TANYA'S

COMPREHENSIVE GUIDE TO

FELINE CHRONIC KIDNEY DISEASE

 
   

WHAT IS CHRONIC KIDNEY DISEASE? SECTION OVERVIEW

 

HOME

Site Overview


What You Need to Know First


Alphabetical Index


Glossary


Research Participation Opportunities


 

WHAT IS CKD?


What Happens in CKD?


Causes of CKD


Early Detection


How Bad is It?


Is There Any Hope?


Acute Renal Failure


 

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.)


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


Finding a Good Vet and Record Keeping


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 PTH (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


 

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


Saying Goodbye


The Final Hours


Coping with Your Loss


Other People's Losses


 

MISCELLANEOUS


Prevention


Research


Canine Renal Failure


Other Illnesses (Cancer, Liver) and Behavioural Problems


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SITEOWNER (HELEN)


My Three CKD Cats: Tanya, Thomas and Ollie


My Multi Ailment Cat, Harpsie


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Home > What is CKD

 


Overview


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

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

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

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

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

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

This section contains the following pages:

 


What Happens in CKD                                                                                                      Go to page


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

 


Causes of CKD                                                                                                                    Go to page


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

 


Early Detection                                                                                                                    Go to page


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

 


How Bad Is It?                                                                                                                    Go to page


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

 


Is There Any Hope?                                                                                                           Go to page


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

 


Acute Kidney Injury                                                                                                           Go to page


A discussion of acute kidney injury. This is usually seen in cats exposed to toxins such as lilies or antifreeze, or who have a blockage (e.g. kidney stones). It may also be seen in cats given too high doses of Meloxicam (Metacam). It may occasionally develop in addition to CKD, a condition known as AoCRF, most commonly in cats with a kidney infection or a blockage.

 

 

 

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This page last updated: 04 October 2011

 

Links on this page last checked: 16 December 2011