep. He gave me some canned food, and asked me to let him know when I'm ready.
Aside from not eating and losing weight, Magic seems somewhat normal. He's still walking around and sometimes jumps up and down. He now weighs only 8.06 lbs (from 14 last June) and is pretty much all bones.
The blood test showed high level of toxins. The vet urged me to get a second opinion, but he said numbers don't lie.
The test results read: ALP 53 10-90 ALT 36 20-100 BUN 170* 10-30 CRE 11.3* 0.3-2.1 GLU 136 70-150 TP 7.7 5.4-8.2 QC OK HEM 1+, LIP 0, ICT 0
According to the vet, the BUN and CRE levels are fatally high and the cat simply can't survive. Does anyone if there's any way I can save my cat? He's my first pet ever and I am just not ready to let him go yet. I thought he was just having teeth problems and that's why he wasn't eating. I was totally not prepared to hear that he was going to die and that I only had a week or two left with him.
Please, someone, if you know anything about kidney failures, or CRF (Chronic Renal Failure), please share with me. If you know of an online forum where there are more knowledgeable people on cats, please share with me too. I'm so sad right now I don't know what I am typing.
Thanks!
Karen Chuplis - 11 Feb 2005 00:28 GMT > Hi, > [quoted text clipped - 41 lines] > > Thanks! Oh I'm so sorry to hear about this. Many people have suggested:
http://groups.yahoo.com/group/Feline-CRF-Support/
Cathy Friedmann - 11 Feb 2005 00:31 GMT Here's a website that has a ton of useful info about CRF - all of the stages, which I hope will help you out: http://www.felinecrf.org/
Cathy
> Hi, > [quoted text clipped - 41 lines] > > Thanks! lydiainflorida - 11 Feb 2005 00:36 GMT Thank you guys so much! I'm checking it out right now!
Cathy Friedmann - 11 Feb 2005 00:57 GMT > Thank you guys so much! I'm checking it out right now! You're welcome. That website really is extremely helpful, & the group that Karen posted has also proved to be very supportive to many people.
It just dawned on me that you said that your cat is only 4 - that's very unusual for CRF, which is usually an older cat's disease. Simply from the kidneys' functioning wearing out to the point where not enough function is left (~30% or less) to sustain the cat's health.
At any rate, if treatment helps him - & within that scope, hopefully you'll be able to get sub-Q's into him, great. If OTOH it truly is the end of his road, then (IMO) reading up on the whole deal will still be helpful to you.
Cathy
surabaya.nospam@optusnet.com.au - 11 Feb 2005 01:35 GMT Also, it might be useful to get all the sub-Q gear to *try* giving Magic the fluids at home. Some cats can be quite different in their own environment, and the procedure isn't really that nasty for them; they just have to get used to what you're doing, and you would probably need someone he knows to help you keep him still. Or, can the vet or a vet nurse do a home visit and try the subQs with you there?
Just a thought, Cath
Cathy Friedmann - 11 Feb 2005 02:33 GMT > Also, it might be useful to get all the sub-Q gear to *try* giving > Magic the fluids at home. Some cats can be quite different in their > own environment, and the procedure isn't really that nasty for them; Yes, I was thinking along this line, too.
> they just have to get used to what you're doing, and you would probably > need someone he knows to help you keep him still. Or, can the vet or a > vet nurse do a home visit and try the subQs with you there? Esp. this latter, IMO, is a possibility to investigate.
Cathy
> Just a thought, > Cath MaryL - 11 Feb 2005 11:48 GMT > Hi, > [quoted text clipped - 41 lines] > > Thanks! Don't give up, especially at that young age. My cat Amber was also diagnosed with CRF, and she also had IBD. In her case, the problem was first noticed in routine blood work done as part of her annual exam when she was age 13. Up until that time, she had appeared to be completely healthy. Three months later, her readings were dramatically worse and she had lost weight. I was told that she probably would not live more than a few weeks -- "three months at the most." I did not have the problem you described concerning Magic's reaction to the vet (Amber would basically meatloaf on the examining table), but other parts of your description sound very similar. We had to try a variety of canned foods because almost everything caused vomiting and extreme diarrhea. We finally found one of the prescription canned foods that worked well, but it was not the one that most vets first start with for CRF. It has been a number of years, and I no longer remember which one "did the trick," but it took a period of experimentation. That worked well for quite some time, although chronic diarrhea remained a problem. We found that Imodium AD was an excellent treatment for that -- pills were easier to administer than liquids, and the vet showed me how to trim the tablet down to a BB-size for her small weight. For awhile, she was also treated with Prednisone. As I recall, we first gradually increased the dosage, then a plateau, then gradually reduced. Eventually, we had to use it on a more consistent basis. As time progressed, there were times when she seemed unable to eat. She would come to her food, sit there with her head over the bowl, then leave without eating. My mother (who grew up on a farm) told me what her father used to do in those instances, and it worked very well for Amber. That is, I took chicken pieces (*include* the skin and bones, for nourishment) and boiled them for a *very* long time. The point was, I wasn't trying to get the actual chicken; I needed to boil until I could reduce the liquid and use that. Then I would refrigerate the liquid. After refrigeration, it would be a gel (if not, it wasn't boiled long enough or too much water was used in the beginning) and skim off the fat. Several times a day, I would microwave a tablespoon of that just enough to melt it and get it slightly warm (*not* hot) and would a needleless syringe provided by the vet to get some down her throat. Be careful doing that -- I aimed for the side of her throat, not the center to avoid choking, and was careful not to use too much. After a couple of days, this would stimulate her appetite to the point where she returned to her normal eating pattern and I could discontinue that part of her treatment (although I would continue to pour a small amount on her food for a couple of days, then discard the rest).
The end result of all this is: Amber lived another 3 years, not just 3 months, and they were very good years. My vet was amazed that she lived for so long and seemed so happy. She needed continuous treatment such as I described, but she remained a happy, loving (and dearly loved!) cat. She did continue to gradually lose weight, despite all our precautions, and she periodically needed Ringer's lactate to prevent dehydration. You need to watch carefully for that -- and act promptly -- especially if your cat has diarrhea because a cat can quickly become dehydrated. My vet gave me the names of specialists at 3 different colleges of veterinary medicine, and I called them for telephone consultation. Remarkably, all 3 gave me a lot of time and did not charge anything for the "long-distance consultations." Given Amber's age and condition, they confirmed what I was doing and thought it would be best not to subject her to the travel needed to get to a veterinary college. If I were you, I would strongly consider getting to the closest veterinary school for additional diagnostic work because your cat is *very* young for this diagnosis. It is important to act fast because a cat can decline very quickly under these circumstances. You may need to ask your vet to call the veterinary school and give them a referral plus fax a copy of Magic's records to them.
Good luck with all this, and please keep us informed.
MaryL
sarah - 11 Feb 2005 13:08 GMT I'm so sorry to hear about Magic. My cat us very young too and has CRF.
Don't give up. Get a second opinion from another vet. My cat had high creatine and urea readings 6 months ago before diagnosis. Following a special diet and daily medication these readings have come down enormously. The urea is now normal and the creatine has dropped by 200 points.
It IS so hard to know what to do when they stop eating altogether and when my cat did it - in desperation I gave her what I knew she liked just to get her eating again - then swiftly switched her back to the diet food.
My cat has had 2 recent crises in 3 weeks which, it seems, may be a potassium problem linked to CRF and from which she's still recovering - but is much better.
I know exactly how you are feeling. There is a very fine line between plugging away and not giving up and admitting defeat and not putting the cat through further invasive and stressful procedures.
You really do need to visit the websites others have suggested - but I would suggest take it one step at a time. I found it hard to come to terms with the CRF diagnosis and found the websites suggested - scary and a bit too much in one go. But nevertheless, they are very informative.
CRF is a life change for you as well as your cat. No more holidays, a real emotional rollercoaster, and the constant worry when you're at work. Insurance can be a thing of the past too as can the cat being allowed out.
Nevertheless - when a CRF cat is stabilised I understand they can live happy and content lives for many years.
good luck
sarah
Ginger-lyn Summer - 11 Feb 2005 19:36 GMT >Hi, > [quoted text clipped - 41 lines] > >Thanks! I'm so sorry to hear about this, but don't give up just yet.
Others have already recommended a couple of excellent sites to help you. All I can add is my sympathies, and to give you hope by telling you I have a CRF cat who was diagnosed nearly five years ago, so you never know.
Best of luck to you.
Blessings,
Ginger-lyn
Trish - 12 Feb 2005 18:51 GMT > Hi, > [quoted text clipped - 5 lines] > the exam room). The vet also put "Cat is very difficult to work with > and may not be able to give SQ Fluids at home" on the diagosis. One of my cats has CRF, I've previously had two other CRF'ers. There not much I haven't heard. My sookyboo is 19 and as cantankerous and contrary as anything. My vet laughs and says good luck with fluids, and yes they do sedate him at the vet. But at home, I have no problems getting his fluids in him, I hold him in my arms, {his favourite place) and my roommate gives him the fluids. One of my other cats we wrapped in a towel and cut a square from the towel for the needle. But with each of our three cats, once they realized how good they feel after the fluids, they seemed to welcome them. Sook starts howling under the cupboard that holds the supplies at 11 every two nights, he knows its part of the routine, and he wants them.
I'm sure after trial and error and many frustrated attempts and tears you'll be able to find a way to give your cat fluids too.
Please give your baby a scratch behind the ears from me.
Triciasue - 12 Feb 2005 23:21 GMT First of all, it's helpful to understand what the readings indicate. Here's an explanation:
Blood Urea Nitrogen (BUN) - BUN is produced by the liver and excreted by the kidneys. Decreased levels are seen with low protein diets, liver insufficiency, and the use of anabolic steroid drug. Increased levels indicate any condition that reduces the kidney's ability to filter body fluids in the body or interferes with protein breakdown.
Creatinine (CREA) - Creatinine is a by-product of muscle metabolism and is excreted by the kidneys. Elevated levels can indicate kidney disease or urinary obstruction, muscle disease, arthritis, hyperthyroidism, and disbetes. An increased BUN and normal creatinine suggest an early or mild problem. An increased creatinine and increased BUN with elevated phosphorus indicate a long standing kidney disease.
You might want to try using Milk Thistle to help cleanse the liver. Just open a 175 mg capsule and sprinkle it on the food. You might have to force feed to make sure it's all taken. Last year, one of my cats turned yellow because of a liver infection. I gave him Milk Thistle and he made a remarkable recovery.
Have you used any flea products lately? That could be a cause of toxins in the blood.
Giving sub-q fluids really isn't hard to do, I have 3 that need them right now. Here's a site that shows how to give sub-q fluids. http://members.aol.com/aquila111/subq/webinstruct.html
I hope everything works out ok. Let me know if I can do anything to help.
Triciasue
Triciasue - 12 Feb 2005 23:29 GMT First of all, it's helpful to understand what the readings indicate. Here's an explanation:
Blood Urea Nitrogen (BUN) - BUN is produced by the liver and excreted by the kidneys. Decreased levels are seen with low protein diets, liver insufficiency, and the use of anabolic steroid drug. Increased levels indicate any condition that reduces the kidney's ability to filter body fluids in the body or interferes with protein breakdown.
Creatinine (CREA) - Creatinine is a by-product of muscle metabolism and is excreted by the kidneys. Elevated levels can indicate kidney disease or urinary obstruction, muscle disease, arthritis, hyperthyroidism, and disbetes. An increased BUN and normal creatinine suggest an early or mild problem. An increased creatinine and increased BUN with elevated phosphorus indicate a long standing kidney disease.
You might want to try using Milk Thistle to help cleanse the liver. Just open a 175 mg capsule and sprinkle it on the food. You might have to force feed to make sure it's all taken. Last year, one of my cats turned yellow because of a liver infection. I gave him Milk Thistle and he made a remarkable recovery.
Have you used any flea products lately? That could be a cause of toxins in the blood.
Giving sub-q fluids really isn't hard to do, I have 3 that need them right now. Here's a site that shows how to give sub-q fluids. http://members.aol.com/aquila111/subq/webinstruct.html
I hope everything works out ok. Let me know if I can do anything to help.
Triciasue
Phil P. - 13 Feb 2005 11:27 GMT > Hi, > [quoted text clipped - 41 lines] > > Thanks! I get the impression this came on rather suddenly. Usually, azotemia doesn't become that severe in CRF cats until late in the disease. He's too young to be in late stage CRF. My guess is he's in *acute renal* failure - which is almost impossible to distinguish from CRF because ARF has three phases. The maintainence phase and early recovery phase of ARF are almost identical in charcteristics to CRF.
Routine fluid diruresis is usually not enough to clean him out fast enough. I think you should locate a veterinary hospital (rather than a local vet) because your cat probably needs *intense* diruesis - which is the addition of diuretics to the fluids. Intesnse diuresis permits uremic toxins to be removed from the blood much more rapidly.
There's even a more rapid and effective technique for removing uremic toxins from the blood. Its call peritoneal dialysis. Don't be intimidated by the name - the cat doesn't go on a dialysis machine. In short, PD involves placing a catheter in your cat's abdomen and filling the abdominal cavity with fluid and then draining it out after the toxins have filtered into the fluid. Instead of a filtering membrane in a machine, the cat uses his own peritoneum to filter the toxins. This procedure is *very* effective but it should be perfomed only by someone experienced in the technique - which most local vets are not.
Best of luck,
Phil
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