CRF - Chronic Renal Failure:links and experiences with

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pat

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You are right, those are serious numbers, I have heard of worse.
One number that can be addressed immediately is that high phosphorous, adding a phosphorous binder to her food (be it food she eats, or in a gel cap, or mixed in the food you assist-feed her) will help bring that down (plus feeding foods lower in phosphorous content. This is addressed on the site I gave, just look for the lab results section, and look for phosphorous).

Yes, many crf kitties have issues with stomach acid, it gives them nausea and a decreased appetite...pepcid is one of two meds that I know of folks using.

I would expect sub-q fluids at home to be prescribed, a phos binder, an antacid, a prescription food...if you cat won't eat any of the prescription foods that your vet would want your cat on, you can look for a comparable non-prescription food (dry or canned) and run that by your vet.

Once you have a regimen of meds to give, a food that is working, are used to doing sub-q fluids, it really does not take a huge amount of time per day. I was able to give Patrick his fluids in less than 5 minutes, even when assist-feeding him, it took 10 minutes or so each feeding, and then he went back to cat napping or snuggling with me etc.

I do not mean to minimalize that there is stress with this, it is difficult emotionally dealing with a beloved pet with a chronic illness, but I am here to tell you that there are many who are in this position and whose cats have lived with crf for years.

If your cat is a candidate (calcium level must be below a certain number - below 10 or 11), I have used, and am using at present with all 3 of my kitties dealing with this, Calcitriol (a vitamin d supplement). It has its pros and cons, I've only had my cats experience a positive result from it.

I believe in my first note to begin this thread, I gave the link to jmpeerson's food lists - these list the phosphorous/protein/calorie (and more) values for many canned and dry cat foods. I would strongly suggest using this list.

I have a multi-cat household, I managed to do Patricks care for almost 4 years while building a business...it can be done.

Sending you sleepy vibes - get some rest. What is right for you and your cat will become clear. The single best bit of advice I have been given is to treat the cat, not the numbers. If your cat responds to treatment, still has that spark of life, wants to be here, that is what you look for, more than how much the numbers improved. Imo.
 

sharky

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Pat really said it ...

and relax vibes for you and the kitties
 

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Thank You so much Pat I guess the fear factor was the numbers. To look at her you would not know that she did not feel good chasing DA BIRD all over even last night, she never once tried to run from me or scratch me or anything when I tried to give her the antibiotics, water or a little food really to no avail because she would vomit it right back up.
Will there be prescriptons she will have to have? I'm hoping the flushing of the kidneys I guess could help a slight amount, I just can't stop thinking of her there feeling like I forgot her, I know it was best to let them do whatever they needed to and thats what I told her whatever you need to do, I know I will drive everyone crazy including everyone here and also the Vets office, you can only take in so much at a time, I will make a list of things to ask her also.
I hope Cammie has the fight in her and I will meet her time and a half as long as I know she is doing OK, but I have to find out all the other stuff tomorrow and I wish that were here already unless they want to do something else, I lost a cat 3 months after my first DH who was my sole mate kitty but Cammie has always been my cat and my cat only so she will let me do anything to her she never fights me. I hope its not as bad when all put together. I Love all of my babies and they know I do.
This has not been a good year for my Family and Friends so far its been very stressful, lost a Nephew who was 43 to Diabetes last month, My daughter is dealing with possible Breast Cancer and my SIL just had a Heart attack last week, I hope theres a reward here. Plus DH been gone 2 months. Its hard to deal with all the emotions he knows I am the worst cry baby ever, he will be home on the 10th of this month. Thanks again !!! The people on this site are the best
 

xocats

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Why don't you add another post asking about what you should ask your vet when you get the labs?

I am new to CRF so I am of little help at this stage.

My heart aches for you and precious Cammie.
 
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pat

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Originally Posted by xocats

Why don't you add another post asking about what you should ask your vet when you get the labs?

I am new to CRF so I am of little help at this stage.

My heart aches for you and precious Cammie.
I think that is great advice...anyone with questions, please post them. How is Sadie doing?

How is Cammie doing today?
 

pookie-poo

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Hi Lois
Pat has given you excellent advice. I absolutely concur with everything she's said. Especially about controlling the elevated phosphorus levels. From everything I've read, high serum phosphorus levels tend to hasten the disease. I purchase my aluminum hydroxide gel powder (phosphorus binder) in bulk from a place called Goolricks Pharmacy. You can get the contact info from this link, under "About Phosphorus Binders." http://members.verizon.net/~vze2r6qt...es/compare.htm
My Cleo also gets Calcitriol and I've had nothing but positive experience with it. My vet also has her CRF cat on Calcitriol (she found out about it because of research that I had done and consulted with an Ohio State researcher, Dr. Nagode, who is a proponant of using Calcitriol in CRF.)

While your sweet Cammie does have high numbers, I have seen worse. It is very positive that she still seems to be playing and behaving well. You should ask your vet if you can give her something for the nausea. Most people on the Feline-CRF-Support site recommend 1/4 of a 10mg Pepcid tablet, once a day to control nausea. Another medication that we used for my parent's CRF kitty, Samson, was Reglan syrup 1/2 cc, two to three times a day. You can talk to your vet about getting some cyproheptadine (Periactin) tablets to use as an appetite stimulant. They worked well on both my Cleo and on Samson. The usual recommended dosage on the CRF site is 1/8 to 1/6 of a 4mg tablet every 12-24 hours, depending on the cat.

Talk to your vet about sub-Q fluids, as those are very helpful in keeping your kitty hydrated, and also helps to flush the toxins from the system (to some extent.) I've been doing fluids on Cleo for nearly 6 years, and I did them on Samson for over 4 years before he went to the Bridge at age 19+.

For your peace of mind, please know that renal failure, in itself, is not a painful condition. I'm a nurse, and I've talked to patients with renal failure. They feel crappy, but there's not really any pain involved. I have to assume that it is the same with our kitties. When they have the nausea, they don't want to eat, which makes them feel crummy. The thing that we have to worry about with our kitties, is hepatic lipidosis. They HAVE to eat, so we really need to force/assist feed them, regardless of how crummy they feel, because we don't want to have them go into HL.

Please feel free to PM me if there's anything I can help you with. As I said before, CRF is really my 'cause.' I've spent nearly 7 years now learning as much as I can about this disease, because Cleo was diagnosed with it so young. I also lost my soul-mate kitty, Spooky, to CRF at the age of 17 years. My sister lost her 18 year old kitty to it, and my parents lost Samson on Christmas Eve because of anemia that was caused by the CRF.

I will definitely keep you and Cammie close to my heart and in my prayers. Please don't hesitate to PM me if you need a hand to hold or a shoulder to cry on. I'm here for you!

Kelli Jo (Pookie) & the girls
 

xocats

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Originally Posted by Pat & Alix

I think that is great advice...anyone with questions, please post them. How is Sadie doing?
How is Cammie doing today?
Sadie had blood labs again yesterday along with a SubQ at the vets.
We got her results today.
Her BUN & Creat are down to normal high.

Her vet wants her to have another SubQ tomorrow, then wait one week to have more labs done to see if she is doing OK without fluid support.

I hope that Cammie is doing OK.
 

pookie-poo

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Originally Posted by xocats

Sadie had blood labs again yesterday along with a SubQ at the vets.
We got her results today.
Her BUN & Creat are down to normal high.

Her vet wants her to have another SubQ tomorrow, then wait one week to have more labs done to see if she is doing OK without fluid support.

I hope that Cammie is doing OK.
WooooHoooo!!!! Great news! I will keep Sadie in my prayers that she's able to maintain well without fluids! Any news about Dexter? Or are his tests this Friday?
 
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pat

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Originally Posted by Pookie-poo

As I said before, CRF is really my 'cause.' I've spent nearly 7 years now learning as much as I can about this disease, because Cleo was diagnosed with it so young. I also lost my soul-mate kitty, Spooky, to CRF at the age of 17 years. My sister lost her 18 year old kitty to it, and my parents lost Samson on Christmas Eve because of anemia that was caused by the CRF.

I will definitely keep you and Cammie close to my heart and in my prayers. Please don't hesitate to PM me if you need a hand to hold or a shoulder to cry on. I'm here for you!

Kelli Jo (Pookie) & the girls
Kelli Jo,

We have a common cause. I only cared for folks with kidney issues in my graduate nurse days(my nursing career was in high risk L&D, and I retired from nursing over 10 years ago..burned out, got married and moved west!), but I've had more experience that I ever wanted with crf...from Patrick who I lost last March after almost 4 years with the disease, to two others (Tyler who is now 17 1/2 and Frankie who was diagnosed at an estimated age of 2..she is a rescue) and one recently diagnosed with severe pkd which has pushed him into crf. Ugh.
 
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pat

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Originally Posted by xocats

Sadie had blood labs again yesterday along with a SubQ at the vets.
We got her results today.
Her BUN & Creat are down to normal high.
Awesome...that is positive news
 

xocats

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Originally Posted by Pookie-poo

WooooHoooo!!!! Great news! I will keep Sadie in my prayers that she's able to maintain well without fluids! Any news about Dexter? Or are his tests this Friday?
Dexter is scheduled to be re-tested next Tuesday.
His last creat was just above normal high with a good specific gravity and BUN.
I am hoping that my big boy's kidney function has improved. .
 
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pat

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bumping since this isn't a sticky, for newer members to see
 

xocats

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For those of you who are reading this thread for the first time...
my kitties ate recalled food and as a result, suffered kidney damage.
We have been trying to keep the kidney function that they have left without further loss.

Sadie was the one who suffered the most damage but....
I think that they are both doing much better.

Sadie had a full blood panel & UA this morning.
I should get her results by tomorrow afternoon.

Dexter has his labs tomorrow tomorrow morning with results on Wed. afternoon.

I am hoping that they are both doing better and will be able to live fairly normal lives.

All vibes & prayers greatly appreciated.
I will post their results here.
 

sharky

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Originally Posted by xocats

For those of you who are reading this thread for the first time...
my kitties ate recalled food and as a result, suffered kidney damage.
We have been trying to keep the kidney function that they have left without further loss.

Sadie was the one who suffered the most damage but....
I think that they are both doing much better.

Sadie had a full blood panel & UA this morning.
I should get her results by tomorrow afternoon.

Dexter has his labs tomorrow tomorrow morning with results on Wed. afternoon.

I am hoping that they are both doing better and will be able to live fairly normal lives.

All vibes & prayers greatly appreciated.
I will post their results here.
Yes Normal is something they should be able to enjoy ... You know you have lots of
prayers and vibes for the cuties pies
... Kandie is now 4 yrs past diagnoisis and her numbers are lower than diagnoisis
there is a lot of hope to be had
 
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pat

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Keeping the three of you in my thoughts and prayers.

Frankie and Tyler are having labs done this weekend to check their current status. I'll post a thread about it once I have results.
 

xocats

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Originally Posted by sharky

Kandie is now 4 yrs past diagnoisis and her numbers are lower than diagnoisis
there is a lot of hope to be had
Four years out and numbers lower than when first diagnosed?
That is exciting news ----
filled with hope for all of us who are dealing with CRF kitties.


Originally Posted by Pat & Alix

Frankie and Tyler are having labs done this weekend to check their current status. I'll post a thread about it once I have results.
Frankie & Tyler have lot of vibes on the way for excellent labs results.


I appreciate the understanding & support in this thread....
Let's keep it current so others will know we are here.
 

xocats

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Sadie's lab results from yesterday...


Creat 2.1/down from 2.8 on 3-17.
BUN 24/down from 30 on 3-17.

Her SG/1.030
no UA last time.

Dexter had his labs today...
we should have the results tomorrow.
 
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pat

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That's fantastic! I don't know what your lab uses for it's high and normal values, but at the lab we use, those would be considered within normal limits!!

 

sharky

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Originally Posted by Pat & Alix

That's fantastic! I don't know what your lab uses for it's high and normal values, but at the lab we use, those would be considered within normal limits!!

Ditto
.///// that is great news
 
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