TANYA'S

COMPREHENSIVE GUIDE TO

FELINE CHRONIC KIDNEY DISEASE

 
   

SYMPTOMS: WASTE PRODUCTS REGULATION

 

ON THIS PAGE:


Mouth Problems


Gastro-Intestinal Problems, Including Gastro-Intestinal Bleeding and Diarrhoea


Other Uraemic Problems


Vomiting, Nausea and Stomach Acid


 

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WHAT IS CKD?


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KEY ISSUES


Nausea, Vomiting, Appetite Loss and Excess Stomach Acid


Maintaining Hydration


The Importance of Phosphorus Control


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SUPPORT


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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


 

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My Three CKD Cats: Tanya, Thomas and Ollie


My Multi Ailment Cat, Harpsie


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Home > Symptoms > Waste Products Regulation

 


Overview


  • 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.

  • In addition, CKD cats may have problems with excess stomach acid. Gastrin is a gastro-intestinal hormone which stimulates the secretion of gastric acid, which helps the stomach digest food. The kidneys are responsible for the excretion of gastrin, but in CKD this function may not work so well, resulting in the gastrin remaining in the stomach and stimulating the production of too much gastric acid.

  • This excess stomach acid can also make a cat feel very unwell. Generally speaking, cats with creatinine over 265 (US: 3) will need help controlling stomach acid.

Pet Place has some information about gastric motility problems in cats (you don't need to register to read the article, just click on the Close This Window link at the bottom of the registration pop-up).

 


Mouth Problems                                                                                                   Back to Page Index


Bad Breath


The high levels of urea seen in CKD cats are released into saliva. An enzyme in the bacteria in the mouth called urease interacts with the urea and produces a very strong and distinctive odour. It is hard to describe the aroma, though once smelled, never forgotten. It is sometimes described as being an ammonia smell (like bleach) but it may smell more like urine (ammonia is a constituent of urine), though neither description really captures the smell. This smell will be particularly noticeable if the cat crashes. If your cat's breath smells more like nail polish remover, this may indicate diabetes.

 

Mouth Ulcers


If the cat is very poorly or in a more advanced stage of renal failure, the toxins produced by the body can cause ulceration of the gums, which occurs when the uraemic waste is converted by the bacteria in the mouth into ammonia (hence the smell of the cat's breath being described as ammonia-like above). You may see ulcers in the cat's mouth if you look inside, or in severe cases your cat may vomit blood (which may also be a sign of bleeding from further down the gastro-intestinal tract). You may also see drooling. Some cats paw at the mouth (which can also be a sign of dental problems).

 

Mouth ulcers are painful for the cat and often lead to a lack of appetite, or, even more distressingly, a desire to eat coupled with an inability to do so - the cat may approach the food bowl and sniff the food, then walk away. Mouth ulcers may also be a sign of metabolic acidosis.

 

Check inside your cat's mouth regularly for inflamed gums or ulceration or ask your vet to do so. I am sometimes asked what mouth ulcers look like. They are usually a small area of white or yellow, sore-looking skin with a thin red ring around it. Long Beach Animal Hospital has a photo of mouth ulcers in a CKD cat. Starbrite Dental has a couple of photos of human mouth ulcers.

 

Teeth Grinding


Cats who grind their teeth may have excess stomach acid. Dental problems are another possible cause. It may also be a sign of dehydration. Very occasionally, this might be a sign of "rubber jaw", caused by a condition related to the CKD called secondary hyperparathyroidism.

 

Animal Dental Center of Milwaukee and Oshkosh discusses the various causes of teeth grinding in cats.

Youtube has a video of a cat grinding his/her teeth.

 

Drooling


Drooling cats may have excess stomach acid. Dental problems or mouth ulcers may also  cause drooling. Manhattan Cat Specialists have more information about drooling.

 

Pawing at the Mouth


The most common reason for this is dental problems. Occasionally it is a sign of mouth ulcers.

 


Gastro-Intestinal Problems                                                                                Back to Page Index


Gastro-Intestinal Bleeding (Dark Stools)


If the uraemia is particularly bad, the cat may develop gastro-intestinal bleeding. This is not easily detectable, but dark stools are one possible sign, as is vomiting blood. Occasionally, however, dark stools are caused by iron supplements.

 

If gastro-intestinal bleeding remains untreated, anaemia may result. If you suspect gastro-intestinal bleeding, you should take a stool sample to your vet for occult blood testing (when I did this for Ollie, I was the first client who had ever requested this test; but it was positive). You can also buy the EZ Detect test from pharmacies, which tests for blood in the stool or urine (this is a human test but can also be used for cats). CKD cats with this problem do not normally need to be treated in hospital.

 

Pet Place has some information about blood in stool (melena). You don't need to register to read the article, just click on the Close This Window link at the bottom of the registration pop-up.

 

Diarrhoea


Diarrhoea may sometimes be seen in CKD cats secondary to the CKD. There are a number of other different causes of diarrhoea, including hyperthyroidism, inflammatory bowel disease (IBD), malabsorption problems, and parasites, so if the diarrhoea lasts longer than a day or so, you must see your vet, both to ensure your cat is OK (diarrhoea may cause or worsen dehydration) and for a proper diagnosis.

 

Possible causes of diarrhoea in a CKD cat include:

  • a sudden change of food, perhaps to a prescription diet. It is better for a cat's digestive system if a new food is introduced gradually - mix some of the new food with the old and gradually increase the amount of the new food in the mix over a period of several days.

  • food intolerance. Because the goal is to reduce protein levels, some CKD prescription foods in particular may have relatively high levels of carbohydrates, and some cats who are used to a higher protein diet may find these harder to process. Introducing the new food gradually may help, but some cats are simply grain-intolerant.

  • cats taking antibiotics may develop diarrhoea. Pet MD discusses this. If you think this might be the cause, contact your vet and ask if you can switch to a different antibiotic. Please do not just stop the antibiotic, however, or the infection may return with a vengeance.

  • too much lactulose or MiraLAX, given to treat constipation, may cause the opposite problem of diarrhoea. It is better to start lactulose at a low level and increase as necessary.

  • sometimes people think their cat has really runny diarrhoea, but in actual fact, the cat is constipated and the runny liquid is all that can squeeze out round the solid stool. This is known as "overflow incontinence". So do be aware of this possibility, particularly if there is only a small amount of liquid faeces.

  • Pet Education and Drs Foster and Smith both mention that potassium supplements may cause diarrhoea.

  • nephrotic syndrome, though this is actually relatively rare in cats.

  • another disease called Inflammatory Bowel Disease (IBD) may cause diarrhoea. This is covered in Harpsie's website.

  • hyperthyroidism may also cause diarrhoea in some cats.

Idexx Laboratories offer new tests for cases of diarrhoea where a pathogen is thought to be involved.

Diagnostic and therapeutic approach to cats with chronic diarrhea (2001), Marks S is a paper presented to the World Small Animal Veterinary Association 2001 World Congress.

Washington State University College of Veterinary Medicine discusses the causes of diarrhoea in dogs and cats.

Vet Info discusses the problems of ascertaining the cause of chronic diarrhoea.

Pets Canada describes the various types of stool that may be seen when a cat has diarrhoea.

Vet 4 Petz describes the different types of diarrhoea in cats.

Newman Veterinary discusses causes of diarrhoea.

 


Other Uraemic (Toxin Build Up) Problems                                                      Back to Page Index


Body Odour


Some CKD cats have a distinctive aroma, which is caused by the levels of toxins in the body. It is similar to the bad breath aroma. You may notice an increase in this aroma or it may develop for the first time if your cat's bloodwork is worsening. In some cases, you may first notice this smell when your cat crashes. Thomas developed this smell seemingly overnight when he crashed, but after treatment it gradually disappeared. 

 

Itching


If allergies are ruled out, this can be a uraemic itch, i.e. caused by the levels of toxins in the blood. Pruritus in certain internal diseases (2007) Yonnova D Hippokratia 11(2) pp67-71 mentions that itching occurs in about 15% of uraemic human patients, so if your cat is scratching a lot or grooming excessively, consider this possibility. Itching is fairly common in cats with high phosphorus levels, particularly if the high phosphorus levels go untreated, resulting in secondary hyperparathyroidism. Alternatively itching may indicate a Vitamin B deficiency or be a sign of an essential fatty acids deficiency. Occasionally itching can be a sign of liver problems; if this is the case, your cat's bloodwork should show elevated liver values.

 

If your cat actually pulls out fur rather than merely scratching, this may indicate hyperthyroidism. Itching, particularly on the face, may also be a side effect of the medication used to treat hyperthyroidism.

 

Twitching, Trembling or Shaking


This can be caused by the toxin levels, and if so, it should improve as toxins are controlled. It may also be related to potassium levels, or caused by high phosphorus levels, high blood pressure, calcium imbalances (especially head twitching), hyperthyroidism or Vitamin B deficiency. If your cat only twitches while you are giving fluids, it is probably caused by either the type of fluid used or by giving cold (room temperature) fluids.

 

Pharaoh's Shakes is a video showing a CKD cat twitching.

Pet MD mentions that twitching may be caused by kidney disease.

 

Seizures


Occasionally, if toxin levels are really high (and particularly if a cat is in The Final Hours), a CKD cat may have seizures. In such cases, reducing toxin levels is essential in order to avoid permanent damage to the brain; but this may not be possible if the cat is in his/her final hours.

 

Seizures may take a number of different forms. There may be the classic jerking and loss of consciousness, but being "spaced out" or mentally absent or staring into space may also be a type of seizure. Harpsie's website has more information on what seizures may look like.

 

Seizures may also be caused by high potassium levels, calcium imbalances, metabolic acidosis or by high blood pressure. The use of Metoclopramide (Reglan) for stomach problems or Advantage for fleas may lower the seizure threshold. Other possible causes of seizures include epilepsy or a brain tumour, but the causes mentioned above are far more likely in a CKD cat and should therefore be considered first.

 

Howling (Particularly at Night)


This is sometimes the result of toxin levels in the blood. However, it may also have other causes such as deafness, hyperthyroidism, high blood pressure or occasionally just old age and possibly cognitive dysfunction (senility). 

 

Certain medications such as periactin (Cyproheptadine), an appetite stimulant, or steroids can make a cat become vocal. Metoclopramide (Reglan), used for stomach problems, may also have this effect.

 

I would recommend always having blood pressure checked in a howling cat.

 


Vomiting, Nausea and Excess Stomach Acid                                                Back to Page Index


These problems are so common in CKD cats that there is a page devoted to them. Symptoms covered there include:


Treatment Options                                                                                                  Back to Page Index


 

It is possible to treat all of the above symptoms, in many cases effectively, and details can be found in the Treatments section.

 

 

 

Back to Page Index 

This page last updated: 18 September 2013

Links on this page last checked: 27 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