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Cat diagnosed with renal failure
"Angela" wrote in message om... "Phil P." wrote in message ... | I don't think treating a UTI will have a major effect of his appetite. In | fact the antibiotics may actually worsen his appetite. The nitrogenous waste | products-especially urea- from protein catabolism build up in the blood in | cats with CRF- that's what causes the BUN (blood urea nitrogen) to rise. | These waste products can make a cat feel queasy and not want to eat. Kinda | like how we feel when we have an upset stomach. Speak to your vet about | Pepcid AC (regular strength)- about 1/4 of a 10 mg tablet every other day. | Pepcid has helped improve the appetite of a lot of cats with CRF. You might | also want to speak to your vet about adding 1/4 of a 4 mg tablet of | Cyproheptadine (Periactin) every other day- this might help jump-start his | appetite. The 1/4 tablets are so small that you can fit both inside of a #4 | gelcap- with plenty of room left for a 1/4 tab of Amlodipine (although | Amlodipine should be given every day). So, you'll only have to give him 1 | capsule a day. | | I think you should start looking for a new vet- one who has a little more | experience treating cats with CRF, while your cat is still relatively | healthy. A "nice vet" isn't necessarily a "good vet". | | Best of luck, | | Phil She's not suggesting that the UTI will make things better, that's my hopes but while he has an infection she cannot be sure how much the proteing in his urine is caused by his kidneys and how much is in fact the infection, that's why she wants another test when the course of antibiotics is complete. She wants an accurate picture before deciding on future management. Angela OK- That sounds more reasonable. However, I still think you should at least discuss a course of Pepcid AC with your vet. I'm sure it will improve your cat's appetite and make him feel a lot better. Best of luck, Phil |
#12
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Cat diagnosed with renal failure
"Phil P." wrote in message ... | | | She's not suggesting that the UTI will make things better, that's my hopes | but while he has an infection she cannot be sure how much the proteing in | his urine is caused by his kidneys and how much is in fact the infection, | that's why she wants another test when the course of antibiotics is | complete. She wants an accurate picture before deciding on future | management. | | Angela | | | OK- That sounds more reasonable. However, I still think you should at least | discuss a course of Pepcid AC with your vet. I'm sure it will improve your | cat's appetite and make him feel a lot better. | | Best of luck, | | Phil Well he has finished his course of antibiotics and he is a completely different cat. He's eating, though his regular food has to be mixed with chicken to get him interested, but he has put back some of the weight he lost. He's not completely back to normal, still sleeping a lot, but he's a lot perkier than he was, even playing with the kitten a little. I have to try and get another urine specemin from him tomorrow. Hopefully that will give a better picture. Angela |
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Cat diagnosed with renal failure
"Angela" wrote in message om... Well he has finished his course of antibiotics and he is a completely different cat. He's eating, though his regular food has to be mixed with chicken to get him interested, but he has put back some of the weight he lost. He's not completely back to normal, still sleeping a lot, but he's a lot perkier than he was, even playing with the kitten a little. I have to try and get another urine specemin from him tomorrow. Hopefully that will give a better picture. Angela Thanks for the update. I'm glad he's eating and feeling better. Unfortunately, cats with CRF produce a dilute urine which makes them much more susceptible to UTIs than cats with a normal USG. You should still speak to your vet about monitoring his blood pressure. Nothing speeds up the progression of CRF faster than systemic and/or intrarenal hypertension. Hypertension can come on very quickly in cats with CRF. So, you should keep a very close watch on his BP. You might also want to speak to your vet about a low-dose (2 mEq/day) potassium supplement. Even if your cat's serum potassium levels are in the normal range potassium depletion (from tissue) can still be occurring. Cats with CRF produce urine more rapidly than normal cats. Rapid urine production promotes potassium excretion- which can also speed up the progression. You want to keep his serum K+ in the upper half of the normal range. Best of luck, Phil |
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