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Author Topic: Stefie's kidney problem- need advice  (Read 25077 times)
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merrihart
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« Reply #15 on: December 14, 2015, 04:55:49 AM »

Sending prayers for Stefie, alex0.  I'm so sorry to hear this news.
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alek0
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« Reply #16 on: December 14, 2015, 03:24:13 PM »

Thank you all. I am reading what i can, cant access Tanyas website at the moment but i bpught the book on Amazon. I dont have my laptop with me, just the phone so searching for info is not so easy.

At the moment Stefie is eating Royal Canin renal dry, and having Ipakitine
 Added to Applaws or weruva which are both below 0.9% phosphorus. He is also taking Azodyl and he'll get b12 shot today. Next blood test in two months, but i am seeing the vet again on jan 4th for Mitzies blood test. The vet will be out of town from 19 dec and i am back on 20 dec so 4th jan is first available date. I will also consult another vet recommended to me for experience in managing ckd in the meantime.

At the moment Stefie's appetite is great and he is not dehydrated but he is drinking a lot, there are two water fountains available so plenty of drinking water. During regilar checkups vet never spotted any problems until i asked for the blood test since i was worried about his drinking more than others.
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lesliek
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« Reply #17 on: December 14, 2015, 04:11:33 PM »

It doesn't usually show early , on tests or with symptoms at home  . It's usually increased thirst &/or weight loss that makes us ask more questions about it . If the cat will take the meds & eat the proper diet they can live a long time with it . Oreo is end stage , won't eat rx or any food low in phosporous & isn't helped by subq's . He has still hung in there for over 2 years & just turned 20 .
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alek0
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« Reply #18 on: December 15, 2015, 11:13:40 PM »

stefie got his b12 shot, vet said he is not dehydrated and he has great appetite, doesnt mind phosphorus binder mixed into his wet food and he is eating renal dry quite enthudiastically. Dh is sending me photos, and he's been doing great with giving pills to Max and Stefie ( i had pet sitter ready to help with pills if needed). Still, i cant wait to get home.

Lesliek, good to know about Oreo. I guess i just have to see what his numbers look like after the switch to low P diet and adding Azodyl. He hasnt lost any weight and i hope he might even gain some after diet change.

Renal food is giving Sophie diarrhea so ill have to see what can be done about that when i get back.
« Last Edit: December 15, 2015, 11:19:29 PM by alek0 » Logged
GKit
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« Reply #19 on: December 15, 2015, 11:27:39 PM »

Good to hear Stefie is doing so well with the changes, alek0.
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lesliek
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« Reply #20 on: December 17, 2015, 02:57:37 PM »

Try adding fiber to the wet food for Sophie .
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catwoods
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« Reply #21 on: December 19, 2015, 04:12:41 PM »

Sending wishes and hopes for Stefie to do well, alekO.
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alek0
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« Reply #22 on: December 21, 2015, 09:16:40 PM »

Sophie's poo is finally getting closer to normal and I think I'll just hand feed her some of her normal dry and possible add another kibble, that oven-baked stuff maybe. She had crystals in the past, and in addition to poo trouble I am worried about renal diet being too alkaline for her. I'll be monitoring her urine pH and adjust her diet accordingly. if necessary, I'll get one of those boxes with microchip or RFID tag door and keep food separate. I am finally abel to access Tanya's website and have lots of reading to do.

Some questions:

1. Rhubarb supplements (Rubenal by Vetoquinol)? Any experience or advice?

2. Since Stefie is anaemic, should I talk to the vet about vit. B supplementation or iron+vit. B? He got his B12 shot, we'll see what things look like on the next blood test.

3. I can't join the CKD support group (when I click on the link on the page I get "Big Tent is not supported in your country at this time". Any other suggestions?

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Mandycat
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« Reply #23 on: December 21, 2015, 11:36:35 PM »

alek,
Try this Yahoo Group for CRF kitties.  Yahoo Group are available in all countries, so you should be able to join this one.  Good help available here as well.  But, Tanya's website is a good resource for reading about the condition. 

         https://groups.yahoo.com/neo/groups/Feline-CRF-Support/info

Vitamin B12 is best given by injection, and it is an easy subcutaneous injection you can give yourself.  Ask your vet about getting a vial of the B12.  The needle used is a 1 ml with a very short, thin needle that the cat barely even notices the injection being given.  Your vet can show you how to give it.  Usually B12 shots are given each week for about 6 weeks initially, but then can be given longer if needed.  Cats usually don't need iron since their anemia is rarely ever due to an iron deficiency.  The type of B12 given orally is different from the one given by injection, and there is some controversy as to whether it is absorbed as well.  But, some people do use the B12 tablets. 
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Mandycat
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« Reply #24 on: December 21, 2015, 11:55:21 PM »

I forgot to say that I have no knowledge about the Rubenal supplement.  When I tried to find some information to learn something about it, I found that it appears to have been discontinued here in the U.S., but looks like it may still be available in other countries.  I would want to know the reason for discontinuing it here before using it.  There may have been some problems with it.  Some "alternative medicine" type of supplements are often not effective.

Edited to add:

I did some further researching and found a question and answer on one website that asked the vet whether the Phosphorus contained in this product would be a problem to give it to a cat with CKD.  The vet answered that he would not use a supplement that contained Phosphorus for that cat.

I also found this drugs.com website that gives information about the ingredients in this product.  As you can see, it contains 9.5 mg of Phosphorus.  I don't know how bad that is, but it can't help when a cat already has a high phosphorus level.  Maybe that could be one reason it was discontinued here in the U.S.  I really don't know.

                  http://www.drugs.com/vet/rubenal-75.html
« Last Edit: December 22, 2015, 12:08:13 AM by Mandycat » Logged
alek0
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« Reply #25 on: December 22, 2015, 02:25:24 AM »

Thanks a lot for the info!

Btw, Tanya's (actually Helen's) book arrived from Amazon today, it is pretty much same info as on the website but don;t know why I prefer to read in the book format since I can use highlighter and notes.

I also wanted to share that Applaws replies promptly to any inquiry on phosphorus content, which is really good. Their data on chicken breast is quite different compared to the table on Tanya's website (much higher P), so chicken breast is definitely out.

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Mandycat
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« Reply #26 on: December 22, 2015, 11:36:12 AM »

I also much prefer having a book or newspaper in my "hands" when reading it.  So much easier to look back at pages and mark important information.  

Pet food companies sometime change their formulas, so it is always possible that some data will be outdated on the ingredients, but the information is still a pretty good guide.  Most companies are very willing to give up to date information if contacted.


Another good website to get information on the Phosphorus content of food, as well as Protein, Carbs, and Fat is

       http://www.catinfo.org

Look for the links to the food charts on the right side of the Home page.     
« Last Edit: December 22, 2015, 06:27:30 PM by Mandycat » Logged
alek0
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« Reply #27 on: December 22, 2015, 07:18:07 PM »

Thanks again!

The problem with Applaws Chicken Breast is that P content is more than double compared to the table, but the rest of it was correct. Organix looks good, I'll see if I can get that here.

We still have some time to go until next blood test, and his nose looks a bit pale but paw pads are more pink, and I think he is drinking less than before I went away (two weeks ago), is that a good sign? He always drinks after eating, but I don;t see him get up as often to drink as before.
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NedF
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« Reply #28 on: December 22, 2015, 09:37:09 PM »

Sending good thoughts for Stefie. I bet he's feeling better just having you back home.
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JoMax
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« Reply #29 on: December 24, 2015, 10:29:56 AM »

Give Stefie cuddles from me - I know I've only seem them all in pics but I have a soft spot for him (he reminds me of my special boy)

{{hugs}} JoMax
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"I can think of many ways in which I would become a better person if I were more like my cats. But I cannot think of a single way in which my cats would be any better for being more like me."  A.N.Wilson
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