Old, lethargic cat :o(

lisap

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Hi everyone, I stumbled upon this site today and thought I would get some opinions.

My cat is 17, her name is Saratoga (but we just call her Sara).  My sister and I found her under a wood pile at a cow farm (a bed and breakfast we visited yearly in the summer) where she was about a day near death, having been abandoned by her mother.  Sara's quality of life is getting worse and worse and I just don't know what to do anymore and I feel so badly for her.

Over the past few months she vomits about 2 times a day on average, mostly just white/yellowish bile type stuff (sorry for the details).  I have been to the vet numerous times and they don't be to be too concerned about it, since it is a typical symptom of kidney disease.  She is currently in stage 2 of 4 for kidney disease as of about two weeks ago.  I take her to get fluids, which she absolutely hates, but that too doesn't seem to make a difference.  She shakes her head and smacks her lips almost CONSTANTLY when she's awake, which the vet says means she is nauseous, but I haven't been able to help her with that.

She has been losing a good amount of weight and isn't very interested in food.  I try to entice her with new offerings of food multiple times a day, but she just kind of picks at it for a brief second and then goes back to bed.  I have also been trying natural approaches to care such as slippery elm bark and goat's milk to try to help with the digestive issues, but she doesn't love those either.  Her bowel movements have been very irregular and are now very hard and pebble like.  I have tried Miralax which doesn't seem to have much of an effect on her and if she doesn't go for days at a time I give her vet prescribed Lactulose (spelling?) to get things moving.

I am starting to feel like life is just not fun for Sara anymore :,(  I know she is getting very old, but saying goodbye to pets is definitely one of the worst feelings in the world.  I was wondering if any of you have been through similar events and what you did to help.

What makes me feel the worst is that I have to do some traveling starting in a week.  Some of that time, almost three weeks split into two stays, will be at the vet for boarding, as I cannot ask a friend to take care of her, as she is very needy and requires a lot of clean up.  I feel so guilty making her stay there for that long knowing that she will be in a cage for all of that time.

Here is a photo of Sara from last week when I took her to get some fluids.  Please don't mind her right eye, it has been like that since she was a tiny kitten as the fat pad behind her eye never grew properly, making her right eye always look half closed.

 
Hope everyone is having a nice day!  It is incredibly hot here in coastal North Carolina!
 

stephenq

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Hi everyone, I stumbled upon this site today and thought I would get some opinions.
 
Hope everyone is having a nice day!  It is incredibly hot here in coastal North Carolina!
She's gorgeous!  I would discuss with my vet if it was me, using an anti nausea drug like cerenia, its close to being a wonder drug imo, a neural blocker for nausea and i would consider learning how to give the fluids at home. It's actually quite easy, she would probably get more fluids if you were doing it at home and if you're interested, your vet can teach you plus we can link you to good how to videos if you ask.
 
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lisap

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She's gorgeous!  I would discuss with my vet if it was me, using an anti nausea drug like cerenia, its close to being a wonder drug imo, a neural blocker for nausea and i would consider learning how to give the fluids at home. It's actually quite easy, she would probably get more fluids if you were doing it at home and if you're interested, your vet can teach you plus we can link you to good how to videos if you ask.
Thank you so much for the reply, Stephen!  I will ask the vet about cerenia!  

As for the fluids, the vet did teach me how to do it and have watched some YouTube videos, but I haven't had much success (probably about 1/3 of the time I can do it).  I have hit capillaries twice so far, poor kitty!  And I don't have much luckwith getting her to stay still for a long enough time :eek:(  My vet is only a mile away so it isn't so much of a hassle to get there.  When I brought her in last week for the fluids they needed a second vet tech to help hold her down, she was very feisty! :eek:)
 

stephenq

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Thank you so much for the reply, Stephen!  I will ask the vet about cerenia!  

As for the fluids, the vet did teach me how to do it and have watched some YouTube videos, but I haven't had much success (probably about 1/3 of the time I can do it).  I have hit capillaries twice so far, poor kitty!  And I don't have much luckwith getting her to stay still for a long enough time :eek:(  My vet is only a mile away so it isn't so much of a hassle to get there.  When I brought her in last week for the fluids they needed a second vet tech to help hold her down, she was very feisty! :eek:)
Understood.  When i did it with my cat it helped to put him in a carrier that opens at the top. 
 

pat

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Hi, I am sorry to hear about how your kitty is feeling.  I've had to deal with chronic renal failure in several of my kitties over my lifetime.  I was able to give sub-q fluids at home, but sounds like you are luckily close to your vet.  I would ask if using Calcitriol is an option - and rather than getting into that and all the other things I've done, I am going to give you a link to a thread I began a long time ago about my, and other TCS members, experiences in dealing with CRF.

http://www.thecatsite.com/t/119727/crf-chronic-renal-failure-links-and-experiences-with   Some of the links may be outdated, but most should still be current. StephenQ maybe post as an update the suggestion for cerenia?  That was not available last time I was treating a kitty for crf (that I knew of and my vets are usually up on what's new).
 

stephenq

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Hi, and yes Cerenia can be amazing, it doesn't treat the illness but it can do a great job of removing nausea as a symptom.  Most vets follow the protocol of 4 or 5 days on then 1 day off as the label recommends but some vets including mine realize that with many cats being on it 7 days a week is fine at low dosages.  Normally given once a day as a pill, it removes nausea from inside the brain, and my cat was on it for pancreatitis and IBD for quite a while.

If the situation is urgent, Zofran can be injected Sub Q for a similar effect and it works very quickly but only for 6 hours per injection.  Cerenia can also be given Sub Q but only in a bolus of sub Q fluids otherwise it stings.
 
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