TANYA'S

COMPREHENSIVE GUIDE TO

FELINE CHRONIC KIDNEY DISEASE

 

   

SYMPTOMS SECTION OVERVIEW

 

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Site Overview


What You Need to Know First


Alphabetical Index


Glossary


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WHAT IS CKD?


What Happens in CKD?


Causes of CKD


How Bad is It?


Is There Any Hope?


Acute Kidney Injury


 

KEY ISSUES


Nausea, Vomiting, Appetite Loss and Excess Stomach Acid


Maintaining Hydration


The Importance of Phosphorus Control


All About Hypertension


All About Anaemia


All About Constipation


Potassium Imbalances


Metabolic Acidosis


Kidney Stones


 

SUPPORT


Coping with CKD


Tanya's Support Group


Success Stories


 

SYMPTOMS


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?


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)


Miscellaneous Treatments: Stem Cell Transplants, ACE Inhibitors - Fortekor, Steroids, 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


Food Data Tables


USA Canned Food Data


USA Dry Food Data


USA Cat Food Manufacturers


UK Canned Food Data


UK Dry Food Data


UK Cat Food Manufacturers


2007 Food Recall USA


 

FLUID THERAPY


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


Canada


 

SAYING GOODBYE


The Final Hours


Other People's Losses


Coping with Your Loss


 

MISCELLANEOUS


Early Detection


Prevention


Research


Canine Kidney Disease


Other Illnesses (Cancer, Liver) and Behavioural Problems


Diese Webseite auf Deutsch


 

SITEOWNER (HELEN)


My Three CKD Cats: Tanya, Thomas and Ollie


My Multi Ailment Cat, Harpsie


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Home > Symptoms

 


Overview


  • The symptoms of CKD are many and varied.

  • If your cat suffers from one particular CKD-related problem, there may be several symptoms present, some of which you might not necessarily associate with each other. For example, you may know that weakness is a common symptom of anaemia, but not many people realise that eating litter is often a sign of anaemia.

  • This chapter aims to describe the various symptoms which you may see and their possible causes.

     


Finding The Symptom You Need


 

The best way to find a symptom is to visit the Index of Symptoms and Treatments page, where all the symptom are listed alphabetically, with quick links to each individual symptom and appropriate treatments.

 

Although the number of symptoms may appear overwhelming, you will not necessarily see all these symptoms, and which ones you see at any one time will depend upon the severity of your cat's CKD and his/her own particular weaknesses. Almost all of the symptoms are treatable, so don't give up hope. .

 

If your cat is showing any of the symptoms listed, make an appointment with your vet, since some of the symptoms may have more than one cause, so you need an accurate diagnosis in order to treat properly.  

 

Diagnosis and management of chronic renal failure in cats (c. 2000) Sparkes A, has a list on page 2 of the most commonly seen symptoms in CKD cats.

Vet Help Direct allows you to select your cat's symptoms, answer a number of questions and be given advice on possible causes of the symptoms.

 


IMPORTANT: CRASHING


 

Crashing in a medical context means a sudden and severe downturn in the patient's condition. In a CKD cat it indicates a crisis usually associated with severe dehydration. Crashes are rarely treatable at home - in most cases the cat will require hospitalisation. If, after reading the information below, you think your cat may be crashing, please seek veterinary advice urgently. 

 


Body Fluid Regulation and Urinary Issues                                                                    Go to page


 

This page covers fluid and urinary-related symptoms. It includes the common signs of increased urination and drinking, proteinuria, dehydration and its opposite problem, overhydration, constipation and diarrhoea, urinary tract infections and kidney infections, blood in urine, reduced urination, incontinence, inappropriate elimination, weight gain and swelling, coughing and runny eyes.

 


Regulation of Waste Products in the Body                                                             Go to page


 

As the kidneys gradually lose their ability to regulate and remove waste products effectively, these waste products build up in the blood; this is called uraemia and can make a cat feel very unwell. Symptoms include vomiting, appetite loss, gastro-intestinal bleeding and mouth ulcers.

 


Regulation of Minerals in the Body                                                                                             Go to page


 

Phosphorus and calcium are minerals used in the body, but imbalances may arise in CKD cats and lead to a condition known as secondary hyperparathyroidism, which may make the CKD progress faster. 

 

Symptoms include appetite loss, itching, twitching, back leg weakness and unco-ordinated limbs, knuckling, plantigrade, teeth grinding, constipation, weakness, weight loss, eating litter, licking concrete, low temperature

 


Potassium Imbalances                                                                                                            Go to page


Potassium is an electrolyte essential to the functioning of the body at cellular level, but with increased urination, imbalances may arise, and may cause the following symptoms:

 

Lethargy, weakness and muscle wasting, a plantigrade posture, where the cat walks on his/her hocks instead of his/her feet, stilted gait, stiff neck, hoarseness, trouble breathing, constipation, increased night time urination, seizures or twitching.

 


Metabolic Acidosis                                                                                                           Go to page


 

This is quite common in CKD cats. Symptoms include weight loss, particularly lean muscle loss and a bony spine, breathlessness, mouth ulcers, vomiting and twitching.

 


Nausea, Vomiting, Loss of Appetite and Excess Stomach Acid                                   Go to page


 

Many CKD cats have problems with excess stomach acid.  Symptoms that may be seen include: Loss of appetite, excess stomach acid, vomiting and nausea,vomiting water, playing with water, hunched over water bowl, liplicking, teeth grinding, yawning, eating grass, bad breath, mouth ulcers, gastro-intestinal bleeding, diarrhoea, body odour, itching, twitching, seizures, howling, hoarseness.

 


Constipation                                                                                                                      Go to page


This is also very common in CKD cats. Symptoms include vomiting before, during or immediately after using the litter tray, loss of appetite, pooping next to the litter tray, dry stools and an ungainly walk.


Anaemia                                                                                                                           Go to page


 

The kidneys produce a hormone called erythropoietin, which stimulates the bone marrow to make blood cells. As the kidneys fail, they cannot produce enough erythropoietin, and a particular type of anaemia called non-regenerative anaemia results (other types of anaemia must be excluded, of course). 

 

Signs of anaemia include nausea, appetite loss, weakness, feeling cold, liplicking, pale nose, gums or eyelids, lethargy, back leg weakness, heavy breathing, fast heart rate, wheezing, eating litter, ice or snow, low temp.

 

Severe anaemia is life-threatening, so please read up on it.

 


Hypertension (High Blood Pressure)                                                                        Go to Page


 

High blood pressure is common in CKD cats. It is essential to watch for it and treat it if present because it can cause some serious problems, such as blindness or a stroke.

 

If your CKD cat suddenly becomes blind, hypertension is the most likely cause, and can be reversed in some cases if you treat it quickly enough.

 

This is such an important topic that it has its own page here.

 


Miscellaneous Symptoms                                                                                           Go to page


This page includes pain, hiding, increased appetite, seeking you out, purring, and symptoms relating to the coat, such as hair or fur loss, pulling out hair or coat colour change.

 


Crashing                                                                                                                        


 

Crashing refers to a crisis situation for your cat. It may happen suddenly and be what finally alerts you to the existence of CKD in your cat; or it may happen after your cat has been suffering from CKD for some time. 

 

If your cat exhibits some or all of the following symptoms: is severely dehydrated; has extremely strong bad breath; has a strong body odour; is lying in a "meatloaf" position; eyes are dull; is refusing to eat and possibly also to drink; then s/he may be crashing.

 

A cat who has crashed will often be lying in a "meatloaf" position, which is very similar to the Sphynx position but with the head down and the front paws close to the body. I am often asked exactly what the meatloaf position looks like. Indie to the left is lying in the Sphynx position, which is not exactly the same but it gives you some idea of what meatloaf position looks like.  Many healthy cats such as Indie assume this pose too, so the pose itself is not grounds for worry; you need to see the symptoms described elsewhere in this section in addition to the pose. Here Indie (non CKD) is in the basic meatloaf position, but her head is not down, her eyes are not dull, and she's making eye contact. The day Tanya died, she lay in this position too but she refused to raise her head and her eyes were dull. She also stayed in that position, seemingly unwilling to move. 

 

I find this section of the site can really worry people. Remember, the meatloaf position is not identical to the photo above, and on its own it is not a reason to panic. Cats with excess stomach acid, for example, may lie in this position. It is when you see the meatloaf position in conjunction with the other symptoms described in the second paragraph above that you should contact your vet.

 

Crashing usually occurs because your cat has reached a crisis point in terms of balancing his or her fluid intake and output. The cat has probably been drinking more to compensate for the increased urination, but can no longer drink enough. As a consequence most cats who crash are very dehydrated, and their bloodwork values when tested are very high. The bad breath smell will be particularly strong, perhaps with mouth ulcers present, and your cat may also have a generally strong body odour. The cat will often be unable to get comfortable because of all the toxins in the body - this may explain the meatloaf position. He/she will have dull, perhaps sunken eyes and not make eye contact. Your cat will probably refuse to eat and may also refuse to drink.

 

Crashing is a medical emergency. Your cat will usually need rehydration therapy at the vet's in an attempt to combat the dehydration and reduce the bloodwork values, and you should contact your vet WITHOUT DELAY. Delaying could be very serious for your cat, as the toxin levels in the body will continue to rise if left untreated. When Thomas first crashed, I didn't realise what it was and I did not call the vet because it was a Sunday and I didn't like to bother her - she told me off, and said waiting had been very risky and at the very least had condemned Thomas to another day and night of feeling awful. If caught early enough, your vet may be able to save your cat as our vet saved Thomas on two occasions, so don't take any chances. 

 

During Thomas's first crash, his BUN was 86 (US: BUN 241), and this value did not change at all after four solid days and nights of IV. However, with home treatments, we did gradually reduce his numbers to urea 27 (BUN: 76) and creatinine 316 (US: 3.57), where they stabilised for some months. You can read Thomas's story in the Tanya, Thomas and Ollie section.

 

 

 

Back to Page Index

 

This page last updated: 03 November 2011

 

Links on this page last checked: 23 March 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