Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

Cat Veterinary
This answer was rated:

My 17 year old cat has been diagnosed with a urinary tract

infection and kidney disease....
My 17 year old cat has been diagnosed with a urinary tract infection and kidney disease. Our vet said on a level of 1-4 (4 the highest) Lucy is between a 1-2. Dr. Osborn prescribed antibiotic for the UTI and subQ fluid for hydration. Lucy hates for us to give her medicine and is not a cat which likes to be held. She is an indoor kitty and has arthritis in her spine. She moves well and jumps on surfaces, such as the bed but is somewhat cautious. Buprinex was prescribed for the arthritis pain. She has lost 2 lbs since her last vet visit and is narrowed through the hips. We attributed age initially but no doubt this was due to kidney disease.

My husband and I cannot see poking and sticking her for the remainder of her life to provide fluids but neither do we want to deny Lucy a good life. Our feeling is the subQ treatment is just postponing the inevitable. We have changed her diet to Royal Canin renal canned feline food, of course fresh water (she has always received bottled water) and a supplement of organic stewed chicken, rice, broth and canned pumpkin. We are seriously considering not doing the subQ and buprinex. Lucy is not howling and is thoroughly enjoying her chicken every night.
I just lost my precious 9 year old tabby, Phoebe (Dr. Bob helped me) when she died suddenly due to lung issues during dental surgery. Now Lucy is ill. We have been blessed to have these two furry family members for a long time but the thought of losing them both is heart breaking. However trying to keeping Lucy with us longer for the sake of our need seems selfish. We are under the mind set of doing as much possible through diet and behavior without doing extreme measures.
Your thoughts?
Show More
Show Less
Ask Your Own Cat Veterinary Question
Answered in 10 minutes by:
9/13/2013
Dr. John
Dr. John, Texas Veterinarian
Category: Cat Veterinary
Satisfied Customers: 11,485
Experience: Over 14 years of clinical veterinary experience
Verified
Hello. My name isXXXXX will be happy to help you. Chronic kidney failure (CRF) in cats can be very difficult to deal with. It is possible that the kidney problems may be secondary to the infection. Treating the infection may improve kidney function. I would recheck the enzymes after finishing with the antibiotics. If still elevated, the SQ fluids are really a good choice to keep the kidneys flush. It can give some cats a lot more time. I have seen cats last for months to years after diagnosis of CRF when giving regular SQ fluids. I always tell owners that it is worth a shot to see how it helps. There are some cats who get too stressed out for SQ fluids and fight it. At that point, it is probably best to just stop the fluids. You can also talk to your vet about trying a medication called Azodyl. It helps with intestinal dialysis to bring down kidney enzymes. Some cats start to loose too much potassium and have elevations in phosphorus. Medications may be necessary to control those values, which will help to improve health. Eventually, the condition does progress. Diet therapy with low protein and low phosphorus diets do help. Please let me know if you have any other questions or concerns. Hope this helps.









My goal is to make sure that you get all your question answered and all the information you need. If you are satisfied with my answer, please rate it. If you feel like it is not helpful to you, or if there is more information you need, please respond back to me before rating. Realize that our conversation is not intended to diagnose or treat a condition. There has to be a valid veterinary-client-patient relationship established with an exam, according to law. You should always follow up with your vet.
Dr. John
Dr. John, Texas Veterinarian
Category: Cat Veterinary
Satisfied Customers: 11,485
Experience: Over 14 years of clinical veterinary experience
Verified
Dr. John and 87 other Cat Veterinary Specialists are ready to help you
Ask your own question now
Customer reply replied 4 years ago
Do you feel the diet I have her on is benefical or a detriment? I am going to have Lucy checked again in one month (she was just diagnosed this week.) And I will mention the medicine. Our initial visit, including x-rays on her spine are in excess of $600 so doing testing on an as needed basis is essential. Thank you so much.
You are very welcome. I would try to avoid the chicken because it is higher in protein. Increased levels of protein in can cause worsening of kidney function. If on a prescription kidney failure diet, it works best if that is the only food that they eat. Adding other stuff defeats the purpose of controlling certain ingredients that contribute to kidney problems. Let me know if you have any other concerns. Hope this helps.










My goal is to make sure that you get all your question answered and all the information you need. If you are satisfied with my answer, please rate it. If you feel like it is not helpful to you, or if there is more information you need, please respond back to me before rating. Realize that our conversation is not intended to diagnose or treat a condition. There has to be a valid veterinary-client-patient relationship established with an exam, according to law. You should always follow up with your vet.
Ask Your Own Cat Veterinary Question
Customer reply replied 4 years ago
I had given you a rating and hopefully payment was received through Paypal. I will check to make sure. Your answer, while informative, was basic information I had obtained through internet searches. I am still confused about the appropriate diet my cat should be on as there is conflicting information on cats with her numbers. Her RETIC is 52.0 K, BUN - 39 mg/dl andn CREA 2.8 mg/dl. She was diagnosed with a kidney infection and has been on Clavamox drops. From what I have gathered Lucy is right on the edge. If I go high protein it could have an affect on her kidneys. If I go low protein it could result in malnutrition. Royal Canin canned and dry was sent home - just read about poisoning from eating this food. I do not know what to do. Either way I feel as if I am killing my cat. And as I stated I just lost a beloved pet after a routine dental cleaning. With $1200 in vet bills I have a dead cat and a 17 yr. old not knowing how to proceed with any certainty. A consult with another doctor is not possible at the point. I thought Just Answer would give me clarity however I am completely baffled. Currently I am feeding her another brand of canned food, considering buying Blue, a water foutain for freshness and enjoy the time I have left with her. She is eating, drinking, using her box and active for a feline her age.
Well, the lower protein kidney diets shouldn't cause malnutrition in cats. There should still be enough protein for proper nutrition. The kidney diets are not just lower protein diets, though. They also have reduced levels of phosphorus and sodium and increased levels of omega fatty acids, vitamin B complex and antioxidants; everything to promote more healthy kidneys. Hill's K/D, Royal Canin Low Protein or Purina NF are the best choices for diets for her. As far as I know, there are no recalls on the Royal Canin LP diet. There may have been a recall a few years back, but that was a large scale recall with many companies due to contaminated ingredients from China. We use the diet a lot with no issues. While the BUN and Creatinine are mildly elevated, they are still elevated. What would be important to know is what the urine specific gravity is. That is biggest factor in determining how the kidneys are functioning. It is difficult to comment on the RETIC count at this point. It is better to deal with it in a percentage because it normally has to be corrected based on the HCT (hematocrit) to get an accurate reading. Plus, with cats, you have to deal with two different types of reticulocytes (punctate and aggregate). The aggregate reticulocytes are the more important ones when dealing with regeneration. The test they ran may not differentiate. With chronic kidney failure, normally they will develop a non-regenerative anemia over time. It won't happen immediately. If there is no anemia, there is a possibility that it may be a kidney infection causing these values to be elevated. Kidney diets, periodic SQ fluid therapy, Azodyl, phosphate binders (if necessary), calcium supplements (if necessary) and potassium supplements (if necessary) are the best ways to deal with chronic kidney failure in cats. If this is infection related, you may still need to use this protocol, but it may be only short term until the antibiotics take care of the infection. It is possible for an infection to cause permanent damage to the kidneys. Once you see evidence of chronic kidney failure in the bloodwork (elevated BUN and creatinine and mid range urine specific gravity), then you can usually expect that they have now lost around 75% of their kidney function. You won't see the changes in bloodwork with this disease until that point. I hope this clears things up for you a little more. If it doesn't, please let me know.










DISCLAIMER: My goal is to make sure that you get all your question answered and all the information you need. If you are satisfied with my answer, please rate it. If you feel like it is not helpful to you, or if there is more information you need, please respond back to me before rating. Realize that our conversation is not intended to diagnose or treat a condition. There has to be a valid veterinary-client-patient relationship established with an exam, according to law. You should always follow up with your vet.
Ask Your Own Cat Veterinary Question
Ask Dr. John Your Own Question
Dr. John
Dr. John
Dr. John, Texas Veterinarian
Category: Cat Veterinary
Satisfied Customers: 11,485
11,485 Satisfied Customers
Experience: Over 14 years of clinical veterinary experience

Dr. John is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Gary

Dr. Gary

Cat Veterinarian

3,924 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,739 satisfied customers

UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management

Dr. Bruce

Dr. Bruce

Veterinarian

4,343 satisfied customers

15 years of experience as a small animal veterinarian

Dr. Scott

Dr. Scott

Veterinarian

3,998 satisfied customers

15 years of small animal, equine and pocket pet experience in medicine and surgery.

Rebecca

Rebecca

Cat Veterinarian

3,330 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,070 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,834 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
Just discovered he has stage 2 kidney disease, because he
Just discovered he has stage 2 kidney disease, because he stopped eating (nausea and mouth ulcers). He is on fluid therapy and famotidine, but not eating, so I am syringe feeding him. He went without … read more
Dr. Beth
Dr. Beth
Veterinarian
Doctor of Veterinary Medicine
172 satisfied customers
Stage 2 kidney disease maybe, will not eat and nausea. Gave
stage 2 kidney disease maybe, will not eat and nausea. Gave cerenia. Now drooling and lethargy … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,226 satisfied customers
My cat is 15 years old, she either has a kidney infection or
My cat is 15 years old, she either has a kidney infection or kidney stone. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
I have a cat that has chronic and kidney issues and has been
I have a cat that has chronic HI and kidney issues and has been in the hospital in the past week with anemia and dehydration. She had a blood transfusion and fluids and is now home. She is on predniso… read more
Dr. Deb
Dr. Deb
Cat Veterinarian
Doctoral Degree
2,834 satisfied customers
Simple question-- Sweet cat, 13 yrs old, end stage kidney
Simple question-- Sweet cat, 13 yrs old, end stage kidney disease, will be put to sleep in my home by a DR either tomorrow or Tuesday. I would like for her t o be "out" sedated for the procedure. Coul… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
He's kidneys are failing. Is there anything I can do?
He's kidneys are failing. Is there anything I can do? Looking for a miracle. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Garfield has diabetes and kidney disease. He was receiving
Garfield has diabetes and kidney disease. He was receiving fluids but did not have any for 10-12 day. Then he was given about 1 1/2 or 2. He does not seem to feel well. He is not eating but he has had… read more
Denise Cudiamat
Denise Cudiamat
Veterinarian
Doctor of Veterinary Medicine
341 satisfied customers
My cat has a recurrence of kidney stone symptoms. Can I get
My cat has a recurrence of kidney stone symptoms. Can I get a prescription for Science Diet s/d cat food? If I go through the normal vet Id have to pay for an office call and xrays. She had this two y… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
What would cause one of my cat's kidneys to shrink and the
What would cause one of my cat's kidneys to shrink and the other to enlarge with only part of it normal kidney tissue?… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
Our cat was diagnosed with kidney disease that can be
Our cat was diagnosed with kidney disease that can be treated with special food. She might have arthritis. She needs a few teeth pulled. Recently she's not as social. Her weight is stable. She's shedd… read more
Dr Scott Nimmo
Dr Scott Nimmo
337 satisfied customers
She's been diagnosed with chronic kidney disease. I just
She's been diagnosed with chronic kidney disease. I just bought a new flea med for her, Cheristin. Is it considered safe for her condition? … read more
Dr. John
Dr. John
Texas Veterinarian
11,485 satisfied customers
Chronic kidney disease, 16 yr old feline, Baci, Weighs 8
Weighs 8 lbs, drinks a lot, he likes water mixed with his wet food… read more
Dr. Andy
Dr. Andy
Medical Director
Doctoral Degree
4,739 satisfied customers
Chronic diarrhea for 8.5 years. Liver, kidney, and thyroid
chronic diarrhea for 8.5 years. Liver, kidney, and thyroid test okay, he's had full blood work ups, ultrasound, and surgical investigation, everything comes up normal, but his diarrhea is horrible sme… read more
divealot1
divealot1
DVM
6 satisfied customers
Possible kidney stone? Sitting weird, licking genitals and
Possible kidney stone? Sitting weird, licking genitals and obviously uncomfortable … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Kidney disease. Elderly cat - 16 yrs old. Would you
Kidney disease. Elderly cat - 16 yrs old. Would you recommend "Kidney Support Gold" ? Would you suggest something else? … read more
Robert Schwarb
Robert Schwarb
Doctorate of Veterinary Medicine
26 satisfied customers
My cat was recently diagnosed with kidney issues and is now
My cat was recently diagnosed with kidney issues and is now having issues walking. Can anything be done to help him? … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,581 satisfied customers
Im looking to take my 14 yr old off KD kidney cans & food
Im looking to take my 14 yr old off KD kidney cans & food and need exp. advice as to replacement receipies I can make at home that the short ques … read more
Terri
Terri
Healthcare/behavior specialist
Private
21,709 satisfied customers
Are there better food options for cats with kidney stones?
Are there better food options for cats with kidney stones ? She hates the Hills food and has lost weight... … read more
Brittany Hale
Brittany Hale
Doctorate of Veterinary Medicine
12 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x