Tanya

 

TANYA'S

COMPREHENSIVE GUIDE TO

FELINE CHRONIC KIDNEY DISEASE

24 July 2000 - 24 July 2020

Twenty years online!

(Not tax deductible since I am a private individual)

 

 

 

 

WHAT IS CHRONIC KIDNEY DISEASE? SECTION OVERVIEW

 

HOME

Site Overview


Just Diagnosed? What You Need to Know First


Search This Site


 

 

WHAT IS CKD?


What Happens in CKD


Causes of CKD


How Bad is It?


Is There Any Hope?


Acute Kidney Injury


 

KEY ISSUES: PROLONGING LIFE


Phosphorus Control


Hypertension

(High Blood Pressure)


Proteinuria


Anaemia


Potassium Imbalances


Pyelonephritis (Kidney Infections) and Urinary Tract Infections NEW


Metabolic Acidosis


Kidney Stones


 

KEY ISSUES: HELPING YOUR CAT FEEL BETTER


Nausea, Vomiting, Appetite Loss and Excess Stomach Acid


Maintaining Hydration


The B Vitamins (Including Methylcobalamin)


Constipation


 

CAT FOOD DATA


Ways of Assessing Food Content, Including What is Dry Matter Analysis


How to Use the Food Data Tables


USA Canned Food Data


USA Dry Food Data


USA Cat Food Brands: Helpfulness Ratings


USA Cat Food Brands: Contact Details


USA Food Data Book

 

SUPPORT


Coping with CKD


Tanya's Support Group


Success Stories


 

SYMPTOMS


Important: Crashing


Alphabetical List of Symptoms and Treatments


Fluid and Urinary  Imbalances (Dehydration, Overhydration and Urinary Issues)


Waste Product Regulation Imbalances (Vomiting, Appetite Loss, Excess Stomach Acid, Gastro-intestinal Problems, Mouth Ulcers Etc.)


Phosphorus and Calcium Imbalances


Miscellaneous Symptoms (Pain, Hiding Etc.)


 

DIAGNOSIS: WHAT DO ALL THE TEST RESULTS MEAN?


Early Detection


Blood Chemistry: Kidney Function, Potassium, Other Tests (ALT, Amylase, (Cholesterol, Etc.)


Calcium, Phosphorus, Parathyroid Hormone (PTH) and Secondary Hyperparathyroidism


Complete Blood Count (CBC): Red and White Blood Cells: Anaemia and Infection


Urinalysis (Urine Tests)


Other Tests: Ultrasound, Biopsy, X-rays etc.


Renomegaly (Enlarged Kidneys)


Which Tests to Have and Frequency of Testing


Factors that Affect Test Results


Normal Ranges


International and US Measuring Systems


 

TREATMENTS


Which Treatments are Essential


Fluid and Urinary Issues (Fluid Retention, Infections, Incontinence, Proteinuria)


Waste Product Regulation (Mouth Ulcers, GI Bleeding, Antioxidants, Adsorbents, Azodyl, Astro's CRF Oil)


Phosphorus, Calcium and Secondary Hyperparathyroidism (Calcitriol)


Phosphorus Binders


Steroids, Stem Cell Transplants and Kidney Transplants


Antibiotics and Painkillers


Holistic Treatments (Including Slippery Elm Bark)


ESAs (Aranesp, Epogen etc.) for Severe Anaemia


General Health Issues in a CKD Cat: Fleas, Arthritis, Dementia, Vaccinations


Tips on Medicating Your Cat


Obtaining Supplies Cheaply in the UK, USA and Canada


Working with Your Vet and Recordkeeping


 

DIET & NUTRITION


Nutritional Requirements of CKD Cats


The B Vitamins (Including Methylcobalamin)


What to Feed (and What to Avoid)


Persuading Your Cat to Eat


2007 Food Recall USA


 

FLUID THERAPY


Oral Fluids


Intravenous Fluids


Subcutaneous Fluids


Tips on Giving Subcutaneous Fluids


How to Give Subcutaneous Fluids with a Giving Set


How to Give Subcutaneous Fluids with a Syringe


Subcutaneous Fluids - Winning Your Vet's Support


Dialysis


 

RELATED DISEASES


Heart Problems


Hyperthyroidism


Diabetes


Polycystic Kidney Disease (PKD)


Pancreatitis


Dental Problems


Anaesthesia


 

OBTAINING SUPPLIES CHEAPLY


UK


USA Online


USA Local (Fluids)


Canada


 

SAYING GOODBYE


The Final Hours


Other People's Losses


Coping with Your Loss


 

MISCELLANEOUS


Prevention


Feline CKD Research, Including Participation Opportunities


CKD Research in Other Species


Share This Site: A Notice for Your Vet's Bulletin Board or Your Local Pet Shop


Canine Kidney Disease


Other Illnesses (Cancer, Liver) and Behavioural Problems


Diese Webseite auf Deutsch


 

SITEOWNER (HELEN)


My Three CKD Cats: Tanya, Thomas and Ollie


Find Me on Facebook


Follow Me on Twitter


Contact Me


Home > What is CKD

 


Overview


  • Chronic kidney disease means chronic (ongoing) disease of the kidneys.

  • It is sometimes referred to as renal disease ("renal" means relating to the kidneys) or chronic renal failure (CRF).

  • Chronic renal failure was the term previously used to refer to this condition. The term is unfortunate, because when they received the diagnosis, many people would only hear the word "failure" and presume death must be imminent; after all, if your kidneys have failed, how can you survive?

  • It makes more sense to focus instead on the word "chronic": this means that the disease is an ongoing one, with gradual deterioration taking place as kidney function fails, which can actually take some time, even years in some cases.

  • For this reason, the academic literature now refers to "chronic renal disease" (or occasionally "chronic renal insufficiency"), because they think this more accurately reflect the true situation. In 2012 I changed the name of this website accordingly.

  • Whatever terminology is used, with appropriate treatments it may be possible to slow down this deterioration and keep your cat healthy and happy for quite some time.

This section contains the following pages:

 


What Happens in CKD


an explanation of how the kidneys work and what happens to them in CKD. This includes an explanation of why you cannot normally diagnose CKD until at least 66% of function has been lost

 

Go to What Happens in CKD

 


Causes of CKD


This page discusses some of the possible causes of CKD in cats. In most cases, however, the treatment will be the same whatever the cause.

 

Go to Causes of CKD

 


Early Detection


It is impossible to detect CKD until around two thirds of kidney function is already gone (so don't feel guilty for not noticing sooner). This page discusses possible methods for vets to detect CKD earlier.

 

Go to Early Detection

 


How Bad Is It?


A discussion on the various stages of CKD, including the International Renal Interest Society's four stage staging system, and how bad your cat's case might be.

 

Go to How Bad Is It?

 


Is There Any Hope?


Discusses the various scenarios you may be facing and whether there is any chance of saving your cat (in most cases, the answer is yes).

 

Go to Is There Any Hope?

 


Acute Kidney Injury


A discussion of acute kidney injury. This is usually seen in cats exposed to toxins such as lilies or antifreeze, or who have a blockage (e.g. kidney stones) or severe kidney infection.  It may occasionally develop in addition to CKD, a condition known as ACKD, most commonly in cats with a kidney infection or a blockage.

 

Go to Acute Kidney Injury

 

 

 

Back to Page Index

 

This page last updated: 30 June 2020

 

Links on this page last checked: 30 June 2020

 

 
   

*****

 

TREATING YOUR CAT WITHOUT VETERINARY ADVICE CAN BE EXTREMELY DANGEROUS.

 

I have tried very hard to ensure that the information provided in this website is accurate, but I am NOT a vet, just an ordinary person who has lived through CKD with three cats. This website is for educational purposes only, and is not intended to be used to diagnose or treat any cat. Before trying any of the treatments described herein, you MUST consult a qualified veterinarian and obtain professional advice on the correct regimen for your cat and his or her particular requirements; and you should only use any treatments described here with the full knowledge and approval of your vet. No responsibility can be accepted.

 

If your cat appears to be in pain or distress, do not waste time on the internet, contact your vet immediately.

 

*****

Copyright © Tanya's Feline CKD Website 2000-2020. All rights reserved.

 

This site was created using Microsoft software, and therefore it is best viewed in Internet Explorer. I know it doesn't always display too well in other browsers, but I'm not an IT expert so I'm afraid I don't know how to change that. I would love it to display perfectly everywhere, but my focus is on making the information available. When I get time, I'll try to improve how it displays in other browsers.

 

This site is a labour of love, from which I do not make a penny. Please do not steal from me by taking credit for my work.

If you wish to link to this site, please feel free to do so. Please make it clear that this is a link and not your own work. I would appreciate being informed of your link.