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kidney failure and force feeding

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arda - 10 Nov 2003 20:17 GMT
Well, I've read many archive posts (about 200 there are about
force-feeding) and I came up with something different on my own that
seeeems to be working.

Vet had said I should either get her to eat special wet food, or mix up
something with meat AND VEG.  My cat likes things like fish, chicken, and
raw steak.  Kind of a purist.  But, she is also addicted to her dry science
diet, lord knows I've tried many types of canned food, but all she would
eat was the foul smelling Fancy Feast, fish flavours, a grocery store
catfood that stinks to high heavens.  I gave her a tablespoon a day, just
as a treat, in the past.  So this has been her habit.  She has kidney
failure and for 6 weeks I've been struggling with watching her, basically,
dying.  She's often been up on the counters hunting around for any source
of the dry food she likes.  When I give her some, she barfs.

But now, the solution.  Well, I wanted to find any kidney support herbs,
but all I came up with so far was parsley, celery and dandelion.  Makes
sense.  I incorporated this with another attempt to follow the vet's orders
to get her to eat veggies.

I took celery root, carrot and yam, cooked soft.  I mashed that with a
little butter and a crushed vitamin tablet the vet'd recommended.  Then I
wrap my girl in a towel and force this goo into her mouth with a syringe,
10cc per time.  Only a couple ccs go in her mouth at once though.  With her
head tilted back 45 degrees or so, she eats the stuff without choking.
Then I let her have the dry food, which she looooooves, but it's too high
protein.  All the carb in the veggies should balance that off.  Well, I
started this last night and was rewarded this morning with no barf, no
restlessness, and a nice big properly formed poop.

They say she won't put on weight, but even if she doesn't lose any more off
her skinny bones, maybe she can live longer.

She's 16, has subcutaneous fluids once or twice daily now.

I didn't xna this because who knows, it might be useful to someone else.

arda
MacCandace - 11 Nov 2003 02:29 GMT
<< But, she is also addicted to her dry science
diet,  >>

Have you tried Hill's k/d for cats with kidney disease?  I have a cat with
kidney disease and he hates it but he does love Hill's g/d which is lower
protein than normal Hill's but not as low as k/d.  He finds it quite palatable
and yummy.  I hope your protocol works out for your little girl and you have a
lot more time with her.  Try the g/d, not all vets carry it but I'm sure they
can order it for you.

Candace
(take the litter out before replying by e-mail)

See my cats:
http://photos.yahoo.com/maccandace

"One does not meet oneself until one catches the reflection from an eye other
than human."  (Loren Eisely)
arda - 11 Nov 2003 03:18 GMT
: << But, she is also addicted to her dry science
: diet,  >>
:
: Have you tried Hill's k/d for cats with kidney disease?  I have a cat with
: kidney disease and he

How long has he had kidney disease, how old is he, and was it ever at a
critical stage?  Did he lose weight?

: hates it but he does love Hill's g/d which is lower
: protein than normal Hill's but not as low as k/d.  He finds it quite

Well, I will check that out.
Actually, it's C/D she's still eating, I think it's 30% protein!

She produced another nice (yam-coloured) poop today.  Yippee.

palatable
: and yummy.  I hope your protocol works out for your little girl and you have a
: lot more time with her.  Try the g/d, not all vets carry it but I'm sure they
: can order it for you.

I will check into that, thanks.

arda
Karen M. - 11 Nov 2003 04:35 GMT
> : << But, she is also addicted to her dry science
> : diet,  >>
[quoted text clipped - 24 lines]
>
> arda

Also, if I may jump in, if your cat doesn't like either of those, you
may want to try Purina's prescription low-protein diet. A friend of mine
tried that on her cat who didn't like the SD (I believe the cat liked
other kinds of SD, can't remember for sure), but she loved the Purina.
Something else to try if you need to. :)
Cathy Friedmann - 11 Nov 2003 04:20 GMT
> > : << But, she is also addicted to her dry science
> > : diet,  >>
[quoted text clipped - 30 lines]
> other kinds of SD, can't remember for sure), but she loved the Purina.
> Something else to try if you need to. :)

Purina n/f, maybe?

Cathy

--
"Staccato signals of constant information..."
("The Boy in the Bubble")  Paul Simon
MacCandace - 12 Nov 2003 02:38 GMT
<< How long has he had kidney disease, how old is he, and was it ever at a
critical stage?  Did he lose weight? >>

He's had kidney disease for a year and a half, he's 17 and a half, and it was
never critical but he has lost weight as well as muscle mass (he weighed almost
15 in his heyday and now weighs a little over 10 but remains pretty stable).
When he was first diagnosed, he was not feeling well.  Fortunately, for him,
soon thereafter he developed hyperthyroidism for which he takes tapazole.  By
continuing to keep him just slightly hyperthyroid, we have kept the kidney
disease from getting worse as hyperthyroidism masks kidney disease.  He feels
great although he is also on long-term antibiotics because he deveops a chronic
UTI if he goes off them.

Candace
(take the litter out before replying by e-mail)

See my cats:
http://photos.yahoo.com/maccandace

"One does not meet oneself until one catches the reflection from an eye other
than human."  (Loren Eisely)
Ginger-lyn Summer - 11 Nov 2003 19:06 GMT
><< But, she is also addicted to her dry science
>diet,  >>
[quoted text clipped - 14 lines]
>"One does not meet oneself until one catches the reflection from an eye other
>than human."  (Loren Eisely)

I'll second that.  My kidney cat, Cosmo, has been on Hill's g/d for
quite awhile now, since he started to refuse eating the k/d and I read
the Hill's booklet and discovered g/d (he also has a heart murmur, so
it seemed appropriate to me, and the vet agreed).  He still seems to
be doing great, 3-1/2 years after diagnosis -- still grooming himself,
eating, drinking, peeing, even playful sometimes.  Might just help
your CRF kitty, too.

Ginger-lyn
Helen - 11 Nov 2003 09:22 GMT
> Well, I've read many archive posts (about 200 there are about
> force-feeding) and I came up with something different on my own that
[quoted text clipped - 10 lines]
> dying.  She's often been up on the counters hunting around for any source
> of the dry food she likes.  When I give her some, she barfs.

Yes, it's good to feed a low protein food if you can, but it's not the end
of the world if you can't. Personally, I feel controlling phosphorus is more
important than controlling protein (though the two can go hand in hand to
some extent).

> But now, the solution.  Well, I wanted to find any kidney support herbs,
> but all I came up with so far was parsley, celery and dandelion.  Makes
> sense.  I incorporated this with another attempt to follow the vet's orders
> to get her to eat veggies.

Dandelion for one is a diuretic. I don't see the point of giving a diuretic
to a CRF cat who already has problems maintaining hydration.

> I took celery root, carrot and yam, cooked soft.  I mashed that with a
> little butter and a crushed vitamin tablet the vet'd recommended.  Then I
[quoted text clipped - 5 lines]
> started this last night and was rewarded this morning with no barf, no
> restlessness, and a nice big properly formed poop.

Cats have no nutritional need for vegetables, they would normally only eat
the small amount that might be found in a mouse's stomach. Feeding her
vegetables is not going to do a thing for her weight loss. If you're trying
to offset protein, you would be better off doing it with fat.

I suggest you read this page:

http://www.felinecrf.org/diet_and_nutrition.htm

> They say she won't put on weight, but even if she doesn't lose any more off
> her skinny bones, maybe she can live longer.

If she's losing muscle as well as weight, she could have metabolic acidosis.
High phosphorus levels may also be a concern. I'd suggest you read up on the
basics of CRF here so you can decide what to focus on:

http://www.felinecrf.org/quick_summary.htm

HTH

Helen

> She's 16, has subcutaneous fluids once or twice daily now.
>
> I didn't xna this because who knows, it might be useful to someone else.
>
> arda
arda - 11 Nov 2003 19:44 GMT
: Yes, it's good to feed a low protein food if you can, but it's not the end
: of the world if you can't. Personally, I feel controlling phosphorus is more
: important than controlling protein (though the two can go hand in hand to
: some extent).

I'm going based on what the vet said.  I will look into the links you
suggest. Thanks.

: Dandelion for one is a diuretic. I don't see the point of giving a diuretic
: to a CRF cat who already has problems maintaining hydration.

Well, dandelion is high in minerals.  Anyway, didn't give her any of that.

: Cats have no nutritional need for vegetables, they would normally only eat
: the small amount that might be found in a mouse's stomach. Feeding her
: vegetables is not going to do a thing for her weight loss. If you're trying
: to offset protein, you would be better off doing it with fat.

The vet said not too much fat, but that's not clear. How much is too much?
Well, I guess we'll see.
For now I'm overjoyed that food is going in her mouth and not coming out
the same end.  That's a critical improvement.

: If she's losing muscle as well as weight, she could have metabolic acidosis.
: High phosphorus levels may also be a concern. I'd suggest you read up on the
: basics of CRF here so you can decide what to focus on:
:
: http://www.felinecrf.org/quick_summary.htm

She had a full blood test at the vet's.  He knows she's losing weight since
she was poisoned by the painkiller the other vet had given.  I'll ask my
vet about phosporus levels.  Thanks.

arda
Cary Kittrell - 11 Nov 2003 20:51 GMT
<Well, I've read many archive posts (about 200 there are about
<force-feeding) and I came up with something different on my own that
<seeeems to be working.
<

This from my a past experience of mine:

Bed Bath & Beyond sell a jumbo syringe inteneded for subcutaneous
turkey basting.  It has a capacity of around 60 ccs, and the nipple
is large-bore, once you drill out the little cone inside the nipple
which was intended to hold a needle (this operation, drilling out
the bore, is trivial.  a matter of seconds).  If you drill out
the nipple and then push a short length of surgical tubing onto
it, you now have a large-capacity force-feeding syringe with
the capability of delivering its contents as rapidly as you need.

For food, I'd blenderize a can of A/D with a minimum amount
of water -- one or two tablespoons.  The resulting gruel
was easy to draw up into the syringe, and easy to squirt
into the beast as rapidly as was comfortable.  To my great
surprise, I found that the two cats I had to use this on could
swallow the entire contents of the syringe in two or three
gulps, and exhibited no discomfort or tendency to vomit it
up afterwards.  My vet told me that as long as they were keeping
it down, I wasn't over-feeding.  In both cases I cautiously
worked my way up to a half-can of A/D in one session (100 ml
or more), with no apparent problems.  This is a LOT of calories
with a minimum of struggle and fuss.

One caveat: I would insert the tubing-covered nipple at one
corner, the hinge of the jaw, and this resulted in a reflexive
chomp-chomp-chomp of the tubing.  In at least one case, as I
pulled the syringe out of the cat's mouth, the tubing came
off and -- apparently --was swallowed.  As this was a very
short length of small-bore surgical tubing, no problems
appeared to result, and my vet was not nearly as upset
about it as I.

To summarize, if it HAS to come to this point, this method
allows you to get a half-can of A/D down a cat with a minimum
of struggle and fuss.  I've sent more than one of these to
a friend in a similar situtation, and it seemed to work
well for her too.

-- cary
Cheryl - 11 Nov 2003 23:27 GMT
> To summarize, if it HAS to come to this point, this method
> allows you to get a half-can of A/D down a cat with a minimum
> of struggle and fuss.  I've sent more than one of these to
> a friend in a similar situtation, and it seemed to work
> well for her too.

I completely and adamantly agree! AD can't be beat for having to get
calories into a cat when you can only get small amounts in.
Sometimes, I've heard, it can be too rich, but I've never had to deal
with a cat with kidney failure so I can't comment.  As for syringes,
they can be purchased in large sizes through medical supply companies
or on the net.  I like your baster idea, though.  I am stuck with a
whole box of 60ML needless syringes from when my cat had a feeding
tube so I (and any friends who need some) are probably set for life.
lol
 
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