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Hi Adrian, I'm Dr. Deb. I will do my best to assist you today. I'm sorry for this concern for Lele and the fact that you were told Lele was in kidney failure. I absolutely agree that these values do not signify renal failure. Each lab is different but her kidney values are well within a normal range. The fact that she's concentrating her urine this well also indicates that her kidneys are not failing.She might have a condition called Pyelonephritis, though, which could account for her increased urine protein and some of her signs. This would be an infection in her kidneys which might take several weeks worth of antibiotics to clear. I probably would have chosen a different antibiotic rather than Amoxicillin though Without a culture and sensitivity, it's difficult to know which antibiotic might be best but Amoxicillin has been around for a long time and there is much resistance to it's use these days. I might have used Clavamox instead or even Baytril although I do know that each vet is different. Yes, I would attribute her looser stools to the antibiotic. You could give her probiotics such as Forti Flora which may help with this problem although some cats will continue to have looser stools until the antibiotics have been discontinued. The fact that she's eating a little better today is a very good sign since Amoxicillin can also have the side effect of anorexia in addition to diarrhea (and vomiting in some cats). I might also encourage you to start the Pepcid on the off chance that she might be feeling a little nauseous. Unless she's hard to pill (which might stress her out), then this is a safe drug. I've seen some cats with Pancreatitis behave as you describe. I'm not sure if a spec fPL was done which can evaluate the pancreas. But, in most cases, treatment is supportive: ie, fluids, appetite stimulants, anti-nausea drugs as well as pain medication (since we believe that pain plays an important role in why these cats show the symptoms they do). I hope this helps and that she's feeling better soon. Deb
I greatly appreciate the answer. We lost our previous cat to renal failure and had no idea that she was sick until she presented symptoms and we found out she was stage 4. Obviously, we were heartbroken and it has significantly increased our anxiety regarding Lele whom we rescued from a kill shelter as a 4 m/o kitten.
I am going to provide a follow up urine sample to our regular cat vet tomorrow and make sure she is aware of the meds prescribed at the vet hospital.
Thank you again,
Adrian & Michelle
Adrian and Michelle: You're more than welcome; I'm happy to help. That's heartbreaking about your other cat but the history is one I see all the time: cats are so masterful at hiding disease until it catches up with them. And, this is most true with kidney issues. I think a follow up urine may not be a bad idea but the results may be influenced since she's been started on antibiotics already. This is also true for a culture and sensitivity. But if one is done and it comes back with growth, then you'll be able to tell if the correct antibiotic has been chosen.
I hope you'll keep me posted about her. . Even after you've rated (if you do, of course), we can still continue to communicate. I can also send you a follow up email in a day or so to which you can respond when you have the time to do so.
Good luck. I'll be hoping that she gets past this very quickly...I'm certain that this is your hope as well! Regards, Deb
Adrian:Dipsticks are just screening tests and are notoriously prone to false positives; I don't rely on them for this reason.It could just be that the urine is so concentrated that it's creating a false positive. At the lab they can do an SSA test and confirm it.Another test to consider would be a UPC (urine protein: creatinine ratio) which will help indicate whether or not the protein is "real". We often recommend that the test be done at least two times to ensure that it's a repeatable elevation, if that makes sense. We don't necessarily rely on just one value, in other words.Neither test will tell the source of the protein but will just confirm that it's present.I might also try to increase water consumption in an attempt to lower the specific gravity to 1.040 or lower and then recheck the protein level (at a lab).
A +1 or even a +2 protein wouldn't concern me that much even with a concentrated urine sample but a +4 is high. Inflammation and/or infection can increase the protein values as well. Deb
I'm worried (imagine that!) that we may have another problem here.
Our Tonk was 12.4 lbs when we took her to the vet the first time 10 days ago. At the specialist, she was 12 lbs and that was 4 days ago. We just weighed here here at home and she is now 11.2 lbs.
As I had mentioned before, her appetite is spotty and she has really kinda slacked off on all dry food. We have gotten her to eat roughly 1 1/2 to 1 3/4 of wet food each day. I am really concerned about lipidosis onset, especially given she was a bit rotund to begin with.
I just weighed myself 3 times and then with LeLe 3 times and have her figured for 12.0 - 12.4 lbs.
My apologies for the multiple replies. As you can imagine, we are stressed and a bit over anxious about our baby.