Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

I have a dog with early stage kidney disease. Even with his…

Customer Question
I have a dog...

I have a dog with early stage kidney disease. Even with his kidney issues, he has been an excellent eater. However, about two weeks ago he stopped eating. We tried everything conceivable to get him to eat but he would barely eat anything. When he did eat, he would chew the food a few times but swallow almost nothing, letting most of it fall on the floor. Then one night three days ago he developed severe diarrhea and started throwing up persistently. First thing in the morning we took him to our vet, but our vet was unsure what the issue is. Unfortunately, the blood test showed a spike in BUN (99), PHOS (6.7) AND CRE (4.9), with CA and GLU at the top end of normal. His blood tests from three and six weeks prior were within normal (with BUN and CRE at the high end of normal. Or vet gave anti-nausea medication and prescribed an anti-diarrhea and appetite stimulant, as well as providing the supplies to do fluid injections once per day. Our dog is no longer throwing up, the diarrhea is gone, and he is fully hydrated. However, he still will not eat. We have set aside the low protein/low phosphorus diet that he was on in an attempt to get him to eat, but he will not eat anything (even though he comes into the kitchen constantly and checks his bowl for food often. Do you have any ideas??? Thank you.

Veterinarian's Assistant: I'm sorry to hear that. The Expert will know if the dog will be able to digest that. What is the dog's name?

Athos

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Athos?

He is about to turn 15, he is a schnauzer, and has been incredibly healthy for his entire life.

Submitted: 7 months ago.Category: Cat Veterinary
Show More
Show Less
Ask Your Own Cat Veterinary Question
Answered in 8 minutes by:
11/26/2017
Cat Veterinarian: petdrz, Veterinarian replied 7 months ago
petdrz
petdrz, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 7,676
Experience: Over 30 years of experience in caring for dogs and cats.
Verified

Hello. Welcome to JustAnswer. I am Dr Z. I'm reviewing your question now, and will post back with a reply ASAP.

Ask Your Own Cat Veterinary Question
Customer reply replied 7 months ago
Hello. I am not sure why this inquiry was filed under "Cat Veterinarian" because I am inquiring about my dog.
Cat Veterinarian: petdrz, Veterinarian replied 7 months ago

Thanks for trusting me to help you and Athos today. I am a licensed veterinarian with over 30 years of experience and would be happy work with you but need a bit more information to better assist you if you don’t mind.

Did your vet recommend any imaging studies such as xray or ultrasound of the abdomen?

Ask Your Own Cat Veterinary Question
Customer reply replied 7 months ago
No, no recommendation of any imaging.
Cat Veterinarian: petdrz, Veterinarian replied 7 months ago

The significantly elevated kidney values over the previous ones were likely what we refer to a pre-renal. That means that due to the dehydration that developed secondary to the diarrhea and vomiting and anorexia, his renal values probably looked worse than they really are once his hydration was corrected. Was a urine sample checked at any time after the high normal renal values or the most recent very high values?

Have the renal values been rechecked since the fluids were given?

Ask Your Own Cat Veterinary Question
Customer reply replied 7 months ago
I understand that they levels were likely elevated due to the dehydration, but I provided them as a reference. Since the diagnosis 10 weeks ago, I have his blood tested every three weeks with no significant increase (in fact, since putting him on a restricted diet, his number have come down). The big issue now is the sudden change in eating behavior. He is refusing to eat anything, regardless of what it is, and regardless of the form. We have tried every conceivable food that you can image (from the healthy to the unhealthy), we have tried blending the food just in case it is a size or consistency issue, we have tried chopping it very small, but nothing is enticing him. The only thing that we can get him to even eat a tiny amount of is fresh ground, unsalted peanuts. However, he cannot sustain for much longer on just a couple of teaspoons of peanut butter a day. And no, he has not had a urine test done.
Customer reply replied 7 months ago
Oh, and his blood has not been rechecked since the fluids were given since that was only two days ago. I was planning on bringing him back in tomorrow morning for another blood test.
Customer reply replied 7 months ago
Dr. Z, are you still there?
Cat Veterinarian: petdrz, Veterinarian replied 7 months ago

I suspect that his refusal to eat is a secondary problem, unrelated to his renal disease. Dogs with early stage renal disease usually continue to have a good appetite. I suppose it is possible that something triggered an acute insult to his kidneys and the worsening values are real. In the absence of toxin exposure or diseases like leptospirosis (not likely), about the only thing that would do that is if he developed a urinary tract infection that ascended to his kidneys. If his renal values are not better after the fluid therapy, a urinalysis and a urine culture need to be run to rule that out.

If the anorexia is not due to worsening renal disease, there are a few things I would think about. One is the possibility of dental disease or pain in the oral cavity causing him to not want to chew or swallow. I would make sure that is evaluated. There is also the possibility that he has developed a problem with his ability to swallow or move the food through the esophagus, but these are not common and difficult to confirm.

I am typing a few other thoughts.

Ask Your Own Cat Veterinary Question
Customer reply replied 7 months ago
These are all things that I have considered, but he tends to confuse me with some of his actions. Yesterday he ate an entire apple (but he did chew and spit some of it out...although he went back and finished the pieces that he dropped after spitting them out). However, today he wouldn't even consider an apple. Today he ate two pieces of bacon (I know bacon is bad, but we are desperate). He also drinks water (even with the fluid injections). Also, he had his teeth cleaned 12 weeks ago, which is how we discovered the elevated blood readings, so I would assume that teeth wouldn't be the issue (but I can certainly check that out). It is all so confusing because there is almost no consistency.
Cat Veterinarian: petdrz, Veterinarian replied 7 months ago

The fact that he developed the vomiting and anorexia at the time that his glucose values were high makes me wonder about the possibility of pancreas involvement. Inflammation of the pancreas, as seen in pancreatitis, can lead to all of the GI signs mentioned and if the pancreas is "sick" it often will not secrete insulin as efficiently leading to an elevated glucose. Pancreatitis can be a challenge to confirm. There is a specific blood test called a PLI or cPL that can lend support to the possibility. Imaging is also helpful, specifically changes seen on ultrasound. Schnauzers are prone to this disease. Here is a link with more information about pancreatitis and it's diagnosis. LINK HERE

Based on bloodwork results tomorrow, I would probably advise that an ultrasound of the abdomen be performed. I would also consider having a feeding tube placed to provide nutritional support while you are pursuing the cause of his anorexia. We place these all of the time and they are well tolerated by the pets. LINK HERE

Yes, it does seem like this is a challenge to be sure. I would be happy to provide additional thoughts after his blood test tomorrow.

I hope this is helpful. Please let me know if you have ANY other questions. My goal is to give you 100% satisfaction and if you are not yet satisfied, please reply so I can clarify for you.

My posted replies are for general education only and not meant as a diagnosis. Only after a thorough veterinary examination can a diagnosis for your pet be made and specific treatments be advised or medications be prescribed.

Dr Z

Ask Your Own Cat Veterinary Question
Customer reply replied 7 months ago
Thank you for the information.
Cat Veterinarian: petdrz, Veterinarian replied 7 months ago

You are welcome and good luck with him.

Ask Your Own Cat Veterinary Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a cat veterinarianLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask petdrz Your Own Question
petdrz
petdrz
petdrz, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 7,676
7,676 Satisfied Customers
Experience: Over 30 years of experience in caring for dogs and cats.

petdrz 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

3,956 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,816 satisfied customers

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

Dr. Bruce

Dr. Bruce

Veterinarian

4,615 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

3,875 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,076 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,953 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
Question about managing phosphorous binder in cat with
Question about managing phosphorous binder in cat with kidney disease. … read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,412 satisfied customers
My cat recently got his kidney removed (7/6). He was
My cat recently got his kidney removed (7/6). He was admitted Friday because his kidney levels slightly risen. They were going to do some aggressive IV catheter fluid treatment. When we visited him th… read more
Rebecca
Rebecca
Cat Veterinarian
Doctoral Degree
3,875 satisfied customers
My dog Sassa 6 yr old american cocker started vomiting
My dog Sassa 6 yr old american cocker started vomiting multiple times last Monday. She was still not feeling well and not eating Tues. The vet ran general profile, cbc and blood smear which showed hem… read more
Carole Cocagne
Carole Cocagne
Doctor of Veterinary Medicine
318 satisfied customers
Dr, Yesterday we took our cat in as he was very lethargic
Hi Dr, Yesterday we took our cat in as he was very lethargic and had horrible breath. I know these are signs of kidney issues and they were confirmed with a BUN of 130 mg/l, a Phos of 16.1, and a few … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
We give Spike, in renal failure, epakitin in s fancy feast
We give Spike, in renal failure, epakitin in his fancy feast food ...food which we are now stopping. If we make the human grade recipe, do we still add epakitin?… read more
Jess K
Jess K
Doctor of Veterinary Medicine
1,514 satisfied customers
We took our cat to an emergency clinic on xmas an they told
We took our cat to an emergency clinic on xmas an they told us that he had kidney failure and to put him down. We did not and took him home. They gave us prescription food and Normosal and told us to … read more
Dr. Gary
Dr. Gary
Cat Veterinarian
Doctoral Degree
3,956 satisfied customers
I have a 13 y.o. male neutered short haired domestic. He has
I have a 13 y.o. male neutered short haired domestic. He has no appetite. DX: early stage of renal failure. RX: Epakitin & mirtazapine with no positive results for 2+ weeks.… read more
petdrz
petdrz
Veterinarian
7,676 satisfied customers
My cat has all but stopped eating and drinking. the local vet says he may have kidney dis
My cat has all but stopped eating and drinking. the local vet says he may have kidney disease, leukemia, or any number of things but didn't give us any advice on what to do other than to give him 1/8 … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
7 yr old ragamuffin male. Has not been eating properly for
7 yr old ragamuffin male. Has not been eating properly for a couple weeks. Growth on stomach area. Kidneys are felt to be larger than normal; one larger than the other. Blood test shows some amount of… read more
Dr. Jenn
Dr. Jenn
Veterinarian
Doctoral Degree
5,610 satisfied customers
My cat died this morning. The Vet said it was PanLeuk, but
My cat died this morning. The Vet said it was PanLeuk, but he has had immunizations for that. He was 1 year old with a myriad of illnesses, including kidney problems. I think the vet was mistaken. Her… read more
Dr. Deb
Dr. Deb
Cat Veterinarian
Doctoral Degree
2,953 satisfied customers
I need some opinions and advice. My two year old male cat
I need some opinions and advice. My two year old male cat (neutered) has been losing weight, acting listless, and has a diminished appetite. He also is licking his muzzle – not continuously but more t… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
I have a 14 yr old (outdoor) cat who has lost allot of weight
I have a 14 yr old (outdoor) cat who has lost allot of weight and muscle mass in the last 6 months. Has diarrhea and sometimes vomits. He's still eating and drinking regularly but now is very weak :( … read more
DrRalston
DrRalston
Associate Veterinarian, NBVME & CSBVM
Doctor of Veterinary Medicine
1,770 satisfied customers
KITTEN: UPDATE YOU REGARDING MY 3 YEAR OLD..DRANK..MILK..threw..THIN
TO UPDATE YOU REGARDING MY 3 YEAR OLD CAT. SHE CONTINUED NOT EATING, AND WHEN SHE DRANK KITTEN MILK SHE THREW UP. SHE WAS GETTING PRETTY THIN AND STOPPED GROOMING HER SELF. I TOOK HER TO THE VET AND U… read more
CriticalCareVet
CriticalCareVet
Veterinary Specialist
Doctoral Degree
57,087 satisfied customers
Hi! Blood work shows: Low Na/K - 31 High Amylase -
Hi! Blood work shows: Low Na/K - 31 High Amylase - 1280 Low Platelet count - 19 High Monocytes - 750 Male cat, 7 years old. Lost a lot of weight and specifically muscle mass, drinks and urinates a lot… read more
Dr. Gary
Dr. Gary
Cat Veterinarian
Doctoral Degree
3,956 satisfied customers
Our cat has lethargy, eyes strange, no appetite. Low Bun/Urea,
Our cat has lethargy, eyes strange, no appetite. Low Bun/Urea, High Glob, High Glu, low lipa and low phos. FeLV negative, FIV negative and HW negative. His fever has come down and looks a little bette… read more
Dr. Loretta
Dr. Loretta
Large and small animal Veterinarian
Doctoral Degree
22,387 satisfied customers
i have taken my 13 year old cat to 2 vets and get the same
i have taken my 13 year old cat to 2 vets and get the same answers w/ no resolution to the problems. She was spayed and her front paws were declawed when she was younger (f.y.i.) she has had a problem… read more
DrChristineM
DrChristineM
Associate Veterinarian
Doctoral Degree
1,872 satisfied customers
My cat is losing weight over time but now very quickly, He
My cat is losing weight over time but now very quickly, He is a male about 7 years indoor only. He is hardly eating and I dont believe he is pooping only urinating. He is throwing up. The vet thinks h… read more
YourPetVet
YourPetVet
Doctoral Degree
998 satisfied customers
Took our 14 year old cat to vet for blood test. Turns out he
Took our 14 year old cat to vet for blood test. Turns out he has high alk. phosphatase (75). Has low total protein (5.8) Has high A/G ration (0.9) Has high WBC (53.4)...high Lymphocytes ) 83)...etc. T… read more
Dr. Drew
Dr. Drew
Cat Veterinarian
Doctoral Degree
3,076 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