TANYA'S

COMPREHENSIVE GUIDE TO

FELINE CHRONIC KIDNEY DISEASE

 

 

PANCREATITIS

 

ON THIS PAGE:


What is Pancreatitis?


Feline Triaditis


Causes


Frequency


Symptoms


Diagnosis


Treatments


Links


 

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Home > Related Diseases > Pancreatitis

 


Overview


  • Pancreatitis is inflammation of the pancreas, a gland which assists with the digestive process and controls the hormones which regulate blood sugar.

  • CKD cats sometimes also have pancreatitis. To confuse matters, pancreatitis may sometimes cause elevated creatinine levels.

  • If your cat has relatively low creatinine (in the 2s USA, or below 200 international) yet seems lethargic and far more ill than that mild level of kidney failure would suggest, ask your vet to rule out pancreatitis.


What is Pancreatitis?                                                                                           Back to Page Index


 

The pancreas is a gland located under the stomach with two main roles:

  • endocrine (hormonal), i.e. it controls the hormones (insulin and glucagon) which regulate blood sugar levels.

  • exocrine, i.e. it assists with the digestive process by producing digestive enzymes

Usually it is the exocrine function which is affected. The pancreas becomes inflamed, and the enzymes which it would normally release into the intestines are instead released into the pancreas itself, causing pain and inflammation. The liver may also be affected (see below). If the part of the pancreas responsible for endocrine function also becomes damaged, diabetes may develop. During pancreatitis, toxins move throughout the body, and in the worst cases, respiratory failure or brain damage may result, though fortunately such severe effects are uncommon.

 

Pancreatitis can be either acute or chronic. Acute cases often resolve completely, whereas cats with chronic pancreatitis may have flare-ups at intervals.

 

Mar Vista Vet has a very helpful overview of feline pancreatitis.

Idexx Laboratories have a good overview of pancreatitis.

 


Feline Triaditis                                                                                                       Back to Page Index


 

There is also a condition called feline triaditis. A cat with triaditis suffers from the triple whammy of inflammation of the pancreas, the liver (usually in the form of cholangiohepatitis) and the intestines (IBD or inflammatory bowel disease).

 

Purina Pet Health Library explains more about triaditis.

 


Causes of Pancreatitis                                                                                         Back to Page Index


 

Often the cause is never discovered, but cats with CKD who have uraemia or cats with diabetes or IBD may be at increased risk. Cats who suffer trauma, such as from an accident,  are also at risk. Many cats with hepatic lipidosis go on to develop pancreatitis, and the prognosis is more guarded for such cats.

 


Frequency                                                                                                           Back to Page Index


 

It is gradually becoming apparent that pancreatitis is far more prevalent in cats than was previously thought. Prevalence and histopathologic characteristics of pancreatitis in cats (2007) De Cock HEV, Forman MA, Farver TB & Marks SL Veterinary Pathology 44 pp39-49 found that pancreatitis "is common in cats, with an overall study prevalence of 67%, including 45% of apparently healthy cats." They also found that chronic pancreatitis is more likely in older cats. If your cat exhibits the symptoms described below, ask your vet to rule out pancreatitis.

 


Symptoms                                                                                                               Back to Page Index


 

Unfortunately pancreatitis does not have a clear-cut set of symptoms unique to the disease. In one study, 100% of cats exhibited lethargy, and 97% exhibited poor appetite, and these symptoms have also been observed in other studies. Other common symptoms (seen in over 50% of cats with pancreatitis) include rapid breathing, low temperature and jaundice. Some cats may appear to be in pain, and/or may not want to be touched. Others may vomit, or develop ascites (fluid in the abdomen).

 

I have found that some CKD cats who have relatively low creatinine levels (in the low 2s USA, or below 200 in international values) but who act a lot sicker than you would expect a cat with such low numbers to act actually have pancreatitis in addition to CKD. Idexx refers to cats with pancreatitis as ADR cats - cats who "ain't doing right" (which their UK site describes as "under the weather"). If your cat is off colour with no obvious cause shown in standard bloodwork, consider pancreatitis.

 

Can we diagnose feline pancreatitis and do we need to? (2008) Mansfield C Presentation to the 33rd World Small Animal Veterinary Association World Congress has a table of symptoms which may be seen.  

 


Diagnosis                                                                                                                Back to Page Index


Ultrasound


 

Ultrasound is often used initially to see if there are any changes in the pancreas. If so, the vet may order further tests. However, it can be hard to detect the pancreas on ultrasound, and ultrasound may not detect pancreatitis in every cat with the disease.

 

Biopsy


This is the only definitive way to diagnose pancreatitis, but it is invasive, and is usually no longer  necessary in most cases since the development of the spec fPL test.

 

Blood Chemistry


There is now a special blood test for pancreatitis in cats (see below) but your vet may initially suspect pancreatitis from your cat's symptoms and certain results in general bloodwork (known as blood chemistry). Up to 50% of cats with pancreatitis have low calcium levels (hypocalcaemia). BUN and creatinine may be elevated because of pre-renal azotaemia. White blood cells are usually high. ALT and AST, both liver enzymes, are often elevated, and the cat may be anaemic.

 

In dogs with pancreatitis, amylase and lipase (pancreatic enzymes) are often elevated, but unfortunately these will not necessarily be elevated in cats with pancreatitis, so normal levels do not rule out pancreatitis.

 

Pancreatitis in cats (2004) Williams D Presentation to the World Small Animal Veterinary Association World Congress explains that amylase and lipase are not useful in diagnosing pancreatitis in cats.

 

Spec fPL Test


This test was developed by Idexx Laboratories in conjunction with Texas A&M University (TAMU) (TAMU developed the original test for pancreatitis in cats). Although this test is slightly less accurate than the PLI test (see below), since it is available from Idexx laboratories around the world, it is probably easier for most people to have this test done. Results are usually available quickly, within a day. When a member of Tanya's CKD Support Group had it done in March 2011, it cost US$54.

 

In theory cats should be fasted for this test, but it is not essential. Results are interpreted as follows:

  • If the level is below 3.5, the cat probably does not have pancreatitis and other causes should be considered.

  • If it is between 3.6 and 5.3, the cat may have pancreatitis, and the test should be re-run in two weeks.

  • If it is over 5.3, the cat probably does have pancreatitis.

Idexx has more information about the test.

 

There is also a less precise type of test called the Snap fPL test. This basically tells you if your cat has a level above or below 3.5, i.e. whether pancreatitis is likely to be present or not. The advantage of this test is that it can be run in the vet's office with results within a few minutes. However, since it is slightly less accurate, it is wise to have the Spec fPL test run as well if you suspect pancreatitis.,

 

Idexx has information about the Snap fPL test.

 

Idexx has detailed information about the comparative accuracy of the two tests.

 

PLI Test


The Pancreatic Lipase Immunoreactivity (PLI) test was the forerunner to the spec fPL test. It was patented by Texas A&M University (TAMU) and could therefore only be run by them. This test was slightly more accurate than the spec fPL test at confirming pancreatitis in cats, but the cat needed to fast for 12 hours before having blood drawn for the test, and the results could take up to a week (although when we had it done for Harpsie, it took a dreadful 17 days!). Texas A&M no longer offers this test but instead use the spec fPL test.

 

TLI Test


The trypsin-like immunoreactivity (TLI) test is another older test, also devised by Texas A&M University, which has also been superseded by the spec fPL test. This test measures two enzymes, trypsinogen and trypsin, which are only produced by the pancreas. A cat needs to fast for 12 hours before having blood drawn for this test. TLI is not always elevated in cats with pancreatitis, so a normal TLI test does not rule out pancreatitis. If you have the spec fPL test run at TAMU, however, they may ask that you have this test done together with a folate test.

 

Cobalamin (Vitamin B12) and Folate Test


Up to 50% of cats with pancreatitis have below normal levels of folate, particularly if they are also suffering from IBD. Texas A&M University can measure levels of cobalamin and folate, and explains why they are important.

 


Treatments                                                                                                              Back to Page Index


 

It is difficult to treat pancreatitis in the sense of curing it, so the goal of treatment is to keep the cat as comfortable as possible by treating whichever symptoms are present. Fluid therapy, diet and pain control are the main focus.

 

Treatment recommendations for feline pancreatitis (2011) is a paper by Idexx.

Treating feline pancreatitis (2009) is a helpful article by Dr J Robertson DX Consult Winter 2009 pp12-13 on how to manage pancreatitis and common concurrent conditions such as IBD or diabetes.

 

Fluid Therapy


Since cats with pancreatitis are often dehydrated, fluid therapy is often used to rehydrate them and make them feel better. Intravenous fluids (IV or "a drip") at the vet's office may be used initially, and thereafter you may need to give sub-cutaneous fluids at home.

 

Diet


A common part of treatment for pancreatitis in humans and dogs is fasting However, fasting does not seem to be particularly effective for cats, who have a physiological need to eat relatively frequently, and can be problematic for CKD cats in particular because the lack of food may permit levels of stomach acid to rise. Feeding little and often is usually more effective, unless the cat cannot stop vomiting, in which case the vet may wish to treat the cat in hospital.

 

It is often recommended that humans and dogs with pancreatitis should reduce their fat intake.There is no evidence that reducing fat intake is essential for cats, but some people do find that feeding a lower fat diet does seem to help their cat.

 

Your vet may prescribe a prescription food such as Hill's i/d to help manage the condition. The phosphorus level is a little high for a CKD cat at 0.86%, and it is not low fat at 24.1%, but if your cat will eat it and can tolerate it, it could be a good choice to help your cat through the crisis.

 

Treating feline pancreatitis (2009) is a helpful article by Dr J Robertson DX Consult Winter 2009 pp12-13 which explains why fasting is not recommended.

Feline GI pearls (2001) is a presentation by Dr M Scherk to the World Small Animal Veterinary Association World Congress 2001, which explains why fasting and reducing fat is of little benefit to cats with pancreatitis.

 

Pain Medications


Some cats cope better with pancreatitis if they are given pain medications. Buprenorphine (Buprenex or Vetergesic) is commonly used in cats with pancreatitis. If your cat appears dull, or is tender in the abdominal area, discuss this possibility with your vet.

 

Vitamin B12


Pancreatitis may cause malabsorption of Vitamin B12, particularly in cats who also have IBD. Texas A&M University provides a treatment protocol if required, which calls for Vitamin B12 injections because oral supplementation is unlikely to be effective in cats with pancreatitis.

 

Antibiotics


Sometimes cats with pancreatitis are given antibiotics. Metronidazole (Flagyl) is commonly prescribed because it has anti-inflammatory properties. It tastes utterly foul, so if your vet prescribes this, try to give it in a gelcap.

 

Mar Vista Vet has more information about metronidazole.

 

Anti Nausea Medications


One commonly used anti nausea medication which is very effective is ondansetron (Zofran).

 

You may also be offered metoclopramide (Reglan), which works by regulating stomach contractions, and therefore is helpful for nausea caused by a lack of motility in the stomach; but since it can cross the blood/brain barrier, it also acts on the brain to control feelings of nausea, which can be helpful to cats with pancreatitis.

 

Please read the Nausea, Vomiting and Excess Stomach Acid page for more information on these medications.

 

Acid Blockers


There are several medications which can be most effective in controlling stomach acid, thus reducing vomiting and nausea, and increasing appetite, which can be helpful for cats with pancreatitis. There is more information about these treatments here.

 

Digestive Enzymes


Humans with pancreatitis have reported that they experience less pain when given digestive enzymes, though others have apparently felt worse. It is not known if the same applies to cats, but some vets do recommend trying them. Viokase is one commonly used brand. Obviously, if you feel the digestive enzymes are making your cat worse, you should speak to the vet about stopping them.

 

Steroids


Since there is often inflammation present in cases of pancreatitis, corticosteroids may be prescribed to help dampen down the inflammation. A commonly used corticosteroid in cats is pred (prednisone or prednisolone). Cats metabolise prednisolone better than prednisone (they have to convert prednisone into prednisolone in their bodies anyway before they can use it) so it is usually better to give prednisolone in the first place. Bioavailability and activity of prednisone and prednisolone in the feline patient (2004) Graham-Mize CA &  Rosser EJ Veterinary Dermatology 15 (s1), pp 10 supports this view.

 

Your vet may want to start at a higher dose to reduce the inflammation, then reduce to a maintenance dose. If your cat can eventually come off the steroids, they should not be stopped suddenly, but rather the dose must be tapered. This is because using corticosteroids may suppress the adrenal glands' ability to produce cortisone naturally; so tapering the dose minimises the risk of adrenal insufficiency occurring as a result.

 

The Treatments section has more information about steroids.

 

Caution: Probiotics


One study into humans with severe acute pancreatitis, Probiotic prophylaxis in predicted severe acute pancreatitis: a randomised double-blind placebo-controlled trial (2008) Besselink MGH, van Santvoort HC, Buskens E, Boermeester MA, van Goor H, Timmerman HM, Nieuwenhuijs VB, Bollen TL, van Ramshorst B, Witteman BJM, Rosman C, Ploeg RJ, Brink MA, Schaapherder AFM, Dejong CHC, Wahab PJ, van Laarhoven CJHM, van der Harst E, van Eijck CHJ, Cuesta MA, Akkermans LMA, Gooszen HG The Lancet 371(9613) pp651 - 659, found that using probiotics more than doubled the risk of death. The same may not apply to cats but I would not take the risk. If you are using probiotics, therefore, I would speak urgently to your vet about stopping them.

 


Links                                                                                                                         Back to Page Index


 

Mar Vista Vet has a very helpful overview of feline pancreatitis.

Chronic feline pancreatitis: cats are not small dogs (2011) is a presentation by Dr S Little to the 36th World Small Animal Veterinary Association World Congress.

Chronic pancreatitis in dogs and cats (2008) Xenoulis PG, Suchodolski JS & Steiner JM Compendium provides detailed about pancreatitis.

Feline pancreatitis - species specific diagnostic and therapeutic approach (2007) is a presentation by C Mansfield to the World Small Animal Veterinary Association World Congress 2007.

Update on the diagnosis and management of feline pancreatic disease (2003) Marks SL is a presentation to the Waltham Feline Medicine Symposium 2003.

Pancreatitis in cats (2004) Williams D Presentation to the World Small Animal Veterinary Association World Congress has a detailed overview of pancreatitis.

Feline Pancreatitis Group is a support group for people dealing with pancreatitis in their cat. This group has open archives, i.e. if you post a message, it is visible to anyone online.

 

 

Back to Page Index

 

This page last updated: 12 October 2012

 

Links on this page last checked: 03 April 2012

 

 

The group is hosted on yahoo!groups, part of yahoo. It has its own address separate from Tanya's website. You can either click here or copy and paste this link into your browser:

 

http://pets.groups.yahoo.com/group/tanyas-ckd-support/

 

If you are already familiar with yahoo!groups, just click on the link and apply to join (and don't forget to complete the short questionnaire you'll be sent), but if you'd like to know more about how the group works, read on.

 

I own and run the group, but I am ably assisted by two moderators, Anne V and Anne A. They help with membership queries, approve messages, and do lots of boring admin stuff behind the scenes to help the group run smoothly for the members.

 

The group has various sections, including a photos section and a realtime chat function but for most people the most important part of the group is its message section. Basically, a member who wants support, vet recommendations, or to hear how others are coping with a particular problem, sends a message to the rest of the group. Other members then respond if they can. All messages sent to the group are stored in a message archive which members can search if they wish.

 

The group is private, i.e. messages sent to it are only visible to members, so people are not posting to the internet at large. The names of group members are also private, so nobody will know you are a member unless you choose to send messages to the group.

 


Joining the Group                                                                                                                        Back to Page Index


 

There are two ways to join the group, via the group's website or via e-mail:

 

How to Join the Group via E-mail


Just send an e-mail to

tanyas-ckd-support-subscribe@yahoogroups.com

You should then receive an e-mail in response asking you to confirm that you definitely want to join the group. Just click Reply and send.

 

If you join the group via e-mail, you will be able to send and receive e-mails to the group, but you will not be able to access the group website and read the message archives or look at the photos. If you wish to do that, you will need to set up a yahoo! ID by visiting the group website.

 

How to Join the Group via the Web


You can visit the group's homepage and follow the instructions. If you do this, yahoo!groups will help you set up your yahoo! ID, which gives you access to the group message archive etc. A yahoo! ID is not the same thing as an e-mail address.

 

Here are the steps to follow. Don't worry, this all sounds far worse than it is! You should find that in practice it all works more smoothly than it sounds when you're trying to explain it in writing:

 

Existing yahoo! ID

  1. Go to the group website: http://pets.groups.yahoo.com/group/tanyas-ckd-support/

  2. Click on the Join this Group button and you'll be taken to a Sign In to Yahoo! page.

  3. Sign in and link Tanya's Support Group to your existing account.

  4. Choose the e-mail address you wish to use for the group (see below).

  5. There is a little box for you to tell me why you would like to join the group. You don't need to be inventive or fancy, it's not a competition, it's just an extra check by yahoo!groups to keep spammers out.

  6. Choose your message delivery options (see below).

  7. Scroll down and click on the blue Join button at the bottom right of the page.

New yahoo! ID

  1. Go to the group website: http://pets.groups.yahoo.com/group/tanyas-ckd-support/

  2. Click on the Join this Group button and you'll be taken to a Sign In to Yahoo! page.

  3. Scroll down a little and click on the Create New Account button.

  4. On the next page you can create your new account. Some people are somewhat inventive in their responses, but in such cases it is important to remember what responses have been given in case the information is needed later to access the account. I can't see any of this stuff, it's entirely private between you and yahoo!groups, so I cannot help in case of later queries. 

  5. Once the account is successfully set up, you'll be taken to a Congratulations! page.

  6. Before you click on the Continue button on the Congratulations! page, untick the box that makes yahoo! your homepage (unless that is what you want).

  7. Also click on the Edit Marketing Preferences link below the Continue button. This takes you to another page where they helpfully opt you in to everything, so go through and set it as you wish.

  8. Then on the same separate page click on Account Info at the top of the page. You will be asked for your password again and taken to the Account Info page. Click on Profile and opt out of the various choices as you wish. The key thing is, you do have choices here, you can make things as public or private as you wish.

  9. Now click on the Continue button on the original page. You will be taken back to the group page to choose your membership settings.

  10. Choose the e-mail address you wish to use for the group (see below).

  11. There is a little box for you to tell me why you would like to join the group. You don't need to be inventive or fancy, it's not a competition, it's just an extra check by yahoo!groups to keep spammers out.

  12. Choose your message delivery options (see below).

  13. Scroll down and click on the blue Join button at the bottom right of the page.


Membership Settings                                                                                          Back to Page Index


 

There are various choices you need to make regarding your membership of the group. The most important are which e-mail address to use, and which way you read messages sent to the group by group members.

 

Membership Settings: Your E-mail Address


You need to decide which e-mail address you wish to use for the group. If you have created a yahoo! ID, yahoo!groups will normally have also set up a free yahoo! e-mail account for you based on your new yahoo ID. You can use this e-mail address to access the group if you wish, but it's not essential, you can use any e-mail address you wish. Since yahoo! is now scanning messages for advertising purposes (similar to gmail), I would recommend not using yahoo! e-mail if possible (though it would probably be better than using your work address for private stuff).

 

If you do not want to use your free yahoo! e-mail address, click on Add e-mail address to add a different one. Be aware, if you don't add a new address here, yahoo! will use the yahoo! e-mail address as a default address. So if you don't receive the membership questionnaire, it may well be because it's gone to your new yahoo! e-mail address.

 

If you ever wish to change the e-mail address you are using for the group, you can do that here:

http://pets.groups.yahoo.com/group/tanyas-ckd-support/join

 

Membership Settings: Message Delivery


This sets up how you will access messages that are sent to the group.

 

This is a pretty active group. If you're looking after your CKD cat, you want support but you probably don't want a full inbox all the time. To help you manage this issue, you have three options for messages, and you can switch between them all as you wish:

  1. Individual E-mails

  2. Daily Digest

  3. Web Only (No e-mail)

Individual E-mails


This is the default setting. If you apply to join the group via e-mail, you will end up with this setting. If you apply to join the group via the group's webpage, if you don't choose one of the other settings, this is the one you will end up with.

 

This setting means that as soon as somebody sends a message to the group, it is sent directly to your inbox. It's a good choice if you might want to know immediately if somebody has responded to you, or if you would like to store some of the group messages for your reference. It's also good for being able to quickly delete messages which don't interest you.

 

The downside is that this is a busy group, averaging 50-100 group messages each day, so your inbox can quickly get full. One solution is to create a folder to use for group messages. All messages sent to the group have a tag in the subject line [tanya-crf] so you can filter all messages from the group to a new folder using this tag if you wish.

 

With both individual e-mail and message digest options, you can also choose the format of messages sent to you (Display Format), either Fully Featured (html, pretty colours etc.) or Traditional (plain text).

 

Message Digest


This means that you receive e-mails from the group, but yahoo!groups waits until there are about 25 messages available and sends them to you all in one go. With this option, you would therefore only receive 2-4 e-mails a day from the group, but it means you have to wait for responses (though you can still check on the group website for messages) and it can be more difficult to find what you are looking for within each digest.

 

With both individual e-mail and message digest options, you can also choose the format of messages sent to you (Display Format), either Fully Featured (html, pretty colours etc.) or Traditional (plain text).

 

Web Only (No Mail)


This means that you receive no messages at all from the group. This is a wise choice if you are using a work e-mail address, or if you cannot cope with the group's message volume. With this system you simply go to the group's website and read the messages that interest you there. Even if this is not your usual choice, it can be helpful to use this option if you are going on holiday.

 

So make your choices, then click the Join button at the bottom right of the page.

 


Important: Membership Questionnaire                                                           Back to Page Index


OK, so you've successfully applied to join the group. However, there is one more thing you need to do in order to join. I want to protect the group members from spammers, so whichever way you apply to join the group, you will receive a short questionnaire asking:

  1. Your first name

  2. The country where you live

  3. Your CKD cat's name and age

You need to respond to this before your membership will be approved.

 

Please don't worry about saying "the right thing." This is not a test to see if you are "good enough" for the group, everybody is welcome here, whoever they are or wherever they come from, as long as they want to help their cat. This questionnaire is basically just to reassure us that you are a real person applying to join rather than somebody trying to sell stuff and spam the group, but it also enables us to tailor our responses to your group messages e.g. if we moderators know where you live, we will not suggest treatments not available there.

 

Please note, only the two Annes and I can see your responses to these questions. The group will not know anything about you unless you choose to introduce yourself.

 

Once you respond to the questionnaire, your membership application should be approved very quickly (most people are approved within two hours or less).

 

Occasionally the questionnaire goes missing. You think we haven't sent it, and we think you haven't responded! If we haven't heard from you five days after you apply to join, we will send you a reminder. Unfortunately, we can only use the address you've used to sign up for the group, so if you've accidentally used your new yahoo e-mail address without realising it (see above), you won't see either the questionnaire or our reminder. If you don't hear from us, please simply write to us at tanyas-ckd-support-owner@yahoogroups.com and let us know. Please respond to the three questions in your response and we will either approve you (if your membership is pending) or send you a personal invitation to join the group (if your membership application has disappeared into a black hole).

 


Messages                                                                                                                                          Back to Page Index


 

Message Options: Sending Messages


You don't have to post, you can just lurk if you prefer.

 

If you wish to change the name that appears on messages you send to the group, Yahoo! explains how you can do that.

 

Starting a Thread


  1. You can simply send an e-mail to ask your question by sending it to tanyas-ckd-support@yahoogroups.com.

  2. You can go to the group website, click on Post Message in the sidebar on the left, and then write your message there.

Replying to an Existing Message


Messages sent in response to another message on the group also go directly to the group, not to the individual to whom you are replying. Therefore if you wish to respond to a message somebody else has sent, you can simply click reply on your e-mail programme. If you reply via the group website, you can click on the message in the group archives, then click reply which is top left above the message.

 

If you're changing the subject, or replying to a Digest (which have the subject line of Digest No. xxx), please change the subject line appropriately to something more meaningful. And please remove everything except that to which you are replying.

 

If you wish to reply privately to somebody, you will need to press reply, then delete the group e-mail address and paste their personal e-mail address into the To: line if you are using e-mail. If you are replying via the group website, you will see a little envelope over on the right under the person's name. If you click on that, your message will go to that person.

 

Message Content


You are welcome to discuss anything relating to care of your CKD cat. We do have a few guidelines we ask people to follow though:

  1. Please do not refer to vets or vet clinics by name for legal reasons. Just say "my vet" or "Dr J".

  2. Please do not ask for money or other donations.

  3. Since this is a very busy group, we ask that condolences are sent privately to the bereaved group member. Certain other messages should also be sent privately e.g. short "me too" messages, off topic posts etc.

  4. Please trim your posts.

Moderation of Messages


When you first join the group, your messages will be moderated for a short while. This means that they will not reach the group immediately, but will first be read and approved by one of the moderators. We do this to ensure that:

  1. you are not a spammer;

  2. you are keeping to other group guidelines (e.g. not naming your vet publicly);

  3. you are trimming your messages appropriately.

If you comply with the group guidelines sent to you when you join the group, you will be taken off moderation quickly. The main reason people stay on moderation is because they do not trim their posts. So please read up on this in the group guidelines. If you get stuck, just ask for help.

 


Leaving the Group                                                                                                Back to Page Index


 

Some people decide to leave the group. Their cat may have died, or they may find the message volume is too much, or they simply decide it's not the place for them. Leaving is fine, but if you're thinking of leaving simply because you cannot cope with message volume, please consider changing your message options first, such as by going no mail. This means your inbox will not be full, but you can still reach out for support quickly when you need it.

 

If you are leaving because your cat has died, please consider joining our sister group, Tanya's Feline Loss Support:

http://pets.groups.yahoo.com/group/tanyas-feline-loss/

 


Conclusion                                                                                                            Back to Page Index


I do hope you've decided to join Tanya's CKD Support Group! It can give you support, it can give you hope. It can make you smile too - where else would people share your thrill at hearing that your constipated cat has pooped? (Believe me, when you've been dealing with CKD for a while, things like this are real triumphs which can absolutely make your day).

 

I personally read every message sent to the group. I don't respond to every post (my priority is running this website) but I do keep an eye on things and post occasionally if I can add to what has already been said.

 


Group Quick Links                                                                                               Back to Page Index


Some of these only work if you are already a member of the group.

 

Weblinks


Group homepage:                                                 http://pets.groups.yahoo.com/group/tanyas-ckd-support/

Managing your membership options:                  http://pets.groups.yahoo.com/group/tanyas-ckd-support/join

Messages archive                                                 http://pets.groups.yahoo.com/group/tanyas-ckd-support/messages

 

E-mail Addresses


Sending a message to the group via e-mail:        tanyas-ckd-support@yahoogroups.com

Group owner e-mail address:                                 tanyas-ckd-support-owner@yahoogroups.com

Joining the group via e-mail:                                   tanyas-ckd-support-subscribe@yahoogroups.com

Leaving the group via e-mail:                                  tanyas-ckd-support-unsubscribe@yahoogroups.com