r/RenalCats

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My 18yr old cat was diagnosed with CKD in April. She’s getting subQ everyday and on Hills kidney diet kibbles. She’s hates the kidney diet wet food Hills/RC. My mom gives her steamed fish sometimes. And she also gets tuna paste with kidney support which she loves. She’s pretty active and loves going for walks at night with me. In August she had blood test and vet said her kidney isn’t functioning and “she could go anytime” and to spend time with her. My heart sank when i heard those words. Then as long as she’s still eating and drinking and active, i’m happy. Then last week she started to pee in bed - something she has never done before. Then again it’s only a couple of times. But the last couple of days she’s barely eating.

Called the vet and i asked for anti nausea meds and vet said they have anti nausea shots (forgot the name but it’s not ondansetron as they don’t have that) and b12 to see if it would help her. Vet said ok. So we are going to the vet Monday. We spoke on Saturday btw.

After the call, i found ondansetron given the previous vet (when she was diagnosed in April) so i thought i give her some to see if it helps. I gave her half the prescribed amount. It got her to lick a few mouthful of tuna and start drinking water. Not enough but better than nothing. My mom gave her steamed fish with some broth and she drinks up the broth. But she’s still not eating the Hills kidney diet kibbles that she likes.

She’s so skinny now and it breaks my heart to see her like this. Despite of all these, she’s still walking around the house and wants to go outside for walks. She still jumps although not as steady. She’s been with us since the day she’s born and this is the first time she’s sick. I’ve been crying everyday I don’t want to see her suffer but i don’t want to miss out anything i could try to help her before giving up. Please let me know. I would appreciate it. Thanks in advance.

u/xhojicha — 3 days ago
▲ 47 r/RenalCats+1 crossposts

Marmalade from the popular Cat social media community Cole and Marmalade passed away today.

I hope this is allowed and please amend if needed but I wanted to share the passing of Marmalade with the r/cats community. I really liked watching their content and when Cole passed away it was a really sad day.

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u/Batgod629 — 4 days ago

Do you stay up to date with vaccines in Stage 4?

After your cat was diagnosed with stage 4, did you continue to stay up to date with vaccines?

Edit: Thank you to all that have responded. It gave me peace in knowing that my vet is not under-treating and comfort in knowing that keeping my boy unvaccinated is in his best interest. Thanks again.

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u/rainbow_macaron — 4 days ago

Normalizing 2 CKD truths

There's one nagging question I couldn't stop asking after my cat’s CKD diagnosis.

Why.

Why did this happen? What did I do wrong? Did I cause this? Was it the food I fed her? 

The guilt trip is real.

But caring for a CKD cat means confronting two truths: 1) you may never know the answer to the question “why” and 2) you did NOT cause your cat’s CKD.

Instead of asking “Why did this happen,” a more productive question may be:

“What can I do right now to support my cat’s comfort, quality of life, and longevity?”

Asking that question daily helped me feel more in control and confident as I navigated CKD management for my once-in-a-lifetime soul cat. 

It’s not your fault!

u/Kelly_CaresForCats — 3 days ago

We lost her

I had posted for advice just yesterday and she suddenly stopped being able to walk and couldnt hold her pee front of her litter box. I knew what was coming but I didnt want to believe it. It was obvious the whole week but I thought she would bounce back again. I wrapped her in her favourite blanket and gave her her favourite treats. I talked with her and let her sunbathe. She was left so small and fragile in just a week I still cannot fathom how could my pretty girl could get so thin. She was the strongest being Ive ever met. She even caught a bird with her levels over the top a few months ago and has been the most energetic and stubborn cat i met. I remember she hissed at the other cats in the vet even while she was half conscious after a heart attack 3 years ago. She never let go even when we thought it was time multiple times throught the 3 and a half years that she was diagnosed. She was stronger than even we were and pushed so hard to be herself even with the pain. I wish I could give her a few more years but her body had gotten so small in just a week I could count her ribs. I cradled her and kept her close till she wanted to get away herself but she couldnt keep herself up after jumping down and just stood where she jumped. I knew she wouldn't make it out the night but I couldnt get myself to have her die front of me. We took her to vet and they also knew she wouldnt mske it but they gave her pain killers and some iv for intensive care. They sent us home with my roommate and at 2am they called to tell me her numbers are so high that the machine couldnt register it. Her liver was failing and she could have a heart attack from extreme potassium levels and severe anemia. I couldnt bear to have the phone afterwards and just as I went to the bathroom I hoped I wouldnt be the one to recieve the next phone call and when I returned my roommate was talking with the vet and at 03.50 she passed away peacefully under sedation. I miss her so much and I wish I could hold her again but it would be selfish even if she made it out tonight. I cant imagine the pain she was under and even then she tried to lick my hand before we left. She was my everything and now its so quiet. I hope she knows that I would give everything to have her healthy and running again but world wasnt that fair on us.

u/Cookiehow — 4 days ago

Stage 2 14 year old won't eat...

Here is my cats symptom timeline in a nutshell. She's 14 and named Margot.

S couple years ago I started noticing her vision was declining and her eyes were getting cloudy. I chalked this up to old age, not realizing how this can be serious in a cat (although I did mention it at vet appointments and they always said nothing was wrong).

Last Halloween, she threw up about 20 times in one day, so I took her to the ER and they diagnosed her with pancreatitis. They gave her some fluids and pain meds and sent her home. I went back two days later after some more vomiting and they repeated the process.

Maybe a month later I took her to an eye specialist who doagnosed her with massively high BP (which they never checked at the ER). Total vision loss in right eye with full retinal detachment, partial retinal detachment in left eye, and some hemorrhages. They put her on daily amlodipine. She has had a few checkups since then. No vision improvement, but hemorrhages are gone and retinas has reattached.

The problem now is she has lost 3 pounds this year and is now incredibly skinny. She just doesn't want to eat. I've done bloodwork at my normal vet that is normal other than showing early kidney disease. We tried mirtazapine and cerenia without luck. She won't let me give her elura.

I finally got so freaked out that I took her to an internist at the ER. She said she has stage 2 kidney disease but hasn't lost much muscle mass yet (which is hard for me to believe because she has gotten so bony). She put her on 50mg of fluids 3x per week and said this would potentially flush out some toxins and increase her appetite. That was about two weeks ago and it has not helped her appetite at all yet.

She has another vet checkup soon which the internist ordered to recheck some blood work. I am just so worried and don't know what to do. Her whole life she has only ever wanted hard food (won't touch wet) and now literally all she will eat are her Friskies Beachside Crunch treats. This has always been a daily treat for her and she still eats these voraciously a few times a day.

I have tried about four types of hard food, including her prescription renal food, and she won't touch any of it.

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u/CawfeePig — 3 days ago

This may be the end, and I can't help feeling the guilt as an owner and frustration with the vet.

Hey folks. Just got back from taking my cat to the ICU and an afternoon of soul-searching alone in the park.

I got back from a trip out of town the other day, and she stayed with my mother. She wasn't eating much, and that had me worried and resolved to get her back to the vet ASAP. We snuggled on the couch all day yesterday. And then I woke up to her seizing this morning.

My last post here was in the end of June, when I asked about starting on amlodipine. After a series of very frustrating and conflicting vet visits on longer-term prognosis (one vet saying things were massively improved after a UTI, another saying things were looking bad, but also not), I went ahead with it knowing I'd be switching practices at some time. Meanwhile, the current vet was near impossible to schedule anything with.

She was doing great all summer. She was due for a biannual while I was gone, but put that off until I got back—in fact, I was dialing their number when she started seizing. (And of course, found out they recently ended weekend hours).

I just feel immensely guilty I didn't keep a better eye on this the last few months. I feel guilty I didn't get on the ball switching vets sooner. I feel guilty that, when I got news she wasn't eating much last week, not urging my mother to take her in.

On the other hand, it frustrates me to no end that our vet gave me absolutely long-term game plan or even indications to watch out for: I've never had a cat before, let alone one for 15 years, and I have no idea where the line of normal aging and medically concerning behaviors is. Especially considering she's been the picture of health until this year.

The doctor today was very...frank. It isn't looking good. Dehydration, electrolytes crashed, kidney values off the charts. Options were a 48-hour hold pushing fluids and nutrients, at a cost that made my heart skip, or call it a day.

Honestly, I wasn't ready to make that decision, and I was honest about that—the money isn't the concern, but I couldn't live with myself unless I knew I exhausted all options, but of course not ones that would prolong suffering just or my indecisions sake.

I asked what could have caused this and what I could have done. Not eating much was the first sign, the doc said, but sometimes kidney cats just crash. Or it could just be a bad UTI throwing things out of whack.

That was the glimmer of hope I needed. She had one back in January, and once we got through that, her kidney values were better than the prior month's baseline.

I asked if cost were no object, what she would do for their own pet—100% absolutely worth a shot, if it's not going to bankrupt you. Fortunately not the case for me. It hurts knowing how many aren't fortunate for that decision. On the other hand, my partner having worked in the vet field, I've heard too many stories of people throwing a lot of money at an unsalvageable prognosis.

I'm not putting too much faith in it. I know the chances are slim, and if she pulls through, it's not buying a lot of time. My partner's cat went through the same, and it got her a year with him. That defied a lot of odds. I know I'm delaying the inevitable here, but hell, even just a week where I can make sure she's comfortable and passes peacefully is worth all the money in the world to me.

I kinda made my peace with all this in the last 10 hours. It'll hurt if she doesn't make it through the night, but I know I tried.

I'm just thankful I've had her make it through the year fine. It's been a really rough one, with both my parents battling cancer. I'm glad my mother got to take care of her one last time. I'm glad she waited for me to come back so we could snuggle one more day.

And thanks to everyone being here. I know a lot of you have gone through this.

edit: the cat tax

https://preview.redd.it/owwvforu8cth1.jpg?width=3024&format=pjpg&auto=webp&s=aa892ff0d38c213087e09b22e6e7aab3495b0837

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u/nightmareonrainierav — 11 days ago

do subq fluids temporarily change test results?

My ckd stage 4 cat’s bloodwork was showing some improvement last week, but today his bun and creatinine went up a little, and I’m trying to understand whether the timing of his subq fluids could have affected the results.

Last week, he had his blood drawn approximately 2–3 hours after we gave him subq fluids. This week, it was about 12–15 hours after his last dose.

The thing is, he’s genuinely doing so much better. His anemia has pretty much gone away, he’s eating well, gaining weight, playing, and seems to be in a really good mood. Honestly, if you saw him, you probably wouldn’t even realize he was sick.

So I’m a little devastated that his bun and creatinine didn’t continue to drop this week. I had really hoped we’d see improvement there too.

Could the difference in timing of the subq fluids explain some of this? If we had given him his fluids 2–3 hours before the blood draw again, like we did last week, would we potentially have seen lower bun and creatinine levels?

I know the fluids don’t actually improve kidney function, but I’m wondering how much they can temporarily affect bloodwork, especially bun and creatinine.

u/Merisi_da_Caravaggio — 12 days ago

Wish I knew what to do

She is refusing food and her meds. I could give her some fluids but she hates it. We have the vet coming tomorrow to euthanize her but she’s so miserable right now. I want to make her last few hours comfortable. But she is just curled up on her heated pad. She staggers when she walks.

It is devastating.

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u/plantlady5 — 11 days ago