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Pray for Speedboat

post #1 of 26
Thread Starter 
My 14 year old male cat is having problems. Vet is stumped. He has high protein in urine, low white blood count, high bun and creatine, and also low blood platelet count. Hi appetite is poor. He is beginning to show some lethargy. Anyone out there with any ideas. We are taking him back to dr. in the morning to recheck blood. Currently vet has him on 14 days clavamox because he had blood in urine.
Prayers please. I lost my dad in May. In October, my 49 yr. old daughter was diagnosed with breast cancer and had mastectomy Dec. 18th. I am not ready to deal with anything else.
post #2 of 26
Has he been checked for CRF?
That is how Cocos numbers were.
She also had blood in the urine and alot of infections before we found out it was CRF.
Can you post his numbers?
post #3 of 26
Speedboat is in our thoughts and prayers. Healing energy coming your way.
post #4 of 26
Thread Starter 
That is one of the things the vet said is that he couldn't rule out possible beginning of CRF. My husband took him to the vet. I called and asked for a copy of the bloodwork and they mailed it to me. I haven't received it yet.
But I will get a copy when we go to the vet tomorrow. I will post the numbers then. The vet is stumped by the low blood platelets and low WBC. He did say the blood in the urine could be caused from low WBC, but he doesn't know what would be causing excess protein in urine. Maybe we will be getting some answers tomorrow. What is involved in treating a cat with CRF. We lost our soulmate Max several years ago to acute kidney failure. That was a real bummer.
post #5 of 26
I lost 2 cats to ARF also and one to CRF.
There are so many different treatments for CRF.
Coco has had it for a year and she gets fluids,binders,bp meds,Baytril because the bladder infections come back otherwise.
Here is a link to to CRF info.
http://www.thecatsite.com/forums/sho...d.php?t=119727
http://www.felinecrf.org/
Lets wait and see if it is CRF.
I can help you if it is.
Coco had high protien also but it is normal now.
It does sound liek CRF to me but there is always a chance it is something else.




post #6 of 26
Thread Starter 
Don't have new numbers yet from today. Numbers from early this week.
WBC 2.0, Lymp 0.6, Gran. 1.2 MPV 8.2, PLT 64. That is the low white blood and platelet info. BUN 94, CREATINE 3.3., AMY 1820. The vet said this morning there is no change in the numbers for the low blood platelets and low white blood count. They are running the rest and will call me with the new numbers on the bun and creatine. What he said is, he feels fairly certain it is not a kidney infection. Two possibilities, one is CRF, but he doesn't have explanation for low blood count and platelets. The other possibility is lymphoma, which would agree with low platelet and blood count and could also cause the kidney changes. Any one with ideas. I will post the new numbers for the bun and creatine when I get them. He told me continue and finish the course of clavamox more for preventive measure than anything else. He changed diet from W/D catfood to Hills, kidney diet wet canned food.
Only way to be sure of lymphoma is ultrasound. We would not treat 14 year old cat with chemo, so we are not going to pursue that.
post #7 of 26
I hope it is not lymphoma.
The BUN is very high and the crea is high also.
Coco almost needed a blood transfusion once because her counts were so low.
This could be CRF.
I was looking at Stripes numbers and hers were like your cats.
She needed 2 blood transfusions when we first found out it was CRF.
Does he like the food?
If not there are other kidney foods you can try.
post #8 of 26
i am sorry for the heartache you have been through and for the heartache you are going through with your precious Speedboat.will be thinking of you and sending strenghth your way.
post #9 of 26
Thread Starter 
Were Stripes blood platelets and white blood count down. Thanks everyone for the prayers and thoughts. Keep them coming. And yes, Speedboat loved the food. The vet said he could have as much as 1 1/2 cans a day. I gave him 1/2 can so as not to overdo it. This evening I will give him the other half and if he eats that, I will increase what he gets tomorrow.
post #10 of 26
Her Lymp was 0.5 but her wbc was ok.
AMY was very high.
She had 2 blood transfusions and they saved her at the time.
They gave her Pet Tinic and some a shot to raise her blood counts.
What is his temp?
Hers was only 94.8
post #11 of 26
I am sending good thoughts to Speedboat. What a cool name. It is so stressful when our critters aren't feeling well. It is good he loves the food!

Please keep us posted, we are all family here.
post #12 of 26
Thread Starter 
His temperature is normal and his red blood count is normal. Last night he was trying to eat his cat litter.
post #13 of 26
They will eat litter.
Coco and Stripe both did that.
I only use Yesterdays News.
I hope he feels better and the tests are better.
The ultrasound is a easy test Coco has had them.
How much does he weigh now and what did he weigh before?
post #14 of 26
Thread Starter 
He weighs about 11.9 pounds. He has lost almost a pound. His new numbers for the BUN is 95 and the creatine is 4.2. The low white blood count and platelet count is what has the vet stumped.
post #15 of 26
Thread Starter 
Just a question. Has anyone had experience with a cat eating a poisoned mouse. I have asked the vet about this possibility, but he says he really doesn't think so. I have read that mouse poison causes blood clotting problems. Would it cause kidney problems in cats.
post #16 of 26
Sending prayers and healing vibes Speedboat's way.
And here is a hug for you! You and your family are in my thoughts and prayers.
post #17 of 26
I can but not always.
We had a rabbit eat mouse poison once when I was a kid and she bled out.
It was terrible.
I think your cat has some other problem.
post #18 of 26
Sending lots of hopes and positive vibes for Speedboat and your daughter! I'm sorry you and your family are going through so much. It never rains but it pours. I hope there's good news and good health ahead in 2010. Hang in there.

post #19 of 26
Quote:
Originally Posted by blueyedgirl5946 View Post
That is one of the things the vet said is that he couldn't rule out possible beginning of CRF. My husband took him to the vet. I called and asked for a copy of the bloodwork and they mailed it to me. I haven't received it yet.
But I will get a copy when we go to the vet tomorrow. I will post the numbers then. The vet is stumped by the low blood platelets and low WBC. He did say the blood in the urine could be caused from low WBC, but he doesn't know what would be causing excess protein in urine. Maybe we will be getting some answers tomorrow. What is involved in treating a cat with CRF. We lost our soulmate Max several years ago to acute kidney failure. That was a real bummer.
Well high Creat and high BUN would signify kidney issues (this should be a no-brainer to a Vet, no offense).

You mentioned blood in urine in your 2nd post but not your first. Blood is a protein so if there's blood in the urine, the urine will show high for protein (again, a vet should know this). Plus if there's blood in the urine, hopefully your Vet will be considering a urinary tract infection, doing a urinalysis and treating with antibiotics. In cats with CRF, their urine is much more dilute (as their kidneys have lost the ability to concentrate their urine). Long story short, they're more at risk for UTIs (urinary tract infections). Did the Vet put kitty on antibiotic for a UTI?

Low platelets in a cat is not unusual............often platelets "clump" so when the machine analyzes the blood, it gives the impression of very low platelets only because the platelets are "stuck together." Most of my cats' bloodwork has shown low platelets due to 'clumping.' I keep copies of all of my cats' bloodwork, for years now....and I can't tell you how many times the results will show low platelets (very low) and often the tech who runs the machine that analyzes the blood will make a note beside the low platelet result "clumping". It's very common, so that's something your vet should surely consider.

Low WBC count generally signifies a viral infection.

Have you considered a second opinion from another Vet? With all due respect if your vet is so "stumped" by these results, well, I'm a little stumped with your Vet. Again, no offense.

Also........cats with CRF generally have a fair bit of protein in the urine as well (again, a Vet should know this).

EDIT: Oops, I re-read your original post and see you mentioned that Vet started cat on Clavamox for blood in urine (obviously he believes same is a UTI).

ALSO - did your Vet run what they call a "differential"? Generally when they do a CBC on a cat (complete bloodcell count, which includes WBC, RBC, platelets, Hemacrit, hemoglobin), they'll also further analyze some of the components of the WBCs.....neutrophils, basophils, lymphocytes, etc. Depending on the results of these, they can help tell more of the story about what might be going on.

Here's a good website that explains in more depth, about lab tests in animals, namely White Blood Cells and the various components of WBCs.....and note the following:

Quote:
The WBC count will be lower than normal, if an animal has been weakened from a prolonged, debilitating disease and in some viral infections.
The above is from this page......scroll down to the section on White Blood Cells:

http://www.peteducation.com/article....2+1473&aid=987

You can read there about the other components of WBCs; neutrophils, basophils, monocytes, lymphocytes, eosinophils................so what your Vet needs to do is look at the results for these, because each one of these make up WBCs and elevations or increases in each of these 5 can help to shed light on the overall status of the elevated or decreased WBCs.

Some clinics just do a very basic CBC which doesn't do a 'differential of the WBCs', that specifically analyzes the above 5 components.......I know one clinic I went to, if they needed to just have the basics (WBC, RBC, platelets, hemoglobin), they'd do what's called a "QBC"....which means "quick blood count"........but a proper CBC (or a full one) includes analyzes the WBCs. Ask your Vet if the bloodwork he did included a "differential" of the WBCs........if he doesn't know what "differential" means........ask him if the labwork he did analyzes the various components of the WBCs; neutrophils, lymphocytes, basophils, etc. If not, request this be done. If he does bloodwork in his clinic "in house" and can't do this, ask him to collect another sample from your kitty and send it off to the nearest Vet Lab for a full analysis. You as an owner have a right to make this request and it's not the least bit out of line.

Did he give your kitty any subcutaneous fluids? With elevated BUN and Creat, kitty is likely dehydrated and should have some fluids for sure (or is kitty still there at the Vet and on an IV?)

Just so you know.............I've had 5 cats for many, many years.......some younger, some older. There have been a few times where one of my cats' will have bloodwork and it will be noted that their WBC count is low. I remember being upset about it, worried.....but then the next time they had bloodwork, it was normal.
post #20 of 26
It sounds like CRF to me.
post #21 of 26
Thread Starter 
Just wanted to give an update. He is still holding on, just poor appetite. Other than that he seems fine. He is still taking the clavamox although the dr. realizes he doesn't have an infection. He said the antibiotic wouldn't hurt the cat and it might serve as a preventative because of his fouled up low blood counts. He did change his diet and Speedboat is eating K/D food by Hills. I am having to coax him. The vet did start him on vitamin K1 because the only other thing we could think of is the possibility he caught a poisoned mouse, although the vet thinks that is a long shot possibility. We have not ruled out doing an ultrasound or x-ray, just not certain. If he does have lymphoma we aren't going to put him through chemo, etc. because of his age and he does have a heart murmur.

What I wanted to ask here is what does anyone else feed their cat with kidney failure. We do know that in addition to the low wbc and low platelet count, his kidneys show damage by the numbers on both blood tests. He is eating the K/D, but I am having to encourage him a lot. Are there any other suggestions. Is a low protein or high protein good. I have read pros and cons for both.
Thanks for input.
post #22 of 26
I give Coco the Purina N/F dry and Royal Canin L/P Renal wet.
Coco hates the K/D and will not eat the wet at all.
She loves the Purina Dry N/F but hates the wet N/F.
Clavamox might be giving your cat a stomach ache also.
It does that to some cats.
post #23 of 26
Thread Starter 
He has had fluids two times this week to help his kidneys. By Friday, his appetite declined so the vet changed him to NF Purina. He wouldn't even smell it. All I could get in him yesterday was a little bit of rotisserie chicken and some people tuna. This morning he vomited for the first time. The dr. called in Metoclopramide to help the vomiting and told me give him that. Wait two hours at least and give him 1/4 Pepcid tablet every day. If no change he is going to start him on prednisolone syrup. Keep the prayers going.
Many thanks.
post #24 of 26
When it comes to CRF, to be honest, I think it's more important that a cat "eats" than ensuring it eats some type of prescription food. Back years ago when i had a CRF cat, the 'thinking' back then was that a CRF cat should have a low protein diet but it seems that over time it's been discovered that this isn't necessarily true.

My 2 oldest cats (who passed away last year) both had CRF and I learned from my first CRF cat (of several years ago) that I just wasn't going to force them to eat prescription CRF diet food because let's face it, most can't stand it. I let them eat whatever canned food they liked and I really didn't notice a huge impact in their Creat and BUN numbers (both had elevated BUN and Creat for several years, like we're talking 6+ yrs).

If i was you, I'd feed Speedboat whatever canned food he likes most. They say Fancy Feast is one of the canned foods that cats love most, even ill kitties.....and Vet clinics often keep it on-hand for just this reason. Try some of those; the chicken or turkey......I'd maybe stay away from the "chunks" or 'slices' variety (the ones with gravy) unless your cat like these.....i find some cats hate chunky/sliced canned food and prefer the pate variety..........while others love it so you know your cat best.

Sometimes offering a variety of food is good, too.........so buy small cans of canned food, different kinds to see what your kitty likes, sometimes keeping 2 plates of different kinds out.......that's what I found worked bes with my oldest kitty Tigger toward the end.......some days I'd leave little plates out for her, a different kind on each plate.....3 different types.......

You'd mentioned your kitty was eating litter............is this frequent? Eating litter can be a sign of Anemia (which is common in CRF cats) though you said RBC are normal. What about Hemoglobin and Hematocrit (aka PCV)? (the latter can often be low in CRF cats).

If they're giving SubQ fluids twice weekly, ask them to put some injectable Vitamin B in the fluids.........this is great for CRF cats.......helps give energy, helps increase appetite.......and in an anemic cat, helps to stimulate production of red blood cells.
post #25 of 26
Thread Starter 
He has been on the low end of normal, but the last bloodwork didn't show anemia. He is going to get his blood done again the first of the week. I will keep that in mind about the B-12. As far as the food is concerned, I did buy some Fancy Feast Turkey when I went up to the drugstore to get his prescription. He has had the medicine today and at two thirty he is going to get 1/4 Pepcid for the first time. His vet said wait a little after he gets both meds before trying to get him to eat. I am just not sure what to offer him.
I am thinking just try the Fancy Feast first since he really needs some food in this stomach.

Thanks again for the input.
post #26 of 26
Plain meat baby food with clam juice was a fav of Kandies
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