Kitten with Acute Renal Failure

henrygale

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Hi everyone - I'm looking for any advice/reassurance you can give on a kitten with renal failure. Apologies in advance for the wall of text.

We adopted our kitten Henry (~4 mo. old)  just a few days after our 12-year-old cat with congestive heart failure had to be put to sleep. I was devastated, but Henry, with his crazy kitten antics, really brightened our home and we've come to love him immensely in the short few weeks we've had him.

He's been doing really great, but this past week we were totally blindsided. On Thursday, he was vomiting up pretty much everything he ate, though otherwise acting totally normal. We took him to the vet that night, and the suspicion was that he had swallowed something. An X-ray didn't show anything, so he got some anti-nausea meds and we were told if it continues tomorrow to go get an ultrasound - the suspicion still being a bowel obstruction. The next two days he was fine, eating and bouncing around as usual. Then on Sunday, he started to seem a little mopier than normal and wasn't eating as much. We went out for a bit that evening and when we returned, there was vomit on the floor and he hadn't touched his dinner. Panicked, we took him to the emergency vet the next morning to get an ultrasound, which revealed nothing - all his organs looked great and no obstructions. The vet suggested he might just have a viral stomach bug going on, but took some bloodwork just in case.

The next morning, I was totally blindsided by a call from the vet that his kidney levels were through the roof. He was in renal failure and had to be hospitalized. They said it could wait until evening, but I rushed home from work and we brought him straight there. They said it could be something toxic he ate, an infection that spread,  or it could be congenital, but were cautiously optimistic that it was one of the former, and thus they would treat it as acute renal failure. He was put on fluids and antibiotics just in case while they await the results of a urine culture.

I'm just a total wreck now -- he's so young and tiny. The update from the vet last night was that he was bright and alert, purring and meowing at the staff, and that he ate two bowls of food. One of them was even wet food, which he normally hates (weirdo), so that was encouraging. His numbers were scary though -- 3.0 Creatinine and 112 BUN. The vet said she can't give a prognosis yet but the fact that he's so active is a "very good sign."

As for the cause - we've already researched all the plants we had -- one was a peace lily, which I was concerned about because I know lilies can be toxic to cats, but apparently this isn't a true lily and doesn't cause renal issues, only GI issues. The only other thing I can think of is grape juice, which I've had recently, but I know grapes are bad for cats and dogs so I've been careful to keep him away from it. The vet didn't seem sure that that could be it. I know he's a kitten who gets into everything, but I'm overcome with guilt that something here made him this sick. If and when he comes home, I know we'll be doing a full-apartment cleaning with all natural cleaners, just in case.

I don't know that I have a question, just looking for any experience with a similar issue in a kitten or young cat - most threads I've read have been about senior or much older cats. Thanks.
 

boney girl dad

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Welcome to TCS HenryGale. Sorry for your recent loss. Praying for Henry's full recovery. Sure sounds scary. The word acute gives us reason for hope. Please share the cause if you find out and let us know how Henry is doing.
 

mrsgreenjeens

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I've had 3 senior cats with CHRONIC kidney diseasse, but never a cat with acute kidney failure.  That is normally from poisoning, as you have already learned.  OR, a kidney infection, which I'm hoping is the case. 

I would say the good news IS that he seems to be doing much better, and hoping that his numbers continue to drop.  Really, acute is very tricky...if it's poisoning, then chances of recovery are not good, as I'm sure your Vet has told you, that's why we are, indeed, hoping for an infection or something congenital


This is always tough, especially when it happened to a kitten vs a senior, but I'm sure it's particularly difficult on the tails of your recent loss. 


Many vibes that he does recover and live a long and happy life with you
 

donutte

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I definitely have had cats with acute (on chronic) renal failure. Two of them, but much older.

3.0 creatinine is definitely high, but not TOO bad. Is that before or after IV fluids? It is kinda odd for 3.0 to cause gastro upset, usually it doesn't happen till about 5. But then again, not sure if his being a kitten has to do with it. If that is the pre-number, I'd probably lean toward genetics.

Just for reference, Lucky's creatinine was 8.7 at diagnosis (most likely from a tumor), and Sara's was 8.9 (from a kidney infection).

I'm so glad he is doing better though! That is most definitely a good sign. Is he eating?
 
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Don't wait for Henry to come home, start cleaning so when he gets there you can spend every minute with him. Also the odors from the cleaning agents will be gone. The fact he is active is a good sign. Prayers for Henry's' recovery. Sorry about the loss of your 12 year old kitty.
 
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henrygale

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Thanks so much for the replies and well wishes, everyone! We got a major shock earlier when the vet called and said that after a re-check his numbers were perfect. 0.6 creatinine and 16 BUN. She said she was very comfortable sending him home and we picked him up this evening!

I was honestly dumbstruck and asked how he could recover so quickly. The vet said that perhaps he did just have an infection and the antibiotics kicked in. We'll know for sure on Saturday, when his urine culture comes back. He'll be on the antibiotics for 12 more days, and we need to get follow-up bloodwork and urine tests done 3-5 days after that. She also said that sometimes when very young cats have this issue they see a great response to the fluids.

So, I'm thrilled but trying to be cautiously optimistic. I know there's still a chance it's congenital and he's not totally out of the woods yet. The vet did say that's still a possibility and that this was just the first incident. But I'm so happy to have him back home. He's been bouncing around and attacking everything like normal (something he had stopped doing as of Sunday). Fingers crossed that the urine culture comes back positive and he'll be happy and healthy from now on!
 
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henrygale

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Realized I forgot to answer some questions that had been asked:

The 3.0 creatinine level was pre-fluids (or possibly right after they had been started).

He hasn't eaten since coming home but I'm not too surprised considering how active he's been. He's mostly been running around and grooming. He did eat very well both days in hospital so I'm hoping he eats a bit more once we go to bed.
 

donutte

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Oh wow, the creatinine came down a lot! Now I'm wondering if it was an infection. Is he on antibiotics at all?

Will keep thinking good thoughts for Henry :vibes:
 
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henrygale

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Yeah, our vet is also suspecting infection. His urine culture won't be in until Saturday, but he was started on antibiotics as soon as he got to the hospital just in case that was the issue, and he has 12 more days on them at home. Hopefully, the culture comes back positive and we have our answer and solution! He'll be due for a follow-up in about 2 weeks either way.
 

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Hi everyone - I'm looking for any advice/reassurance you can give on a kitten with renal failure. Apologies in advance for the wall of text.

We adopted our kitten Henry (~4 mo. old) just a few days after our 12-year-old cat with congestive heart failure had to be put to sleep. I was devastated, but Henry, with his crazy kitten antics, really brightened our home and we've come to love him immensely in the short few weeks we've had him.

He's been doing really great, but this past week we were totally blindsided. On Thursday, he was vomiting up pretty much everything he ate, though otherwise acting totally normal. We took him to the vet that night, and the suspicion was that he had swallowed something. An X-ray didn't show anything, so he got some anti-nausea meds and we were told if it continues tomorrow to go get an ultrasound - the suspicion still being a bowel obstruction. The next two days he was fine, eating and bouncing around as usual. Then on Sunday, he started to seem a little mopier than normal and wasn't eating as much. We went out for a bit that evening and when we returned, there was vomit on the floor and he hadn't touched his dinner. Panicked, we took him to the emergency vet the next morning to get an ultrasound, which revealed nothing - all his organs looked great and no obstructions. The vet suggested he might just have a viral stomach bug going on, but took some bloodwork just in case.

The next morning, I was totally blindsided by a call from the vet that his kidney levels were through the roof. He was in renal failure and had to be hospitalized. They said it could wait until evening, but I rushed home from work and we brought him straight there. They said it could be something toxic he ate, an infection that spread, or it could be congenital, but were cautiously optimistic that it was one of the former, and thus they would treat it as acute renal failure. He was put on fluids and antibiotics just in case while they await the results of a urine culture.

I'm just a total wreck now -- he's so young and tiny. The update from the vet last night was that he was bright and alert, purring and meowing at the staff, and that he ate two bowls of food. One of them was even wet food, which he normally hates (weirdo), so that was encouraging. His numbers were scary though -- 3.0 Creatinine and 112 BUN. The vet said she can't give a prognosis yet but the fact that he's so active is a "very good sign."

As for the cause - we've already researched all the plants we had -- one was a peace lily, which I was concerned about because I know lilies can be toxic to cats, but apparently this isn't a true lily and doesn't cause renal issues, only GI issues. The only other thing I can think of is grape juice, which I've had recently, but I know grapes are bad for cats and dogs so I've been careful to keep him away from it. The vet didn't seem sure that that could be it. I know he's a kitten who gets into everything, but I'm overcome with guilt that something here made him this sick. If and when he comes home, I know we'll be doing a full-apartment cleaning with all natural cleaners, just in case.

I don't know that I have a question, just looking for any experience with a similar issue in a kitten or young cat - most threads I've read have been about senior or much older cats. Thanks.

My feral cat is also suffering from kidney failure. We have loads of house plants which he leaves alone, EXCEPT for our peace lily, which sits on the floor in the livingroom. For some reason, when he is not feeling well he will bite off the edges of this plant. Shortly thereafter he vomits. We're not sure if the peace lily is the cause or the cure. He doesn't get any sicker, usually feels better shortly thereafter, and he hasn't died from it. I'm more inclined to think that it helps him somehow, since he's an indoor cat and doesn't have access to grass. Just my take on it. Does anyone else have a cat that does this?
 

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mew.miranda

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This sounds very similar to what my 8 month old kitten is going through right now. Diagnosed with renal failure, acute or chronic we don’t know yet. On day 4 of SQ fluids and is back to acting like his normal self.
How is Henry?? Was it genetic? Did he continue to have problems?
 

catlover73

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My 8 year old cat Sonny got a UTI that came on suddenly with no warning and caused him to partially block. His kidneys actually started to shut down. His levels were actually much higher then Henry's. He was hospitalized in ICU for 3 days. His kidney values completely returned to normal too. My cat made a full recovery and I am glad to hear it seems like Henry has too.
 

MANDAPIE111

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Is there any update on this kitten Henry?
I found this article because i'm going through the Exact same thing, with a 4 month old kitten, and strangely enough...His name is Henry :(
I'm so devastated, and wonder if I need a second opinion, my vet said basically there was no hope.
only giving subQ fluids and letting me do them at home, I have MA experience.
Any other input would be greatly appreciated!!
 

donutte

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Is there any update on this kitten Henry?
I found this article because i'm going through the Exact same thing, with a 4 month old kitten, and strangely enough...His name is Henry :(
I'm so devastated, and wonder if I need a second opinion, my vet said basically there was no hope.
only giving subQ fluids and letting me do them at home, I have MA experience.
Any other input would be greatly appreciated!!
I absolutely would get a second opinion if your vet is basically wiping his hands of it. With acute renal failure, I will always try at least for a couple of weeks (especially if infection is suspected). It involves a lot of support and ensuring they are getting the nutrition they need. That is one of the hardest aspects of it.

Has the vet given anything for nausea or appetite stimulation? Or just subqs? Has the kitty been put on a course of antibiotics?
 

MANDAPIE111

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No, they only gave fluid subq, sent me home with more to give, no antibiotics. Basically said, there's nothing they can do. I dont understand, if there is a chance it's an infection, wouldnt you try the Antibiotics if it wouldnt hurt??
 
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