Renal Kidneys Disease

Kidney failure is the sudden loss of your kidneys' ability to perform their main function eliminates excess fluid and electrolytes as well as waste material from your blood. When 00004000 your kidneys lose their filtering ability, dangerous levels of fluid, electrolytes and waste accumulate in your body.

Acute kidney failure is most common in people who are already hospitalized, particularly people who need intensive care. Acute kidney failure tends to occur after complicated surgery, after a severe injury or when blood flow to your kidneys is disrupted. If the kidney function fails, the waste products accumulate in the blood and the body. The term for this build-up is azotaemia.

Symptoms

In general, the symptoms of kidney failure are the result of a slow build-up of waste in the blood and the gradual failure of the kidneys' regulatory functions.

Excess fluid builds up in the body because the failing kidneys are not producing enough urine. It can lead to a condition known as oedema.

Signs and symptoms may include some or many of the following:

  • High blood pressure
  • Decreased urine output or no urine output
  • Darkly colored urine
  • Anemia
  • Nausea or vomiting
  • Loss of appetite
  • Sudden weight change
  • A general sense of discomfort and unease (malaise)
  • Fatigue and weakness
  • Headaches that seem unrelated to any other cause
  • Sleep problems
  • Decreased mental sharpness
  • Pain along your side or mid to lower back

Frequently Asked Questions

  1. QUESTION:
    Is pain felt in kidneys when renal insufficiency develops?
    I kinda have been feeling very mild pain in my kidney areas (on both sides of my spine at the lower back level) for the last several moths. I researched renal diseases on the internet, and kidney pain is not really mentioned as a symptom. Can something be wrong with my kidneys? The pain is very mild and it doesn't interfere with my daily activities; I forget about it most of the time. I know you will tell me go see a doctor, but I would appreciate if medical professionals or people with kidney disease could give me some insight here.
    I don't have blood in my urine.

    • ANSWER:
      The pain that you refer is more likely due to low back pain. Usually renal insufficiency is a severe disease that can be easily rule out with some basic blood test done by your physician.
      The only disease related to the kidneys that your sort of pain might reflect could be a urinary infection, that gives other symptoms as well.
      In case that you are thinking about an specifically disease that you observed within your family, then just go to your doctor and explain your doubts. A few urinary and blood test are going to ease your mind faster than trying to fish information on Internet.
      From the information you give, the frequency that happens and the long term mild pain, it is more reasonable to think in low back pain, due mostly to muscular causes, bad position or simply stress.
      The best you can do is to rule out a severe disease if you are already doubting, at least is what I would do if I were in your place.

  2. QUESTION:
    Can you get renal kidney disease from masterbating or can you might it worst if you have renal disease ?
    Masterbating can you get disease like kidney disease or you do have it can you make it worst

    • ANSWER:
      Yes! You'd better not ever masturbate again!

  3. QUESTION:
    Has anyone administered fluid therapy at home to a cat with renal failure/kidney disease?
    We are considering hydrating our 15 year old cat Bosco with fluids by doing it ourselves at home. Just wondering how easy this is to administer and would like to get an idea of the cost. I know prices vary across the US so I am just looking for a range. Bosco is fortunately a very mellow cat and has always been an excellent patient.

    • ANSWER:
      Yes! For about 2 or 2.5 years now I've been giving my CRF/Hypercalcemic cat fluids.

      I buy the fluids (w/vet's authorization) from the Fosters & Smith website - MUCH cheaper. If you buy 4 or more 1000mg bags, shipping is free (they are heavy).

      I buy my drip-sets (my favorite) from UPCO.com

      I buy my "Monoject" needles, either 18x1A guage or 20x1A guage from Fosters & Smith, too. Just be sure to look to the right and don't get the 18x1-1/2 'cause those are very long (I accidentally ordered those once. I used to buy from another site 'cause they were cheaper, but when I moved and lost my old e-address in the process (on wireless now) I lost that site, they were a little cheaper.

      First thing is to get all the bubbles out each time - even though it's just under the skin and not in a vein, it's still uncomfortable for them to feel the bubble. The fluids, even though they feel room temperature, are pretty cold going in, if you can warm them up (I boil water and lift the bag in and out for about 5 minutes and test the water - not too warm, but not cold), your cat will appreciate it.

      If your cat is very mellow, you can place Bosco on your lap, hang the fluids as Highhhhhhhhhhhh as you possible can, lift a good piece of skin on the back or loose neck area, point the needle "scoop" up, pat your finger to where you're going to stick it in, then just do it - all the way in. (You can practice on an orange if you've never done this before - a hospice worker taught me that before I started giving IM Morphine injections to my boyfriend who had cancer years ago).

      During the whole time, be talking to Bosco in nice low and happy tones. Once the needle is in, turn it all the way on with the blue thingy by rolling it all the way to the other end. Hold and pet Bosco with your one hand on the front of his chest and face, but always having a hold on the chest area in case he tries to bolt and just talk to him through the whole thing about what a good boy he is, how much you love him, things you are going to do that day, etc.

      Make sure he is dehydrated before administering, though. Too many fluids can be toxic as well. To find out if he's dehydrated, lift some of the skin on the back and let it fall. If it goes right down, he's not dehydrated; if it goes down slow or not at all, he desperately needs fluids.

      I know I'm forgetting something, so if you have any questions, please feel free to contact me. Oh, use a new needle every time, and make yourself a "Hazardous Waste" container. I use an empty Pringles can that I've taped the top down and made a tiny hole at the top for the needles to go in.

      I'm sorry, Ken, I gave you a thumb's down because you did not answer her question in any aspect and you, again, simply pasted what you paste on everyone's questions asking about CRF. This is nothing personal. - Okay, so now you added a sentence at the beginnning to sort of answer her question.

      Windi, you don't just "squeeze the bag until the right amount comes out". This is very bad advice and could cause harm to the cat. In fact, you don't even squeeze the bag at all except the very first time before sticking the needle in to fill the chamber about 1/2 full with fluids so you can keep better track.

  4. QUESTION:
    renal kidney disease and pregnancy...?
    i have polysistic kidney disease i was diagnosed at age 8 ..my kidneys failed and i have had a kidney transplant 5years ago, since the transplant i have had very irregular periods.. i take kidney antirejection medicine on a daily basis. does having a kidney disease and taking these type of medicines prevent me from being able to get pregnant? or is it more difficult to become pregnant after a kidney transplant?

    • ANSWER:

  5. QUESTION:
    Does my dog definitely have renal (kidney) disease?
    My brother fed my dog quite a lot of grapes without knowing that their toxic to dogs. I took him to the vet yesterday and he had a blood test and urine test. He is currently showing all symptoms of renal disease such as;
    - loss of appetite (maybe he just doesn't like the new bland food the vet introduced)
    - vomiting
    - diarrhea
    - bad breath

    I've had to get his urine yesterday for the test and the amount of urine production was extremely little, like drops but I think it's alright cause there was a lot of urine this morning. His also just pees and poos where ever now, his usually toilet trained.

    Does my dog definitely have renal disease? If it's not definite, why is he showing all the signs of it?

    • ANSWER:

  6. QUESTION:
    How many kidneys is a person born with, and how many do they have after a transplant?
    I'm writing a paper for my anatomy class, and I have to include a survey question. We got to pick a disease to write about, and I chose End Stage Renal (kidney) Disease. Since I got a kidney transplant, I wanted to know how many people really know the answer to this question, or just think they know.
    lol Demers, don't be afraid of your answer, it's part of my survey, and yes, I do know the answer, I'm finding out how many other people know.

    • ANSWER:
      Born with two, they don't typically take the bad one out, so after a transplant you would have 3 and the donor would have 1

  7. QUESTION:
    what exactly is renal kidney disease and what are the sypmtoms?

    • ANSWER:
      This question is really too general to answer completely.
      Because there are many types of kidney diseases, there are many kinds of symptoms that people can experience. You should go to www.kidney.org (the national kidney foundation website) and take a look at the patient information.

      To address a previous comment, urine output is often confused with kidney function. The amount of urine made does not tell you about your level of kidney function or whether your kidneys are sick. Please remember that depending on the cause of kidney disease/failure (chronic or acute), a person could experience low, normal or high amounts of urine output. The way kidney function is tested is by using laboratory values--the most common value used is called the serum (blood) creatinine level.

      The laundry lists of signs and symptoms that are usually given for kidney failure are LATE symptoms of kidney failure. These generally occur when a person is at a point where their kidneys have failed completely and they require dialysis treatments. Most people with early/moderate kidney failure have NO symptoms at all.

      So, the most common symptoms of kidney disease are no symptoms at all. Kidney disease is usually a SILENT disease that is more often then not picked up by checking routine laboratory tests. It is not ususally picked up by symptoms. Catching kidney disease early is the best way to prevent further kidney damage.

      The best advice is to check with your doctor and make sure they have checked your level of kidney function. It is important to note that certain diseases like diabetes, high blood pressure, and heart disease are major causes of kidney disease. If you have these and other predisposing diseases, you need to make sure your doctor checks for kidney problems on a regular basis. If there is a kidney problem, you may need to be referred to a specialist (nephrologist).

  8. QUESTION:
    Has anyone used Hyperbaric Oxygen Therapy {HBOT} to heal renal {kidney} disease?
    We have decided to do HBOT as a complimentary therapy to the Son-Rise Program http://www.autismtreatmentcenter.org/ for our daughter's Autism. The more I read about HBOT, the more I wonder if it could help my Stage 3 Renal Disease?
    We have decided to do HBOT as a complimentary therapy to the Son-Rise Program http://www.autismtreatmentcenter.org/ for our daughter's Autism. The more I read about HBOT, the more I wonder if it could help my Stage 3 Renal Disease? If you have done this, what depth you go and was is a hard chamber or soft sided?

    • ANSWER:

  9. QUESTION:
    Renal [kidney] disease in dogs?
    My 5 year old black lab mix is sick. She stopped eating, started drinking more, her coat changed from black to brown, she started having tremors/seizures and she became very unstable on her feet. We brought her to the vet. The vet said from looking at her it was either lyme disease or kidney failure. She did some blood work, and the results came back. Her kidneys were functioning at 25%. In the hopes that it was acute kidney failure, she gave us antibiotics. If they didn't help, she gave my dogs from days to a few months to live. You can't argue too well with blood work, but I question this. Yes, she is still wobbly and weak. However, in taking the medication [we gave it to her for two weeks then stopped] it seemed at first that it helped her alot. She started eating again. She has a better appetite then she's had in months. I suppose I'm just hopeful, she's my first dog and so young. If anyone with some knowledge of this comes across this question, please give me your thoughts. Thank you.
    She throws up mucus and white foam alot. Yesterday she pooped in the house, shes only done this once before when no one was paying attention to her.

    • ANSWER:
      The fact that she is doing better is a good sign. I'd have the blood work rechecked just to see if the values have improved. She may need to be on some type of kidney sparing medication and/or diet for the rest of her life. Her quantity of life might be shorter but her quality of life should be fairly good as long as she is doing better.

  10. QUESTION:
    Adult children with cerebral palsy having renal disease complications...?
    My 23 year old son with cerebral palsy and severe developmental delays was recently diagnosed with stage III renal disease of both kidneys, according to the lab work and all their numbers. However, he shows no outward symptoms and had I not known there was anything wrong with his kidneys, I wouldn't be extremely concerned. The nephrologist told me that in chronic kidney disease, there are no symptoms when it first starts, but Monday, she called me to tell me that he is in acute renal disease with only 16% functioning, which I find very difficult to believe as he seems fine -- no swelling, no loss of appetite, no lethargy, normal muscle control, no whining, no paleness, etc. so we repeated the blood work yesterday. I pray that the results are much, much improved!

    Does anyone know of this happening with people with CP and developmental delay?

    • ANSWER:
      My husband is a type 2 diabetic. We were told 2 years ago that his numbers were close to those of your sons. With diet, meds and luck he was able to keep his numbers there. Three weeks ago he had what his MD. thought was an upper respiratory infection. After 2 days of antibiotics he was getting worse and his B/P was high. To make a long story short, he had none of the symptoms that you listed and that we were looking for. But his kidneys were failing. And this not a week after his neph told him that they were mysteriously improving! He is now on dialysis and still has no symptoms. His output is like it always was. And he is having no problems with the dialysis that we were told to look for.
      I have since learned that it is not the amount of urine but the quality of urine that is put out. So my point is that the symptoms are not always there. The numbers from the blood tests are what shows how well the kidney’s are functioning. We are doing dialysis in center right now but will begin to train to do what they call PD at home in a week.
      I have been doing research and looking for support groups online. I would be happy to pass these on to you. There are a couple with medical experts as well as a caregiver site that would help you as well. Please email me if you are interested. I hope this helps.

  11. QUESTION:
    Is there a safe arthritis medication for someone with chronic kidney disease and acute renal failure?

    • ANSWER:

  12. QUESTION:
    How to code in ICD9CM the Acute Renal Failure on Chronic Kidney Disease when the person has DM and HTN?

    • ANSWER:

  13. QUESTION:
    How does kidney disease affect the immune system?
    I know a lot about kidney disease (renal failure), but can't seem to find the answer to one question: how is the immune system affected by kidney disease? I would like to know if people with kidney disease are more likely to catch colds, flus, etc. than those without it? If anyone knows the answer to this question, I'd appreciate your answer! Thanks.

    • ANSWER:
      I just had my kidney transplant about 4 months ago and now that I am on tons of medicine to prevent rejection, my immune system is SO low. Before the transplant though I was never told my immune system was low, even while on dialysis. The only thing I had to watch was my diet, mostly sodium intake, but as for my immune system before the transplant, it was the same. Now though I have to be very careful around kids and anyone who even has a minor cold due to my medications effecting my immune system.

  14. QUESTION:
    What is the life expectancy of 22 year old with End Stage Renal/Kidney Disease?
    I'm 22 years old and have ESRD. I started dialysis in February 09 and currently go three times a week. I'm also a type 1 diabetic since 1997. After dialysis I tend to be sick a lot. I'm currently on the UNOS list for a kidny & pancreas transplant. I guess I just want to know how long a young person usually lasts with kidney disease as I want to live my life to the fullest like havig a family. If you have any input I would love to hear it. Thanks.

    • ANSWER:
      if ur following all of the guide lines, taking ur meds, not gaining more than 2 kilos between treatments, following ur diet, u should be able to live a fairly long life, not doing any of the above mentioned things will decrease the expectancy considerably as the consequences don't show right away and when they do show up their life threatening and irreversible. Screw around enough with diet, weight, meds and you'll end up bed ridden in a nursing home if ur lucky and dead if ur not lucky

  15. QUESTION:
    Kidney disease renal failure symptoms question!?
    I know that symptoms of kidney disease don't show up until there's already been a lot of damage. I'm trying to find out what symptoms correlate with what degree of kidney function?
    Like, what symptoms would be present around 25%, and then around 15%, 10%, etc.
    Thanx to anyone who can help!

    • ANSWER:
      Some other syptoms include swelling of ankles (edema) and fatigue. But, the best indicator is through blood tests and uring analysis. Your doctor can check for protein (albumin) in the urine, and can test for creatininne levels in the blood. If you are diabetic, you should be followed closely by your physician, who should monitor for these signs periodically.

  16. QUESTION:
    Hereditary renal disease? How to test for it?
    I have a very strong feeling that I might have something wrong with my kidneys. My mother was diagnosed with chronic renal disease and she always told me to get tested in my early 20's. Well I'm 23 now and showing some signs that she did. Where do I go to get tested, and what is involved?

    • ANSWER:
      You should first go to a Urologist which specializes in renal cases and tell the doctor about your concern. Basically most renal disease are only secondary, which is basically a result of another pathology like diabetes or congestive heart failure to name a few. I don't really know exactly how they test but to give you an overview, they basically give you oral fluid to drink and after some time, you'll be ask to urinate a number of times and they will measure your urine. That is one test, there are many more. You should consult your doctor for in depth answer.

  17. QUESTION:
    Preventing Kidney disease/Renal failure?
    Hi, my cat is almost 15 years old, and the older she gets, the more worried I have become about kidney problems. What are the best ways to help prevent renal failure in cats? I have heard increasing protein and reducing phosphorus are key, but how exactly is this done? What foods are best for this? Currently she eats Purina Healthful Life (dry food) and drinks regular tap water (which is what we drink also...) any suggestions?
    She definitely likes wet food, and we fed it to her for a long time, but she got to where it upset her stomach and often made her vomit. She doesn't seem to have this problem with the dry food...

    • ANSWER:
      You can't increase protein and reduce phosphorus - it doesn't work that way. What they usually do is reduce the quality of the protein (like to a plant source rather than from an animal source) to reduce the phosphorus, but this isn't good for a cat.

      Cats require high quality protein. Wet food generally contains better quality protein than dry foods. But your best choice is a high quality canned food (like Wellness) that has a minimal amount of fillers, grains and additives. These substances are known to cause low level inflammation of the kidneys which results in damage to the kidneys over long periods of time. Since dry food is practically devoid of any water, it tends to keep a cat in a continual state of borderline dehydration, which causes the kidneys to work harder and accelerates damage.

      You cannot reverse this kidney damage, but you can minimize any further damage by reducing or eliminating the ingestion of poor quality food ingredients and environmental toxins.

      BTW, the feline distemper vaccine is suspected of contributing to kidney failure also.

  18. QUESTION:
    Could another name for Renal insufficiency be called chronic kidney disease?

    • ANSWER:
      No, because renal insufficiency may be acute, in that it would only be a temporary condition.

  19. QUESTION:
    what can you do 2 help a cat with kidney disease [also known as renal disease]?
    my cat has an enlarged kidney, and a messed up tooth [its REALLY LOOSE], loss of appetite, loss of weight, loses control of his back legs, can hardly walk.

    anybody else ever had a cat that had these symptoms? what did u do? did it work? second opinion? we've already seen a vet.....we want a second opinion before we do anything 2 drastic....

    btw, he is male, and 13-15 years old [cat age], this has been going on for a couple of weeks.

    thanxx 4 ur help <3

    • ANSWER:
      Kidney Failure, also known as CRF, is not the end of road. Your cat can live many, many healthy years if you support its system properly.

      The following websites will help you in your search for education on how to care for your cat with CRF

      http://www.felinecrf.com/

      http://www.felinecrf.org/

      http://www.felineinstincts.com/articles/Felineinstinctsrenalfailureinformation.html

      http://www.felinefuture.com/nutrition/kidney_formula.php

  20. QUESTION:
    Renal Disease Stage III - what vegetables and fruits to avoid?
    My Dad has multiple health problems including diabetes, but was recently diagnosed with Renal Disease Stage III. He's already been doing much of what they list at the site below (lost more than 50 pounds) and is trying to increase his exercise. I make a lot of his food, especially premade meals for him to pop out of the freezer into the microwave such as homemade burritos. The link indicates that he may have to avoid fruits and vegetables high in phosphorus or potassium. Which ones are these besides bananas (which he rarely eats anyway)?

    http://www.davita.com/kidney-disease/symptoms-and-diagnosis/stage-3-of-chronic-kidney-disease-ckd/a/685

    • ANSWER:
      The same web site also lists the high potassium and high phosphorus foods. Go to:
      http://www.davita.com/diet-and-nutrition/c/diet-basics

      Back when I was on dialysis, I remember that I was supposed to limit potatos, tomatos,and oranges, but I can't remember the rest, so they should be on the website.

  21. QUESTION:
    what causes the polyuria in the early phases of chronic kidney disease (chronic renal failure)?
    CKD

    • ANSWER:

  22. QUESTION:
    Does anyone have information on rare renal disease called Idiopathic Collapsing Glomeralpathy(ICG)?
    It is a disease that is not very common and as far as I know there is no cure but to go through dialisis and then renal transplant and hope that it does not reject that kidney as well... my daughter is 9 and diserves to have a chance at life so there fore I am looking for answers from anyone I can find it at... I don't want to wait for her to go through this if I can stop it I want to stop it.
    Ok maybe I did not make myself clear she is already seeing a speciallist... I am looking into finding someone who might be able to point me towards a clinic or college that has information about this disease because noone here knows anything including the wonderful doctor treating her

    • ANSWER:
      dear im sorry for that .. i've been an hour searching for any info. about this disease but no results . i think u should check the spelling of it .
      and i'll keep trying to find out any information

  23. QUESTION:
    Can Lamotrigine, (also known as Lamictol) cause renal failure or chronic kidney disease over time?

    • ANSWER:
      I'm a student pharmacist and according to the most recent Drug Information Handbook, Lamotrigine can possibly cause acute renal failure in less than one percent of people taking the drug. And the drug summary information from micromedex mentions the possible renal impairment.

  24. QUESTION:
    what is the most common extra-renal manifestation of adult polycystic kidney disease?

    • ANSWER:
      The most common extra-renal manifestation of APKD is having multiple asymptomatic hepatic cysts, which occurs in up to 1/3 of patients. Another interesting finding in 25% is mitral valve prolapse. Even though they love to quiz on it, berry / cerebral aneurysms only occur in about 10% of patients, and I believe that link is solely due to the fact that they usually have chronic hypertension from their disease.

  25. QUESTION:
    How long did your cat live after he/she was diagnosed with kidney disease or renal failure? my baby just died.?
    my cat was 17 and im so upset the evil vets didnt tell me he had it and how to manage it. i have been feeding him wellness which is the worst diet to feed a cat with kidney disease becuase its high in protien, phosphorus and salt. but the vet never told me what to do, an didnt know by reserching the internet and his symptoms that is what he died of and how i could have manged it. th eonly thing she sent me home with that i gave him for a year was subq fluids. i feel so violated and feel guilty for my cat that i could have taken better care of him and greatly lenghthened his life with better info from the vet. if i knew i would have even got 3 jobs to save for a kidney transplant or taken a loan out for it.
    sorry for typos. it snot really my spelling -just typing fast. ie, lengthened, research, protein. I plan to attend law school and practice medical malpractice, and go after vets that withhold information to pet parents and let animals disease exacerbate to the point of death in an attempt to get more money out of people instead of promoting good health of which they took an oath to do.

    • ANSWER:
      I am very sorry for your loss. Wellness is not the worst for crf. The vet's diet is. You do not want to feed low protein but a quality protein
      In any event was a blood test done to confirm this? there are many symptoms that can be similar to kidney disease.
      I am deeply sorry. We choose tears

      http://www.bonfires.de/TheLovingOnes.htm

  26. QUESTION:
    what is the life span of end stage renal disease with one kidney dead other less than 10% no dialysis/transpnt
    also the person has diabetes, skin cancer, breast cancer, shingles, is on methadone, and 20 other pills from blood pressure, capapril? pacsil, and many others, also was on perocet, fentenal, now on methodone, doctors gave her 5 years to live from cancer going on 11 yrs. doctors also gave her 2 months to live with refusing treatment for kidneys, been 2 months, she also gets sick a lot, throws up blood sometimes, she is my boyfriend's mother, she refuses home nurses, free care, etc. some web sites say 6 months tops others says many years, how longs before the toxins build up in her system, also she only eats once every three days, refuses food, sick, when she eats its deep fried egg rolls or fried eggs, milk, bread, and she drinks approx. 15-20 cups of instant reg. coffee a day, smokes 5 cartons of ciggs. a month, sometimes she is out of her mind, some days fine, how long is her lifespan? she is 62yr. thanks.

    • ANSWER:
      I would say "death is iminent", but sometimes the body defies all the plans, numbers, and statistics that the medical fields can come up with.

  27. QUESTION:
    What would happen if you gave diuretics to a diabetic with renal disease?
    or with renal failure? Would they die from fluid overload or kidney damage

    • ANSWER:
      You need to evaluate the risk and benefit of this specific patient. No one is the same, thus there is no one treatment for all. In this specific patient, you need to know how extensive the condition is. Does it worth putting the kidney at risk for treating such condition? This decision should be made by the physician along with the patient.

      There are diuretic, such as loop diuretic, which can still work despite of diminished function of the kidney, but they usually require a larger dosage. With the effective usages of diuretics these days, I can assure you that the incidence of patients (with proper clinical management) dying from fluid overload is very low. Diabetic and renal patient would mostly die from other complication of the disease.

      Hope this helps.

  28. QUESTION:
    End Stage Renal Disease: Is it possible for a patient to die from this disease?
    A doctor performed a kidney transplant on my partner. He is in ICU but the doctors seem to have given up hope on their survival and predicted that they have days to live. Is that possible?

    PS. Can you please give me sensible answers, because I could lose my partner and I do not need answers that are unrelated to the question.

    • ANSWER:
      yes,i am sorry to say,this is possible.i hope the transplant saves his life,however?best of luck.im sorry ur going thru this,i wish u both a good outcome.anytime the words "end stage" are used,it means exactly how it sounds-approaching the end.

  29. QUESTION:
    Could you gives dogs with renal failure/disease amoxicillin?
    The amoxicillin is for a different reason, not for the renal failure.. but will it harm the kidneys anymore/will it be able to process through them okay? The amoxicillin is for bad teeth/bacterial infection in the mouth. Please serious answers only, i don't want to harm my little boy. :)

    • ANSWER:
      Yes, you can, but the only person who should be prescribing your pet antibiotics is your vet, and you should be able to ask them this question if they didn't already discuss it with you.

  30. QUESTION:
    What is the physiological explanation for the relationship between diabetes and end-stage renal disease? ?
    I know the kidney is a non-insulin dependent organ , so having extended periods of high blood sugar (such as in uncontrolled Diabetes) causes elevated amount of glucose enter to the kidney. I was wondering why the entrance of large amount of glucose to the kidney can potentially lead to kidney damage? What is the high amount of glucose doing to damage the kidney?
    Thanks

    • ANSWER:
      From what I've read, the mechanism of renal damage by hyperglycemia isn't understood at this time.

      Diabetes messes up arteries, so I wouldn't be surprised if there isn't some vascular component involved.

      Here's an article that explores some of the possible mechanisms:
      http://www.renalandurologynews.com/Mechanisms-of-Diabetic-Nephropathy/article/20546/

  31. QUESTION:
    Does anyone know what other cat food I can feed my cat besides Hills K/D?
    My cat is on the prescription Hills K/D cat food and has started not wanting to eat it. Does anyone know of any other cat food that I can feed her? She is on the K/D because of renal kidney disease. Thanks.

    • ANSWER:
      Hi
      Yes There are different thoughts on what to feed cats with this.
      Treatment of Chronic Renal Failure

      If your cat is not in final stages, this is not want you want to do. There are new thoughts on this and the thinking is it is not the amount of protein but the quality of protein that matters.
      The Merck veterinary manual [www.merckvetmanual.com] says that cats need "4 g of protein of high biologic value per kg body wt/day". That's about 7 calories from protein per pound body weight per day. If a cat isn't a good eater and consumes, say, 20 calories per pound per day, then 7/20 = 35% of calories can safely be from protein. It must be high quality protein, which means meat, fish, milk, and eggs, and not grain or soy.

      I am under the assumption that you have been feeding mostly dry foods. Many use a vegetable based protein instead of animal and that is part of the problem.. Your cat needs protein as it is a carnivore and cutting down on it will lead to other health issues and may cause faster degeneration.
      You want to cut down on fat and phosphorous (no fish allowed now) The best way to do this is with a raw diet which you can make yourself or buy . (making yourself is better) link provided at the bottom
      If you are unwilling to do that then something like the non fish flavors of merrick with NO grains are good alternatives.
      You also will want to look into phosphorous binders. Something like aluminum hydroxide

      You also either want to talk to the vet about having injectable pepcid ac on hand or you can buy it in pill form (ac not plain pepcid) and give 1/4 tab for stomach upset which happens alot in crf cats due to acid in the stomach.
      I hope this stuff helps, here are many links for you
      Making cat food
      http://www.catinfo.org/makingcatfood.htm
      other links
      http://www.marvistavet.com/html/body_chronic_renal_failure.html
      http://www.felinecrf.org/
      http://www.felinecrf.com/
      http://pets.groups.yahoo.com/group/Feline-CRF-Support/

  32. QUESTION:
    Kidney Disease and Medicare problems, how can they be solved?
    My brother is in End Stage Renal disease. He has had so many problems with medicare, that they've actually dropped him from his dyalisis center, forcing to go to the hospital to dyalize, making it harder for him to be dyalized on time. What can I do to help him get his medicare straightened out? His social worker is not giving him the time of day.

    • ANSWER:
      Go to the business office where he was having his dialysis- what I think has happened is that they only get paid for x amount of times in a month on the SAME ADMISSION- meaning medicare will only re-imburse the hospital for x amount of dialysis days per month. Talk with the business office and ask to talk to social services- if you get nowhere with them- call your local red cross chapter- they will direct you to the correct governmental office to talk to- and report that social worker to whoever is his/her boss!!
      You can also just take him to another hospital- they HAVE to take him as a patient, make sure that hospital is equipped for dialysis. Good luck to you and your brother- you are a loving sister.

  33. QUESTION:
    My puppy is dying, does anyone care?
    My dog has renal/kidney disease. According to the doctor, his blood tests show levels so high that he should already be dead. The vet showed me how to administer subcutanious IV fluids to the dog, as we can only afford to administer it ourselves, and only every other day.

    • ANSWER:
      i am so sorry to hear this and i know how you feel because i have the same thing happen to me about 5 months ago and it was the hardest thing for me to deal with. if you don't mind me asking how did he get this disease in the first place. i can only imagine what you are going through and i always told myself that i wished that this would not happen to anyone else but i guess i can't predict everything. again i am sorry and at least i can say that i know what you are going through and i want to say that everything will be ok because you just have to enjoy what days you have left with your little guy and love him. all you can do now is just make him comfortable til the time comes and that is all you can do right now. wow just reading your question it made me tear up and think of my little girl but it also made me think of all the good times we both shared and all the fun we had. you know what just remember all the fun you had with your pup and not the bad. i want to wish you all the best and god bless you and i hope things will go smooth.

  34. QUESTION:
    If a person is in End Stage Renal Disease and needs a kidney, would liver damage exclude her from transplant?
    My girlfriend just found out she cannot take a certain immune suppressor due to cirrhosis of the liver, (Hepatitis C and Lupus damage). Now, if she can't take this drug, are there other drugs she can be prescribed for anti rejection that wouldn't affect her liver? Is she still a transplant candidate for a new kidney? She is currently a home dialysis patient. She also has Sjogren's syndrome, high blood pressure, systemic and subcutaneous Lupus with the Hepatitis C.

    • ANSWER:
      Short answer is that there are no anti-rejection medications that are not processed in the liver. With Hep C she won't be allowed to receive a kidney. I am very sorry to tell you this and wish the best for you both.

  35. QUESTION:
    How can I lose weight while on a renal diet?
    I have a kidney disease and was recently put on a renal diet. It consists of very little meat and lots of starchy foods. I have gained a lot of weight because of this. There's quiet a few fruits that I cannot have because their high in potassium. I've tried eating a lot of salad, but I can only take so much. If there is anyone who is going through the same thing, please help.

    • ANSWER:
      There are lots of other kidney patients and caregivers who can answer similar questions on the dialysis message forum at www.ihatedialysis.com. There is also a food and recipe section that you may find helpful. I wish you the best of luck.

  36. QUESTION:
    Dog diagnosed with pyometra and kidney failure, chances of dog having renal failure?
    My yorki-poo (5lbs) was put to sleep yesterday. I found her limp with cold paws and barely breathing. Once we start going to the vet hospital, I notice she had been having seizures. Eventually at the vet, she's having seizures every minute. The vet demands money upfront, I dont have it-- the dog is a family pet and so far I wasnt able to get in touch with my family, So eventually they decide to stabilize my dog, if I promise to pay the money like in a few minutes. After stabilizing, they say she has pyometra and her kidneys dont seem to be functioning properly. The dog was 8 years old, and had never been spayed. The vet explains that I can have her spayed or put down. She says having her spayed is very risky and that the dog might have renal failure or kidney disease and cant be treated, and that I have to make a decision now as well as pay now. Long story short, I was heartbroken because my dog was suffering and I had her put to sleep. I regret it now, but I just want to know the liklihood of her surving treatment at an older age, and the liklihood of her having kidney disease or renal failure. Thanks!

    • ANSWER:
      Odds were against her.. That's why females should be spayed, many of them develop pyometra when they get older. It can be deadly if it's not caught in time.

  37. QUESTION:
    kidney disease, weakened kidneys?
    can simple blood tests can determine whether a person has any sort of kidney disease or any sort of decreased kidney function?

    can simple blood tests determine if a person has renal failure?

    • ANSWER:
      yes. BUN and creatinine

  38. QUESTION:
    My sister was diagnosed with Kidney Disease she is 13?
    My sister is 13 and was recently ( within the last 2 months) diagnosed with iad nephroathy. She has been in and out of hospitals and doctors offices, she has only been able to attend school probably a total of 20days since the beginning of the school year. She is in a large amount of pain. Specifically her lower back. She has large amounts of protein in her urine. and her white blood cell count is high. The only thing the doctors have done for her so far is put her on a high dose of a steroid called prednizone, which has not helped her kidneys to begin functioning normally again as they said it would. The prednizone has caused her face and stomach to swell up about three times the normal size and she is complaining that her face and stomach hurt her. We have taken her to a nutritionist and altered her diet to a no carb diet. After doing some research online i stumbled upon a symptoms list for End Stage Renal disease. Unfortunately it seems to be she has most of these symptoms. The issue we are encountering is that we have seen some of the best doctors in the area and they all say the same thing that her pain isnt from the kidney disease and she cant have end stage because when they discovered she had kidney disease it was not that far along. She has been advised not to take Motrin or Tylenol or any other kind of pain reliever, therefore she is in a massive amount of pain to the point that she cannot stop crying. Please can anyone, someone give me some kind of insight or tips or anything! My family and I are so confused and are not getting answers from any of our healthcare professionals. My mother is having the hardest time seeing my sister go through this, she has so much more life to live and dances and dates and I dont want her to be sick forever! Please Help!!!

    Thank you

    Amber
    (Sterling Heights, Michigan)
    Yes I have not been officially tested yet but we have the same blood type and the same father I don't know if that makes a difference. But I am 5foot 3inches and a little overweight for my height I am not morbidly obese or anything. I consider myself in good health, but the doctor said they are only able to take a kidney donation from a healthy height weight proportionate donor. After receiving that news I immediately changed my diet and started exercising more to become height weight proportionate but she just keeps getting sicker and sicker and I am afraid that she might need a transplant before I can reach the height weight goal! I am 21 yrs old and I haven't had any health issues since 2003 not even a cold, so I consider that pretty healthy.

    • ANSWER:
      Here is a link to IgA nephropathy.
      https://health.google.com/health/ref/IgA+nephropathy

      A low protein diet might help. She could ask her doctor about trying a vegetarian diet (vegan would be best...no meat, dairy or eggs). Vegetarian Times magazine is a good resource for information and recipes for a new vegetarian.But ask the docs first.

      Here is a link to clinical trials.
      http://www.clinicaltrials.gov

      Here is a link to clinical trials for IgA nephropathy
      http://www.clinicaltrials.gov/ct2/results?term=IgA+nephropathy

      Put in the "IgA nephropathy" or "Berger's disease" in the search engine there and hit the map tab to find local trials.

      Here is another link to NORD:
      http://www.rarediseases.org/search/rdbdetail_abstract.html?disname=IgA%20Nephropathy

      Scroll down the page to see support organizations and their addresses and email addresses.

      I would think a kidney transplant would be her best bet, but I am not a doctor.

      She might also call the local kidney foundation and ask about support groups and where and when they meet. Support groups can be a tremendous help...talking to others with similar problems and trading ideas for help.

  39. QUESTION:
    how to maintain good health in a kitty with (latent) cogenital kidney disease?
    this is me again who posted yesterday about a kitty with possible kidney disease. The urinalaysis results just came out - she does not have renal kidney failure (as yet). nevertheless, she is born with abnormally small kidneys. She is not sick yet, but this is a condition that will predispose her to problems later.

    I have decided to keep her!!! because otherwise no one would want her ... (I suspect that such a pretty kitty, already spayed, ended up on the street because her owner found out about this and did not want her)

    another thing is that the shelter has decided to reimburse all related expenses I have paid so far and so I have not really suffered financially as yet. (By the time her problem becomes serious, I will have graduated and become a lawyer and will be able to pay for her medical expenses because they are not that much for someone who has stable income anyway))

    now, my question is: do you have tips on how to maintain good health in a kitty with an inborn kidney problem ? the vet will give me some good food when she returns the kitty to me tonight, but I need as many good tips as possible.

    • ANSWER:
      Good food, lots of water, normal life with decent exercise. You may want to watch the phosphorus intake of your cat if there is ever an indication of renal failure (excessive thirst, excessive urinating).

      There are conflicting ideas about restricting protein. It works well in people with chronic renal failure, but it's debatable if it helps cats. However, I would stick with your vet's opinion since he knows your cat best and its medical history and current state of health.

      You may have heard that restricting protein is recommended for cats in kidney failure. Although this has been the "standard" treatment for decades, as far as cats are concerned, it has always been--and remains--very controversial. According to experts at Colorado State University's veterinary teaching hospital, restricted protein does not prevent kidney failure in a healthy cat, and has no effect on the ultimate progression of renal disease. Research also shows that even very high protein diets do not make renal failure worse in cats (although high protein does worsen the disease in dogs and humans). (One pet food maker recently completed a study it claims shows that its restricted-protein diet increases lifespan in CRF cats. However, because the study has not yet been published, it is impossible to evaluate the data, which is contradicted by other research.) The real culprit is actually phosphorus, which meat contains in large amounts. Decreasing phosphorus intake (by restricting protein) can help some cats feel better, so it may be worth a try in a symptomatic cat.

      However, some studies have suggested that excessive restriction of protein may actually cause further damage to the kidneys and other organs, because there is not enough protein for normal body maintenance and repair. Experts say that these diets are not appropriate until the BUN (Blood Urea Nitrogen) is at least double what it should be normally (about 60-80 mg/dl).

      Furthermore, there is one big problem with using the protein-restricted commercial diets: many cats don't like them, and won't eat them. Obviously, it does little good to provide a special diet if the cat is going to starve to death! Experts emphasize that it is much more important to feed the cat what he likes and will eat, and maintain weight and body condition, than to be overly concerned about protein content. (Please note that if you add any other protein source to the diet, it will completely negate any possible beneficial effect from the low-phosphorus renal diet. It is useless to feed both a renal diet and a normal protein food or meat-based treats at the same time.)

  40. QUESTION:
    May arenal disease be associated with mental retardation?
    I woder if a disease of a renal origin- not genetic syndrom like WAGR sundrom , can cause mental retardation and growth defects? That the mental disorder is caused by the kidney disease??!

    • ANSWER:
      Not knowing exactly what you are referring to, it is true that as renal insufficiency progresses, the toxins can build up in the blood. These toxins can cause neurological symptoms, eg, irritability, inability to speak correctly, confusion, emotional outbursts, etc.

  41. QUESTION:
    Why did Hepatitis C caused Natalie Cole's two kidneys to completely fail?
    Hepatitis C is known by most people as a type of disease that can cause liver complications which can reach end-stage status...meaning you need a liver transplant or you die. But why did the virus attack and destroy her kidneys and spare her liver, yet cause her kidneys permanent damage?

    We know that hypertension is the no. 2 cause of end-stage renal disease......

    • ANSWER:

  42. QUESTION:
    does onyone have other health problems related to a kidney disease?
    my son who sadly passed away had lots of complications with renal disease he was diagnosed at 11 had multiple ops and went on dialysis at 16 he had a transplant last september but sadly his condition caused heart problems

    • ANSWER:
      How awful for you and your family. My sympathy is with you. It is fairly common for failed kidneys to cause many health problems. The kidneys filter out the waste in the blood, when they are not working well the toxins can build up (even with dialysis) and harm other sytems. The heart is very sensitive to the chemical changes in the blood that result from chronic kidney failure and will often be badly affected with arrythmias and failure..;

  43. QUESTION:
    In the kidneys........................../????????
    What problems does kidney disease and renal failure cause

    • ANSWER:
      renal failure cause high blood pressure ,anemia.earty colored skin,weakness,nausea and vomiting ,low immunity and easy infections, low calcium in blood and bone pain and more

  44. QUESTION:
    My 13 yr old Dog was recently diagnosed with early stages of Renal Disease?
    My 13 yr old dog was recently diagnosed with renal disease and he is a small dog that only weighs 11lbs and our vet put him on nf kidney function diet but our problem is he wont eat it he went 2 day without eating anything because our vet said to give only this food. Today I broke down and put half of the nf dog food along with half boiled chicken with some water and mixed it all in together is this still ok or do I need to try to force feed him which I do not want to go this route cause I feel like if he don't want it I should not force it on him but yet I am not ready to lose my baby. Is there anything that I can do to get him to eat the NF Dog food that I might be able to mix in with it that wont hurt him any worse than he is now. Please help I have done lots of research on Renal disease and I know there are foods I can make from scratch for the Renal disease but I would really like it if I can get the NF food from the vet to work. He only has early stages of the renal disease and would like to correct the problem now before it gets worse to the point we may have to have him put down and I don't want to do that right now cause he is my one and only baby and has gotten me through some really bad times Please Help me
    The Vet put him on the Purina NF for a healthier Kidney Function it is the wet stuff for some reason my dog wont eat the hard food it has to be the wet or soupy before he eats it. The vet did say that if the dog wouldn't eat the dog food they would change off to something else and if that didn't work they said something about medicine. He has a very mild case there was something in his blood work that showed one of his levels at 32 and he was not worried he said if it was over 100 then it would be time to worry but he said he just has a very mild case and if we can get him to eat the food his lab work may resolve and go back down to normal they was saying something about normal being around 9 to 25 or around there and his was 32 so not really high but high enough for us to take action now before its too late I am just not too sure about mixing the boiled chicken in with it. He is a very picky eater and if there is no smell or taste then he wont eat it. Family would always feed him tabl

    • ANSWER:
      I have a 6 year old mini schnauzer that was diagnosed with renal disease a few years ago. She is on Science Diet KD food... she eats the dry food and canned food and I didn't have any problem switching her to it. What type of food did the vet tell you to feed your dog? If not the Science Diet KD then I would definitely ask your vet if you can try it. There should be no reason why you couldn't. Also, there is a pill that Roxy takes twice a day for her disease called Azodyl, did your vet mention or prescribe any medication? Unfortunately my dog has not seen much improvement from the diet or medication over the years but hasn't gotten any worse either. So do your best to stick with the diet and ask about the medication and hopefully you'll have several more good years with your baby :)

  45. QUESTION:
    early symptoms of kidney failure, from those who have been in renal failure?
    this question is for those only who have been in renal failure, please dont give me and copy/paste from webmd, i can do that.

    what were your first symptoms? did you have alot of nausea, and what finally made you decide to get checked out. im particularly interested in those who have polycystic kidney disease.

    thanks in advance, if you could share your story it would be greatly appreciated. if its more comfortable please email me, i need to know and would be so grateful for any experience you share.

    • ANSWER:

  46. QUESTION:
    Prognosis for diabetic with chf and renal disease?
    My 60yr. old diabetic brother was diagnosed with diabetes,heart failure,congestive failure,renal failure,low blood sugar, chronic ischemic heart,hyperlipidemia,disorders of lipoid metabolism,low vision and blindness. His heart is working 30%. His heart and kidney Dr. wants our input on cardiac catherization which would put him on dialysis immediately.What can we expect of his condition & prognosis if we decide not to do this procedure?

    • ANSWER:
      His prognosis is poor at this time.

  47. QUESTION:
    Is a chlorine dioxide dental treatment safe for cats with early renal disease?
    My beloved kitty is almost 12 yrs old and has declining renal function. She also has some dental problems. She is scheduled to undergo a dental cleaning and exam, but I came across some products that advertised that they would help make the cleaning easier and would help prevent against tartar/plaque build up afterwards. While I am skeptical of how much good they will really do, my main concern is that it might be harmful to her kidneys. I couldn't really find much evidence either way. Anyone with any knowledge on the subject? Thanks in advance

    • ANSWER:
      Bless you and you "kitty".Our old girl had renal failure and i had 2 put her on iv 2 help flush out her system.She lived a good 4 years and was full of life,But we had 2 be very careful of anything she was given.I would really talk 2 your vet before proceeding 2 give her this product.May she have many more wonderful healthy years.

  48. QUESTION:
    What is a tenkoff catheter and why is it used related to kidney disease?
    I was just wondering what a tenkoff catheter is and how having one would aid someone with renal failure.

    • ANSWER:
      A Tenckhoff catheter is a tube placed into the abdominal cavity for peritoneal dialysis. Peritoneal dialysis is an alternative to hemodialysis - fluid is infused into the abdominal cavity, and it pulls toxins out of the body that the kidneys usually take care of.

      Read all about it here:
      http://kidney.niddk.nih.gov/kudiseases/pubs/peritoneal/

  49. QUESTION:
    what are the early tests to be performed to rule out kidney disease in diabetes, ignored for several years?
    I would like to know that what r the lab tests to be done to identify the renal function in early stages of chronic diabetes?

    • ANSWER:
      1. Ultrasound of kidneys and urinary tract, 2, Blood work and urine analysis 3, Urocultivation and last or rather first: clinic history: weight loss, loss of muscle mass, and power to move, pain in urinary tract region, in some cases excruciating pain in descending colon septum leading to suspicions about colon disease.And of course determination of various types of glucose levels and stabilization of same.

  50. QUESTION:
    Have you been pregnant with renal disease?
    I have 1 kidney and Stage 4 chronic renal failure (creatinine 180) and recently looked into having a baby. I've been living a healthy, normal life for 20 years since my other kidney was removed. I just went to a doctor who advised me 'never to get pregnant'.

    I'd like to know if anyone else went through pregnancy with reduced kidney function, on dialysis or after a kidney transplant. If so, how did the pregnancy go? If not, what was your main reason for deciding not to go down the path of carrying a child?
    I'm already aware of the issues involved and don't plan on getting pregnant if it seriously comprises my health. Please answer the question if it applies to you or someone you know...

    • ANSWER:


Sample Diet For Renal Patients

Healthy eating plays a key role in making our life energetic and healthy. Especially in case of diabetic patients, balanced diet is a necessary part for maintaining blood glucose level. By preparing a properly planned diabetic diet, this chronic disease can be well managed. Inclusion of food intake with rich protein concentration is preferred than food with rich carbohydrate concentration.

Healthy eating does not emphasis on consuming a large quantity of food. Acquiring the needed quantity of food is the core principle behind healthy eating. Desserts, candy, wines and other sugar beverages are some of the restricted food intakes for a diabetic patient. Over inclusion of high caloric food items increases blood sugar level and retards the metabolic rate of the body. So try to take sugar free food items other than sugary products. Preplanned diabetic diet helps to a great extend in maintaining a healthier life. Keep note of diabetic diet for each day or for a week in advance for good result. Try to avoid the regular intake of fast food from restaurants.

Make sure to include a good proportion of vegetables like beans and fruits in diet which will promote a balanced blood glucose level. Fresh vegetable juice can be preferred over fruit juice due to its low sugar concentration. Studies say that it is better to prefer whole grain products in diet than processed grain products. Try to avoid fried and oily food products in diet. Over consumption of fried chicken and beef products creates accumulation of fatty acids in body. Try to choose boiled meat instead of consuming fried meat products.

Renal Kidney Disease Treatment

Clinical trials are medical study trials that are carried out on humans beneath double blind situations. This indicates that the researchers and the patients do not know who's obtaining the trial product or the placebo. You are able to be assured with the security of every single item you place in your mouth or in your skin when you realize that it has long been verified by clinical trials.

Download Click here

These would be the results of a few of the medical trials that supplied me with clues when putting this distinctive plan collectively to reverse kidney illness and improve kidney perform.

There is far more to healing than just taking some products and eating foods that assistance the rejuvenation of your human body. There's the emotional and mental facet to healing too ... and when you have a question about what's occurring for you, you will need and need to know the answer. Who much better to reply these inquiries, than the persons who developed the program?

Frequently Asked Questions

  1. QUESTION:
    what is the life span of end stage renal disease with one kidney dead other less than 10% no dialysis/transpnt
    also the person has diabetes, skin cancer, breast cancer, shingles, is on methadone, and 20 other pills from blood pressure, capapril? pacsil, and many others, also was on perocet, fentenal, now on methodone, doctors gave her 5 years to live from cancer going on 11 yrs. doctors also gave her 2 months to live with refusing treatment for kidneys, been 2 months, she also gets sick a lot, throws up blood sometimes, she is my boyfriend's mother, she refuses home nurses, free care, etc. some web sites say 6 months tops others says many years, how longs before the toxins build up in her system, also she only eats once every three days, refuses food, sick, when she eats its deep fried egg rolls or fried eggs, milk, bread, and she drinks approx. 15-20 cups of instant reg. coffee a day, smokes 5 cartons of ciggs. a month, sometimes she is out of her mind, some days fine, how long is her lifespan? she is 62yr. thanks.

    • ANSWER:
      I would say "death is iminent", but sometimes the body defies all the plans, numbers, and statistics that the medical fields can come up with.

  2. QUESTION:
    Dog diagnosed with pyometra and kidney failure, chances of dog having renal failure?
    My yorki-poo (5lbs) was put to sleep yesterday. I found her limp with cold paws and barely breathing. Once we start going to the vet hospital, I notice she had been having seizures. Eventually at the vet, she's having seizures every minute. The vet demands money upfront, I dont have it-- the dog is a family pet and so far I wasnt able to get in touch with my family, So eventually they decide to stabilize my dog, if I promise to pay the money like in a few minutes. After stabilizing, they say she has pyometra and her kidneys dont seem to be functioning properly. The dog was 8 years old, and had never been spayed. The vet explains that I can have her spayed or put down. She says having her spayed is very risky and that the dog might have renal failure or kidney disease and cant be treated, and that I have to make a decision now as well as pay now. Long story short, I was heartbroken because my dog was suffering and I had her put to sleep. I regret it now, but I just want to know the liklihood of her surving treatment at an older age, and the liklihood of her having kidney disease or renal failure. Thanks!

    • ANSWER:
      Odds were against her.. That's why females should be spayed, many of them develop pyometra when they get older. It can be deadly if it's not caught in time.

  3. QUESTION:
    Is a chlorine dioxide dental treatment safe for cats with early renal disease?
    My beloved kitty is almost 12 yrs old and has declining renal function. She also has some dental problems. She is scheduled to undergo a dental cleaning and exam, but I came across some products that advertised that they would help make the cleaning easier and would help prevent against tartar/plaque build up afterwards. While I am skeptical of how much good they will really do, my main concern is that it might be harmful to her kidneys. I couldn't really find much evidence either way. Anyone with any knowledge on the subject? Thanks in advance

    • ANSWER:
      Bless you and you "kitty".Our old girl had renal failure and i had 2 put her on iv 2 help flush out her system.She lived a good 4 years and was full of life,But we had 2 be very careful of anything she was given.I would really talk 2 your vet before proceeding 2 give her this product.May she have many more wonderful healthy years.

  4. QUESTION:
    My cat w/crf (kidney disease) sometimes eats litter and licks the pavement; is this a sign of deficiency?
    He's in the end stages of renal disease and I don't want to bring him to the vet and force him through anymore blood tests or treatments. Is this behavior some type of deficiency and can I get a liquid vitamin for him?

    He has also become very weak and can't jump onto the sink or table or chair anymore...what can I do to get his strength back? He still has a healthy appetite and goes outside and lies on my lap happily.

    • ANSWER:
      Sometimes cats get pica (eating strange things) when they are anemic. His crf may be causing bone marrow suppression which will lead to a non-regenerative anemia. Check your kitty's gum color, if it is pale pink, this might be the case. Regardless, speak with your vet and explain that you want to continue with palliative, supportive care with no further testing. A good vet will understand and help you to keep your cat as comfortable as possible.

  5. QUESTION:
    dear collegues,my sis is suffering from a disease can u guide me 4 her treatment,giving her details...?
    ashwini 20 yrs,ocassionaly weakness and fatigue.
    investigations-
    BUN(blood urea nitrogen) 63mg/dl
    SERUM CREATININ 5mg/dl,(11mg/dl before hemodialysis)
    HEAMOGLOBIN 6gm/dl
    ANTI NUCLEAR ANTIBODY POSITIVE
    ANTI HISTONE ANTIBODY POSITIVE
    ANTI DNA ANTIBODY POSITIVE, BUT NOT SLE.
    RENAL BIOPSY-END STAGE RENAL DISEASE INVOLVING BOTH KIDNEYS.
    X-Ray chest cardiomegaly.

    history and present condition-
    she was alright 4 yrs back when her doctor sister noticed her pale and investigated.physically well built & a university player.
    SHE IS NOW ON DIALYSIS every 8-10 days.
    FAMILY HISTORY-HER MOTHER(38),SISTER(22) DIED OF SAME PATHOLOGY FEW YRS BEFORE.
    PRESENT MEDICATION-high doses of steroids,erythropoietin.
    we r considering for renal transplant,but surgeons deny it cuase of antibodies present.
    she is having one more sist and a brother,
    PLS GUIDE ME FOR HER MANAGEMENT TO A GOOD PHYSICIAN.WILL B VERY THANKFUL 4 U.
    arunmoregsa@rediffmail.com, arun_sups@yahoo.com
    Dr Arun,India.

    • ANSWER:
      I'm a nurse here in the U.S.

      I'm sorry to hear about your sister's illness. Given the lab values you cited..this definitely sounds like an autoimmune process going on. I have SLE and this sure sounds familiar. I spent several years of going to different doctors and being diagnosed with various "strange" diseases before I found my current physician who figured out it was SLE all along. SLE is the great imposter. It can mimic many diseases. Are you certain it's not SLE?

      Your sister needs a good rheumatologist. There is a very good one in Denver, Colorado at National Jewish Medical Center. His name is Dr. Richard Meehan. Here is the website for National Jewish. Perhaps you can contact him or one of his colleagues through this site.

      www.nationaljewish.org

      Best of luck to you, and prayers for your sister's health.

  6. QUESTION:
    Chronic Kidney Disease?
    Hi I just need a clarification, I have Mild Chronic Kidney Disease; I read it is a progressive loss of renal function over a period of months or years. There are 5 stages and I am in stage 2. What does progressive actually mean? Will it never stop even with treatments?
    Thank you very much
    Claudia

    • ANSWER:

  7. QUESTION:
    Treatment for Crohn's Disease?
    My boyfriend's mother has crohn's disease and she has had some problems with it. She recently took a vacation to visit us (12 hrs away), and the day she got back home she went to the hospital for chemotherapy treatments. She told my b/f that it was nothing to worry about that it was just treatment for her crohn's. I don't know much about crohn's/treatments, but I have never heard of chemotherapy as a form of treatment for this disease. She has lied to him once before when she was having renal failure and she told him that it was just a simple kidney infection. Is chemotherapy a treatment used for crohn's disease?

    • ANSWER:
      i think so. theorpy means cure.

  8. QUESTION:
    My cat's kidney disease?
    I have a 12 year old cat whom I love a lot. My wife thinks that since the new year he has been drinking and peeing a lot otherwise she thought maybe he had an occasional bad day but he was acting his normal self otherwise. September 2009 his blood work including thyroid levels were all normal (March 2009 he had a successful partial thyroidectomy). So I took him to the vet 2 weeks ago. I ended up going to a new vet who is across the street rather than his usual vet because he hates car rides. The vet just did a cursory exam and drew some blood and gave him his Rabies and distemper shots. The BUN Creatinine came back high and she said that this was chronic renal failure. All other blood work including sugar and thyroid were normal. When I asked for a workup for the cause she said it did not matter as the treatment is the same. She scheduled him for admission the following Monday for IV fluids. He rapidly deteriorated so last Friday night we rushed him to the ED of the hospital where his regular vet works. His BUN/Cr were worse so they admitted him and did IV fluids. They found no evidence of hypertension, no anemia even after hydration, normal kidneys on U/S and Xray, and no proteinuria (culture is still pending). He responded very well to 4 days of IV fluids (Cr came down from 9 to 5 and BUN from 135 to 56) and he was sent home with enalapril, antibiotics and sq fluids +/- renal diet. He is due to go back next Wednesday for blood work. Now since he is an indoor cat with no exposure to toxins or infection my wife (a "human" dermatologist) thinks that he indeed has chronic renal failure, because of the 6 months of drinking and peeing, that was exacerbated by the distemper shot. The Vets at the hospital think this is something acute given normal BP, hct, U/S and Xray of kidneys.
    Can a cat have chronic renal failure and have no hypertension, anemia and normal kidneys on both XRay and U/S?
    Can a cat be exposed to a UTI causing bacteria or a toxin in the house without ever going out?

    The reason I ask is if he does have chronic renal failure it is going to be very hard for him to get the sq fluids every day. He hates it and i don't want to put him through that.

    • ANSWER:

  9. QUESTION:
    Do you have to pay for dialysis if you move to live in New Zealand?
    I am contemplating with looking at moving to New Zealand to live at some point. My family has a history of kidney disease and renal failure resulting in a need for dialysis. I have already been diagnosed by not currently suffering.

    What I need to know is, is dialysis something that is available for free in nz or is it a payable treatment?

    If I have to pay for this (unlike in the UK where it is provided by the NHS), it will mean I probably have to rethink my dream.

    Many thanks

    • ANSWER:
      You would be most unlikely to meet New Zealand's medical requirements for immigration but if you do manage to get there, dialysis is free for permanent residents and people from copuntries that have reciprocal healthcare arrangements with New Zealand (e.g. the UK).

  10. QUESTION:
    Chronic renal failure?
    Scenario B: Chronic renal failure. Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he is not urinating more than once a day.

    oWhy is the condition of Mr. Hodges’s kidneys affecting the rest of his body?
    oAs his chronic renal failure worsens what other symptoms and signs might occur in his respiratory, digestive, nervous, and urinary systems?
    oWhat is causing Mr. Hodges’s kidney disease?
    oWhat are possible treatment options and prognosis?

    • ANSWER:
      so this is why the nurses at the nursing homes are so clueless they ask all their questions on yahoo answers.

      He has Congestive heart failure, that is the reason for his kidney disease. there is less blood flow to the kidney. fluid leaks into the interstitial compartments.

      dyspenia, troble breathing, a specfic condition known as PND he will wake up in the middle of night short of breath, this is because when you fall asleep blood seeps into your intravasculat compartment (up to 1 liter), thisis really a horrible condition, its just like torture. Pray that you never have to witness it.

      kidney disease is secondary to heart failure BASED SOLELY on the information provided. though there is a labyrhinth of possabliities

      diretucs (not so much because of his RF), digitalis, if he's on an ace inhibitor and having those symptoms it might be due to renal artery stenosis.... in that case the ace inhibitor is counterproductive and contributing to his renal failure (RF).

      for that part I will link you to my other answer. do tell this to all patients like this. God will reward you for it!!

      Google the following..

      Dr Stephen Sinatra "Metabolic Cardiology" or any other books by him, he is a cardiologist (cardiac surgeon)with over 30 years of experience, and made his own protocol.

      he says something liek this in his book, but I suggest yuor read it/google it.
      D-Ribose: 15 Grams per day cost is like ~ for 8oz
      Coenzyme Q10: 400mg (atleast 1 to 2 times per day) for 60 capsules
      L-Carnitine (1.5 to 3 grams per day) get the powdered form its alot cheaper. ~ if not you can buy the tablets . (500mg each)
      Magnesium Supplements (atleast 400mg per day)
      Taurine: (atleast 1 gram per day, up to 4 grams maybe more i don't remember the top bracket of it) for 300 tablets 500 mg each. about a few months supply.

      and check the following treatments, he likely has CHF or congestive heart failure he needs this treatment called EECP (35 treatments where they put blood pressure cuffs on the patients legs and abdoment to pump blood back to the heart for 1 hr a day for 35 days to make it stronger, (increased ejection fraction). It makes new blood vessels to that they can get blood to the damaged tissue and save it. It has been shown to IMPROVE heart function. It was just approved after 50 years of research.

      If you have cardiomyopathy look into stem cells, they can be found in thailand, mexico, the carribean and india. some are cheaper than others.

  11. QUESTION:
    Is bin Laden's death kept secret to keep the terrorism lie going for defense spending & trashing civil rights?
    I'd like to see Obama announce the death of Osama bin Laden as one of his first official duties. Bin Laden often better known as bin Forgotten died in December of 2001. There is nothing I am saying that is news to anyone who has actually spent any time thinking.

    Osama bin Laden had serous kidney disease that required him to have dialysis treatment twice a week. There aren't any dialysis machines floating around in the border region of Afghanistan and Pakistan. A few months back a reporter finally asked the question that should have been asked years ago at a White House press conference.

    How is it that a guy who was seriously ill seven years ago is getting treatment for end-stage renal disease in some cave in Afghanistan? The woman conducting the press conference panicked at the thought of answering that most basic question and immediately canceled the rest of the briefing.

    The United States does not need a boogieman living in a cave in Asia. Osama bin Laden is dead. Barak Obama should be honest enough with the American people to declare him dead.

    Here are the facts.

    1. The last intelligence intercept of Osama bin Laden was on December 14 of 2001. He has not been heard from since.
    2. President Bush and Defense Secretary Rumsfeld hinted in late December of 2001 that they knew Osama bin Laden was dead.
    3. President Musharraf of Pakistan announced in January of 2002 that Osama bin Laden was probably dead of kidney disease.
    4. President Hamid Karzai of Afghanistan was quoted in October of 2002 as saying, "The more we don't hear of him, and the more time passes, there is the likelihood that he probably is either dead or seriously wounded somewhere."
    5. But the actions of the US Military are the most telling. There isn't a single soldier, sailor or Marine tasked with chasing down Osama bin Laden, dead or alive. Because we know exactly where he is. He's dead. So the US military is either totally or absolutely incompetent or Osama bin Laden died years ago and we've been fighting the boogieman.
    6. As early as July of 2002, even the FBI's counterterrorism chief was quoted as saying; Osama bin Laden is "probably" dead.

    The US does not need a boogieman; we have real challenges ahead of us. We need a President who will not lie to us on a constant basis.

    While you are at it Mr President Elect, you may want to mention that Iran never threatened to wipe Israel off the map and 16 US Intelligence agencies all agree Iran does not have a nuclear weapons program. But you knew that, didn't you? Iran is neither the enemy of the United States nor Israel.

    • ANSWER:

  12. QUESTION:
    How long has a cat had declining kidney function say 50% or more before the vet detects 75% dysfunction?
    My cat was diagnosed with hyperthyroidism. I had to maek the decision to pill him with methimazole or go ahead with I131 radioactive Iodine which is a cure however there are risks with both procedures. The risk with the I131 is your cat could go into acute renal failure if it has preexisting renal failure prior to the I131 injection-AND SOEMTIMES AFTER TREATMENT OF I131 THE KIDNEY FAILURE IS FOUND THAT WAS PREVIOUSLY HIDDEN. DO YOU THINK MY CAT HAD KIDNEY FAILURE PRIOR TO BEING DIAGNOSED WITH HYPERTHYOIDISM AND IT WAS BEING MASKED OR HIDDEN?

    my cat was diagnosed with hyperthyroidism in Nov 06. My cat was diagnosed with kidney disease & 75% kidney loss in Nov 07. I decided to pill him with medication to control but not cure his hyperthyroidism out of fear that if I had the I131 he would go into acute renal failure. There was no evidence suggesting that but I wanted to play it safe but having not gotten the cure may have caused him to die 2 years later instead of a cure of his hyperthroidism. Should i have gotten the I131 when he was first diagnosed with hyperthyroidism or do you think i made the right decision to pill him by allowing extra bllod flow to the kidneys which helps kidney function. But i feel really really guilty like i didnt make the right decison and have been cryign for 1 month straight. My cat dies 2 years later after being diagnosed with Hyperthyroidism on 12/29/08, and I balme myself becuse I think if i had gone ahead with the I131 he would still be here. The doctors dont know why he died. they just say he was severly dehyrdated, lethragic, anemic. I dont know if the hyperhtroidim killed him or kidney failure. I Ijust blame myself either way and will never forgive myself. I will never own another cat becuse I am not worthy or deserving of a cat. My cat was 16 1/2 when he died. I was giving him subq fluids under the skin for his dehydration and wellness can food 2 cans daily with hyperthyroid medicine. I hate myself!
    I am an awful awful person. if my cat had another mom instead of me he probabaly would have lived longer. Im th eone who should be dead nt him. if i could die 4 him and he live I would do it becuse my life is meaningless & empty without him.

    • ANSWER:
      Don't hate yourself, you did the best job that you could at making sure that he was able to keep alive for as long as he did. 16 1/2 years for a cat is pretty good, the average of cats are usually about 12-13 years old, so this is pretty good for the age. It could have been the complications of the thyroid problem, or it could have been the issue with the kidneys, or it could have been a little bit of both problems which are highly possible too. I know that it is sad, but you did the best thing that you could for your cat, and again as I mentioned, you were able to keep the cat a live for sometime.

  13. QUESTION:
    what does this mean, i don't understand the question can someone please explain:?
    Have you received:

    Social Security Disability Benefits for 24 months;
    Disability benefits based on lou gehrig's disease (ALS);or
    Renal Dialysis treatments or Kidney transplant

    I am taking this sentence as three different questions. But at the same time, i am thinking it is two questions? EX: Am i receiving disability due to these two illnesses? but then i think maybe it means if i answer to one question the Response should be yes? even if i don't have these two illnesses

    help please.

    • ANSWER:
      You are over-complicating this question, because you don't want to answer it in the way you THINK they want it answered.

      Let's put it this way... if any ONE part of the question is true, then the ENTIRE question is true.

      Have you received...
      Social Security? Yes.
      Disability benefits based on ALS? no.
      Renal Dialysis? No.
      Then the answer is still Yes to the whole question.

      Have you received...
      Social Security? No.
      Disability benefits based on ALS? Yes.
      Renal Dialysis? No.
      Then the answer is STILL yes to the whole question.

      It doesn't matter if you are taking this question as three separate questions. The point of having all three parts to this one question, is that if ANY of these sub-questions is true, then obviously this organization is going to do something specific.

      end of line

  14. QUESTION:
    Methamazole / acute kidney failure?
    My cat was diagnosed with hyperthyroidism. She was put on methamazole 1/2 twice daily. She had her blood tests, & the levels were still high. So the vet prescribed 1 tablet twice daily. She was on this for about 6 months. The last blood test showed the level of thyroid hormone was undetectable. Too low, vet quickly lowered back to the first dose. Before I even had the new dose in her but 1 day, she became quite tired. I called the vet er, they said maybe it needed to get out of her system. Soon she could barely move, & eventually fell over in the kitchen. I took her to the vet er, she was in acute kidney failure. I had to help her out of pain. I am devistated. as this was a complete shock. The symptoms began & ended all within 3 days. I am wondering if a cats body can change as far as levels, & what could have caused her kidney failure that quick. I also had a male, w/ hyperthyroidism & kidney disease, he was treated also with methamazole, 1/2 tablet once a day. Also a blood pressure pill. He did go blind, as his retinas detached. It was a miracle, a day after treatment of the high blood pressure, he focused on me. He got his sight back! He was going downhill though still, as he was 15. The female above was 14. After she died, it was only 2 days, & my boy couldn't even walk, as a Mom, I had to help him also. They got the blood tests at the same time, his level was perfect she said. I had no idea he had the thyroid problem til he lost his sight. I lost my two best friends in the same week. I noticed with both of them, after starting the methamazole, they stopped purring. Were not the same little "people" they used to be. I know I did the right thing for them, as they were older, and the blood tests came back horrible. There was nothing I could do. I need to know if this medication may have threw them both into renal failure. I am 42, an adult woman, its been a week....& I'm still crying like a child. Any opinion, advice, or answers would mean alot. Thank you.
    Apologizing ahead, as this is my first time here, on questions. I may have put this in the wrong category. Thought I put it on "Pets"...looks like it appeared on "diseases"?? I hope others can find it. Thank you ahead for any replies that are given, it means so much. I want to do the very best I can with any extra knowledge. I have one cat left, "Furgis"....and I want to do the best I can for him. He is only 6.....I want him to live a long and happy life.

    • ANSWER:
      I had a cat that lived to be 19. The last 6 years of his life he was on methamazole. It did wonders for his hyperthyroidism.
      Sometimes the best efforts of the vets just don't do the trick. I am so sorry you lost your cats. They really are wonderful creatures. Please get another one or two that need homes.

  15. QUESTION:
    how long does one live after discovering chronic kidney failure?
    64 year old male. already has pancretitis, liver disease, gallballder trouble, and renal failure. has been treated medically to try and reverse kidney failure, and now does not wish to have dialysis, and has decided to stop treatments and wait to pass away. all conditions are caused by chronic alcholism. thanks for any input, personal experiences.

    • ANSWER:
      From a medical provider standpoint, you typically live as long as you feel like living, regardless of the disease.

  16. QUESTION:
    can herbal medicines help cure kidney failure?
    my husband was diagnosed with renal failure last feb 2007, he is now under hemodialysis treatment....but still we are looking for some alternative medicine that can help or cure his disease. can somebody help us to look for alternative medicine. or is there somebody with the same case that could help us.

    • ANSWER:
      As of today, there is NO cure for kidney failure. It is not a death sentence however. I have lived with kidney failure for 10 years (I am middle-aged) and have been on peritoneal dialysis, hemodialysis and had two kidney transplants. And life still goes on.

      Please be careful with your husband using herbal medicines which can kill what little kidney function your husband still has left. He should talk to his kidney doctor (nephrologist) and renal dietician about what won't interfere with the medicines that he is already taking.

  17. QUESTION:
    Risks of a health identical twin donating a kidney to their very weak unhealthy sibling w/renal failure?
    I'm sure the healthy donor would be ok, but what about the unhealthy recipient?

    -The possible recipient lives off of a feeding tube and is pretty frail.
    - Recipient also has Parkinson's disease & movement is very restrictive to some use of a walker.
    - Recipient also had been hospitalized multiple times for urinary track infection, blood infection, and did start showing some signs of kidney damage from infection.

    All this involved a couple family members some time back, and the twins are elderly, in their 60's.

    Would a transplant be a feasible option? Dialysis?

    I'm guessing no... since the ill person did pass away pretty quickly, I'm just wondering about the "what ifs" and would these treatments have done a lot of good?

    • ANSWER:
      Did the sick one actually have renal failure? You only mention "showing signs of kidney damage". The recipient needs to be healthy enough to survive the surgery and cannot have a transplant if any infection, especially blood infection, is present.

      Usually if someone is in renal failure, the doctors will put them on dialysis before doing a kidney transplant. It is possible that medical problems other than kidney failure were present and responsible for the death. In that case, a kidney transplant would not have helped.

  18. QUESTION:
    Who has IGA Nephropathy?
    I had a biopsy 5 yrs ago and was diagnosed as hvg IGA nephropathy with 13 glomeruli damaged. My mother has kidney disease with end stage renal failure for 10 years now. My brother went through a steriod treatment a couple of years ago.

    I have been taking Omega 3 (fish oil) since and have not gone for any check ups. Currently, i experience alot of backache and loss of appetite. My blood pressure is always normal.

    Anyone or your family member who has this kidney disorder, can you share with me your story and how do you deal with it? Thank you.

    • ANSWER:
      IgA nephropathy is deposition of IgA immune complexes in glomeruli, manifesting as slowly progressive hematuria, proteinuria, and, often, renal insufficiency. Diagnosis is based on urinalysis and renal biopsy. Prognosis is generally good. Treatment options include ACE inhibitors, corticosteroids, and ω-3 polyunsaturated fatty acids.
      Familial clustering has also been observed, suggesting genetic factors at least in some cases.
      Controlling your blood pressure is one of the most important ways you can help slow kidney damage from IgA nephropathy. You doctor may recommend changes in your diet — such as limiting your salt intake — to help manage your blood pressure. A low-salt diet can also help minimize fluid retention and swelling. Other dietary changes, such as reducing the amount of protein you eat and taking steps to decrease your cholesterol levels, also may help slow the progression of IgA nephropathy. Talk with your doctor about what's right for you.

  19. QUESTION:
    HHHHHHHHHHHHHHHHHHelp!@!!!!!!!!!!!!!@%%%%%%%%$%$%$%$%$%%%$%%$%$%$%$%%######^^&&&&&&&&&&7?
    i need to write an outline for my biology
    Topic is the Excretory system
    and it has 4 main sections to it.

    1. introduction
    -- overview and introuduce the system
    2. cell <-=---------------------------------coul... choose .. Help me
    ---- describe structure and function
    3. organ (kidney)
    ---- describbe structure and function
    4. disease (renal system)
    ---- symtoms, pransmission, and treatment

    • ANSWER:
      Not sure what you're looking for...renal cells?? Explain a little more.

  20. QUESTION:
    Can Someone Please Help me with these 2...I am lost and do not know where to begin?
    Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he is not urinating more than once a day.
    5. Why is the condition of Mr. Hodges‘s kidneys affecting the rest of his body?
    6. As his chronic renal failure worsens, what other symptoms and signs might occur in his respiratory, digestive, nervous, and urinary systems?
    7. What is causing Mr. Hodges‘s kidney disease?
    8. What are possible treatment options and prognosis?

    Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output.
    1. What is happening to Ms. Jones‘s kidneys, and why is it causing the observed symptom?
    2. What other symptoms and signs might occur?
    3. What is causing Ms. Jones‘s kidney disease?
    4. What are possible treatment options and prognosis?

    • ANSWER:
      hi, you have presented a complicated question. i am a final year med student and i will try my best to answer your questions. in the case of mr. Hodges, the kidneys are the organs that filter waste out the body and into the bladder creating urine. if kidneys are failing it means they are not working at peak efficiency therefore not filtering enough waste out of the body hence there is less urine to excrete. as all the unwanted waste is building up, this can have effects in other parts of the body, mr hodges may expect to experience headaches, jaundice, nausea, loss of appetite, renal pains .. these symptoms can be manages by dialysis and other medications. the exact cause of kidney disease is unknown however, it is common place among the elderly.. kidneys may fail when a person gets older. at his age, it is possible hey may need dialysis to maintain kidney function, in the elderly with kidney failure prognosis is unfortunately not so good. another possible option is a kidney transplant from a donor.

      in the case of ms. jones, her presentation with poor urine output after one day of surgery may only be related to the fact that her food intake before surgery may have been very limited. most people need to fast for up to 48 hours prior to any surgery therefore waste is not being produced so there may be less urine. there is no indication of kidney disease. email me if you wish to add more detail

  21. QUESTION:
    Mr. Hodges, a 73-year-old man, has had congestive heart failure for?
    Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he is not urinating more than once a day.
    5. Why is the condition of Mr. Hodges‘s kidneys affecting the rest of his body?
    6. As his chronic renal failure worsens, what other symptoms and signs might occur in his respiratory, digestive, nervous, and urinary systems?
    7. What is causing Mr. Hodges‘s kidney disease?
    8. What are possible treatment options and prognosis?

    • ANSWER:
      Mr. Hodges has chronic Renal Failure. This means that his kidneys have failed to function properly. This also means that his body is no longer able to eliminate the metabolic toxic wastes his body is producing as the byproducts of the metabolic processes occurring in every cell of his body. When the amount of these metabolic wastes accumulate in the system, they begin to poison every cell in the body. This is how it affects the functions of the other organs in the different systems of the body. So as long as Mr. Hodges does not improve his urine output, he will deteriorate even if he is bombarded with drugs. Worse yet, the drugs will also aggravate his condition because their metabolites will also become additional poisons into his systems.

      The best approach to Mr Hodges problem is first increase his water intake. Not any other fluid but water! Water is the best diuretic and the body only excretes more urine if the body is provided with more. The adult human body is at least 70% water. If this percentage lowers, like plants the cells will wither. This withering will cause cell deterioration and when it dies, its the beginning of an organ failure. So for cells to maintain good health, adequate hydration in the form of proper water intake is very important. Avoid dehydrating beverages like coffee, tea, soft drinks, sodas, colas, alcohol, energy drinks, and of course, diuretic drugs.

      Unless the water requirement is met daily, Mr Hodges will continue to deteriorate because his cells will. Drugs will make him worse!

  22. QUESTION:
    Did my inactions and wrong decisions cause my 16 1/2 year old cat to die? Please Please help me!?
    How long has a cat had declining kidney function say 50% or more before the vet detects 75% dysfunction?
    My cat was diagnosed with hyperthyroidism. I had to maek the decision to pill him with methimazole or go ahead with I131 radioactive Iodine which is a cure however there are risks with both procedures. The risk with the I131 is your cat could go into acute renal failure if it has preexisting renal failure prior to the I131 injection-AND SOEMTIMES AFTER TREATMENT OF I131 THE KIDNEY FAILURE IS FOUND THAT WAS PREVIOUSLY HIDDEN. DO YOU THINK MY CAT HAD KIDNEY FAILURE PRIOR TO BEING DIAGNOSED WITH HYPERTHYOIDISM AND IT WAS BEING MASKED OR HIDDEN?

    my cat was diagnosed with hyperthyroidism in Nov 06. My cat was diagnosed with kidney disease & 75% kidney loss in Nov 07. I decided to pill him with medication to control but not cure his hyperthyroidism out of fear that if I had the I131 he would go into acute renal failure. There was no evidence suggesting that but I wanted to play it safe but having not gotten the cure may have caused him to die 2 years later instead of a cure of his hyperthroidism. Should i have gotten the I131 when he was first diagnosed with hyperthyroidism or do you think i made the right decision to pill him by allowing extra bllod flow to the kidneys which helps kidney function. But i feel really really guilty like i didnt make the right decison and have been cryign for 1 month straight. My cat dies 2 years later after being diagnosed with Hyperthyroidism on 12/29/08, and I balme myself becuse I think if i had gone ahead with the I131 he would still be here. The doctors dont know why he died. they just say he was severly dehyrdated, lethragic, anemic. I dont know if the hyperhtroidim killed him or kidney failure. I Ijust blame myself either way and will never forgive myself. I will never own another cat becuse I am not worthy or deserving of a cat. My cat was 16 1/2 when he died. I was giving him subq fluids under the skin for his dehydration and wellness can food 2 cans daily with hyperthyroid medicine. I hate myself!

    I am an awful awful person. if my cat had another mom instead of me he probabaly would have lived longer. Im th eone who should be dead nt him. if i could die 4 him and he live I would do it becuse my life is meaningless & empty without him.
    I will do the cat world a favor and never have a cat again.

    • ANSWER:
      God, give yourself a break! It sounds like you truly loved your cat & went out of your way to do everything possible for him. Loss is extremely hard, but he was 16 1/2 years old & I'm sure he lived a great life with you! I'm very sorry for your loss but please go easy on yourself!

  23. QUESTION:
    Help i have a Quiz???? PLEEEAASSEE?
    . Which of the following is a possible sign/symptom of a urinary system disorder?
    A. Urgency
    B. Occult stool
    C. Nausea and vomiting
    D. Diarrhea

    2. The most common lab test done is:
    A. clearance test.
    B. urinalysis.
    C. blood tests.
    D. culture and sensitivity

    3. Which of the following is true re: Diuretics?
    A. Also known as 'salt pills'
    B. Dry mouth is a common side effect.
    C. Most common diuretic used is Diamox
    D. Used only in lymph and urinary diseases

    4. Which of the following is true re: Hemodialysis?
    A. It is also called peritoneal dialysis
    B. It is usually done at home.
    C. It is usually required 3-4 times per week.
    D. It has no potential complications.

    5. Which of the following is not true re: urinary tract infection?
    A. A predisposing factor is a condition that impairs free flow of urine.
    B. It only refers to a bladder infection.
    C. Incomplete emptying of the bladder may help cause it.
    D. Scar tissue may contribute to infection.

    6. Which of the following is not a common developmental abnormality of the kidney?
    A. Renal agenesis
    B. Duplication
    C. Malposition
    D. Polycystic disease

    7. Which of the following is not true re: Polycystic Disease?
    A. It is an inherited disorder.
    B. It progresses rapidly.
    C. There is no cure.
    D. May not have symptoms until adulthood

    8. Which of the following is not true re: Urolithiasis?
    A. It is also known as 'kidney stones.'
    B. A possible treatment is lithotripsy.
    C. Renal colic is a rare symptom.
    D. A predisposing factor is an increased concentration of salts in the urine.

    9.Symptoms of Chronic Renal Failure may not appear until what percentage of the kidneys have failed?
    A. 15-20
    B. 35-40
    C. 55-60
    D. 75-80

    10. Which of the following is a possible cause of acute renal failure?
    A. Shock
    B. Myocardial infarction
    C. Frequent urination
    D. Nocturia

    • ANSWER:
      All right, here we go again. What level of schooling is this?

      1. A
      2. B
      3. B
      4. C
      5. B
      6. D.
      7. B
      8. C
      9. D
      10. A

      These are pretty bad questions, by the way. Not too specific. Last question, for example, both A and B are correct.

  24. QUESTION:
    Please help me to understand this medical situation.?
    My partner suffers from End Stage Renal Disease. He is quite healthy and is 24years old. He is surviving on one kidney, his other kidney no longer works. He told me that the surviving kidney works 30% of the time and that he is terminally ill. He is on dialysis 4 times a day. Can anyone explain or give me some advice on how I can handle this news? Is it possible for someone to die if their one kidney works 30% of the time even with dialysis and are there any other treatments he can have? I have asked about kidney transplant and he said the doctors think he will not be able to survive the operation. I don't know what to do and I am really scared of what will happen.
    My partner lives in another country and this makes it difficult for me to ask his doctors about his medical situation.

    Has anyone been in this situation before?

    • ANSWER:
      you could ask your local renal unit if it would be possible to speak to a renal nurse and they could only say yes or no. if they say yes then they will tell you to bring all info to the appointment and this could help. the reason for them wanting this info is that there are a load of different types of dialysis they will all so want to know what other treatments he is getting and also all medication that he is on. hope this helps?


Renal Failure Vs Kidney Failure

Kidney stones form when minerals normally diluted in your urine begin to crystallize within your kidneys. Gout is a version of arthritis that usually affects your big toe joint, ankles or wrists. Kidney disease is also known as renal disease or chronic renal failure. A urinary tract infection can also be r 00004000 eferred to as a bladder infection, because although any urinary tract organs can be affected, they are most common in the bladder.
Causes: - Kidney stones can form due to other health conditions such as gout and inflammatory bowel disease. Gout occurs when your body doesn't rid itself of uric acid, and it accumulates as crystals around your joints. Females are more apt to visit a physician more often than men, and gout can be detected early. Men do not visit physicians as often and are therefore diagnosed later in the disease. They often have worse cases than do females.
Symptoms: - There are no symptoms of a stone while it's still in the kidney, but once it begins its journey through the urethra to the bladder, typical symptoms include back and side pain that increases in intensity, cloudy or bloody urine and nausea. Gout symptoms include severe joint pain accompanied by inflammation and redness. The most common site for gout is the joint of the big toe on the foot--this is also called pedigree when the toe is affected by the gout arthritis. Knees, wrists and fingers as well as elbows and ankles are also common areas for gout. Fast onset of pain as well as warmth and swelling and a red color with tenderness of the area are all symptoms of gout attacks. The attacks can come and go in a few hours or last days at a time.
Diagnosis: - Imaging tests such as CT scans and ultrasound are helpful in diagnosing kidney stones. Gout can be confirmed using joint fluid and blood tests. A sterile syringe and needle are used to aspirate fluid from the inflamed area, and the fluid is analyzed for uric acid content and crystals or infection. Symptoms can be treated without actually having to participate in the arthrocentesis test.
Treatment: - Most kidney stones pass through the urinary tract with no treatment, but larger ones may need to be broken apart with shock wave treatment or surgery. Medications are usually prescribed for gout, including no steroidal anti-inflammatory drugs and colchicines. Common symptoms of kidney disease include excessive urinating and water consumption, weight loss and vomiting.
Herbs can be used to prevent the buildup of certain chemicals, acids or compounds in the body. Because many kidney stones are often composed of calcium, herbs that help reduce excess calcium in the urinary tract are particularly effective. Cranberries and rose hips have been found effective in reducing excess calcium.
Complications: - The biggest concern regarding kidney stones is size. If a stone becomes too large, it could block the flow of urine or damage the kidney. Left untreated, gout can lead to kidney stones and recurrent gout.

You may be interested in reading Natural Cure for Kidney Stones and Liver protection. Also visit Kidney Stones Supplements

Frequently Asked Questions

  1. QUESTION:

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  3. QUESTION:

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Renal Failure Treatments Patients

Early stage renal failure is a final common path way for a number of disease processes and associated with significant morbidity and mortality. In modern medicine approach kidney treatment like dialysis and kidney transplant is not rational approach but its temporary phase, not complete cure end stage renal failure or CRF (Chronic renal failure is the progressive loss of kidney function. The kidneys attempt to compensate for renal damage by excessive straining of the blood within the remaining functional filtering units that consist of a glomerulus and corresponding tubule over time, hyper filtration causes further loss of function)

In homeopathy medicine developed immunizations in damage nephrons in kidney, so kidney function is not damaged further and become strong, after homeopathy treatment decreased s.creatinin and BUN level day by day.

End stage of renal failure due to diabetes mellitus or Hypertension patient his S.creatinin level should 6 to 7. In this stage we can cure or re-establish kidney or renal functions. Patient under going heamodialysis and after kidney transplantation, homeopathy medicine work very well.

Patient had no blood pressure and no diabetes then his S.creatinie level is more then 6 in early stage homeopathy medicine reestablished Kidney functions very well.

There are not curative procedures for CRF but instead they keep a person alive by performing the crucial functions of the kidneys. Homeopathy stimulates one's immune system to perform normal functions in this way so that damaged kidneys start functioning normally.

TYPE OF RENAL FAILURE:

Pre renal

Decreased blood flow is one cause of damage to the kidney. Acute renal failure may occur when there is extremely low blood pressure; the patient may suffer from trauma, septic shock, haemorrhage, severe vomiting, diarrhea, burns and associated dehydration or other severe or complicated illness.

Intra renal

Renal failure usually occurs as the internal structures of the kidney and is suddenly or slowly destroyed. It is a complex chronic failure commonly noticed with hypertension and diabetes damage the vascular walls. Smoking causes atherosclerotic changes of the arterial walls. Nephrotoxic drugs and metals.

Post renal

A simple mechanical or functional obstruction to the free flow of urine precludes, its excretion and renal failure occurs. It commonly happens with kidney stones, urethral stricture and prost. The symptoms are sudden in acute renal failure and gradual in chronic.

Sine and Symptoms:

Increased Blood pressure, Weight Loose, Proteins pass in urine, General weakness, swellsround the eyes, Persistentfatigueandshortness ofbreath. Lossofappetiteandweightloss. Pale, dry and itchy skin. Muscular cramps and twitching. Headache, nausea, vomit andhiccups.

HOMEOPATHY TREATMENT BENEFIT FOR KIDNEY PATIENTS:


1. Early stage renal failure due to Diabetes and Hypertension patients who are suffering from Kidney disease they must take homeopathic treatment.

2. Healthy persons who have strong family history of renal failure should take classical homeopathic treatment to avoid the risk of renal failure.

3. Persons who are having symptoms of early renal failure of unknown etiology, then homeopathy medicine work very well.

4. Kidney patients of any stage should start homeopathic treatment earliest possible for avoiding passing into the complete renal.

5. Patients who are waiting for renal transplantation should start homeopathic treatment which can stop the urgent need of kidney donor.

6. Patients who are on dialysis can get rid of the frequent dialysis by taking classical homeopathic treatment.

Frequently Asked Questions

  1. QUESTION:
    What foundation can u suggest me for my brother that has renal kidney failure?
    My brother has renal kidney failure and he needs to undergo dialysis treatments and kidney transplant as soon as possible.The doctor said that it cost almost 1 million all in all,but we dont have amount like this,my father was only a farmer tenants and i'm only a production operator.Even i'll get overtime daily,this is not enough to produce 1 million for my brother.I/we love my brother.What foundation that helps kidney patients, can u suggest me for my brother?I want him to stay and live with us.If only i can give him a 10 years of my life,i could. Please please help me..Please please....I'm crazy need your help. Please

    • ANSWER:
      The united states government will pay for your brothers dialysis treatments, but he needs to apply for medicare. And I believe medicare will only pay for the treatments. Once a person is on dialysis, there are many medications that he will be put on such as epogen, iron, vit d and pills that he will need to take to control his phosphorus. To get these medications covered he will need another insurances. I don't know what state you leave in but meet with the social worker at the dialysis center. They will advise you on what insurance options you have. There is something called a medicare part D plan that is what they call a kidney friendly plan, but there are many part D plans so knowing all the medications your brother has to be will help to determine which part D plan to get on.

      Also as far as transplant lists go, the wait is about 6 years long right now, so make sure to get on as many transplant lists as possible. If you have a donor, it goes much faster but there are many tests your brother and the donor will have to go through to see if they are compatable and if the donor is healthy enough to give the kidney.

      You will also meet with a Registered Dietitian at the unit to make sure you fully understand the renal diet, because it is very different from a persons diet who is not on dialysis.

      Make sure to start planning now because dialysis is very complicated but it will be easier once you met with your dialysis center staff and come up with a plan of action. Good Luck!

  2. QUESTION:
    How Many Dialysis Patients Suspect That This Industry Operates Primarily For Profit, And Not For Patients?
    Do your natural instincts tell you that something insidious is going on at your dialysis center?
    Do you suspect that your center staff orders unnecessary drugs, surgeries and excessive treatments for you, not because they benefit you, but because they make money for the center?
    Do you feel like the "End Stage Renal Failure Industry" Is trying to turn You Into "A Slave For Profit?"
    If so, Please!- Please!; register your questions, comments or complaints here.
    I am currently conducting research on the subject.
    Thank you,
    Gregory R. Coleman

    • ANSWER:

  3. QUESTION:
    Will this really be health care for seniors under Obama health plans?
    Imagine that it is 2016, and you are a 65 year old boomer. You have been admitted to your local community hospital with malaise, fatigue, vomiting and cloudy mental status. You have had blood pressure problems and diabetes for a few years, and have just been diagnosed with renal failure. As you drift in and out of consciousness, you are vaguely aware your old family practice physician, who had taken care of you for 20 years, is not around. A religious man, he quietly retired from medical practice in 2014, after the full force of the Obama administration‘s removal of conscience protection for physicians in February, 2009, came into effect.

    You feel vaguely uncomfortable as you are placed in a darkened room in the Comfort Care wing of the hospital. In moments of lucidity, you wonder if you shouldn't have some oxygen, an IV or SOMETHING! But the appropriate therapy, kidney dialysis, is not on the approved list of treatments for patients over 65, having been deemed too expensive. The new regulations from the Department of Health and Human Services were presented just last month to your hospital's Futile Care Committee. It was decided at the highest levels that for those over 65 years of age, renal dialysis would not be a beneficial treatment, that the alternatives of a kidney transplant were too expensive, and that your quality of life on chronic dialysis would be too diminished.

    Your children wonder why you are not in an ICU. They are told that you will be placed on a morphine drip to make you more comfortable as you pass away, and that this is the highest standard of care for your diagnosis and age. It is called terminal sedation. You signed an advanced directive indicating that you did not want extraordinary care for a terminal condition, and under the new protocols renal failure, although treatable, qualifies as a terminal condition.

    • ANSWER:
      Soilent Green II.

  4. QUESTION:
    I need some help in pathology ( Case discussion )?
    59 year old male lorry driver was involved in a road traffic accident in which he sustained severe injuries to the head and pelvis. On admission to the hospital, he was unconscious and hypotensive. He underwent extensive surgery for a fractured pelvis and ruptured pelvic blood vessels. Over the next few days he gained consciousness, but it was noticed the he was not passing urine. Blood test showed that he was in Renal failure. He then developed fever and infection of his pelvic wounds. Gram-negative bacteria were cultured from his blood. Despite antibiotic treatment he died.

    DISCUSSION:
    * Describe in details all the steps in the process of Healing of wounds in this patient.
    * What is the cause of renal failure in this patient?
    * Describe in details all the steps in the pathological changes in this patient’s Kidneys.
    * Why does this patients has fever?
    * Describe in details all the steps in the process of wound infection in this patient
    * Mention all the factors that affect wound healing.

    • ANSWER:
      *Describe in details all the steps in the process of Healing of wounds in this patient.
      First, bleeding control, and normalize circulation and oxygenation. Second fracture should be in good fixation. Third infection control was important.
      * What is the cause of renal failure in this patient?
      There are all possibility of pre-renal, renal, and post-renal renal failure.
      It may be urinary tract obstruction by neurogenic bladder. If his urine volume was 0ml/24hr, complete urinary obstruction should be considered. Because in pre-renal renal failure and renal-parenchymal renal failure cases the urine volume might not be zero. At least 40-80ml/day.
      But in ICU we usually use urinary catheter and if so, post-renal renal failure was less likely. In that case we should think pre-renal renal failure. Inadequate resuscitation of fluid volume or sepsis might be the cause of his shock. And tubulonecrosis might developed(renal parenchymal damage). DIC might be the cause or exacerbation factor.
      * Describe in details all the steps in the pathological changes in this patient’s Kidneys.
      First, glomerular collapse cased by shock. And then tubulonecrosis developed. After that micro-embolism might develop by DIC.
      * Why does this patient have fever?
      He was septic. And cytokines made his temperature up.
      * Describe in details all the steps in the process of wound infection in this patient
      There are three possibilities. Gram negative bacteria especially gram negative rods come from urinary tract or digestive tract. So the first scenario is this; Urinary tract occlusion was the cause of uro-sepsis or leakage developed. I think leakage is the most probable scenario. The second scenario is the wound of intestinal tract was the cause of infection. The third scenario is bacterial translocation although the timing was a little too fast to develop bacterial translocation.
      Mention all the factors that affect wound healing.
      Nutrition, circulation, oxygen, infection, size of the wound, patient’s age, compromised host or not, location of the wound, etc.

  5. QUESTION:
    Which Is Safer?? Coronary Angiogram Or 64 CT Scan?
    Hi, doctors. My mom has rheumatic heart disease and needs to have two of her valves replaced(mitral+aortic). But her surgeon requires her to do either a coronary angiogram or a 64 ct scan to get a rough idea of her vascular condition.

    Apart from her valve problem, my mom is very health. She has very healthy eating and living habits, loves outdoors, does a lot of physical excercise and housework everyday...and has few white hair(she's already 61 yrs old), my grandparents are in their 80s and they don't have coronary heart disease either. ....All these suggest my mom has a much lower risk of developing CHD. So we want to take the option with lowest risk.

    I heard that the contrast agent can cause renal failure. And both treatment need contrast agents. So I'm wondering which one does less harm to patients?? Coronary Angiogram or 64 CT scan??

    Thanks.

    • ANSWER:
      The contrast material could damage the kidneys (particularly in patients with diabetes).
      MRI is sometimes used to avoid the dangers of angiography, repeated exposure to radiation, or the use of iodine-based dye (contrast).
      It may provide additional information when an echocardiogram is unclear.
      A heart MRI may reveal the following disorders:
      * Heart valve disorders
      * Pericardial effusion
      * Tumor invasion of blood vessels or pericardium (around the heart)
      * Atrial myxoma
      * Congenital heart abnormalities (such as pulmonary atresia)
      * Fibrosis or scarring of heart muscle
      * How much heart muscle is dead (after a heart attack)
      Consult a medical professional.

  6. QUESTION:
    Can you solve these medical mysteries?
    1. The patient is a seven-year old boy with leg pain, swollen gums and red dots all over his skin. His height and weight had slipped, and he had a mild fever. HIs appetite was poor and his diet consisted of cookies, bread, yogurt and milk.
    What disease is this boy suffering from?

    2.The patient is a 48-year old woman suffering fatigue and a potassium level of 8.2 mmol/L. After treatment, three causes were thought of: renal failure, hemolysis, or supplements. They were all wrong. The cause was identified when the patient said ______.
    What type of juice if drunk in liters would cause a potassium level of 8.2 mmol/L?

    3. A 22-year old, with a history of drug abuse, collapses. After being brought to the hospital he is given cpr, shocked five times, given ten different types of drugs and hooked on a respirator, he is declared dead. Five min. later, a nurse comes into his room and finds him alive with a blood pressure of 90/60.
    What is this penomenon called?
    4. Describe a poison that would cause fever, abdominal pain, diarrhea, weakness, and a peripheral sensory neuropathy. Also other symptoms would be anemia, anisopoikilocytosis, basophjilic stippling, irregular pyknotic nuclei, and Howell-Jolly bodies, Mee's lines on fingernails and toenails, and hyperkeratosis.

    Answer all four questions correctly and you automatically get 10 points. Remember spelling counts!
    The answers are:
    1. scurvy
    2. orange juice (citrus)
    3. Lazarus Phenomenon
    4. Arsenic poisoning

    Any more answers will be not count. Only one answer was the closest. Thank you all for your time.

    • ANSWER:
      1. scurvy

      2. she had Addison's disease? Citrus (orange/grapefruit) juices.

      3. spurious asystole

      4. heavy metal poisoning - probably lead

  7. QUESTION:
    case study about digoxin treatment?
    A patient with congestive heart failure has been successfully
    treated with digoxin for several years.
    Laboratory records indicate semiannual peak digoxin
    levels have all been in the therapeutic range. This patient
    recently developed renal failure, and admission
    testing was performed.Although digoxin is high, the
    physician indicates the patient is not exhibiting signs
    or symptoms of toxicity.If these results were derived from a random specimen,
    how may the time since the last dose affect
    the interpretation of the digoxin results?

    • ANSWER:
      renal failure and clearance of digoxin from system peak level of digoxin in blood stream Pharmacokinetics
      Absorption

      T max is 1 to 3 h (tablets), 30 to 90 min (oral solution). Food slows the rate of absorption after oral administration (tablets).
      Bioavailability

      100% (IV), 70% to 85% (oral solution), 60% to 80% (tablets).
      Distribution

      6 to 8 h tissue-distribution phase. Large apparent Vd. Crosses blood-brain barrier and placenta. Approximately 25% protein bound.
      Metabolism

      Approximately 16% metabolized; metabolites formed by hydrolysis, oxidation, and conjugation.
      Elimination

      Elimination follows first-order kinetics. 50% to 70% excreted unchanged in the urine (after IV administration). Half-life is 1.5 to 2 days.
      Onset

      0.5 to 2 h (oral), 5 to 30 min (IV).
      Peak

      2 to 6 h (oral), 1 to 4 h (IV).
      Special Populations
      Renal Function Impairment

      Cl correlates with CrCl. Half-life is 3.5 to 5 days in anuric patients. Dosage adjustment recommended.
      Hepatic Function Impairment

      Plasma digoxin concentrations not affected by acute hepatitis.
      Race

      Pharmacokinetics not expected to be affected by race.

  8. QUESTION:
    Question about nursing diagnosis.?
    My patient has acute renal failure and is a smoker and etoh user. Is this nursing diagnosis appropriate?

    Ineffective health maintenance r/t deficient knowledge regarding treatment and control of disease process m/b continuation of smoking and etoh.

    • ANSWER:
      Alterations in fluid balance related to decreased kidney function in association with deficient knowledge of harm by continuation of smoking and etoh.

  9. QUESTION:
    need home remedy for gout?
    My fiance is a cardiac patient who was on allopurinol for years. they took him off of some of his meds so they could figure out what he needed and didn't need. he went into congestive heart failure a while back and they rapidly infused him with lasix to remove 3.5 liters of fluid. the lasix was so strong it put him into renal failure and in the treatment of that he has developed 2 acute cases of gout in left hand and wrist. he is beginning to feel this type of pain in alot of other joints. they gave him colthrecine to rid the gout but it is making him very wet. swollen extremetie and severe diarrhea. is there any home treatment or anything he can do to rid this bout? they already put him back on allopurinol but state that it wont help rid the gout but it should help to keep it from happening which is a good thing. but what i need to know, is there any remedies that relieve the pain?

    • ANSWER:
      http://www.ayushveda.com/homeremedies/gout.htm READ THIS hth

  10. QUESTION:
    Can dialysis cause dehydration?
    I am a nursing student writing a care plan on a patient who was admitted to the hospital for dehydration. Earlier that day he received dialysis treatment. He also has hypertension, type II diabetes, and chronic renal failure. What do you think caused his dehydration?

    • ANSWER:
      If too much fluid is removed during dialysis it may cause dehydration.

  11. QUESTION:
    Will Ted Kennedy be drinking ethylene glycol soon to get this antidote?
    Australian Doctors Use Vodka Drip to Save Poisoned Tourist's Life
    Wednesday, October 10, 2007

    Australian doctors credit vodka for saving the life of an Italian tourist who had ingested a large amount of the poisonous substance ethylene glycol, found in antifreeze, which can cause renal failure and often is fatal, French news agency AAP reports.

    Pascal Gelperowicz, who led the man's treatment with Todd Fraser, said the man was unconscious when he arrived and was treated immediately with pharmaceutical-grade alcohol, which works as an antidote to the poison.

    The hospital's alcohol supplies were soon exhausted, however, so they purchased a case of vodka to help finish the job. "We ... decided the next best way to get alcohol into the man's system was by feeding him spirits through a naso-gastric tube," Gelperowicz said.

    The man was fed about three standard drinks an hour for three days while in intensive care. The patient has made a full recovery.
    http://www.foxnews.com/story/0,2933,300661,00.html

    • ANSWER:
      Ted Kennedy, eh, the assassins forgot that POS.

  12. QUESTION:
    What diagnostic tests and medications are needed for this patient?
    A 62-year old male(non-smoker, no known allergies) has the following medical conditions:


    Characteristics of angina commonly include a sensation of pressure, heavy weight, burning, or tightness over the sternum or near to it. The pain may radiate to, or occassionally be limited to, the left arm, shoulder, or other areas. The sensation gradually increases in intensity and then gradually disappears with rest. The duration is usually between 30 seconds and 30 minutes.


    Hypertension is defined by persistent elevation of arterial blood pressure.


    Hyperlipidemia is defined as an elevation of one or more of the following: cholesterol, cholesterol esters, phospholipids or triglycerides. Abnormalities of plasma lipids can result in a predisposition to coronary, cerebrovascular, and peripheral vascular arterial disease.

    He is taking the following medications:

    Irbesartan 300mg mane(what does "mane" mean?)
    Used for treatment of hypertension and prevention of renal disease progression in patients with type 2 diabetes, hypertention and microalbuminuria.

    Gemfibrozil 600mg bd(twice daily)
    Used in treatment of severe hypertriglyceridaemia, mixed hyperlipidaemia and dyslipidaemia associated with diabetes, and used to reduce risk of coronary heart disease in hypercholesterolaemia.

    Glyceryl Trinitrate Tablets 600mcg; half to one prn(when necessary)
    Used in the prevention and treatment of stable and angina and heart failure associated with acute myocardial infarction. Provides exogenous source of nitric oxide. Predominantly venodilators and reduces venous return and preload to the heart, reducing myocardial oxygen requirement.

    Glyceryl Trinitrate spray 400mcg (1 spray when required); use prn
    Also known as nitroglycerine and GTN. It is used in the treatment of angina by providing an exgenous source of nitric oxide which mediates vasodilator effects.

    His medical test results are:

    -Blood Pressure 140/90

    -Liver Function Test
    Total protein=63g/L(normal 60-80g/L);Albumin 27g/L(normal 35-52g/L);ALT=19U/L(normal 38-126U/L);GGT=154U/L(normal 12-43U/L);ALP=177(normal 38-126U/L)

    Question 1: From the liver function test results, what information can we obtain regarding the patient's medical condition?

    Question 2: What further diagnostic tests are needed to know more about the patient's medical condition(including diabetes due to heavy weight)?

    Question 3: What are the appropriate therapies(what medicines, and dosage for each?) for effective treatment, avoidance of side effects, increased compliance, and cost-effectiveness?

    Question 4: Without other symptoms, the patient shows dry cough. What is the cause of this cough?

    • ANSWER:
      Is this a homework question? From what you say this person is on medication and had some testing done already. What does the Doctor say? That is the person you should be asking.

  13. QUESTION:
    What is the better way to give treatment for Lupus Nephiritis?
    Patient history:
    Patient,aged 28 years, has LSCS on 8.12.2010 for severe PIH(Pregnency Induced Hypertension) and premature rupture of membrance(P Rom) and edema. She had Respiratory Tract Infection post operatively. Now she was readmitted with right flank pain, fever and loose motion and renal failure.
    Clinically she was hypervolemic, hypertensive and investigations revealed Thrombocytopenia, renal impairment, anaemia and right lumber pain. She was taken up for haemodialysis with adequate ultrafiltration and packed cell transfusion. She was subsequently investigated for connective
    tissue disorder. ANA was strongly positive and serum complements were low. She was started on Inj Solumedrol 1 gm I/V once for 3 days followed by oral Prednisolone as treatement for Lupus Nephiritis. She was taken off dialysis once volume issues and azotaemia were controlled.

    • ANSWER:

  14. QUESTION:
    Are All Animal Hospitals Like This ...?
    We used to have two animal hospitals in my town. The one in which my pets had received treatment for years closed down due to back-to-back family crises, and we were left with the one.

    One day my little niece accidentally slammed the car door on my cat's head. The cat's eyes rolled to the back of his head, and he started passing out; we rushed him to the animal hospital that was still open. They had me fill out paper-works for him, and they took him in the back. They told us what needed to be done to save him, but they absolutely refused to start treatment without the money up front. My money was direct-deposited in a bank out of town and my debit card chose that moment not to work, so I had to drive an hour there to get the 0 from my bank and an hour back to the animal clinic. Two whole hours passed without my cat getting the treatment needed to save his life. When I got back, he was in a cage looking a little better ... but the treatment to get the swelling out of his brain didn't start until they had the money in their hands. Needless to say, I harbored some ill will toward these individuals who placed money before life-saving treatment. My cat survived, thankfully ... and died about 6 years later at the age of 18.

    About 5 1/2 years after the incident, our dog suddenly started acting weird. He was listless and wouldn't eat, and it was hard to get him up and walking. That morning he was fine before I went off to school, but that evening when I got back he wasn't. All the vets were closed, so I reluctantly called the ones in my town who had refused to treat the cat some years back without payment. This time I had cash on hand. The "answering service" wanted to know if the dog was a patient of that clinic. When I told them no, that his vet was out of town, they coldly advised me that they couldn't treat him after hours unless he was a patient. I insisted that he couldn't make it until the next morning, and that the only other animal hospital was out of town. They refused to relent, even though they would've been paid almost double for coming out after hours. My hands were shaking as I hung up and dialed the vet out of town. I'd barely gotten through the description of what was wrong with the dog before he told me to come on and he would meet me. I drove a half-hour in the dark just to get our dog to the vet. They checked him out; there was no rabies, parvo or heart-worms ... but they discovered that he was in kidney failure. They ran additional tests to make sure that he didn't get into something like antifreeze, which he said could've easily been treated to reverse the kidney failure. The tests came back negative, and the only "comfort" they could give me was that he was an "old dog"; they said that 17 years old was a very long life for a dog, and that he shouldn't have lasted past 10 or 12.

    They put him on an IV drip, and sent him home with us with instructions to feed him what we could to keep him eating. I could tell that he felt we should euthanize him, but I looked at him as a person. Most doctors would never even suggest putting a human being to sleep. He lasted for another week, in which time I gave him pedialyte and kept him fed ... and tried contacting any organization that would consider a kidney transplant for a dog. I was told that he wasn't a good candidate for a kidney transplant because of his age. And that was it. He passed away at age 17 ... exactly 6 months before my cat died.

    I was left wondering ... why wasn't the kidney failure caught before then? The dog had had regular checkups throughout his life, and he was vaccinated. When I asked this vet, all that he could tell me was that I'd have had to request for them to run the special blood-works to check out his renal system; that would've told me that his kidneys weren't functioning properly, and that it was messing with his liver.

    I couldn't help thinking that -- had our vet remained in town -- he would've had the foresight to say, "By the way ... your dog is getting up there in age, and since what your normally pay for doesn't cover the tests needed to make sure that his kidneys and liver are working properly, you really need to consider regular blood-works to keep on top of it".

    Instead, our dog paid with his life. Because his new vet didn't make sure that I was informed enough to make the decisions that would keep him alive and healthy for as long as possible.

    So I ended up losing two of my best friends within the same year. It took a long time to bounce back from that.

    • ANSWER:
      I'm sorry for the loss of your pet, which is always hard.

      Dogs don't usually do so well with transplants; generally, the donor has to be a pup from the same litter to get an exact match. A pup from your dog's litter would be hard to find, and too old to be a donor most likely. Plus, your dog was 17, and might not have survived transplant surgery.

      Additionally, there's no cure for chronic kidney failure. I've been on dialysis, and I would not put my dog through that.

      The person in the story in my source had paid about ,000 so far for her dog's transplant

      I speak to this on a personal level, since I received a kidney/pancreas transplant in 2005. While mine was successful, it still had some challenges that I'm not sure I would want to put my pets through. (I chose not to put my dog thru radiation for cancer for example; she lived longer, and with a better quality of life, than they predicted she would have with radiation. I did have the tumor removed).

      You are obviously a wonderful pet owner, and more animals should have owners like you. You gave your dog a great life.

  15. QUESTION:
    Which Is Safer?? Coronary Angiogram Or 64 CT Scan?
    Hi, doctors. My mom has rheumatic heart disease and needs to have two of her valves replaced(mitral+aortic). But her surgeon requires her to do either a coronary angiogram or a 64 ct scan to get a rough idea of her vascular condition.

    Apart from her valve problem, my mom is very health. She has very healthy eating and living habits, loves outdoors, does a lot of physical excercise and housework everyday...and has few white hair(she's already 61 yrs old), my grandparents are in their 80s and they don't have coronary heart disease either. ....All these suggest my mom has a much lower risk of developing CHD. So we want to take the option with lowest risk.

    I heard that the contrast agent can cause renal failure. And both treatment need contrast agents. So I'm wondering which one does less harm to patients?? Coronary Angiogram or 64 CT scan??

    Thanks.

    • ANSWER:
      In this instance the coronary angiogram would be more useful (and possible the CT too). There is only a very remote risk of complications from the contrast dye used with the angiogram.

  16. QUESTION:
    What diagnostic tests and medications are needed for this patient?
    A 62-year old male(non-smoker, no known allergies) has the following medical conditions:


    Characteristics of angina commonly include a sensation of pressure, heavy weight, burning, or tightness over the sternum or near to it. The pain may radiate to, or occassionally be limited to, the left arm, shoulder, or other areas. The sensation gradually increases in intensity and then gradually disappears with rest. The duration is usually between 30 seconds and 30 minutes.


    Hypertension is defined by persistent elevation of arterial blood pressure.


    Hyperlipidemia is defined as an elevation of one or more of the following: cholesterol, cholesterol esters, phospholipids or triglycerides. Abnormalities of plasma lipids can result in a predisposition to coronary, cerebrovascular, and peripheral vascular arterial disease.

    He is taking the following medications:

    Irbesartan 300mg mane(what does "mane" mean?)
    Used for treatment of hypertension and prevention of renal disease progression in patients with type 2 diabetes, hypertention and microalbuminuria.

    Gemfibrozil 600mg bd(twice daily)
    Used in treatment of severe hypertriglyceridaemia, mixed hyperlipidaemia and dyslipidaemia associated with diabetes, and used to reduce risk of coronary heart disease in hypercholesterolaemia.

    Glyceryl Trinitrate Tablets 600mcg; half to one prn(when necessary)
    Used in the prevention and treatment of stable and angina and heart failure associated with acute myocardial infarction. Provides exogenous source of nitric oxide. Predominantly venodilators and reduces venous return and preload to the heart, reducing myocardial oxygen requirement.

    Glyceryl Trinitrate spray 400mcg (1 spray when required); use prn
    Also known as nitroglycerine and GTN. It is used in the treatment of angina by providing an exgenous source of nitric oxide which mediates vasodilator effects.

    His medical test results are:

    -Blood Pressure 140/90

    -Liver Function Test
    Total protein=63g/L(normal 60-80g/L);Albumin 27g/L(normal 35-52g/L);ALT=19U/L(normal 38-126U/L);GGT=154U/L(normal 12-43U/L);ALP=177(normal 38-126U/L)

    Question 1: From the liver function test results, what information can we obtain regarding the patient's medical condition?

    Question 2: What further diagnostic tests are needed to know more about the patient's medical condition(including diabetes due to heavy weight)?

    Question 3: What are the appropriate therapies(what medicines, and dosage for each?) for effective treatment, avoidance of side effects, increased compliance, and cost-effectiveness?

    Question 4: Without other symptoms, the patient shows dry cough. What is the cause of this cough?

    • ANSWER:
      Too big a question. Please split up.


Renal Failure Treatments Medications

The clinical picture depends upon underlying causes, like acute GN (allergic disorder of kidneys), sudden acute rise in blood pressure (malignant hypertension), or it may be a case of acute infection of the kidneys (pyelonephritis), or an advanced case of dehydration (due to repeated vomiting, diarrhoea, etc.), or due to loss of blood as a result of sudden bleeding, or due to marked hypotension, i.e. fall in blood pressure in a case of heart attack, or acute kidney failure may manifest itself due to the use of toxic drugs, as explained earlier. Hence, the signs and symptoms vary with the basic disease the patient is suffering from.

Immediate treatment should be started whenever any of the above diseases/conditions occur, and a close watch should be kept on the daily output of urine. A general awareness is required on the part of everyone that whenever a kidney patient starts passing less urine, he/she should consider that the function of the kidneys is markedly threatened, and therefore, it is advisable that the amount of urine passed each day should be collected and measured. It may seem very simple, but since collection of 24-hour urine is somewhat cumbersome and distasteful, people may not like to follow it. As a result, excretion of urine goes on reducing day by day, till it becomes . around 400 ml, and at this volume of urine, kidney failure occurs. Even serum creatinine or blood urea does not run parallel to the initial damage the kidneys. Hence, it is vital to keep a close watch on the volume of the daily output of urine, in the various circumstances mentioned above, which are responsible for sudden kidney damage/failure.

Initially, during the first week of the disease, the signs and symtoms are of the primary disease, i.e. acute GN, dehydration, etc., and the patient starts passing less urine than normal. If the condition remains undetected, i.e. specific attention is not paid, or the patient does not report to his physician about the low output of urine, the vital period for saving the kidneys is wasted, and the volume of urine passed daily goes ondecreasing till it becomes less than 400 ml, when an acute kidney failure is said to have been initiated. Due to the retention of water, swelling of the face and other parts of body may develop. The patient will have marked symptoms of nausea/ vomiting, drowsiness and convulsions, and even death may occur. Both blood urea and serum creatinine will be raised.

Treatment

The patient should be treated in a hospital. Besides urgent measures, the underlying cause of the ARF should be simultaneously looked into. If blood pressure is markedly elevated, it should be lowered with suitable drugs. If infection is the sole reason, it needs to be treated on the lines of UTI, already discussed. And, if there is some obstruction in the urinary tract, say, as a result of an enlarged prostate, etc., it should be immediately dealt with in the hospital, by a team of doctors, including both physicians and surgeons. In case of loss of fluids/blood, measures should be taken accordingly. If drugs are the causative factors, they ought to be stopped immediately.

Frequently Asked Questions

  1. QUESTION:
    What food is good for Yorkie with Renal Failure?
    My sweet yorkie (approximately 10 yrs old ) has been diagnosed with renal failure. Our vet has put him on sub-cutaneous fluids and phosphate binder/hypertensive/
    pepcid medication. As a result of this treatment, his energy level has dramatically improved but his desire to eat has also changed within the past few weeks. He seems to be hungry and wants to eat something, but something stops him. We have been giving him special kidney food in a wet form which he likes but he doesn't eat too much of.
    Anybody out there have any advice of what else would be healthy addition to his diet aside from his wet food? We want him to eat more.
    Also, we have noticed that with treatment, he has started shivering. Anybody with experience with this and why would it be happening? We will ask our vet tomorrow, but we are truly concerned. He is the baby of the house and we want to see him healthy and happy. Thanks :)

    • ANSWER:
      You can try another brand that offers a kidney diets (like Science Diet, Eukanuba, Purina, and IVD). Just be sure to speak with your vet before you switch diets.

      As for the shivering, I have never heard of any proven reason for this (I have heard of a few reasons, but none have been medically proven). You may want to ask your vet about it next time you talk, but I do not think it is something to really worry about.

  2. QUESTION:
    Do cats with chronic renal failure ever die quickly or is it always a slow, painful death?
    My cat has crf and it looks like he's at the end. I'm giving him sub-q fluids every day and he's on medication but he's not eating and has lost of his energy. His numbers are very high and I don't want to put him through anymore invasive treatments. It is extremely painful watching him slowly go like this - he was a rebellious, spunky cat who loved playing and going out and now he just crouches uncomfortably all day and doesn't even ask to go out anymore. His eyes, once sharp and eager, are now sunken in and depressed. The only time he's not crouching is when he's lying on me. I feel bad that I would rather have him die quickly (like in his sleep) than watch more of his personality wither away. The vet says that most crf cats are put to sleep because they are suffering. I don't think I could bear putting him down. My friend knew a person who died of kidney failure because he decided to stop dialysis. He died within a day without any pain. Do cats with crf die quickly or is it always a long drawn out process and then you have to put them to sleep?

    • ANSWER:
      Long or short your cat is suffering. Humanely euthanizing him is the very last kindness you can do for your cat. His pain and suffering will be over and he will be in a better place.

      After, you will be surprised at how relieved you are. And, you will know that you have done the right thing for the cat you love so much.

      You will grieve, it's natural and normal. But before too long, you'll find that you only have good memories.

      I'll be thinking of both of you.

  3. QUESTION:
    Did I make the right decision? Grieving and feeling guilty about euthanizing my best buddy?
    My heart is really hurting right now because of the recent euthanization of my 4yr/8 month old mini schnauzer 2 days ago. such a happy boy and a big snuggler but, from a year old, I always knew he was different and not as normal as other dogs throughout my life. My mom got him for me because my other schnauzer was 12 yr old and mom did not know how much time I would have left with her so, I should say he was her replacement. My husband, family and I ALWAYS said we did not think he would live a long life because of his activity, habits and demeanor as a young pup. At 1 1/2 years old I wanted to stud him out and got bloodwork done (which was normal) he showed no interest in female dogs. He was uninterested, getting fat and not as active. I have two other dogs that kept him going but, I learned that I could not leave any food down even for our cats because he would eat everything. He was not very active even at a young age, my husband and I SPOIL our animals and would lift him up & down the stairs, bed, couch, and the back stairs (he got used to this until the day we let him go). He managed to get into food that we brought home from the vet a 20lb bag left in the kitchen and ate enough until we caught him, he got into halloween candy last year and ate it until we could catch him (we then bought the dog food storage containers). Our vet suggested a diet and he only ate a recommended quantity twice daily. He would lost weight and gain it back. About a year ago he started losing his vision. Our vet said that he could not see anything wrong with his eyes. I can tell you so much more about his problems but Overall, he has had problems with his vision, muscle tone, weakness, appetite for the past 2 1/2 years but, still a loving happy boy that mom and dad loved and treated as a special dog. He was our baby and we did not care if we had to give him extra attention. I brought him to the groomer last month and he came home with an ear infection.. I then brought him to the vet and he had lost weight too fast, I suggested getting bloodwork on him because I was suspicious of Diabetes, turns out he was in renal failure and anemic, the vet said he needed a blood transfusion, IV fluids, ultrasound of kidneys and a bunch of other tests that could pinpoint his diagnosis costing from 00-00 and they could not determine if the outcome of the up-hill battle would work for my little guy. X-rays showed and enlarged heart and a murmur.. Around x-mas he would vomit here and there and showed no appetite turning his nose up to everything, (except roastbeef) that was not our dog and we knew something was going on in his once 34lb body to 22lb body. With his whole medical backround and the dog that I always saw and knew I did not see him going through so much distress, surviving. He to us always had a weakness to begin with and I did not want to put him through all the stress, anxiety, treatments, medications and so forth, just to progress his life without knowing if it was 2 weeks or 2 years. My other dogs do notice him not here and the mini schnauzer my mom bought him for me to replace is 16 and still with me, I feel lousy.. Did i do wrong by ending my lil guys' life so, soon and not giving him a chance, financially we could not afford it but, I could have come up with the money working with friends and family to pay them back. From his past medical history and his problems, I did not want to put him through all that stress without knowing if the outcome would work. CRF is irreversible and my buddy had already lost partial vision, renal failure, anemia, with an enlarged heart, Did I do right by him? Your comments are well appreciated, my story is long and not all included as far as his complete health backround.. I don't think his lil' body could handle much more, I have been crying for days, no appetite and my husband is very sad as well.. I feel soooooooooo guilty but, know he was never a strong pup to begin with.. If I only got bloodwork sooner, I don't know.. We gave him lots of chocolate before our decision and he was such a happy pup, the tranquilizer was not a full dose and it looked like he was convulsing and the vet apologized and said he thought that dose would be enough, the euthanization was quick but, very painful for us. Pleasant comments please..

    • ANSWER:
      Sounds like your dog was in a lot of pain. You gave him so much love in his little life, so many wonderful things that many dogs never experience. Even with treatments, how much quality could his life have had after something like that? Instead of suffering through years, going to the vet all the time for injections, probes, and all kinds of scary stuff, he went to sleep surrounded by people who love him. For what it's worth, I think you made the right decision.

      I feel you, hon. I lost a dog in September. This dog was with me through some tough times, and literally saved my life twice. He was seven years old, and a car hit him. I cried for weeks, then went and rescued a new puppy who didn't have a family to love him. That puppy has brought me so much joy, and while no one could ever replace my Einstein, I feel happy because now I've helped a dog who really needed it.
      I hope this helped you. I'm so sorry for your loss.

  4. QUESTION:
    What treatment, therapy, and/or medication do doctors prescribe to lower creatinine levels?
    Do high levels mean renal failure?

    • ANSWER:
      Variations in a creatinine level can be cause by many things such as dehydration, medications, renal failure.
      High levels can mean the kidneys are not functioning well.
      It really depends on what else is going on.
      If the high creatinine is drug related, the medication is stopped or adjusted for the renal clearance. If it is related to renal failure, many times dialysis is started. Some people have chronic renal failure where the creatinine rises and stays there. They are monitored to determine if they will be needing dialysis and sometimes a dialysis fistula is put in for preperation for the day the kidneys are not functioning well enough to clear the waste from the blood and dialysis has to be started.
      Physicians start adjusting medications to help the kidneys function better. They stop the Metformin, start the pts on blood pressure meds (usually lisinopril). They sometimes give doses of Lasix to try to make the pt urinate.
      RN in a hospital and work a lot with renal patients.

  5. QUESTION:
    Methamazole / acute kidney failure?
    My cat was diagnosed with hyperthyroidism. She was put on methamazole 1/2 twice daily. She had her blood tests, & the levels were still high. So the vet prescribed 1 tablet twice daily. She was on this for about 6 months. The last blood test showed the level of thyroid hormone was undetectable. Too low, vet quickly lowered back to the first dose. Before I even had the new dose in her but 1 day, she became quite tired. I called the vet er, they said maybe it needed to get out of her system. Soon she could barely move, & eventually fell over in the kitchen. I took her to the vet er, she was in acute kidney failure. I had to help her out of pain. I am devistated. as this was a complete shock. The symptoms began & ended all within 3 days. I am wondering if a cats body can change as far as levels, & what could have caused her kidney failure that quick. I also had a male, w/ hyperthyroidism & kidney disease, he was treated also with methamazole, 1/2 tablet once a day. Also a blood pressure pill. He did go blind, as his retinas detached. It was a miracle, a day after treatment of the high blood pressure, he focused on me. He got his sight back! He was going downhill though still, as he was 15. The female above was 14. After she died, it was only 2 days, & my boy couldn't even walk, as a Mom, I had to help him also. They got the blood tests at the same time, his level was perfect she said. I had no idea he had the thyroid problem til he lost his sight. I lost my two best friends in the same week. I noticed with both of them, after starting the methamazole, they stopped purring. Were not the same little "people" they used to be. I know I did the right thing for them, as they were older, and the blood tests came back horrible. There was nothing I could do. I need to know if this medication may have threw them both into renal failure. I am 42, an adult woman, its been a week....& I'm still crying like a child. Any opinion, advice, or answers would mean alot. Thank you.
    Apologizing ahead, as this is my first time here, on questions. I may have put this in the wrong category. Thought I put it on "Pets"...looks like it appeared on "diseases"?? I hope others can find it. Thank you ahead for any replies that are given, it means so much. I want to do the very best I can with any extra knowledge. I have one cat left, "Furgis"....and I want to do the best I can for him. He is only 6.....I want him to live a long and happy life.

    • ANSWER:
      I had a cat that lived to be 19. The last 6 years of his life he was on methamazole. It did wonders for his hyperthyroidism.
      Sometimes the best efforts of the vets just don't do the trick. I am so sorry you lost your cats. They really are wonderful creatures. Please get another one or two that need homes.

  6. QUESTION:
    What diagnostic tests and medications are needed for this patient?
    A 62-year old male(non-smoker, no known allergies) has the following medical conditions:


    Characteristics of angina commonly include a sensation of pressure, heavy weight, burning, or tightness over the sternum or near to it. The pain may radiate to, or occassionally be limited to, the left arm, shoulder, or other areas. The sensation gradually increases in intensity and then gradually disappears with rest. The duration is usually between 30 seconds and 30 minutes.


    Hypertension is defined by persistent elevation of arterial blood pressure.


    Hyperlipidemia is defined as an elevation of one or more of the following: cholesterol, cholesterol esters, phospholipids or triglycerides. Abnormalities of plasma lipids can result in a predisposition to coronary, cerebrovascular, and peripheral vascular arterial disease.

    He is taking the following medications:

    Irbesartan 300mg mane(what does "mane" mean?)
    Used for treatment of hypertension and prevention of renal disease progression in patients with type 2 diabetes, hypertention and microalbuminuria.

    Gemfibrozil 600mg bd(twice daily)
    Used in treatment of severe hypertriglyceridaemia, mixed hyperlipidaemia and dyslipidaemia associated with diabetes, and used to reduce risk of coronary heart disease in hypercholesterolaemia.

    Glyceryl Trinitrate Tablets 600mcg; half to one prn(when necessary)
    Used in the prevention and treatment of stable and angina and heart failure associated with acute myocardial infarction. Provides exogenous source of nitric oxide. Predominantly venodilators and reduces venous return and preload to the heart, reducing myocardial oxygen requirement.

    Glyceryl Trinitrate spray 400mcg (1 spray when required); use prn
    Also known as nitroglycerine and GTN. It is used in the treatment of angina by providing an exgenous source of nitric oxide which mediates vasodilator effects.

    His medical test results are:

    -Blood Pressure 140/90

    -Liver Function Test
    Total protein=63g/L(normal 60-80g/L);Albumin 27g/L(normal 35-52g/L);ALT=19U/L(normal 38-126U/L);GGT=154U/L(normal 12-43U/L);ALP=177(normal 38-126U/L)

    Question 1: From the liver function test results, what information can we obtain regarding the patient's medical condition?

    Question 2: What further diagnostic tests are needed to know more about the patient's medical condition(including diabetes due to heavy weight)?

    Question 3: What are the appropriate therapies(what medicines, and dosage for each?) for effective treatment, avoidance of side effects, increased compliance, and cost-effectiveness?

    Question 4: Without other symptoms, the patient shows dry cough. What is the cause of this cough?

    • ANSWER:
      Is this a homework question? From what you say this person is on medication and had some testing done already. What does the Doctor say? That is the person you should be asking.

  7. QUESTION:
    Isn’t it unethical to prescribe experimental drugs?
    Medicines to treat diseases such as HIV are prescribed before long term effects are realized. Often side affects such as Gillian Barre (muscle weakness-lungs being the primary muscle that leads to death), renal failure, and strokes are suspected, but what percentage will be affected is not known.

    1)Doesn’t his falsely increase the number of death’s in the USA of those “who dies of HIV/AIDS? (Being that some die of side effects of medications, which means the death was not caused by the disease, but by the treatment.)
    2)Since tax money pays for research, shouldn’t it be better tested before prescribing to those who are ill with any disease and therefore weaker than a person with no diseases?
    3)When these medications hurt someone, isn’t is unethical for the healthcare facility and pharmaceutical company to charge (or be paid) for the treatment that led to the adverse affects?
    4)Does anyone else feel that signing a contract that relieves medical and pharmaceutical institutions of all responsibility is in part responsible for increase in extensive health care and social services?
    5)Drugs are “experimental” because they have not been yet been proven to be safe. Isn’t this a red flag that it may not be safe? (Especially when one must sign off responsibility!)
    Mike J.: Where are you from. I been a traveling nurse working in level 1 trauma centers all over this country for eight years. I have also worked on the case management end. I have never seen treatment not covered by either private, state or a federal plan. Hospitals want to be paid one way or another and they do. For the druggie coming in biting, kicking and pulling out tubes as fast as we put them in, they get top notch care even though he/she did it to his/her self and in spite of what they do to those saving their life. Also, usually this group can't sustain a job and therefore have no insurance, thus tax funded insurance pays for the bill they run up.

    • ANSWER:
      Drugs cannot really be proven safe until taken by people. Animal testing has been shown to be unreliable and despite the masses of laboratory work that can be done to test drugs the simple fact remains that the real tests come when giving those drugs to real people. People can act and react differently to each other so this is always going to be a difficult area. You have some reasonable points there, the main problem is that the pharmaceutical companies are out to make money at all cost...

  8. QUESTION:
    Can a diabetic 86 yr old benefit from dialysis treatment and maintain a good quality of life?
    My 86 yr old grandmother has decided that she wants to pursue dialysis treatment for end-stage renal failure. She has diabetes that is pretty well maintained along with mild anemia and hypertension (again well controlled with medication). And while she has not had any major issues with her heart (a few angina attacks that were immediately relieved with nitroglycerin), we assume that even that organ is affected by the diabetes. I would like to know if anybody has had any experience with elderly people on dialysis who have comorbid conditions. And I know that dialysis is not a cure but merely life-support.

    • ANSWER:
      My grandmother was on dialysis for three years before she passed at 89. She wasn't diabetic, and she was put onto a dialysis regimen fairly soon after her renal failure diagnosis. It was really hard on her. She was constantly bruised-not just at the port site, but anywhere she even lightly bumped. It drained her of all her energy. It would take her a few days to recover and she would carry on her daily personal care and even managed baking cookies and things for the staff at the center where she took her treatments, but other than that, she didn't do much. She stopped grocery shopping and cleaning house and after about a year and a half, she moved in with my folks. It is pretty fair to say that the dialysis took over her life.

  9. QUESTION:
    Are there effective treatments for edema and damaged bone marrow caused by palliative radiotherapy?
    My mom has metastatic renal cell carcinoma that has spread to her bones, liver and lungs. To relieve her bone pain, she received a total of 14 sessions of low-dosage radiotherapy to her neck, back and right thigh some 3.5 months ago. Since then, she has suffered from severe edema (which swells her entire right leg and compresses her stomach) and what appears to be a failure of her bone marrow to manufacture enough blood cells and platelets. As a result, she has shortness of breath, gets tired very easily and has a much depressed appetite. She also has to stop taking any cancer drugs lest they may affect her blood further. The stopping of medication has seen her tumors grow back a bit. And while she has been prescribed diuretic drugs and advised to wear pressure stockings and undergo physical therapy for the edema, and given blood transfusions from time to time for the deficiency in blood cells and platelets, all of these have only limited effectiveness. I am really desperate to know if there are any other more effective treatments that could ease the symptoms now punishing her.

    • ANSWER:
      The standard of care would be to have her go through the physical therapy for lymphedema. However, I do have to emphasize that your mother's condition is quite serious and it would be mostly palliative and may not give as good of results as someone who does not have advanced metastisis. Unfortunately, once the radiotherapy has damaged the lymphatics, the damage is done. If the stockings are not fitting her well or are difficult to wear due to FLUCTUATING lymphedema, I would recommend you look into a Farrow wrap.

  10. QUESTION:
    How can I build self confidence?
    I am a Sophomore in high school, and I feel like I don't identify with any group. I have been like this for a large portion of my life due to illness:
    when I was 9 in 3rd grade I was diagnosed with end-stage kidney renal failure, and had to go to the hospital 3 times a week for treatment. I got a transplant in June of 2004.
    I missed a lot of school in 4th and 5th grade due to the effects the medications had on me, and having to go to chemotherapy after I found out that I had Lymphoma.
    I barely go on any sleepovers because I take a lot of medication, and every time I take it I am reminded of who I am, and I don't want other people to see that.
    Moving on, through 6th, 7th, and 8th grades I felt like I fit in somewhat, but I also felt that people only gave me attention because I was "that sick kid". I hoped that moving on to high school would help me make new friends and make me more confident, but that didn't turn out how I wanted it to. I don't identify with any group of kids at my school, and I usually sit at lunch alone because I don't know who to sit with. Each day I think of myself as a loner, which I do not want to become. I have had 1 relationship with a girl and that ended when she left for someone else, which obviously did not help to my overall mental image.
    I know that this is a lot that I'm asking, but the truth is that all this stuff from the past and the present is keeping me from opportunities where I could do something great and become a better person. Any suggestions would be appreciated
    thanks

    • ANSWER:

  11. QUESTION:
    Did my inactions and wrong decisions cause my 16 1/2 year old cat to die? Please Please help me!?
    How long has a cat had declining kidney function say 50% or more before the vet detects 75% dysfunction?
    My cat was diagnosed with hyperthyroidism. I had to maek the decision to pill him with methimazole or go ahead with I131 radioactive Iodine which is a cure however there are risks with both procedures. The risk with the I131 is your cat could go into acute renal failure if it has preexisting renal failure prior to the I131 injection-AND SOEMTIMES AFTER TREATMENT OF I131 THE KIDNEY FAILURE IS FOUND THAT WAS PREVIOUSLY HIDDEN. DO YOU THINK MY CAT HAD KIDNEY FAILURE PRIOR TO BEING DIAGNOSED WITH HYPERTHYOIDISM AND IT WAS BEING MASKED OR HIDDEN?

    my cat was diagnosed with hyperthyroidism in Nov 06. My cat was diagnosed with kidney disease & 75% kidney loss in Nov 07. I decided to pill him with medication to control but not cure his hyperthyroidism out of fear that if I had the I131 he would go into acute renal failure. There was no evidence suggesting that but I wanted to play it safe but having not gotten the cure may have caused him to die 2 years later instead of a cure of his hyperthroidism. Should i have gotten the I131 when he was first diagnosed with hyperthyroidism or do you think i made the right decision to pill him by allowing extra bllod flow to the kidneys which helps kidney function. But i feel really really guilty like i didnt make the right decison and have been cryign for 1 month straight. My cat dies 2 years later after being diagnosed with Hyperthyroidism on 12/29/08, and I balme myself becuse I think if i had gone ahead with the I131 he would still be here. The doctors dont know why he died. they just say he was severly dehyrdated, lethragic, anemic. I dont know if the hyperhtroidim killed him or kidney failure. I Ijust blame myself either way and will never forgive myself. I will never own another cat becuse I am not worthy or deserving of a cat. My cat was 16 1/2 when he died. I was giving him subq fluids under the skin for his dehydration and wellness can food 2 cans daily with hyperthyroid medicine. I hate myself!

    I am an awful awful person. if my cat had another mom instead of me he probabaly would have lived longer. Im th eone who should be dead nt him. if i could die 4 him and he live I would do it becuse my life is meaningless & empty without him.
    I will do the cat world a favor and never have a cat again.

    • ANSWER:
      God, give yourself a break! It sounds like you truly loved your cat & went out of your way to do everything possible for him. Loss is extremely hard, but he was 16 1/2 years old & I'm sure he lived a great life with you! I'm very sorry for your loss but please go easy on yourself!

  12. QUESTION:
    How long has a cat had declining kidney function say 50% or more before the vet detects 75% dysfunction?
    My cat was diagnosed with hyperthyroidism. I had to maek the decision to pill him with methimazole or go ahead with I131 radioactive Iodine which is a cure however there are risks with both procedures. The risk with the I131 is your cat could go into acute renal failure if it has preexisting renal failure prior to the I131 injection-AND SOEMTIMES AFTER TREATMENT OF I131 THE KIDNEY FAILURE IS FOUND THAT WAS PREVIOUSLY HIDDEN. DO YOU THINK MY CAT HAD KIDNEY FAILURE PRIOR TO BEING DIAGNOSED WITH HYPERTHYOIDISM AND IT WAS BEING MASKED OR HIDDEN?

    my cat was diagnosed with hyperthyroidism in Nov 06. My cat was diagnosed with kidney disease & 75% kidney loss in Nov 07. I decided to pill him with medication to control but not cure his hyperthyroidism out of fear that if I had the I131 he would go into acute renal failure. There was no evidence suggesting that but I wanted to play it safe but having not gotten the cure may have caused him to die 2 years later instead of a cure of his hyperthroidism. Should i have gotten the I131 when he was first diagnosed with hyperthyroidism or do you think i made the right decision to pill him by allowing extra bllod flow to the kidneys which helps kidney function. But i feel really really guilty like i didnt make the right decison and have been cryign for 1 month straight. My cat dies 2 years later after being diagnosed with Hyperthyroidism on 12/29/08, and I balme myself becuse I think if i had gone ahead with the I131 he would still be here. The doctors dont know why he died. they just say he was severly dehyrdated, lethragic, anemic. I dont know if the hyperhtroidim killed him or kidney failure. I Ijust blame myself either way and will never forgive myself. I will never own another cat becuse I am not worthy or deserving of a cat. My cat was 16 1/2 when he died. I was giving him subq fluids under the skin for his dehydration and wellness can food 2 cans daily with hyperthyroid medicine. I hate myself!
    I am an awful awful person. if my cat had another mom instead of me he probabaly would have lived longer. Im th eone who should be dead nt him. if i could die 4 him and he live I would do it becuse my life is meaningless & empty without him.

    • ANSWER:
      Don't hate yourself, you did the best job that you could at making sure that he was able to keep alive for as long as he did. 16 1/2 years for a cat is pretty good, the average of cats are usually about 12-13 years old, so this is pretty good for the age. It could have been the complications of the thyroid problem, or it could have been the issue with the kidneys, or it could have been a little bit of both problems which are highly possible too. I know that it is sad, but you did the best thing that you could for your cat, and again as I mentioned, you were able to keep the cat a live for sometime.

  13. QUESTION:
    Can I or Should I Sue?
    My mother has had renal failure for quite a few years. She is unable to walk and is confined to a wheelchair. Her immune system is basically shot. During recent months she began to have pain in her stomach and experienced throwing up right after eating. Doctors looked her over and over and performed many tests, but were not able to find the cause. Back in December 2010 she went to a doctor and he said he believed her gallbladder was the problem. He advised her to have it removed. She went in this past Tuesday morning for the surgery. I was not at the hospital with her, so I don't know what she was like when she came out of surgery. But they sent her home on Wednesday, the very next day after she received dialysis treatment. She came home and was very incoherent, barely knew where she was. Normally she can do things for herself such as dial a phone or eat or open a bottle of water or something. She couldn't do any of that and she was talking nonsense. At first I thought it to be a side effect of some medicine or maybe even the anesthesia hadn't completely worn off. That night was horrible. We have a hospital bed here in the house that she sleeps in. She couldn't sleep in any position, saying she couldn't breathe. She also complained of pain in her abdomen (which I thought was normal after gallbladder surgery). She was not eating, but she was throwing up. She also consumed a lot of water. This went on all of Thursday and Thursday night. This morning (Friday) she went to dialysis. The physician's assistant checked her over then sent her home. I called them back and told them what was going on. They instructed me to call the ambulance and have them take her to the hospital.
    I've now done that and she is currently in our hospital's surgical ICU. I've been told she's in serious condition but not much else. My aunt went with her to the hospital and she said the dr said my mother was dehydrated, her blood pressure was extremely low, and she has an infection at the surgery site. The last I heard they were going to run some tests to see if she was bleeding internally.
    My question here is if there would be any grounds to sue. I'm not a dr, but in my opinion she should have been kept in the hospital longer for observation and to make sure she's ok, especially given her previous medical history. The dr sent her home with no medication for pain or anything, and no medication to prevent any type of infection. I do intend to speak with a lawyer in the coming week, but I was just looking for some opinions on the matter.
    To kinda put an answer to what creed said, could I not sue for her even having to be up there like this in the first place? They were negligent in their post surgery care. The infection she has could have been prevented had they kept her longer.

    • ANSWER:

  14. QUESTION:
    What diagnostic tests and medications are needed for this patient?
    A 62-year old male(non-smoker, no known allergies) has the following medical conditions:


    Characteristics of angina commonly include a sensation of pressure, heavy weight, burning, or tightness over the sternum or near to it. The pain may radiate to, or occassionally be limited to, the left arm, shoulder, or other areas. The sensation gradually increases in intensity and then gradually disappears with rest. The duration is usually between 30 seconds and 30 minutes.


    Hypertension is defined by persistent elevation of arterial blood pressure.


    Hyperlipidemia is defined as an elevation of one or more of the following: cholesterol, cholesterol esters, phospholipids or triglycerides. Abnormalities of plasma lipids can result in a predisposition to coronary, cerebrovascular, and peripheral vascular arterial disease.

    He is taking the following medications:

    Irbesartan 300mg mane(what does "mane" mean?)
    Used for treatment of hypertension and prevention of renal disease progression in patients with type 2 diabetes, hypertention and microalbuminuria.

    Gemfibrozil 600mg bd(twice daily)
    Used in treatment of severe hypertriglyceridaemia, mixed hyperlipidaemia and dyslipidaemia associated with diabetes, and used to reduce risk of coronary heart disease in hypercholesterolaemia.

    Glyceryl Trinitrate Tablets 600mcg; half to one prn(when necessary)
    Used in the prevention and treatment of stable and angina and heart failure associated with acute myocardial infarction. Provides exogenous source of nitric oxide. Predominantly venodilators and reduces venous return and preload to the heart, reducing myocardial oxygen requirement.

    Glyceryl Trinitrate spray 400mcg (1 spray when required); use prn
    Also known as nitroglycerine and GTN. It is used in the treatment of angina by providing an exgenous source of nitric oxide which mediates vasodilator effects.

    His medical test results are:

    -Blood Pressure 140/90

    -Liver Function Test
    Total protein=63g/L(normal 60-80g/L);Albumin 27g/L(normal 35-52g/L);ALT=19U/L(normal 38-126U/L);GGT=154U/L(normal 12-43U/L);ALP=177(normal 38-126U/L)

    Question 1: From the liver function test results, what information can we obtain regarding the patient's medical condition?

    Question 2: What further diagnostic tests are needed to know more about the patient's medical condition(including diabetes due to heavy weight)?

    Question 3: What are the appropriate therapies(what medicines, and dosage for each?) for effective treatment, avoidance of side effects, increased compliance, and cost-effectiveness?

    Question 4: Without other symptoms, the patient shows dry cough. What is the cause of this cough?

    • ANSWER:
      Too big a question. Please split up.


Renal Failure Treatments Cats

If these do not work properly, toxins and waste products slowly build up in the blood. This can lead to a variety of problems, and sadly, eventual death. This unfortunately is the harsh reality of canine kidney disease.

The ability of a dog's body to properly function is stopped by kidney failure. A number of symptoms and warning signs will likely become obvious when the toxins begin to build up in their bodies. The acute time form usually appears more quickly even though both these chronic diseases show different symptoms. Dogs that suffer with this form of kidney disease can become dehydrated. Gently pull the skin on your dog's stomach to test them for hydration. The skin should spring back. There is a real possibility that your dog is dehydrated if it does not.

Your dog may have noticeable trouble passing urine or produce no urine as all. Your pet may be a victim of acute kidney disease if they have this warning sign. You may see your animal moving with an arched back or stiff legs and your dog can have extreme pain in the kidneys. Any dog owner should be sure to watch for these signs of kidney disease.

Frequently Asked Questions

  1. QUESTION:
    Chronic Renal Failure In Cats and SubQ fluids?
    I was wandering if anyone has had a cat or still has one with CRF? Mine was diagnosed a while ago and she is only two. they said that she probably had a cold that led to an infection that went untreated, since so much damage happens to their kidneys before they show any warning signs it was too late. She is doing much better but the vet is telling me that maybe once or twice a week she should have SubQ fluids just to keep things at a decent level of comfort. Taking my cat to the vet 2 times a week is going to cost me around a week. They told me that if i do it at home i can get a 1000ml bag which is good for 3 to 4 treatments which will cost me around . So ofcourse doing it at home would be much easier plus my cat will be more comfortable at home. Does anyone do this at home, is it easy to do? My cat is a very mean cat and likes to scratch alot thats why i was wandering if it is easy or if it gets easier over time? I would like to thank you in advance and i appreciate honest...
    answers from people who have been through this or are going through this. Thank you

    • ANSWER:
      SubQ fluids are VERY easy to administer. But with a cat that might get a bit angry it might be difficult for you. It shouldn't cost you that much for the fluids and needles. I had a cat I was giving SubQ's last year and I remember I only paid only which gave him about a week's worth of treatments. So you might want to call around to other vets.

      First step is taking the IV bag and putting it in your sink with some slightly warm water. This way when you administer the fluids it won't chill your cat. Plus warm liquid will actually feel NICE for the cat. Once it feels a bit warmed up hang the IV bag up high - you can hang it from a show curtain rod, a hook on the wall, etc. There's a long tube coming of the bag with a little fitting on the end that you snap a new needle onto each time you give the cat fluids. Then it's just a matter of making a litte "tent" with the skin between his shoulder blades, sliding the needle into the skin and then turning the little valve on the tube that enables the liquid to start coming out. Make note of the marking on the bag and how much you've been told to administer and turn off the valve and remove the needle once you get to that mark. Inserting the needle really doesn't make the cat jump as it's very narrow and very sharp. You're also just putting it between skin and tissue. I would have your vet show you in the office how to do it and see how your cat reacts. If he doesn't freak then I'd say definitely do it yourself at home. Here's a site online with pictures on how to do it as well (as well as more detailed info than my Cliff Notes lesson!) http://members.aol.com/aquila111/subq/subq.pdf

      What type of cat is this? My cat I treated last year was a Persian who was only 4. They can have Polycystic Kidney Disease early in life. They're actually born with the cysts and they start to grow and cause problems. Reputable breeders tend to have PKD negative cats but I wasn't sure of Spooky's origin since he was found as a stray. Have they done an ultrasound on your cat to look at the kidneys or are they just going by the BUN, etc levels from a blood and urine test? Sadly, I lost Spooky in October of last year. I hope your cat does better with it. Poor Spooky was an abandoned stray and nearly starving when I adopted him so his poor weak little body really didn't stand a chance.

  2. QUESTION:
    Do cats with chronic renal failure ever die quickly or is it always a slow, painful death?
    My cat has crf and it looks like he's at the end. I'm giving him sub-q fluids every day and he's on medication but he's not eating and has lost of his energy. His numbers are very high and I don't want to put him through anymore invasive treatments. It is extremely painful watching him slowly go like this - he was a rebellious, spunky cat who loved playing and going out and now he just crouches uncomfortably all day and doesn't even ask to go out anymore. His eyes, once sharp and eager, are now sunken in and depressed. The only time he's not crouching is when he's lying on me. I feel bad that I would rather have him die quickly (like in his sleep) than watch more of his personality wither away. The vet says that most crf cats are put to sleep because they are suffering. I don't think I could bear putting him down. My friend knew a person who died of kidney failure because he decided to stop dialysis. He died within a day without any pain. Do cats with crf die quickly or is it always a long drawn out process and then you have to put them to sleep?

    • ANSWER:
      Long or short your cat is suffering. Humanely euthanizing him is the very last kindness you can do for your cat. His pain and suffering will be over and he will be in a better place.

      After, you will be surprised at how relieved you are. And, you will know that you have done the right thing for the cat you love so much.

      You will grieve, it's natural and normal. But before too long, you'll find that you only have good memories.

      I'll be thinking of both of you.

  3. QUESTION:
    Cat in renal failure/possible pancreatitis...need experienced advice?
    I brought my 4 year old Smokey in to the vet because of weight loss and lethargy. After blood tests revealed little my vet did an ultrasound and found his pancreas is enlarged. He is also in renal failure. After 12 hour fasting, the PLI test was done and sent off but the vet didn't want to wait on the results for fear he wouldn't make it till then so he went ahead and put Smokey on IV fluids to rest the pancreas. The only treatment he gave me was KD food and a b-12 shot. Isn't there more I can do for Smokey? The vet says if the KD doesn't work, his prognosis is grim. Smokey is an inside cat and I've been feeding a wet/dry combo diet his whole life. I think I need a second opinion although this vet has seen all my cats for years. Has anyone used other methods or treatments for this and gotten good results?

    • ANSWER:
      please DON'T put your cat down til you've tried all the options..

      I have a cat in renal failure too, and unless it's acute, it can be successfully managed and add years of quality life to your cat. A lot of vets have outdated/limited knowledge about "CRF" (chronic renal failure) and are too quick to give up when there are very simple and effective treatments (can't be cured, but can be managed). Please join this yahoo group for owners of CRF cats - the people on this list have tons of knowledge and experience. I've learned more from them (way more) than I did from my vet and my cat is doing very well. If you can get a copy of the blood results from your vet and post them to this list with whatever else is going on, they will be able to give you very good advice.
      http://pets.groups.yahoo.com/group/Feline-CRF-Support/?v=1&t=search&ch=web&pub=groups&sec=group&slk=1

  4. QUESTION:
    My 2 yr cat just diagnosed with renal failure. What chances for a good recovery??
    Just got results of blood tests for my cat and show renal problems. He will go on drips for the next week with antibiotics. Is there a good chance of survival and recovery?? What special treatment will he need??

    • ANSWER:
      my 12 year old cat was diagnosed with renal failure due to infections and we couldn't feed her any dry food any more, we took good care of her and 5 years later had another serious failure, they thought she was going and asked my to let them put her down, but she pulled through and lived just 1 more year to the grand old age of 18.
      all is not lost yet, try and get your cat through this, but at 2 years old i dont expect she'll last to 18 but you might get up to 6 years with a lot of care

  5. QUESTION:
    I have cat with kidney failure beginning there is no cure apparently but there may be homeopathic treatments?
    Cronic renal failure seems to be what he is headed for. I have been to many of the websites and paid hundreds of dollars in vet bills. I cannot afford a transpant for him. He has some blood in urine has been on antibiotics and is very thirsty. Seems to have no real pain yet. Sometimes he seems to have trouble urinating but his bladder is not distended.

    I am now feeding him his dinners as a soup with warm water mixed in his wet cat food to increase his water intake. He likes this very much

    Any info you have may help me so let your minds think outside the litterbox :)

    • ANSWER:
      http://www.i-love-my-cat.com/cat-kidney-disease.html?gclid=CPTW7eiH34oCFQbpYgodIBr02g

      I found this article online. Might be helpful.
      I just lost my cat Sophie to CRF and I wish I could have done more to help her. Don't give up on your little guy, you'll know when it's time, but before then, help him fight a good fight.

      Good Luck!!

  6. QUESTION:
    I just got the unfortunate news that my beloved 16 year old cat has chronic renal failure.?
    The vet advised because of his age it may be best to just enjoy him while he is around instead of putting him through rigorous treatments that he may not even survive for his age. His kidneys are working a 10% capacity. As you can imagine, I'm completely devastated. Has anyone gone through this and wondering in anyone's opinion "how much time" before the inevitable. The vet thinks not much more time. When will I know the time is right to end his suffering.

    • ANSWER:
      I'm sooo sorry to hear that.. Just spend quality time with him while you still can! When his quality of life deterorates you will know when it is time.. Again, I'm so sorry :(

  7. QUESTION:
    acute renal failure in kitten... could the vet be wrong?
    10 days ago I brought my kitten to the vet after 36 hours of not eating and extreme lethargy. He was very dehydrated and his blood work was all over the charts but even in the mess of blood values the vet was still able to discern kidney insufficiency after 12 hours of hospitalization everything but the kidney values (Creatinine BUN and also his WBC) were normalized after 36 hours he ripped out his IV and was much stronger but with the next days blood test there was no improvement in the BUN or WBC creatinine was slightly off after another 36 hours not much change She did not tell me what the numbers were but told me that she still didn't know if he had ingested something or if he was born with bad kidneys. His kidneys looked normal on an X-ray not small like in CRF cats and his symptoms came on so suddenly I refuse to believe he was born with bad kidneys as for ingestion I keep no plants in the house and all toxic products (soaps and cleaning products) are kept almost out of reach for even me let alone the cat. Long story short (too late) I was told I could put him down or if I was up to it take him home and make him comfortable with sub-q treatments and a wet food diet (low protein if he would take it). Her prognosis was I would see him steadily decline in the next couple weeks. I took him home Saturday morning I have given him his fluids every day fed him by hand and stimulated his appetite I have also given him dilute apple cider vinegar to help flush his system and the antibiotics provided by the vet. It has been 5 1/2 days and he is not declining he is getting stronger every day he has stopped drinking so much and urinates 2-3 times per day his bowel movements seem normal a little soft from all wet food but in keeping with what he eats. His twitching has almost completely stopped (was a full body tremor when he came home) He sleeps about 18 hours a day I think that is normal my healthy cat does the same... is it possible that he is recovering? At least to a manageable CRF level? is it possible he had an infection clouded by the other blood values? Could this death sentence she gave my cat be preemptive? I am not looking for false hope I just think it is strange that nearly halfway through his proposed life expectancy he is stronger than he was on his IV fluids in the hospital... has anyone had a cat that recovered from Acute renal failure? How long was the process of recovery after hospitalization... This vet was good and cared but I think she was more worried that I would run out of money than anything else I just want to know if anyone else has seen these cats turn around at a little slower pace
    oh and I check him for dehydration multiple times per day and he is always hydrated sometimes first thing in the morning he skin takes an extra second to spring back but nothing that my other cat doesn't show from time to time. Also when he came home his urine didn't have an odor now it has a light ammonia smell to it... could that mean he is clearing toxins again? I know the natural response is ask the vet but I think at this point she is more operating on a cover her ass mode than anything. (can't say i blame her since everyone sues everybody else if things don't go their way)

    • ANSWER:
      Some cats do recover from this, especially if caught early. A couple things about this vet made me wonder, though. For one thing, did she explain the list of toxins that might have caused this? For example, in a little kitten even one tylenol or NSAID like ibuprofen could have caused this. I have a friend whose cat died from tylenol consumption. So if one fell out of your purse and you never noticed it, it could be that simple.

      Since you obviously care about the kitten, my suggestion at this point might be to get a second opinion. The sad truth is, some vets are just not good with cats, and I've had 2 of these vets in 2 separate states. I would not be impressed if the cat was responding in exactly the opposite way the vet predicted, and rising kidney enzymes aren't even always acute renal failure. If this was me (and I've done this anytime a diagnosis is tricky) I'd ask for a copy of his records and get a separate opinion. Try to find a cat specialist if you can. They're not more expensive, and you might hear something very different. Cat rescue groups can help find one.

      Obviously, if you do this, I'd suggest doing it quickly, partly because of the nature of the diagnosis and also with a weekend coming up.

      I realize you're not looking for false hope and I know how gut wrenching this is! But I wish someone had given me this advice when my cat had some strange symptoms, because I know I ended up in the hands of someone who was out of her league in treating it. Good luck to you and kitty.

  8. QUESTION:
    How much will CRF shorten my cats life span?
    My cat is about 3 years old, and is a very healthy cat. I just found out that he has CRF (Chronic Renal Failure) which is better known as kidney failure. He is a young healthy cat and I just want to know how much this will shorten his life. The vet said we caught this fairly early (The end of the beginning stages). (we are starting all the treatments, and such that the vet told us to start).

    • ANSWER:
      Each cat is an individual and there is no set life-span for a cat with CRF. It depends upon how well a cat responds to treatment and treatment varies with each cat. Obviously the earlier it is detected the easier it is to help the cat maintain a good quality of life. It has been know for cats who develop CRF to live for up to 3 years or more after diagnosis.

  9. QUESTION:
    Cat with Chronic Renal Failure?
    Can anyone help me please? My cat was diagnosed with CRF in February this year. He is only 10 years old. I went to the vet with him this week and he was kept in and put on an IV drip for 3 days. When I collected him today they said that his Urea was 33.6 mml1/L and his Creatinine was 368 umo1/L. I was then told that my cat had not got long to live.

    I give him SubQ fluids (100ml) every other day and his is on 1 Fortekor tablet daily and I am to continue with this. That is all the treatment he is being given.

    Now my cat eats well and drinks a little more than normal. He uses his letter tray to do his one and twos. He still plays normally. His weight at present is 9 lbs. (lost 4 ozs recently). I feed him on Felix select cuts chicken pouches, as he will not eat any of the precription food on the market. (tried most of them),

    I read in a natural remides cat book that cats with very poor blood tests invollving the kidneys will often improve dramatically on RAW MEAT. It's reshness and naturalness of this most appropriate food source for cats - raw meat - that drives the healing process. The vitality in the meat is trasferred to the weakend organ for effective repair.
    Has anyone got any experience in feeding his or her cat with raw meat? Does it work? If so should I also give my cat vitamins too as he would not be getting any from raw meat.

    I love my cat to bits as he is not only my friend and my constant companion too.

    Does anyone know how I can get my cats Urea and Creatinine lower?

    Desperate for any help or advise please.

    Thanks.

    • ANSWER:
      I don't know that raw meat does what you expect but it is appropriate for your cat even with this disease. it also has to be specially prepared
      Please check out the links and join the yahoo group
      The very best of luck
      Treatment of Chronic Renal Failure

      If your cat is not in final stages, this is not want you want to do. You do not want to put your cat on the
      Vets low protein diet. There are simply so many better options out there than to hand the poor cat a low amount of poor quality protein - which often results in a poor appetite and muscle wasting since the body is now robbing its own muscle mass to feed itself a decent quality and amount of protein.
      . There are new thoughts on this and the thinking is it is not the amount of protein but the quality of protein that matters.
      The Merck veterinary manual [www.merckvetmanual.com] says that cats need "4 g of protein of high biologic value per kg body wt/day". That's about 7 calories from protein per pound body weight per day. If a cat isn't a good eater and consumes, say, 20 calories per pound per day, then 7/20 = 35% of calories can safely be from protein. It must be high quality protein, which means meat, fish, milk, and eggs, and not grain or soy.

      I am under the assumption that you have been feeding mostly dry foods. Many use a vegetable based protein instead of animal and that is part of the problem.. Your cat needs protein as it is a carnivore and cutting down on it will lead to other health issues and may cause faster degeneration.
      You want to cut down on phosphorous (no fish allowed now)

      The best way to do this is with a raw diet which you can make yourself or buy. (Making yourself is better) link provided at the bottom
      If you are unwilling to do that then something like the non fish flavors of Wellness or Merrick with NO grains are good alternatives. Wysong is also a good canned choice. This list gives a breakdown. Remember you want low phosphorous
      http://www.geocities.com/jmpeerson/CanFoodOld.html

      You should be giving sub-Q fluids as needed.

      You also will want to look into phosphorous binders. Something like aluminum hydroxide
      Ask your vet or look into calcitrol

      You may want to talk to the vet about having injectable Pepcid AC on hand or you can buy it in pill form (ac not plain pepcid) and give 1/4 tab for stomach upset which happens a lot in crf cats due to acid in the stomach.
      I hope this stuff helps, here are many links for you
      Making cat food
      http://www.catinfo.org/makingcatfood.htm
      other links. Read, read, read!!!!
      http://www.felineoutreach.org/EducationDetail.asp?cat=KidneyDisease
      http://www.marvistavet.com/html/kidney_failure_where_to_begin.html
      http://www.felinecrf.org/
      http://pets.groups.yahoo.com/group/FelineCRF/?v=1&t=search&ch=web&pub=groups&sec=group&slk=3
      http://pets.groups.yahoo.com/group/Feline-Phosphorus-Management/?v=1&t=search&ch=web&pub=groups&sec=group&slk=5

      About that vets diet. This report is for dogs but applies to cats
      http://mousabilities.com/nutrition/crf/bovee_protein_RD.pdf
      http://www.geocities.com/Vienna/Opera/21...

  10. QUESTION:
    Our cat has Chronicle Renal Failure, is there anything more to do or is it time to say goodbye..?
    Dear friends,

    Our beloved FOXIE, was recently diagnosed with CRF and the prognosis seems to be poor. We are willing to do everything we can to save our little Foxie!!

    Is she in the final stage? We got the diagnosis just 10 days ago, but today when I have learnt about CRF, I think there were signs already during the summer. Her way of movement was stiff and Foxie doesn't really like to be caressed over her back - probably bone pain....
    I thought it was arthritis, but the vet examined her and found no such evidence. Unfortunately, no blood test was done.

    We estimate Foxie's age to something between 4-8 years old.

    Her test result:
    Creatinine 954
    Urea high 41
    Phosphate high 4.3
    Blood pressure high 170
    HCT 19.2%

    The ultrasound shows that the kidneys are damaged, but to our veterinarian's surprise, they looked better than expected with a crea of 950. A urine test tells us the concentration is ok. However, I don't think he did a urine culture.

    She is eating every day, not so much, but app 60 g of wetfood per day. We give special diet, but also normal food. Anything to make her eat!! Foxie weighs 3.8 kg today. She weight 4.1 kg one month ago.

    Foxie has been given intravenous fluids 200-350 ml per day for 8 days now, she is also medicating for high blood pressure, Norvasc 5mg Amiodipin 1/4 of tablett per day, and Renalzin (phosphate binder).

    After 7 days on fluids and medicine, the latest test results show no change....I think she is getting weaker every day, Her appetite is reduced and she sleeps most. It breaks my heart to see her like this.

    Is there anything more to do? Any new treatments? Any other medicines we should give her? Should we continue with the daily intravenous fluids? We don't medicate for the anemia, even though it is very low. Do you think we should and how?

    Do you think medicine for anemia can help? Antibiotics? Or is it time to say goodbye, until we meet again...We want her to have a good cat life. If there is nothing more to do, it is be time for her to go to a better place.

    We are willing to do everything to help Foxie and would be so grateful for your advice.

    Annette, Mike & Foxie

    • ANSWER:
      That is afully youing fopr this sorry you are going through it

      If your cat is not in final stages, this is not want you want to do. You do not want to put your cat on the
      Vets low protein diet. There are simply so many better options out there than to hand the poor cat a low amount of poor quality protein - which often results in a poor appetite and muscle wasting since the body is now robbing its own muscle mass to feed itself a decent quality and amount of protein.
      . There are new thoughts on this and the thinking is it is not the amount of protein but the quality of protein that matters.
      The Merck veterinary manual [www.merckvetmanual.com] says that cats need "4 g of protein of high biologic value per kg body wt/day". That's about 7 calories from protein per pound body weight per day. If a cat isn't a good eater and consumes, say, 20 calories per pound per day, then 7/20 = 35% of calories can safely be from protein. It must be high quality protein, which means meat, milk, and eggs, and not grain or soy.

      I am under the assumption that you have been feeding mostly dry foods. Many use a vegetable based protein instead of animal and that is part of the problem.. Your cat needs protein as it is a carnivore and cutting down on it will lead to other health issues and may cause faster degeneration.
      You want to cut down on phosphorous (no fish allowed now)

      The best way to do this is with a raw diet which you can make yourself or buy. (Making yourself is better) link provided at the bottom
      If you are unwilling to do that then something like the non fish flavors of Wellness or Merrick with NO grains are good alternatives. Wysong is also a good canned choice. This list gives a breakdown. Remember you want low phosphorous
      http://binkyspage.tripod.com/CanFoodOld.…
      http://binkyspage.tripod.com/CanFoodNew.…
      You should be giving sub-Q fluids as needed.

      You also will want to look into phosphorous binders. Something like aluminum hydroxide
      Ask your vet or look into calcitrol

      You may want to talk to the vet about having injectable Pepcid AC on hand or you can buy it in pill form (ac not plain pepcid) and give 1/4 tab for stomach upset which happens a lot in crf cats due to acid in the stomach.
      I hope this stuff helps, here are many links for you
      Please read this about diet
      http://www.littlebigcat.com/index.php?ac…

      Making cat food
      http://www.catinfo.org/makingcatfood.htm
      other links. Read, read, read!!!!
      http://www.felineoutreach.org/EducationD…
      http://www.marvistavet.com/html/kidney_f…
      http://www.felinecrf.org/
      c

      About that vets diet. This report is for dogs but applies to cats
      http://mousabilities.com/nutrition/crf/b…
      http://www.geocities.com/Vienna/Opera/21…

  11. QUESTION:
    Our cat is diagnosed Chronic renal failure and has a very high Crea 954. What can we do to help her?
    Foxie had her diagnosis one week ago and has been given intravenous fluids 200-350 ml per day for 7 days now, she is also medicating for high blood pressure, Norvasc 5mg Amiodipin 1/4 of tablett per day, and Renalzin for high phosphates. New tests show no change:

    Creatinine >900
    Urea high 41
    Phosphate high 4.3
    Blood pressure high 170
    HCT 19.2%

    The kidneys have been examined with ultrasound, and they are damaged, but our veterinarian says he has seen much worse. The urine concentration is normal.

    She is eating every day, not so much, but app 60-80 g of wetfood per day. We give special diet, but also normal food. Anything to make her eat!!

    Foxie is a stray cat, but we estimate her age to something between 4-8 years old. She has been with us for one year.

    Is there anything more to do? Any new treatments? Do we continue with fluid every day?

    We are willing to do everything to help Foxie, no matter the cost.

    We really hope someone can help us!

    Annette

    Annette

    • ANSWER:
      Join the Yahoo Groups feline crf support group. http://pets.groups.yahoo.com/group/Feline-CRF-Support/

      And check out these sites http://www.felinecrf.com/ and http://www.felinecrf.org/
      on this page here is a list of tips for getting your cat to eat. http://www.felinecrf.com/managd.htm

      Continue giving the fluids at the amount and frequency prescribed by your vet And yes there are other things you can do.. Like phosphorus binders added to each meal. ( an inexpensive kind is aluminum hydroxide dry gel powder)
      Something that may help nausea due to stomach acid is famotidine (Pepcid AC) 2.5 or 5 mg once or twice a day. (so 1/4 or 1/2 of a 10 mg tablet).
      and there are some new medicines.
      But discuss with your vet, check out those sites, and join that group and ask questions on there. Best wishes to you and Foxie.

  12. QUESTION:
    My cat was diagnosed with feline chronic renal failure (kidney failure) about 5 months ago. Resources/support?
    It's not a question of if my cat is sick, but how severely.
    Our family cat that passed 6 years ago didn't show signs of discomfort or pain until she was dying, and the euthanasia was very difficult because her body had already started to shut down and her veins collapsed.
    My cat started throwing up a while ago (she is ten years old, and had always seemed very healthy before that) and blood tests showed she had f.c.r.f. The stress of taking her to the vet and the iv for liquids stressed her out, more like traumatized her than just stress, and she went downhill within a few days and almost died. We were able to find a vet who helped us get her better at home without meds, but she recently started throwing up again, has lost her appetite but is more thirsty, is urinating like crazy, her eyes that were a vibrant green with a bit of blue are now a dull green, and the major thing is she accidently urinated while she was asleep yesterday. From the research I've done, "leaking" is a flag for kidney failure, and I don't have the money (literally) to do any kind of treatments (I'm paying my way through college right now on my own).

    My cat has been like my shadow, inseperable, since we got her as a kitten when I was ten. I feel like she is a part of me, and I know she is not healthy, although she would seem ok to someone who doesn't know her. My worst fear is for her condition to worsen to the point where she is in a lot of pain, and for the euthanasia to be painful or difficult.

    I have a phone appointment with the vet this afternoon, but if anyone knows of any websites with advice or similar stories, I would really appreciate it. I am looking for some support, and to make sure I do what is best for her.
    Thanks, I will definitely look at those groups.
    Unfortunately, when she first got sick and diagnosed, we tried the tablet for naseau but she would not take it, even in her favorite treats or crushed into food. We also tried the at home IV thing to hydrate her, but even that made her panic and we didn't see any improvement. After a while, it was clear they were making her more stressed and just feeling worse, we were finally able to get her relatively healthy by changing her diet (to canned food mixed with water).

    • ANSWER:
      There are some very good CRF cat groups over on yahooGroups, just put the term in the search field. There's also been discussion on it over on the Handicats group over there, so there are a lot of owners familiar with the reactions.

      Has your vet suggested a 1/4 tablet of Pepcid A/C for settling the stomach? It's safe for cats. Phone and ask them. Has your vet taught you how to syringe water into your cat or give fluids? It's do-able at home and extremely helpful for the cat to be hydrated without the stress.

      There's also several very good CRF sites online, google CRF feline and you;ll find it.
      Here's one -- http://www.felinecrf.com/

  13. QUESTION:
    Old Cat with Chronic Renal Failure?
    Hi,

    I have a 14 year old cat that was diagnosed with CRF about 2 weeks ago. He was hospitalized for 4 days, and we took him back home for home treatment.

    Unfortunatley, his situation has deteriorated. He stopped eating and was becoming extremley lethargic. In addition to givig him IV treatment at home, we were forcefeeding him. However, despite all this, he became worse. The last few days he was very dehydrated. I took him to the vet today, and they gave him IV fluids - a pretty large amount. I think this may have compounded the problem as well. His stomach is large (probably from the fluids), and he seems like he is in pain. He has extreme difficulty walking, and can barely stand on his own feet. He is basically staying at the same place, motionless.

    He's also behaving differently. Usually he's pretty responsive and interactive (even while sick), but after I got him back from the vet today he started hissing and being aggressive with me. I can't even touch him without him responding angrily.

    I made the decision to euthanize him on Monday (vet will be coming to my place). However, in the meantime, is there anything I can do to help? Is he overhydrated?
    Just Further details:

    My cat can't walk!!
    I called my vet, and she said because he was given a lot of subQ IV, it will take time to be fully absorbed into his body and he will be a bit uncomfortable until then. I'm just worried because he when he tries to walk, he can't even lift his legs up...he alsmot drags himself across the room. When he tries to stand, he legs just give up and they spread apart on the floor. Any reason for this?

    • ANSWER:

  14. QUESTION:
    Should I trust the vet with her diagnosis of my cat? What does this sound like to you? I suspect renal failure?
    My 15 year old indoor cat Pookie's health has seemed to decline over the last year with lack of grooming, looking frail, and increased thirst. Previously the vet has minimized these symptoms by saying her issues are from aging but otherwise "Pookie was healthy". I put her in the hospital Saturday after she had diarrhea, vomiting (saliva) , and extreme weakness. I thought she was dying. The vet said she thinks it's a stomach issue. They gave her an antibiotic shot, dewormer and fluids. Vet said Pookie's kidney values were slightly elevated to a 5, but that didn't indicate failure.Everything else in the bloodwork was normal. Now that she's home she seems so weak and just sleeps, but is walking around a little and eating a little. I'm thinking this could be renal failure since Pookie had stones removed several years ago and
    the thirst, loss of weight, and lack of grooming happening before the recent vomiting and diarrhea. The vet wants to see if her stomach treatment works, and then do x-rays and ultra sounds on Pookie's belly. I'm wondering if this treatment the vet is suggesting is just a money pit unrelated to what's really going on here. Sorry for the long post. I just want to do what's best for Pookie. I hate to be shoving dewormer down her throat and subjecting her to stomach scopes when she's actually got a kidney issue. Any tips appreciated.

    • ANSWER:
      The blood tests would show crf (kidney failure) so that is not it. The next step is an ultra sound to find out if there are any tumors or such
      It is expensive. I hope all turns out ok

  15. QUESTION:
    My cat has been diagnosed with chronic renal failure. HELP!!!?
    the creatinine levels of my cat is 8. She is on the advanced stages of CRF. I need treatment that i can give to her in India. Please respond asap its a matter of life and death.

    • ANSWER:
      She needs a kidney transplant. A lot of cash.

  16. QUESTION:
    Who has done Subcutaneous Fluid Therapy for their cat?
    My 13 year old cat was diagnosed with renal failure today......and now I have to make the difficult decsion on do we treat or not. Will have to give her liquids every day for hte rest of her life, and its unclear how long she would live. I hate the thougth of losing her, but what is the qulity of life like for cats who undergo this treatment?

    • ANSWER:
      I have given this to a few cats, 2 of which were my cats with CRF, both about 10 yrs ago. It may seem at first like it will be awful to stick that needle in your cat, but it is not hard to learn and the cats seem to figure out after not too long that they feel SO much better shortly after they get the fluids.
      The sites
      http://www.felinecrf.com
      http://www.felinecrf.org
      have a lot of info about the disease and its treatment including giving fluids. There are some videos you can find online that show how to do it, some from vets,
      for example: http://www.youtube.com/watch?v=1LSppGcrQ3Y&feature=PlayList&p=8AEDC4CE630E6A1A&playnext_from=PL&index=0
      others just from regular people who have made videos of giving fluids to their own cats, for example http://weirdstuffwemake.com/weird/stuff/pets/cats/sophia/catjuice.html

      Quality of life as well as quantity would depend how much kidney function your kitty has left and how well this as well as any needed meds, limitation of phosphorus in diet etc. will help to treat symptoms and slow or stop progression of the disease (yes sometimes it is arrested for quite a while)
      In the case of my own cats they lived about a year after diagnosis. But one of them had been badly burned in a major fire before I adopted him and the vet thought that might have damaged his kidneys - he got CRF at only age 7.
      Since then there have been advancements in the treatment and it seems like more cats are living multiple years, in some cases 5+ years, before their quality of life deteriorates to the point that euthanasia is the best choice.

      I really think moving away from the low protein diet (for example Hill's k/d) that used to be the standard treatment has helped many cats, because that diet caused a lot of other problems that would then get ascribed to the disease itself. That might work better with dogs but cats need more protein, that is the main fuel they run on. ( Some vets still use that older treatment but the more up to date approach is to limit the phosphorus and focus on the quality of the protein.) Also there are new meds etc used now that have been found to help.

      Quality of life will also depend on your cat's personality and how well she tolerates the treatment. But I would not predict in advance that a cat will not tolerate it. One of the cats i gave it to had even been abused before and used to be very untrusting of people and was still a nervous cat, so I worried that he would hate it and it would destroy the trust we had slowly built up. But he turned out to really get along well - he let not only me but other family members give him his fluids and would sit there purring and then just go on his way. he seemed to somehow understand we were trying to help him. maybe he came to associate it with how much better he felt very soon afterward.

      Of course there's no guarantee. but I would be inclined to give it a try for a while and see. you may be surprised how much better she feels and how well you are able to treat her. and you may find that you become even closer to your cat.

      If you do decide not to treat it you need to have her euthanized now to stop her from suffering.
      Good luck to you and your cat, whatever you decide.

  17. QUESTION:
    Iams/Menu Foods victims - did you negotiate your initial settlement offer?
    One of our cats is suffering from Chronic Renal Failure due to the tainted Iams cat food made by Menu Foods. Iams has agreed their food was the cause and they have offered to pay our vet bills (nearly ,000 so far) and for four months of medical monitoring. Four months is a joke -- our cat is going to need expensive treatment for the rest of his life, not just the next four months.

    Just curious to know if anyone has had any luck with negotiating a better settlement with Iams. Did they increase the length of the medical monitoring window? Did they reimburse you for related costs (missing work, canceled travel plans, etc.)? Or did they just give you the brush off and tell you their offer would not change?

    Just wondering what to expect when I call them to make a counter offer.

    • ANSWER:
      Just let them pay your vet bills do the best thing that you can possibly do for your cat then he will maybe live your not the one paying and its there fault he is sick so do the most exsepnsive treatment

  18. QUESTION:
    Methamazole / acute kidney failure?
    My cat was diagnosed with hyperthyroidism. She was put on methamazole 1/2 twice daily. She had her blood tests, & the levels were still high. So the vet prescribed 1 tablet twice daily. She was on this for about 6 months. The last blood test showed the level of thyroid hormone was undetectable. Too low, vet quickly lowered back to the first dose. Before I even had the new dose in her but 1 day, she became quite tired. I called the vet er, they said maybe it needed to get out of her system. Soon she could barely move, & eventually fell over in the kitchen. I took her to the vet er, she was in acute kidney failure. I had to help her out of pain. I am devistated. as this was a complete shock. The symptoms began & ended all within 3 days. I am wondering if a cats body can change as far as levels, & what could have caused her kidney failure that quick. I also had a male, w/ hyperthyroidism & kidney disease, he was treated also with methamazole, 1/2 tablet once a day. Also a blood pressure pill. He did go blind, as his retinas detached. It was a miracle, a day after treatment of the high blood pressure, he focused on me. He got his sight back! He was going downhill though still, as he was 15. The female above was 14. After she died, it was only 2 days, & my boy couldn't even walk, as a Mom, I had to help him also. They got the blood tests at the same time, his level was perfect she said. I had no idea he had the thyroid problem til he lost his sight. I lost my two best friends in the same week. I noticed with both of them, after starting the methamazole, they stopped purring. Were not the same little "people" they used to be. I know I did the right thing for them, as they were older, and the blood tests came back horrible. There was nothing I could do. I need to know if this medication may have threw them both into renal failure. I am 42, an adult woman, its been a week....& I'm still crying like a child. Any opinion, advice, or answers would mean alot. Thank you.
    Apologizing ahead, as this is my first time here, on questions. I may have put this in the wrong category. Thought I put it on "Pets"...looks like it appeared on "diseases"?? I hope others can find it. Thank you ahead for any replies that are given, it means so much. I want to do the very best I can with any extra knowledge. I have one cat left, "Furgis"....and I want to do the best I can for him. He is only 6.....I want him to live a long and happy life.

    • ANSWER:
      I had a cat that lived to be 19. The last 6 years of his life he was on methamazole. It did wonders for his hyperthyroidism.
      Sometimes the best efforts of the vets just don't do the trick. I am so sorry you lost your cats. They really are wonderful creatures. Please get another one or two that need homes.

  19. QUESTION:
    My cat has hyperthyroidism, dr said I_131 iodine radio therapy is ok, just by blood analysis?
    and urinalysis, is that enough to diagnose if the kidneys are really ok in a hyperthyroid cat?which is better? methimazole ot I131-iodine therapy. he has only been on meds for 1 week and a half when they checked his t4 values? it seems to good to be true that his kidneys are ok, and that he is a good candidate for the above, since hyperthyroidism usually masks and covers unhealthy kidneys. the i131 can be a cure or be fatal. cue if his kidneys are really ok? and how do i know for sure? and fatal if he gets the above and the treatment causes renal failure. in addition to him already having heart murmur caused by the hyperthyroidism. but the meds he is on is causing him black stool. whuch of the two is the lesser evil of therapy? surgery is put of the question cuz hes to old & sick risk anesthesia. pls help me i love my cat and want to make the best decision with unhelpful dr's that dont care and deplete all my money 4k so far, with no improvement in my cat. pls help my cat????????

    • ANSWER:
      Hyperthyroidism is basically due to the oversecretion of thyroxin in the thyroid gland. This disease can get quite serious if left untreated. I would recommend that the iodine radio therpay be done as iodine is essential for the proper functioning of the thyroid gland.

      Don't worry, your cat will be okay. Hyperthyroidism need not be worried about if treated properly.

      Hope that helps!

  20. QUESTION:
    please help my sick cat, please he has hyperthroidism? what should ido? vets keep stealing my$$, and wont cure
    My cat has hyperthyroidism, dr said I_131 iodine radio therapy is ok, just by blood analysis?
    and urinalysis, is that enough to diagnose if the kidneys are really ok in a hyperthyroid cat?which is better? methimazole ot I131-iodine therapy. he has only been on meds for 1 week and a half when they checked his t4 values? it seems to good to be true that his kidneys are ok, and that he is a good candidate for the above, since hyperthyroidism usually masks and covers unhealthy kidneys. the i131 can be a cure or be fatal. cue if his kidneys are really ok? and how do i know for sure? and fatal if he gets the above and the treatment causes renal failure. in addition to him already having heart murmur caused by the hyperthyroidism. but the meds he is on is causing him black stool. whuch of the two is the lesser evil of therapy? surgery is put of the question cuz hes to old & sick risk anesthesia. pls help me i love my cat and want to make the best decision with unhelpful dr's that dont care.

    • ANSWER:
      watch the fat intake...also go to a natural store and ask for trteatments. I hope he is ok

  21. QUESTION:
    my cat has hyperthyroidism, please someone give me helpful advice before vets kill him take all my money.....?
    My cat has hyperthyroidism, dr said I_131 iodine radio therapy is ok, just by blood analysis?
    and urinalysis, is that enough to diagnose if the kidneys are really ok in a hyperthyroid cat?which is better? methimazole ot I131-iodine therapy. he has only been on meds for 1 week and a half when they checked his t4 values? it seems to good to be true that his kidneys are ok, and that he is a good candidate for the above, since hyperthyroidism usually masks and covers unhealthy kidneys. the i131 can be a cure or be fatal. cue if his kidneys are really ok? and how do i know for sure? and fatal if he gets the above and the treatment causes renal failure. in addition to him already having heart murmur caused by the hyperthyroidism. but the meds he is on is causing him black stool. whuch of the two is the lesser evil of therapy? surgery is put of the question cuz hes to old & sick risk anesthesia. pls help me i love my cat and want to make the best decision with unhelpful dr's that dont care.

    • ANSWER:
      Why don't you put this question under Pets/Cats?
      I think you would get a better reponce.

  22. QUESTION:
    Herbal Medicine for CRF Cat?
    My cat has Chronic Renal Failure (CRF). We are trying to deal with his upset stomach and nausea so he can eat on his own. I just read that peppermint and dandelion are good herbal treatments and had a few specific questions:

    1. ARE they good?
    2. Are they safe?
    3. How do I cook them or assemble them or present them or whatever? It would be great if it was in a form that he would willingly eat or drink but something that has to be given via an eye-dropper would be fine too.

    If anybody has experience with this or (and I would LOVE an answer like this) if someone is a Vet, please give me some guidance!!

    Thank you so much.

    • ANSWER:
      I don't know about these. I can give you some advice though

      Treatment of Chronic Renal Failure

      If your cat is not in final stages, this is not want you want to do. You do not want to put your cat on the
      Vets low protein diet. There are simply so many better options out there than to hand the poor cat a low amount of poor quality protein - which often results in a poor appetite and muscle wasting since the body is now robbing its own muscle mass to feed itself a decent quality and amount of protein.
      . There are new thoughts on this and the thinking is it is not the amount of protein but the quality of protein that matters.
      The Merck veterinary manual [www.merckvetmanual.com] says that cats need "4 g of protein of high biologic value per kg body wt/day". That's about 7 calories from protein per pound body weight per day. If a cat isn't a good eater and consumes, say, 20 calories per pound per day, then 7/20 = 35% of calories can safely be from protein. It must be high quality protein, which means meat, fish, milk, and eggs, and not grain or soy.

      I am under the assumption that you have been feeding mostly dry foods. Many use a vegetable based protein instead of animal and that is part of the problem.. Your cat needs protein as it is a carnivore and cutting down on it will lead to other health issues and may cause faster degeneration.
      You want to cut down on fat and phosphorous (no fish allowed now) The best way to do this is with a raw diet which you can make yourself or buy. (Making yourself is better) link provided at the bottom
      If you are unwilling to do that then something like the non fish flavors of Wellness or Merrick with NO grains are good alternatives. Wysong is also a good canned choice. This list gives a breakdown. Remember you want low phosphorous
      http://webpages.charter.net/katkarma/canfood.htm

      You also will want to look into phosphorous binders. Something like aluminum hydroxide
      Ask your vet or look into calcitrol
      You may want to talk to the vet about having injectable Pepcid AC on hand or you can buy it in pill form (ac not plain pepcid) and give 1/4 tab for stomach upset which happens a lot in crf cats due to acid in the stomach.
      I hope this stuff helps, here are many links for you
      Making cat food
      http://www.catinfo.org/makingcatfood.htm
      other links. Read, read, read!!!!
      http://www.felineoutreach.org/EducationDetail.asp?cat=KidneyDisease
      http://www.marvistavet.com/html/body_chronic_renal_failure.html
      http://www.felinecrf.org/
      http://www.felinecrf.com/
      http://pets.groups.yahoo.com/group/Feline-CRF-Support/
      About that vets diet. This report is for dogs but applies to cats
      http://www.geocities.com/Vienna/Opera/2167/bovee_protein_RD.pdf

  23. QUESTION:
    How long has a cat had declining kidney function say 50% or more before the vet detects 75% dysfunction?
    My cat was diagnosed with hyperthyroidism. I had to maek the decision to pill him with methimazole or go ahead with I131 radioactive Iodine which is a cure however there are risks with both procedures. The risk with the I131 is your cat could go into acute renal failure if it has preexisting renal failure prior to the I131 injection-AND SOEMTIMES AFTER TREATMENT OF I131 THE KIDNEY FAILURE IS FOUND THAT WAS PREVIOUSLY HIDDEN. DO YOU THINK MY CAT HAD KIDNEY FAILURE PRIOR TO BEING DIAGNOSED WITH HYPERTHYOIDISM AND IT WAS BEING MASKED OR HIDDEN?

    my cat was diagnosed with hyperthyroidism in Nov 06. My cat was diagnosed with kidney disease & 75% kidney loss in Nov 07. I decided to pill him with medication to control but not cure his hyperthyroidism out of fear that if I had the I131 he would go into acute renal failure. There was no evidence suggesting that but I wanted to play it safe but having not gotten the cure may have caused him to die 2 years later instead of a cure of his hyperthroidism. Should i have gotten the I131 when he was first diagnosed with hyperthyroidism or do you think i made the right decision to pill him by allowing extra bllod flow to the kidneys which helps kidney function. But i feel really really guilty like i didnt make the right decison and have been cryign for 1 month straight. My cat dies 2 years later after being diagnosed with Hyperthyroidism on 12/29/08, and I balme myself becuse I think if i had gone ahead with the I131 he would still be here. The doctors dont know why he died. they just say he was severly dehyrdated, lethragic, anemic. I dont know if the hyperhtroidim killed him or kidney failure. I Ijust blame myself either way and will never forgive myself. I will never own another cat becuse I am not worthy or deserving of a cat. My cat was 16 1/2 when he died. I was giving him subq fluids under the skin for his dehydration and wellness can food 2 cans daily with hyperthyroid medicine. I hate myself!
    I am an awful awful person. if my cat had another mom instead of me he probabaly would have lived longer. Im th eone who should be dead nt him. if i could die 4 him and he live I would do it becuse my life is meaningless & empty without him.

    • ANSWER:
      Don't hate yourself, you did the best job that you could at making sure that he was able to keep alive for as long as he did. 16 1/2 years for a cat is pretty good, the average of cats are usually about 12-13 years old, so this is pretty good for the age. It could have been the complications of the thyroid problem, or it could have been the issue with the kidneys, or it could have been a little bit of both problems which are highly possible too. I know that it is sad, but you did the best thing that you could for your cat, and again as I mentioned, you were able to keep the cat a live for sometime.

  24. QUESTION:
    Did my inactions and wrong decisions cause my 16 1/2 year old cat to die? Please Please help me!?
    How long has a cat had declining kidney function say 50% or more before the vet detects 75% dysfunction?
    My cat was diagnosed with hyperthyroidism. I had to maek the decision to pill him with methimazole or go ahead with I131 radioactive Iodine which is a cure however there are risks with both procedures. The risk with the I131 is your cat could go into acute renal failure if it has preexisting renal failure prior to the I131 injection-AND SOEMTIMES AFTER TREATMENT OF I131 THE KIDNEY FAILURE IS FOUND THAT WAS PREVIOUSLY HIDDEN. DO YOU THINK MY CAT HAD KIDNEY FAILURE PRIOR TO BEING DIAGNOSED WITH HYPERTHYOIDISM AND IT WAS BEING MASKED OR HIDDEN?

    my cat was diagnosed with hyperthyroidism in Nov 06. My cat was diagnosed with kidney disease & 75% kidney loss in Nov 07. I decided to pill him with medication to control but not cure his hyperthyroidism out of fear that if I had the I131 he would go into acute renal failure. There was no evidence suggesting that but I wanted to play it safe but having not gotten the cure may have caused him to die 2 years later instead of a cure of his hyperthroidism. Should i have gotten the I131 when he was first diagnosed with hyperthyroidism or do you think i made the right decision to pill him by allowing extra bllod flow to the kidneys which helps kidney function. But i feel really really guilty like i didnt make the right decison and have been cryign for 1 month straight. My cat dies 2 years later after being diagnosed with Hyperthyroidism on 12/29/08, and I balme myself becuse I think if i had gone ahead with the I131 he would still be here. The doctors dont know why he died. they just say he was severly dehyrdated, lethragic, anemic. I dont know if the hyperhtroidim killed him or kidney failure. I Ijust blame myself either way and will never forgive myself. I will never own another cat becuse I am not worthy or deserving of a cat. My cat was 16 1/2 when he died. I was giving him subq fluids under the skin for his dehydration and wellness can food 2 cans daily with hyperthyroid medicine. I hate myself!

    I am an awful awful person. if my cat had another mom instead of me he probabaly would have lived longer. Im th eone who should be dead nt him. if i could die 4 him and he live I would do it becuse my life is meaningless & empty without him.
    I will do the cat world a favor and never have a cat again.

    • ANSWER:
      God, give yourself a break! It sounds like you truly loved your cat & went out of your way to do everything possible for him. Loss is extremely hard, but he was 16 1/2 years old & I'm sure he lived a great life with you! I'm very sorry for your loss but please go easy on yourself!

  25. QUESTION:
    Cat grieving a sibling. How to ease the pain and help them to understand.?
    I have sister cats(less than 3 years old) that have been together since day one. They were the last two cats in the litter, so we decided to adopt them both. One of them will have to be put to sleep soon. She has chronic renal failure. We have gone through 2 months of treatments, and she isn't getting better. A friend of mine read somewhere that owners of sibling pets have actually taken the surviving pet with them to when their sister/brother is being put as a way for the surviving pet to start to cope and realize that is happening. Has anyone else heard of this?

    • ANSWER:
      Yes, it can be better for them, it shows that theyre not going to be round anymore, and will help them come to terms,
      if thats not the case, you can always buy another cat if you feel it needs one.

  26. QUESTION:
    My cat's kidney disease?
    I have a 12 year old cat whom I love a lot. My wife thinks that since the new year he has been drinking and peeing a lot otherwise she thought maybe he had an occasional bad day but he was acting his normal self otherwise. September 2009 his blood work including thyroid levels were all normal (March 2009 he had a successful partial thyroidectomy). So I took him to the vet 2 weeks ago. I ended up going to a new vet who is across the street rather than his usual vet because he hates car rides. The vet just did a cursory exam and drew some blood and gave him his Rabies and distemper shots. The BUN Creatinine came back high and she said that this was chronic renal failure. All other blood work including sugar and thyroid were normal. When I asked for a workup for the cause she said it did not matter as the treatment is the same. She scheduled him for admission the following Monday for IV fluids. He rapidly deteriorated so last Friday night we rushed him to the ED of the hospital where his regular vet works. His BUN/Cr were worse so they admitted him and did IV fluids. They found no evidence of hypertension, no anemia even after hydration, normal kidneys on U/S and Xray, and no proteinuria (culture is still pending). He responded very well to 4 days of IV fluids (Cr came down from 9 to 5 and BUN from 135 to 56) and he was sent home with enalapril, antibiotics and sq fluids +/- renal diet. He is due to go back next Wednesday for blood work. Now since he is an indoor cat with no exposure to toxins or infection my wife (a "human" dermatologist) thinks that he indeed has chronic renal failure, because of the 6 months of drinking and peeing, that was exacerbated by the distemper shot. The Vets at the hospital think this is something acute given normal BP, hct, U/S and Xray of kidneys.
    Can a cat have chronic renal failure and have no hypertension, anemia and normal kidneys on both XRay and U/S?
    Can a cat be exposed to a UTI causing bacteria or a toxin in the house without ever going out?

    The reason I ask is if he does have chronic renal failure it is going to be very hard for him to get the sq fluids every day. He hates it and i don't want to put him through that.

    • ANSWER:

  27. QUESTION:
    When to let go of my cat?
    My 5 year old cat that I have had since he was 8 weks, is suffering from renal failure and has been since January of this year. He gets SubQ fluids every other day, but HATES the treatment. He has been hostile with the vet and the techs since day one and I can't say I blame him. Thing is, is that I know he will never get any better than where he's at right now, his levels have finally stabalized. He eats, drinks and plays fine, but is not what he used to be. He was always a very active and playful cat. You can tell he "tries", I think for me, but when you look at him you know he is not feeling well. He can't jump as high as he used to. I'm stuggling with letting him go. I know he will never get "cured" from this, he is stuck with it. My first cat had to be put down from renal failure and I can't bear to go through it again, esp. since he's so young. My other cat has been sleeping close to him like she knows their days together are numbered. I know I need to let him go. Please help.
    For those of you who stayed with their animal in their final moments, do you regret it at all? I hate for his last moments to be with people he hates, but I think staying until it's over will only make it harder for me. This sucks.
    I don't want it to get to the point of him suffering anymore than he already is either, even though his quality of life is okay. It's not fair to him to get "stuck" all the time to keep him alive, esp. when it makes him so miserable. I think it might be better to let him go while he is still somewhat "well". I need help with this.

    • ANSWER:
      I am so sorry about your cat's illness. Over the last 14 months I dealt with the same situation, with my 12-year-old cat. SInce your cat is so young to have this problem, he could have been born with malformed kidneys, as my cat was, according to her veterinarians' opinions.

      If your kitty seems to feel relatively good the majority of the time, and is still eating regularly and playing, then I wouldn't it's time to put him to sleep yet. But you're the one who knows him and can `read' him, so do what you think you should do for HIS best interest.
      His toleration of the treatments is an issue, you're correct. My cat was a very calm kitty, and she did tolerate the sub-Qs well, although she clearly did not like them.

      My cat was diagnosed in Feb. 2006. She had a complication in Oct. 06' - a huge cyst that damaged one of her kidneys - and she seemed to go slowly down-hill after that, but she seemed still to be enjoying life the majority of the time until this Feb.. One weekend day she clearly was suddenly feeling pretty bad - like the poster above mentioned, my cat also looked at me and meowed in a way that told me she was really feeling bad - and I took her to the vet. As soon as the vet touched her, the vet said she thought we were almost at the end. She was right - the vet kept kitty on an IV for a week, but soon as she came off the IV, she went down-hill again.

      I took her home for two days after that, but Kitty couldn't even drink water, and she would not eat at all. That's when I knew it was time to say good-bye, despite the fact that to me, she was like my child. We spent a really good last 36 hours together - she laid on my lap and I just petted and talked to her for most of that time, and then I took her back to the vet. I was with her as she was put to sleep.

      My point of telling you so much about my cat is that I think you WILL know when it really is time to say good-bye. When you think it's about time, don't feel bad about taking a day or so off of work to spend time with your cat. I think you'll feel better if you do that.

      When your cat is no longer enjoying himself the majority of the time, or is clearly suffering, then it will be time to say good-bye. My thoughts will be with you.

  28. QUESTION:
    Did I make the right decision? Grieving and feeling guilty about euthanizing my best buddy?
    My heart is really hurting right now because of the recent euthanization of my 4yr/8 month old mini schnauzer 2 days ago. such a happy boy and a big snuggler but, from a year old, I always knew he was different and not as normal as other dogs throughout my life. My mom got him for me because my other schnauzer was 12 yr old and mom did not know how much time I would have left with her so, I should say he was her replacement. My husband, family and I ALWAYS said we did not think he would live a long life because of his activity, habits and demeanor as a young pup. At 1 1/2 years old I wanted to stud him out and got bloodwork done (which was normal) he showed no interest in female dogs. He was uninterested, getting fat and not as active. I have two other dogs that kept him going but, I learned that I could not leave any food down even for our cats because he would eat everything. He was not very active even at a young age, my husband and I SPOIL our animals and would lift him up & down the stairs, bed, couch, and the back stairs (he got used to this until the day we let him go). He managed to get into food that we brought home from the vet a 20lb bag left in the kitchen and ate enough until we caught him, he got into halloween candy last year and ate it until we could catch him (we then bought the dog food storage containers). Our vet suggested a diet and he only ate a recommended quantity twice daily. He would lost weight and gain it back. About a year ago he started losing his vision. Our vet said that he could not see anything wrong with his eyes. I can tell you so much more about his problems but Overall, he has had problems with his vision, muscle tone, weakness, appetite for the past 2 1/2 years but, still a loving happy boy that mom and dad loved and treated as a special dog. He was our baby and we did not care if we had to give him extra attention. I brought him to the groomer last month and he came home with an ear infection.. I then brought him to the vet and he had lost weight too fast, I suggested getting bloodwork on him because I was suspicious of Diabetes, turns out he was in renal failure and anemic, the vet said he needed a blood transfusion, IV fluids, ultrasound of kidneys and a bunch of other tests that could pinpoint his diagnosis costing from 00-00 and they could not determine if the outcome of the up-hill battle would work for my little guy. X-rays showed and enlarged heart and a murmur.. Around x-mas he would vomit here and there and showed no appetite turning his nose up to everything, (except roastbeef) that was not our dog and we knew something was going on in his once 34lb body to 22lb body. With his whole medical backround and the dog that I always saw and knew I did not see him going through so much distress, surviving. He to us always had a weakness to begin with and I did not want to put him through all the stress, anxiety, treatments, medications and so forth, just to progress his life without knowing if it was 2 weeks or 2 years. My other dogs do notice him not here and the mini schnauzer my mom bought him for me to replace is 16 and still with me, I feel lousy.. Did i do wrong by ending my lil guys' life so, soon and not giving him a chance, financially we could not afford it but, I could have come up with the money working with friends and family to pay them back. From his past medical history and his problems, I did not want to put him through all that stress without knowing if the outcome would work. CRF is irreversible and my buddy had already lost partial vision, renal failure, anemia, with an enlarged heart, Did I do right by him? Your comments are well appreciated, my story is long and not all included as far as his complete health backround.. I don't think his lil' body could handle much more, I have been crying for days, no appetite and my husband is very sad as well.. I feel soooooooooo guilty but, know he was never a strong pup to begin with.. If I only got bloodwork sooner, I don't know.. We gave him lots of chocolate before our decision and he was such a happy pup, the tranquilizer was not a full dose and it looked like he was convulsing and the vet apologized and said he thought that dose would be enough, the euthanization was quick but, very painful for us. Pleasant comments please..

    • ANSWER:
      Sounds like your dog was in a lot of pain. You gave him so much love in his little life, so many wonderful things that many dogs never experience. Even with treatments, how much quality could his life have had after something like that? Instead of suffering through years, going to the vet all the time for injections, probes, and all kinds of scary stuff, he went to sleep surrounded by people who love him. For what it's worth, I think you made the right decision.

      I feel you, hon. I lost a dog in September. This dog was with me through some tough times, and literally saved my life twice. He was seven years old, and a car hit him. I cried for weeks, then went and rescued a new puppy who didn't have a family to love him. That puppy has brought me so much joy, and while no one could ever replace my Einstein, I feel happy because now I've helped a dog who really needed it.
      I hope this helped you. I'm so sorry for your loss.

  29. QUESTION:
    cat with crf and new odd behavior?
    My cat was recently diagnosed with chronic renal failure. I've started to notice some behavioral changes. First, she always has to be on me, usually up on my chest/ shoulder. When she was a kitten, my daughter would let her sleep on her chest/ shoulder area.Why would she revert to this behavior? It has been increasing since I started sub-q treatment.

    Second, she used to be a cat who loved to roam outside. She had always been difficult to keep inside on nice day and it would be easier to give in and let her out than suffer the consequences of an upset kitty. Now, she rarely wants out on nice days. We are still experiencing some bad weather but have had a few days of 60 degree weather. She has followed me out but sticks to the porch and steps and then comes running inside when I go in. (She has never dine this in the past)

    I'm thinking she knows the end is near and is needing to be comforted more than usual and does not want to wander far from so she can die at home. Has anybody else experienced these types of behaviors with their cat who had crf?

    • ANSWER:
      I think you are right on in your assessment. I too and in kidney failure, Even with the best of care, the overwhelming feeling of exhaustion limits any activity except the most critical. Yes she wants to be where she is comfortable and feels love.
      I am choosing to go where I think I will be loved and accepted.
      If that doesn't work I will go to a nursing home to die. My family may come and visit but i will not depend on them.Your cat does not have that option. She is totally dependent on you and your family for her care and comfort. She is blessed to have someone like you who understands her feeliing. God bless you as you help this kind old cata into her forever. God bless jeannie

  30. QUESTION:
    I think my cat is having a uti relapse. Will the vet do anything different this time?
    She was on Clavamox for 10 days (standard) with the last treatment 5 days ago and today I noticed is now in the litter box every 2-3 minutes again. I assume the urine culture will show more detail 2 weeks later. All I was told at the time was that the white blood cell count was abnormally high and that it was a stress related problem. (Most likely my having been on vacation for the 3 weeks prior).

    I realize once a cat develops UTI they may need more antibiotic treatments than one to help them get over this, but I obviously don't want to keep putting out 0.00+ each round only to get a recurrence.

    So Is there anything in particular I should focus on to dig a little deeper and get at the bottom of this now, before she develops stones, renal failure, etc. and it becomes totally unmanageable ?

    • ANSWER:
      You should always try to find out what is wrong now, to minimize the risk of long term complications. There are three options about what is going on with your cat, and a repeated urine culture can help figure out what is wrong:

      1) It is the same infection that didn't respond to the Clavamox. The vet may continue the same antibiotic for longer, or try an new antibiotic.

      2) It is a brand new infection. Now the vet will need to figure out why your cat is getting UTIs, although it is up to his/her medical opinion whether to do extensive testing now or see if your cat has a third UTI - but the only way to tell that they are different is to keep culturing the urine, which can get expensive. The vet may need to make sure the kidneys are working properly, there aren't any stones, there are no endocrine diseases like diabetes or Cushings (rare in cats), etc... But once found, the vet can usually treat or manage the underlying disease so that your cat can have a healthy bladder again.

      3) Your cat has a "sterile cystitis" (inflammation of the bladder) and no infection at all. It's just as miserable as an actual infection. This can be managed with diet and stress management at home and sometimes pain medications.

      Definitely get the urine cultured at a lab, even if the urinalysis at the vet's office doesn't show bacteria. You are always free to get a second opinion from another vet as well - either another local practitioner or a specialist in internal medicine. It may cost money now to find out what the problem is, but it will save time in treating your cat effectively in the long run.

  31. QUESTION:
    Has anyone else experienced lily poisoning with a cat?
    Has anyone else here experienced probable or suspected lily poisoning with a cat? Did it survive? 2 months ago I had to have my beautiful best friend euthanised due to acute renal failure. I'm still torn up with guilt - our garden is filled with day lilies (I had no idea of their toxicity to felines). Even worse, not knowing the signs of poisoning/renal failure, I did not seek vet assistance with enough urgency when the cat started acting off colour - I believed she was coming down with cat flu. As a result, within 48 hours the cat's condition deteriorated past the point where it had little if any chance of pulling through and certainly massive kidney damage even if intesive treatment were successful. I guess I'm posting this to help raise awareness among cat owners of the sensitivity cats have to these popular plants (especially those plants of the hemerocallis and lilium families) . The smallest speck of pollen on your cat's nose could be fatal.
    ((Hi - nelliah. Just thought I'd add that antifreeze ingestion also induces renal failure in cats. Antifreeze tastes sweet so cats find it highly palatable. Perhaps this would be another option for your boy? I'm so pleased he pulled through! Those IVFs must have been expensive.))

    • ANSWER:
      No i have not but i am aware that the plant lily is highly toxic to cats,only a small speck of pollen on the fur and it can be absorbed through the skin and causes renal failure,kidney failure is a sudden thing it happens almost overnight i had a cat who suffered kidney failure but not by poison but by old age,

      her symptoms were sudden weight loss yellowing of the skin and sunken looking eyes,ulcers in her mouth and throat,then she had a fit all this happened in around 36 hours i thought she was just off her food because of hair balls which she often had but the true symptoms came last moment,

      to start with she was picky with food but it was too late to be treated by the time it really showed,but renal failure strikes so fast,and yes lilly plants can cause it that's why i never have them around the home they are fatal,i did read an article in a magazine once about a cat who was left home alone with a lily plant,

      the cat had a horrible death i feel that there isn't enough awareness about the toxicity of them and other plants too,here's a list of toxic plant around cats,

      http://www.sniksnak.com/ac/p-plants.html

      sorry that you have had such a traumatic experience.

  32. QUESTION:
    How do I say goodbye to my cat?
    This may seem like a silly question, that a kid would ask, I know, but I'm 17, and I never really did expect saying goodbye to a cat would be this depressing and difficult.

    I've had this cat for three years now, which may not seem like a long time, but it feels like forever. When I first got him home, as a young cat from a girl at school, my family instantly fell for him. He had the strongest character, and most affectionate personality I've seen in a cat. He was my grandad's best companion before my grandad passed away and you can imagine how fond I am of my cat, Munchkin. I even began referring to him as my "son", because that's the way I truly felt about him.
    When Munchkin grew a bit older, he started spraying around the house, so we got him spayed. This didnt solve the problem as he kept urinating on soft places; the bed, the couch, clothes.
    Whenever we could afford to every now and then we would take him to the vet and treat him with antibiotics, but the problem was recurring and we couldn't always afford treatment.

    This year, it's gotten much worse. His urine is very bloody, and he is starting to pee on the floor around the house. His litter box is clean. My dad is going through a rough time and said we couldnt afford it right now, but I was too afraid to delay the vet visit even further. So I sold one of my gold lockets, and went with my mom. The first few visits, the doctor said it was a urinary tract infection, and gave injections and antibiotics. It seemed to get better for a while, but later on there was vomiting and more blood, and drops of urine on the floor still.

    One day he poor Munchkin was straining so hard in the litter box, that something on his butt got red and swollen. I started panicking, worrying and called the vet and we rushed to the emergency in the middle of the night. By the time we got there, the swelling was gone, but injections were given and we were charged double for emergency service.

    Since the problem has persisted, the vet has suggested doing an x-ray and some tests to find out if this is renal failure, and if it is the case, he might need surgery but it's not guaranteed to cure. My parents are saying we can't afford it, and are telling me it's best to get rid of the cat because cleaning up after him is getting frustrating.

    If I had my way, and was old enough to work here in Saudi Arabia, I would so I could help my poor baby, but I can't. And I can't stand watching him suffer either, if I can't help treat him. Everytime he strains in the litter box my heart aches because of the pain he must be going through. I just researched on the internet and if he does have renal failure, his kidneys won't work anymore eventually toxins will build up in his body, and he will go into a coma and die. I can't bear to be there when that happens. I just can't.

    I have tried to get him adopted by another family, but no one here wants a sick cat. I live in an apartment, and downstairs, some distance away there is a compound with a pool, court and small garden. I am thinking of leaving him there with the other stray cats, but I'm honestly devastated.
    The last time we tried to let him out of the house and be free, he was yowling and meowing, scared by other cats. The vet says he's a male cat, he'll be aggressive and he'll be fine and able to fend for himself.
    I've been crying for days, and I feel so depressed since I'm attached to Munchkin. My mom says "We've done all we can really. God gave him this illness, now leave it in God's hands to take care of him." I can see where she's coming from, but that's just her opinion.
    I want to know what others think I should do? I'm so confused. Would it be cruel to leave him? I could go down and feed him daily...that is if he doesn't run out into the streets :(
    Please help. How can I ease this pain and guilt I'm feeling?
    Right now he's confined in a small room so that he doesnt pee around the house..
    Also, there are no animal shelters in saudi arabia :/
    and the pet centers, and vets cage cats up for adoption, but not sick ones

    • ANSWER:

  33. QUESTION:
    my dying cat doesn't want to die, please advise!?
    this is awful. my cat is dying but isn't ready to die. i couldn't consider euthanasia unless she is in extreme pain, but she isn't. she has renal failure. drinking water is extremely difficult for her, and she hasn't eaten in about four days.

    rather than pull her back from impending death by seeking out IV treatments provided by the vet to do this, i'd just like to keep her comfortable until she slips into a coma. i'm thinking just enough water intravenously, as well as a mild sedative would help.

    any advice on how i can get the vet to work with me to make the cat comfortable as she completes they dying process?

    after four days of keeping constant vigil, i'm getting stressed. she's still very strong, considering she has hardly any body mass. can walk, sit, hold her head up etc.

    i'd be so grateful for any advice.
    thank you everyone for your responses.

    the problem i have with euthanizing her at this time has to do with the fact that the first injection into the spine is extremely painful. i don't want that to be her last memory.

    she has had some happiness over these last four days as well.

    i really hate to even bring her to the vet right now, as finally she seems to be resting for the first time since the dying process began.

    please know that if she were in extreme pain, i wouldn't hesitate to put her down.

    a vet came to the house for that purpose. he examined her, declared that she wasn't in pain, then explained how euthanising her would work.

    it seems a lot more gentle and natural to let her go by coma. i just want to make that process easier on her.

    i really do appreciate the excellent advice and support i've received in terms of discussing my wishes with my vet.

    and i know my cat - she's my heart. she's pissed that her time is up, and i'm pissed that i can't change that.
    PLEASE READ MY ADDENDUM RE: EUTHANASIA!! - It's an edit to my original question.

    Please do not presume to judge my decisions assuming I'm doing what makes ME more comfortable.

    Do you think it's been comfortable sleeping on an air mattress so that I can be near her every night? Do you think it's been comfortable waking up every morning, wondering if she made it through the night or not?

    It would be a lot easier on me if she died DAYS ago, but she's not ready to die yet.

    The vet said she wasn't in pain. The vet said the needle into the spine is extremely painful.

    This is not an easy decision at all. If you have advice, great! bring it!

    If you have judgements, keep them to yourself. They are NOT helping!!
    instead of passing judgement, why not ask questions? the vet that i called to come to my house and euthanize my cat said he would first sedate her by making an injection into the spine, which CAN be extremely painful.

    Why do you want to judge me, when this is the first time I have ever gone through this, when I have done everything I can to get as much information as possible, including trying to get this info from two vets and a pharmacist, and finally, when I am grieving because I feel so helpless?

    But, if I have to stomach self righteousness in order to get the info I need to help my cat, then that's the price I pay in addition to the dollars, the time, and my own personal grief and distress at wondering about her distress.

    Just remember, one day the shoe might be on the other foot. Maybe not with a pet, but with a human. And at a time when you most need compassion and answers, you get condemnation and judgment.
    Thanks again so much to all who offered not only answers, but consideration and care.

    And a slightly lesser thanks to the people who had to be smug, but still had good info. I'm still grateful.

    A major thank you to the second last poster. If I need to euthanize her, this sounds like the ideal solution! I am eternally grateful for that insight and experience.

    Finally, I got to a vet today, and learned to administer IV fluids at home, as well as procure some tramadol to ease any comfort and provide sedation. I also got more info on better ways to euthanize, so I am feeling much more at peace, and much more prepared.

    My deepest sympathies to all who have had to part with their beloved pet.

    Warmest Regards,
    LM
    Thanks again so much to all who offered not only answers, but consideration and care.

    And a slightly lesser thanks to the people who had to be smug, but still had good info. I'm still grateful.

    A major thank you to the second last poster. If I need to euthanize her, this sounds like the ideal solution! I am eternally grateful for that insight and experience.

    Finally, I got to a vet today, and learned to administer IV fluids at home, as well as procure some tramadol to ease any comfort and provide sedation. I also got more info on better ways to euthanize, so I am feeling much more at peace, and much more prepared.

    My deepest sympathies to all who have had to part with their beloved pet.

    Warmest Regards,
    LM

    • ANSWER:
      You need to talk with your vet about the best options for you and your kitty.

  34. QUESTION:
    I can't decide between putting my cat to sleep, or trying treatment.?
    My 13 year old Persian was diagnosed today with Chronic Renal Failure. My vet says she isn't in pain, but probably is experiencing a general feeling of being unwell. I guess they've come to that conclusion because that's how a lot of humans with the same thing describe it.

    I love my cat so much; I've had her since I was 6 years old. I just can't picture her not being around.

    The vet told me about a treatment-- it's about 10 minutes, once a week (for the rest of her life)-- and it should get her appetite back and help out her kidneys. It wont FIX the problem, but if she responds to it, it could add anywhere from a week to a few years to her life. During that time, she still might have her ups and downs.

    If I let her die naturally with time (medicated or not), she'll end up being in pain. However, if I choose to euthanize her, I'm so afraid that I'd be cutting her life short when she could have had a couple more years left.

    Any advice would be so greatly appreciated. I don't know what to do; I've never put a pet to sleep before, and I've never even had anyone close to me pass away. I'm devastated.

    • ANSWER:
      I hate putting animals to sleep. Its so sad, but the thing to understand is that she will not know when she has passed on. At least she will not be in any pain. People tend to hold on to sick animals for the happiness and benifit of the person, not the welfare of the animal. Its not much of a life for the poor little dear if she has to go to the vets all the time, feel sick all the time.

      I think the best thing to do is to let her go, its so sad, but its not going to be a great life for her, and when shes gone she wont feel pain, its just you that will feel the pain of this horrible loss.

      Please give to the mercy of your cat and not think of your own loss in this situation. Selflesnes is the best option. Its a horible thing, but I think its in the best interest of the cat.

      I realy feel for you in this situation, a situation I have been in many times, please make the correct decision by your cat.

      Im sorry for what you are going through, hope I have helped, Jane

  35. QUESTION:
    He's in Heaven now?
    I just put my cat down today due to renal failure that he has been battling for the last 5 months. I took him off the fluids a week and a half ago so he could have some time without having to go to the vet. He HATED treatment, and I just couldn't put him through it anymore. He was only 5 years old. I stayed with him the whole time. He was curled up with my other cat, his buddy, before we left. It was like they knew. He cried when I had to put him in the carrier.They had to sedate him first due to his aggressive nature. He freaked out when they put the needle in and he only got 2/3 of it. It was enough to make him gag and throw up. I gave him a bunch of ham before we left as his last treat. He loved ham but he threw it up, and it hurt to see him struggle to try and stand up. My mom got the tech and he came in and took Patches out of the carrier and laid him on the towel. I just kept kissing and petting him the whole time, telling him how much I loved him. Cried the whole time too.
    The tech came back in with the vet when I okayed it, they shave his fur and put the needle in to give him the injection. No sooner did she do that, when she went to check his heart and said, "I'm sorry, he's gone." It only took about 3 seconds and his eyes stayed open the whole time. He fought to even keep them open while sedated. I am so sad. My other cat hasn't started looking for him yet, but she will, and she will cry out for him, just like she cries out for me if I'm not in the same room. I made sure his last day was a good one. I wanted to let him go before any major suffering took place. My heart is broken, but I know it was for the best. My little buddy is gone. I can't believe it. It hurts so bad.
    Thank you all for your wonderful and touching answers that did help to comfort me. It was so hard to pick a "best" one. All your thoughts and prayers mean so much to me, saying "thanks" really isn't enough.
    To Flying Indian--had my first sign last night from Patches. My little girl cat (his buddy) was playing with his favorite mouse toy. She NEVER used to do anything but just bat it around. Patches would always pick up the toy in his mouth (any toy really) and carry it around or sit with his belly down, front legs slightly out with the mouse in between, and he'd pick it up in his mouth and play with it that way. Then he'd move his head around a little bit and drop the mouse back down between his legs and start to bite/pull at its tail. Last night, she was sitting in that EXACT same position, belly down with front legs slightly out. I gave her the mouse (we were playing) and she picked it up in her mouth, moved her head around a little bit, then dropped it and started to pull/bite at its tail EXACTLY like he did. I immediately thought of your response. I knew then and there his spirit was with me, and that he was watching over me in Heaven. He let me know through her that he was okay now.

    • ANSWER:
      I am so sorry you had to go through this. Sometimes it really hurts to be kind and what you did was the most unselfish act of love.

      I had to have my 15 year old ' Thomas' put to sleep because he was suffering with cancer and the strangest things happened after a couple of days things kept going missing and moving from where I put them. I believe it was my old Tom, we were inseparable you see and I think it was his way of letting me know he was still around. I put one of his pictures in a frame on my TV, its still there, and bought fresh flowers and put them in a vase next to it. About a week later I thought I would never get over the pain and then I had a dream almost like an out of body experience. Me and Tom were floating around my house together and it seemed to go on all night. The next morning I felt so much better and remembered him how he used to be and not the way he was the last time that I saw him. I will never forget him. Believe me it gets easier with time. In a few weeks you'll remember your cat how he used to be and the great time you had together in a happy way. Hope my story helps in some way .

      Take care now and watch out for those little signs. He's in heaven alright, looking down on you.

      God Bless

  36. QUESTION:
    help for female 6 year old cat with CRF?
    My Cat has been diagnosed with chronic renal failure. She has been into the vets to get re-hydrated twice and?
    each time she does get better. This time she has been well for 5 weeks. She doesn’t like the renal food that the vets have given her so we have started her on the senior cat food which she loves. They have done urinalysis and also a kidney scan, the only issue is the amount of protein in her blood – her kidneys just don’t want to get rid of it. Yesterday we had to take her back in for more fluid treatment and i asked the vet about subq fluids. He was very adament that this was not an option with her and that the next time she goes down hill will be the time to say goodbye. Can anyone advise on any options. Her protein in her blood keeps going very high after a couple of weeks off fluids.

    The vet keeps telling us we have no other option now other than putting her to sleep

    • ANSWER:
      Get another vet. I don't know your cat, or situation, personally but I've never had sub-Q fluids be a problem for renal pets. My guinea pig was in renal failure and I managed to get close to a year of good quality time with him. Toward the end I was giving him fluids daily and it really helped with his comfort level. If he got frequent fluids he felt better, ate more, and was more active.

      I know there are many options in terms of treatment and medications to help manage this. Hopefully you can get some more quality time with your girl. You'll know when it is time to say goodbye, but enjoy the time you have.

      Great info on CRF:
      http://www.marvistavet.com/html/chronic_renal_failure.html

  37. QUESTION:
    Am I doing the right thing for my cat Bailey?
    Bailey has a condition whereby, his bone marrow produces too many red blood cells and when there is a build up, it affects his kidneys and he has seizures. Without treatment, he would go into renal failure and inevitably die but, the treatment proposed is to have between 20-30 mls of blood taken periodically. At the moment, this is happening every couple of days, but could come down to once a month.
    Is this cruel for the sake of keeping him with me?
    He seems to be a little quiet and his personality isn't quite as it used to be. Should I continue with this method of treatment?
    Unfortunately, there is no cure.
    Bailey has only been going through this for three days - so it may be a question of allowing adjustment.
    He still looks for attention and purrs when he gets it so I can onoy assume he is happy enough at the moment. His brother has gone from missing him to ignoring him like the plague!

    • ANSWER:
      Hi

      I don't know how long you have been doing this so I don't know if he has had time or needs more time to get use to this treatment. I can only tell you that I know you have your cat's best interests at heart and you have to let him tell you in the future if this is something that he wants to continue. He will tell you. I am sorry you guys are going through this and wish you the very best

  38. QUESTION:
    renal cell cancer that has spread to other side of body into arm bone?
    My beloved brother (whom I was caring for ) was only 58 when he died of liver failure 2 mths ago. Now and at the same nursing home my Mother is taking therapy for her arm that just broke for no reason. They did a CAT scan and said they found cancer of the kidney (clear cell carcinoma) that had spread to the bone in arm. They called it mesatise (I think) They have told me there is no treatments they can do because of her age (84) but she sure doesn't look like it or act like it before) and the fact that becasue it had already spread to the bone it was probably all over the body. I am there everyday no matter what just like I was with my brother. The past few days she has been seeing things , getting really nervous, does'nt know how to dial a phone no. (she was also diagnosised with mild demetia 4 yrs ago) she is getting to the point of not being able to even feed herself. I feel so useless and my question is how fast does this type travel, could it be in brain. why call in hospice now?

    • ANSWER:
      We call in hospice when we think the prognosis is for a survival of less than six months. This sounds like an appropriate situation for hospice - except she is already in a nursing facility - - hospice is particularly helpful in home care situations.
      Her age is not the main reason that no specific treatment such as chemotherapy is being recommended. Our intravenous treatments for renal cell carcinoma metastatic to distant sites such as bone and brain are very poor. There would be no chance of cure of she were 34 instead of 84 with today's treatments for this particular type of cancer.

      Comfort is the number one concern in this situation. If this were my mother (who is almost 80 herself), I would want her to have good nursing care with symptom management - especially expert pain control. There is a medical art to correct pain control. This is where hospice nurses have extremely useful experience, but they need to be directed by a physician experienced with comfort management for end stage diseases such as this. The average survival of "13 months" quoted in a previous answer is probably not an accurate estimate in your mother's case as you present it - especially if it turns out that she does have metastases to her brain as well as bone mets.
      Sorry I can't give you more cheerful information. I think you will need to be prepared for a progressive downhill course in a matter of a few months.

  39. QUESTION:
    Is my cat poorly or clever?!?
    my cat is approx 13 years old, 4kg cat but skinny for frame size. He is a very active/playfulcat and always loves attention/cuddles.
    my concern is he has recently become very vocal and demanding food, even after he has been fed! he has been through this before but it dies down after a day or 2.
    He jumps up on the worktops sniffing for food and i caught him scratching at the bin one day but he has a bowl full of dry food left out all day. I feed him 3-5 pouches per day, he has 2 bowls of water - one I leave until its gone, the other i change every day or 2 but I still catch him drinking water from the toilet or kitchen sink. when i eat he will jump up and try to swipe the food off my plate.
    He has also started humping my fur rug - on one occaision at least 4 times a day. I took this away from him but he becomes frustrated and scratches at the door/carpet of the room the rug is in!!!
    he apparently had renal failure before I adopted him so I wondered if the greediness was linked but when i called my registered Vet, they do not seem to be able to give any advice of what is safe to try etc, they want me to bring him in.
    I am reluctant to take him as when my other cat was poorly, i took him straight away but the vet said he had a conjunctivitis, acne, ear infection and fleas and charged me £89. I simply changed his flea treatment from a supermarket brand to a recommended brand, this cleared all his "problems" and he has since been very well and more confident. I lack confidence in vets now. Please advise.

    • ANSWER:
      It's hard to find a good vet, I'll cheers to that! But they are sometimes a 'necasary evil', I believe the phrase goes. Sometimes vets are the only ones who can help.

      Older cats sometimes need a switch in food. Something more for them. It's possible he's not getting what he needs from the food you're feeding him now & his body is telling him to eat more to find it.

      If you use dry food, I'd suggest this: "Purina One Vibrant Maturity 7+ Formula". I'm a big fan of Purina One, they've got such healthy food for my cats & so many choices. My cats are on the Chicken & Rice Formula one right now. It's their fav. :) I'm not so good with the canned wet stuff, I only use it as treats or when I need to sneak in some medicine for them. So you're on your own there. Sorry.

      Our current foster cat loves to jump into the bathtub to drink from the faucet. Doesn't matter if we have 2 fresh water bowls out for her, she just gets a kick out of it. So I wouldn't worry about him drinking out of sink & you can just keep the toilet seat down from now on.

      Is he neutered? If not, that might explain the humping. If he is, then it might be boredom. Is he not getting enough playtime? Or perhaps a change of toys would be good? I switch out my cats' toys. Keep half of them out for a couple months & then put them away & take out the other half. It works wonders for their boredom. :)

      Sorry if I missed anything, your message was long & slightly jumbled. Hehe. Hope what I said helps!

      ~fayquest

  40. QUESTION:
    Are All Animal Hospitals Like This ...?
    We used to have two animal hospitals in my town. The one in which my pets had received treatment for years closed down due to back-to-back family crises, and we were left with the one.

    One day my little niece accidentally slammed the car door on my cat's head. The cat's eyes rolled to the back of his head, and he started passing out; we rushed him to the animal hospital that was still open. They had me fill out paper-works for him, and they took him in the back. They told us what needed to be done to save him, but they absolutely refused to start treatment without the money up front. My money was direct-deposited in a bank out of town and my debit card chose that moment not to work, so I had to drive an hour there to get the 0 from my bank and an hour back to the animal clinic. Two whole hours passed without my cat getting the treatment needed to save his life. When I got back, he was in a cage looking a little better ... but the treatment to get the swelling out of his brain didn't start until they had the money in their hands. Needless to say, I harbored some ill will toward these individuals who placed money before life-saving treatment. My cat survived, thankfully ... and died about 6 years later at the age of 18.

    About 5 1/2 years after the incident, our dog suddenly started acting weird. He was listless and wouldn't eat, and it was hard to get him up and walking. That morning he was fine before I went off to school, but that evening when I got back he wasn't. All the vets were closed, so I reluctantly called the ones in my town who had refused to treat the cat some years back without payment. This time I had cash on hand. The "answering service" wanted to know if the dog was a patient of that clinic. When I told them no, that his vet was out of town, they coldly advised me that they couldn't treat him after hours unless he was a patient. I insisted that he couldn't make it until the next morning, and that the only other animal hospital was out of town. They refused to relent, even though they would've been paid almost double for coming out after hours. My hands were shaking as I hung up and dialed the vet out of town. I'd barely gotten through the description of what was wrong with the dog before he told me to come on and he would meet me. I drove a half-hour in the dark just to get our dog to the vet. They checked him out; there was no rabies, parvo or heart-worms ... but they discovered that he was in kidney failure. They ran additional tests to make sure that he didn't get into something like antifreeze, which he said could've easily been treated to reverse the kidney failure. The tests came back negative, and the only "comfort" they could give me was that he was an "old dog"; they said that 17 years old was a very long life for a dog, and that he shouldn't have lasted past 10 or 12.

    They put him on an IV drip, and sent him home with us with instructions to feed him what we could to keep him eating. I could tell that he felt we should euthanize him, but I looked at him as a person. Most doctors would never even suggest putting a human being to sleep. He lasted for another week, in which time I gave him pedialyte and kept him fed ... and tried contacting any organization that would consider a kidney transplant for a dog. I was told that he wasn't a good candidate for a kidney transplant because of his age. And that was it. He passed away at age 17 ... exactly 6 months before my cat died.

    I was left wondering ... why wasn't the kidney failure caught before then? The dog had had regular checkups throughout his life, and he was vaccinated. When I asked this vet, all that he could tell me was that I'd have had to request for them to run the special blood-works to check out his renal system; that would've told me that his kidneys weren't functioning properly, and that it was messing with his liver.

    I couldn't help thinking that -- had our vet remained in town -- he would've had the foresight to say, "By the way ... your dog is getting up there in age, and since what your normally pay for doesn't cover the tests needed to make sure that his kidneys and liver are working properly, you really need to consider regular blood-works to keep on top of it".

    Instead, our dog paid with his life. Because his new vet didn't make sure that I was informed enough to make the decisions that would keep him alive and healthy for as long as possible.

    So I ended up losing two of my best friends within the same year. It took a long time to bounce back from that.

    • ANSWER:
      I'm sorry for the loss of your pet, which is always hard.

      Dogs don't usually do so well with transplants; generally, the donor has to be a pup from the same litter to get an exact match. A pup from your dog's litter would be hard to find, and too old to be a donor most likely. Plus, your dog was 17, and might not have survived transplant surgery.

      Additionally, there's no cure for chronic kidney failure. I've been on dialysis, and I would not put my dog through that.

      The person in the story in my source had paid about ,000 so far for her dog's transplant

      I speak to this on a personal level, since I received a kidney/pancreas transplant in 2005. While mine was successful, it still had some challenges that I'm not sure I would want to put my pets through. (I chose not to put my dog thru radiation for cancer for example; she lived longer, and with a better quality of life, than they predicted she would have with radiation. I did have the tumor removed).

      You are obviously a wonderful pet owner, and more animals should have owners like you. You gave your dog a great life.


Renal Failure Treatments Options

Kidney disease is extremely dangerous as a result of the role played by the kidneys in many key bodily functions. Kidney damage typically takes years to develop. Either or both kidneys may be affected.

Often, no symptoms of this kidney problem may be apparent until damage has reached an advanced stage. In fact, kidneys can continue to work when more than 80 percent damaged, and there will be few indications that anything is wrong. By this point, kidney failure is a real possibility.

Causes of Kidney Disease

Frequently Asked Questions

  1. QUESTION:
    Treatment options for Chronic Renal Failure.?
    My friend's father is 68, diabetic and suffers from Chronic Renal Failure. Can anybody please tell me the available treatment options in US. She is really worried and we both will be very obliged for any help.
    Thanks.

    • ANSWER:
      Treatment for CRF is only hemodialysis to remove al the waste products in her body which should have been done by the kidney. It also remove excess fluids in the body to prevent pulmonary edema or water in the lungs.

  2. QUESTION:
    Chronic renal failure?
    Scenario B: Chronic renal failure. Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he is not urinating more than once a day.

    oWhy is the condition of Mr. Hodges’s kidneys affecting the rest of his body?
    oAs his chronic renal failure worsens what other symptoms and signs might occur in his respiratory, digestive, nervous, and urinary systems?
    oWhat is causing Mr. Hodges’s kidney disease?
    oWhat are possible treatment options and prognosis?

    • ANSWER:
      so this is why the nurses at the nursing homes are so clueless they ask all their questions on yahoo answers.

      He has Congestive heart failure, that is the reason for his kidney disease. there is less blood flow to the kidney. fluid leaks into the interstitial compartments.

      dyspenia, troble breathing, a specfic condition known as PND he will wake up in the middle of night short of breath, this is because when you fall asleep blood seeps into your intravasculat compartment (up to 1 liter), thisis really a horrible condition, its just like torture. Pray that you never have to witness it.

      kidney disease is secondary to heart failure BASED SOLELY on the information provided. though there is a labyrhinth of possabliities

      diretucs (not so much because of his RF), digitalis, if he's on an ace inhibitor and having those symptoms it might be due to renal artery stenosis.... in that case the ace inhibitor is counterproductive and contributing to his renal failure (RF).

      for that part I will link you to my other answer. do tell this to all patients like this. God will reward you for it!!

      Google the following..

      Dr Stephen Sinatra "Metabolic Cardiology" or any other books by him, he is a cardiologist (cardiac surgeon)with over 30 years of experience, and made his own protocol.

      he says something liek this in his book, but I suggest yuor read it/google it.
      D-Ribose: 15 Grams per day cost is like ~ for 8oz
      Coenzyme Q10: 400mg (atleast 1 to 2 times per day) for 60 capsules
      L-Carnitine (1.5 to 3 grams per day) get the powdered form its alot cheaper. ~ if not you can buy the tablets . (500mg each)
      Magnesium Supplements (atleast 400mg per day)
      Taurine: (atleast 1 gram per day, up to 4 grams maybe more i don't remember the top bracket of it) for 300 tablets 500 mg each. about a few months supply.

      and check the following treatments, he likely has CHF or congestive heart failure he needs this treatment called EECP (35 treatments where they put blood pressure cuffs on the patients legs and abdoment to pump blood back to the heart for 1 hr a day for 35 days to make it stronger, (increased ejection fraction). It makes new blood vessels to that they can get blood to the damaged tissue and save it. It has been shown to IMPROVE heart function. It was just approved after 50 years of research.

      If you have cardiomyopathy look into stem cells, they can be found in thailand, mexico, the carribean and india. some are cheaper than others.

  3. QUESTION:
    Cockatiel with kidney failure?
    I have a female cockatiel that is approximately 3 years old. I just took her to the vet because of lack of appetite, a bit of lethargy, and funny looking poop. (her droppings are extremely watery and very yellow. It looks like yellow paint almost) The vet said that she was fine, but she may have a kidney issue.
    My bird's problem is still persisting, she won't eat much and still poops only very few times a day and it is always watery.
    Is there a chance that this is renal failure? (kidney failure)
    If it could be, what treatment options am I looking at? Is this something she could recover from long run? Or will I only gain a few months more time if I continue taking her to the vet?

    • ANSWER:

  4. QUESTION:
    Mr. Hodges, a 73-year-old man, has had congestive heart failure for?
    Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he is not urinating more than once a day.
    5. Why is the condition of Mr. Hodges‘s kidneys affecting the rest of his body?
    6. As his chronic renal failure worsens, what other symptoms and signs might occur in his respiratory, digestive, nervous, and urinary systems?
    7. What is causing Mr. Hodges‘s kidney disease?
    8. What are possible treatment options and prognosis?

    • ANSWER:
      Mr. Hodges has chronic Renal Failure. This means that his kidneys have failed to function properly. This also means that his body is no longer able to eliminate the metabolic toxic wastes his body is producing as the byproducts of the metabolic processes occurring in every cell of his body. When the amount of these metabolic wastes accumulate in the system, they begin to poison every cell in the body. This is how it affects the functions of the other organs in the different systems of the body. So as long as Mr. Hodges does not improve his urine output, he will deteriorate even if he is bombarded with drugs. Worse yet, the drugs will also aggravate his condition because their metabolites will also become additional poisons into his systems.

      The best approach to Mr Hodges problem is first increase his water intake. Not any other fluid but water! Water is the best diuretic and the body only excretes more urine if the body is provided with more. The adult human body is at least 70% water. If this percentage lowers, like plants the cells will wither. This withering will cause cell deterioration and when it dies, its the beginning of an organ failure. So for cells to maintain good health, adequate hydration in the form of proper water intake is very important. Avoid dehydrating beverages like coffee, tea, soft drinks, sodas, colas, alcohol, energy drinks, and of course, diuretic drugs.

      Unless the water requirement is met daily, Mr Hodges will continue to deteriorate because his cells will. Drugs will make him worse!

  5. QUESTION:
    If a person has had colorectal cancer that has spread to the stomach what is the survival rate?
    My mom is 58 years old, she had colon cancer 8 years ago, she was clear for 7 years and in the last year has had a tumor form in her pelvis and spots on her lungs, both biopsied and results showed the same as her colon cancer. Yesterday she was diagnosed by x-ray of having stomache cancer, no biopsy yet to see if it is the same cancer, but assuming it is what is her chances of survival? She has lost 75 pounds in a year, 25 or more in the last 2 weeks while hospitalized. She has needed a blood transfusion, and went into renal failure 2 weeks ago. (she only has one kidney) She cannot eat solid foods, she will vomit, she has no appetite and is nautious all the time even with anti nausea meds. She is in extreme pain some days. The other night they maxed her out on narcotics, couldnt give her anymore without it being unsafe.
    also she has had a colostomy bag for the past year because of the pelvic tumor.
    so how bad does this sound and what is her treatment options and chances?

    • ANSWER:
      My heart goes out to you. Have you talked to Cancer Treatment Centers of America? They say that they treat the whole person. I am including a link for their website, since it couldn't hurt for you to talk to someone with experience, especially since they specialize in treating cancer. Their website says that they do treat colon cancer, along with many others. I hope so much that you can find the answers that you seek.

  6. QUESTION:
    Risks of a health identical twin donating a kidney to their very weak unhealthy sibling w/renal failure?
    I'm sure the healthy donor would be ok, but what about the unhealthy recipient?

    -The possible recipient lives off of a feeding tube and is pretty frail.
    - Recipient also has Parkinson's disease & movement is very restrictive to some use of a walker.
    - Recipient also had been hospitalized multiple times for urinary track infection, blood infection, and did start showing some signs of kidney damage from infection.

    All this involved a couple family members some time back, and the twins are elderly, in their 60's.

    Would a transplant be a feasible option? Dialysis?

    I'm guessing no... since the ill person did pass away pretty quickly, I'm just wondering about the "what ifs" and would these treatments have done a lot of good?

    • ANSWER:
      Did the sick one actually have renal failure? You only mention "showing signs of kidney damage". The recipient needs to be healthy enough to survive the surgery and cannot have a transplant if any infection, especially blood infection, is present.

      Usually if someone is in renal failure, the doctors will put them on dialysis before doing a kidney transplant. It is possible that medical problems other than kidney failure were present and responsible for the death. In that case, a kidney transplant would not have helped.

  7. QUESTION:
    only one kidney, positive for cancer?
    wondering what the treatment options are for cancer, nephrectomy 2 years ago, now diagnosed with renal failure and cancer in remaining kidney, what are the treatment options, prognosis?

    • ANSWER:

  8. QUESTION:
    Can Someone Please Help me with these 2...I am lost and do not know where to begin?
    Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he is not urinating more than once a day.
    5. Why is the condition of Mr. Hodges‘s kidneys affecting the rest of his body?
    6. As his chronic renal failure worsens, what other symptoms and signs might occur in his respiratory, digestive, nervous, and urinary systems?
    7. What is causing Mr. Hodges‘s kidney disease?
    8. What are possible treatment options and prognosis?

    Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output.
    1. What is happening to Ms. Jones‘s kidneys, and why is it causing the observed symptom?
    2. What other symptoms and signs might occur?
    3. What is causing Ms. Jones‘s kidney disease?
    4. What are possible treatment options and prognosis?

    • ANSWER:
      hi, you have presented a complicated question. i am a final year med student and i will try my best to answer your questions. in the case of mr. Hodges, the kidneys are the organs that filter waste out the body and into the bladder creating urine. if kidneys are failing it means they are not working at peak efficiency therefore not filtering enough waste out of the body hence there is less urine to excrete. as all the unwanted waste is building up, this can have effects in other parts of the body, mr hodges may expect to experience headaches, jaundice, nausea, loss of appetite, renal pains .. these symptoms can be manages by dialysis and other medications. the exact cause of kidney disease is unknown however, it is common place among the elderly.. kidneys may fail when a person gets older. at his age, it is possible hey may need dialysis to maintain kidney function, in the elderly with kidney failure prognosis is unfortunately not so good. another possible option is a kidney transplant from a donor.

      in the case of ms. jones, her presentation with poor urine output after one day of surgery may only be related to the fact that her food intake before surgery may have been very limited. most people need to fast for up to 48 hours prior to any surgery therefore waste is not being produced so there may be less urine. there is no indication of kidney disease. email me if you wish to add more detail

  9. QUESTION:
    Which Is Safer?? Coronary Angiogram Or 64 CT Scan?
    Hi, doctors. My mom has rheumatic heart disease and needs to have two of her valves replaced(mitral+aortic). But her surgeon requires her to do either a coronary angiogram or a 64 ct scan to get a rough idea of her vascular condition.

    Apart from her valve problem, my mom is very health. She has very healthy eating and living habits, loves outdoors, does a lot of physical excercise and housework everyday...and has few white hair(she's already 61 yrs old), my grandparents are in their 80s and they don't have coronary heart disease either. ....All these suggest my mom has a much lower risk of developing CHD. So we want to take the option with lowest risk.

    I heard that the contrast agent can cause renal failure. And both treatment need contrast agents. So I'm wondering which one does less harm to patients?? Coronary Angiogram or 64 CT scan??

    Thanks.

    • ANSWER:
      The contrast material could damage the kidneys (particularly in patients with diabetes).
      MRI is sometimes used to avoid the dangers of angiography, repeated exposure to radiation, or the use of iodine-based dye (contrast).
      It may provide additional information when an echocardiogram is unclear.
      A heart MRI may reveal the following disorders:
      * Heart valve disorders
      * Pericardial effusion
      * Tumor invasion of blood vessels or pericardium (around the heart)
      * Atrial myxoma
      * Congenital heart abnormalities (such as pulmonary atresia)
      * Fibrosis or scarring of heart muscle
      * How much heart muscle is dead (after a heart attack)
      Consult a medical professional.

  10. QUESTION:
    help for female 6 year old cat with CRF?
    My Cat has been diagnosed with chronic renal failure. She has been into the vets to get re-hydrated twice and?
    each time she does get better. This time she has been well for 5 weeks. She doesn’t like the renal food that the vets have given her so we have started her on the senior cat food which she loves. They have done urinalysis and also a kidney scan, the only issue is the amount of protein in her blood – her kidneys just don’t want to get rid of it. Yesterday we had to take her back in for more fluid treatment and i asked the vet about subq fluids. He was very adament that this was not an option with her and that the next time she goes down hill will be the time to say goodbye. Can anyone advise on any options. Her protein in her blood keeps going very high after a couple of weeks off fluids.

    The vet keeps telling us we have no other option now other than putting her to sleep

    • ANSWER:
      Get another vet. I don't know your cat, or situation, personally but I've never had sub-Q fluids be a problem for renal pets. My guinea pig was in renal failure and I managed to get close to a year of good quality time with him. Toward the end I was giving him fluids daily and it really helped with his comfort level. If he got frequent fluids he felt better, ate more, and was more active.

      I know there are many options in terms of treatment and medications to help manage this. Hopefully you can get some more quality time with your girl. You'll know when it is time to say goodbye, but enjoy the time you have.

      Great info on CRF:
      http://www.marvistavet.com/html/chronic_renal_failure.html

  11. QUESTION:
    Procrit recall...Aranesp as an alternative?
    I am on procrit for the tx of anemia from HepC treatment. There was a massive voluntary recall of all procrit (you can't get it now and they don't know when you'll be able to) and I'm left with anemia (severe) and no procrit. Aranesp is another option although my insurance won't pay for it (medicare part D) as I don't have renal failure and some form of cancer that needs chemo. What should I do about getting the Aranesp? I've already forwarded a letter I wrote to my doc's office for them to send it in with an appeal for the Aranesp if they DO appeal it. They're talking about taking me off of treatment because I can't get the procrit OR the aranesp. I've been on tx for the hepc for nearly a year now and I have a major investment in it. Any suggestions will be very much appreciated!!!!

    • ANSWER:
      Yeah, as it turns out dozens of lots were recalled for all dosages - 2K, 3K, 4K, 10K, 20L and 40K Units. Not all vials and cartons were recalled. It was a voluntary recall. So these certain lots of epoetin alfa (Epogen and Procrit) vials were recalled because they may contain lamellae, which are extremely thin, barely visible glass flakes. The recall was announced in September, on the 24th. Those facilities that received vials from the lots were notified. I'm a little surprised that you can't get it because I have several patients on weekly or more often doses of epogen and my hospital pharmacy has had no problem obtaining it. I guess none of the recalled lot numbers had been ordered in the first place.

      Perhaps a hospital outpatient pharmacy will be able to accommodate your prescription. But in light of the recall, I see no reason why Medi Part D would not give you prior auth for the Aranesp and if you've been responding to Procrit, that should help justify a continuation of the same drug (epogen). Epogen was approved to begin with and it's a damned expensive drug so I see no reason what difference it makes where the epogen comes from. It's still going to be expensive. I didn't know Aranesp is given in micrograms and not Units.

      Recheck the Medicare formulary. Aranesp may be excluded from Part D if it's covered by part B. This is what I found for the state of Hawaii:

      "Erythropoisis–stimulating Agents (such as Epogen®, Procrit®, Epoetin alfa, or Aranesp®, Darbepoetin alfa): Medicare will help pay for erythropoietin by injection if you have end-stage renal disease (permanent kidney failure) or need this drug to treat anemia related to certain other conditions." Would "other conditions" not also include treatment-related conditions? You will have to check on your own state.

  12. QUESTION:
    Which Is Safer?? Coronary Angiogram Or 64 CT Scan?
    Hi, doctors. My mom has rheumatic heart disease and needs to have two of her valves replaced(mitral+aortic). But her surgeon requires her to do either a coronary angiogram or a 64 ct scan to get a rough idea of her vascular condition.

    Apart from her valve problem, my mom is very health. She has very healthy eating and living habits, loves outdoors, does a lot of physical excercise and housework everyday...and has few white hair(she's already 61 yrs old), my grandparents are in their 80s and they don't have coronary heart disease either. ....All these suggest my mom has a much lower risk of developing CHD. So we want to take the option with lowest risk.

    I heard that the contrast agent can cause renal failure. And both treatment need contrast agents. So I'm wondering which one does less harm to patients?? Coronary Angiogram or 64 CT scan??

    Thanks.

    • ANSWER:
      In this instance the coronary angiogram would be more useful (and possible the CT too). There is only a very remote risk of complications from the contrast dye used with the angiogram.


Renal Failure Treatments

The state of patient with end stage renal failure or progressive reversible chronic renal disease is very pathetic not only for the patient itself but also for the family and society as a whole.

The individualised homoeopathic therapeutic modality considering the patients psychological presentation is very important. Homoeopathy does wonders here and has prevented a large number of cases progressing to Hemodialysis and Renal Transplant.

The usual presentation of C.R.F. in Homeopathic hospital includes:
1. Homeopathy treatment Patients with just diminished renal reserve.
2.Homeopathy manage Patient with End Stage Renal Failure pending Hemodialysis and Renal Transplant.
3. Homeopathy Patient already on long term Dialysis pending Renal Transplant.
4. Homeopathic Management Complications in dialysis
5. Homeopathy prevents Post Renal Transplant Patients.

1. Homeopathy treatment Patients with just diminished renal reserve.

This is the best field for us to work but unfortunately, the number of cases presenting at this stage are very few. The individualized homoeopathic treatment does wonders here and has prevented a large number of cases progressing to stage of dialysis or renal transplant.

The usual symptomatic presentation at this stage is vague with patients mostly complaining of nausea, anorexia and progressive weakness. The laboratory renal parameters are also not very seriously disturbed. The evolution of individualised totality comprising of the mental sphere, habits, past and family history require lots of patience and labor but the results are marvellous.

Homoeopathy has already done a yoeman service to the society here as hemodialysis and renal transplant are not within easy reach of majority of population in under- developed countries.

2.Homeopathy manage Patient with End Stage Renal Failure pending

Frequently Asked Questions

  1. QUESTION:
    what are the treatments for renal failure if you are diabetic?

    • ANSWER:
      Treatment is rigorous glycemic control combined with BP control. An ACE inhibitor, an angiotensin II receptor blocker, or both should be used to treat hypertension at the earliest sign of microalbuminuria or even before, because these drugs lower intraglomerular BP and thus have renoprotective effects.

  2. QUESTION:
    Is there an effective alternative to Sensipar in chronic renal failure/treatment of hyperparathyroidism?

    Any natural augmentation for the med; rx of sx nausea, or other meds I read about but not yet proven or approved in US? So far removal seems only treatment. Any info is appreciated.

    • ANSWER:
      Mainly surgery is the only alternative

  3. QUESTION:
    What are problems with the treatment of renal failure by kidney transplants?

    • ANSWER:
      Rejection.
      Unwanted side effects with the anti rejection drugs (including inability to fight off minor infections because of compromised immune system).
      Post operative infection.

  4. QUESTION:
    What are the symptoms and treatment of renal failure?

    • ANSWER:
      Here it is: http://www.nlm.nih.gov/medlineplus/ency/article/000501.htm

  5. QUESTION:
    can anyone explain to me about the renal failure disease among Egyptians or in Egypt?
    it's about the cause and treatment about renal failure...
    manifestation also is recommended...
    maybe there is someone can relate the renal failure with hypertension??

    the most important in Egypt!

    any respond is very appreciated... <3 can i have ASAP!!

    • ANSWER:
      The most common cause of renal failure in desert regions is dehydration. To counteract such dehydration some cultures supplement diet with salt... and in excess this causes hypertension, which can cause renal failure.
      The ancients may have also had inadvertent toxicity from metals used in glazing and goblets, but you didn't say ancients.

      -MDx30y

  6. QUESTION:
    What is the relationship between chronic heart failure and acute renal failure?
    what is symptoms of renal failure diagnostic procedure and treatment

    • ANSWER:

  7. QUESTION:
    Does anyone know how long you can live with renal failure without getting treatment?

    • ANSWER:
      The normal renal system can compensate more than five times the work load. with renal failure the body will poison itself over time and the renal system is shutting down faster.
      Hope the renal failure is temporary and the system can be helped with temporary dialysis.
      the get an estimate how fast it is progressing you can monitor the BUN and Creatine levels, these levels can go down with dialysis. with out any treatment it can be over within days.
      Why is this person not getting treatment???
      There are worst things than that.

  8. QUESTION:
    Treatment for Canine Renal Failure?
    Does anyone know of any natural/herbal treatments for canine renal failure?
    I have a 21 month old yellow lab who has been diagnosed with renal failure.

    • ANSWER:
      comfrey leaf or root tea.
      But best thing right now to to stop feeding your dog any commercially prepared dog food. It could contain melamine imported from Chine (the FDA allows trace amounts). Also commercial dog food is contains dead diseased dog meat from dogs and cats that have been euthanized with sodium pentathol, this drug ends up in the dog food. Dogs are not cannibals.
      Just feed your dog some nice ground turkey beef lamb or chicken or fish, mixed with steamed veggies, some seaweed, and some Vit C.
      when you walk the dog, let your dog lick the urine from other dogs. there are antibodies in this urine that will strengthen your dog's immune system.

  9. QUESTION:
    what are the problems associated with treatment of renal failure by kidney transplants?

    • ANSWER:
      There aren't any problems with the treatment per se - if the transplant takes, the patient is cured,

      The problems arise with compatibility, rejection, the drugs that fight rejection, side effects, and secondary problems.

  10. QUESTION:
    I don't wanna take dialysis,Is there any treatment to cure Renal Failure?
    I was diagnosed as Renal Failure all of a sudden, my doctor tell me I need to take dialysis. I learnt dialysis can not cure me, so is there any other alternative?

    • ANSWER:
      I m sorry to hear your suffering. Dialysis is painful to patient's mind and body, because it need to take two or three times treatment each week and 2-3hrs every time. We can say, dialysis is the last alternative to resort for renal failure patients. There are some other alternatives which have good curative effect in clinical practices. Micro Chinese Medicine Osmotherapy, designed by Shijiazhuang Kidney Disease Hospital, is a special therapy. Active ingredient of medicine can reach renal nidus through external applications. It is no need to take operation and needle. Compared with hemodialysis and peritoneal dialysis, this therapy is more convenient and human-oriented.

  11. QUESTION:
    What is the current prognosis of African American women 68 yrs old with multiple myeloma with renal failure? ?
    My mother was diagnosed with multiple myeloma last May. She was hospitalized due to renal failure and doctors found the reason was due to MM. She has since refused chemo treatment because the treatments did not improve her cancer and only made her sick. She suffers from confusion and often is very weak and has difficulty walking. How much longer do i have with my Mom? Doctors say weeks-months...does anyone else have any experiences so that I will know what to expect?

    • ANSWER:
      I am sorry to hear your plight. You must know that every case is different. The one thing you could make sure of is that she is not in any pain. You can ask her that. The doctors will do their best if THEY KNOW she is not suffering. If they said weeks or months then at this point it is up to your mother's will to live. Some thrive and fight, others just simply give up. So in the end , there are no REAL time factors here , just the time you have left with her. I wish and hope that in these next couple of months you find the endurance to cope with the pain of losing someone so close you. God is the hearer of all prayers.

  12. QUESTION:
    What happens if you don't seek treatment for Acute Renal Failure?
    A completely hypothetical question. I was wondering what lasting affects will occur

    • ANSWER:
      Death

  13. QUESTION:
    Treatment for Chronic Renal Failure and Developments of Stem Cell Research?
    Dear Friends,

    Can eny body shed some light on how kidney transpalnt would be successfull with stem cells. How far stem cell research has evolved in medical world. Do you think that stem cell treatment will available with in next decade?

    Please respond, this is important to me very much!

    • ANSWER:
      We are no where near developing functioning kidney from stem cell. CRF is managed by dialysis and transplant. I understand there is wait for getting the transplant and it is often difficult to have match when you are from minor ethnicity.

      Nonetheless, the outcomes of kidney transplant are much better now then ever. Next 10 years are very very unlikely to see stem cell based therapy for CRF.

      Only FDA approved stem cell therapy at present is treatment of blood/marrow cancer. Parkinsonism is next one in line to be approved.

  14. QUESTION:
    how does accupressure help in treatment of chronic renal failure?

    • ANSWER:
      Acupressure do help in expulsion of toxins created in the body by pressing the point of Kidney in both hands and legs which are towards the centre of the palms. But It can help recovery but cannot be a cure in itself. Chronic renal failure do need medicines. Eel Serum (Srum Anguillae) and Zingber Off. are two medicines of value alongwith indicated remedies for the morbid condition causing the Renal failure like Lupus, infections, heart ailments with high blood pressure, iatrogenic and the like. Apis Mel, Cantharis, Thuja, Calcaria Sulph,.Beri Beris Vulgaris, Hydrangea, Pareira Brava etc. used prudently according to symptom picture would surely cure maladies behind renal failure. Acupressure and Homeo is a great combination for diagnosis as well as treatment and cure. With best wishes.

      Medicines should be used in consultation with homeo doctor.

  15. QUESTION:
    What foundation can u suggest me for my brother that has renal kidney failure?
    My brother has renal kidney failure and he needs to undergo dialysis treatments and kidney transplant as soon as possible.The doctor said that it cost almost 1 million all in all,but we dont have amount like this,my father was only a farmer tenants and i'm only a production operator.Even i'll get overtime daily,this is not enough to produce 1 million for my brother.I/we love my brother.What foundation that helps kidney patients, can u suggest me for my brother?I want him to stay and live with us.If only i can give him a 10 years of my life,i could. Please please help me..Please please....I'm crazy need your help. Please

    • ANSWER:
      The united states government will pay for your brothers dialysis treatments, but he needs to apply for medicare. And I believe medicare will only pay for the treatments. Once a person is on dialysis, there are many medications that he will be put on such as epogen, iron, vit d and pills that he will need to take to control his phosphorus. To get these medications covered he will need another insurances. I don't know what state you leave in but meet with the social worker at the dialysis center. They will advise you on what insurance options you have. There is something called a medicare part D plan that is what they call a kidney friendly plan, but there are many part D plans so knowing all the medications your brother has to be will help to determine which part D plan to get on.

      Also as far as transplant lists go, the wait is about 6 years long right now, so make sure to get on as many transplant lists as possible. If you have a donor, it goes much faster but there are many tests your brother and the donor will have to go through to see if they are compatable and if the donor is healthy enough to give the kidney.

      You will also meet with a Registered Dietitian at the unit to make sure you fully understand the renal diet, because it is very different from a persons diet who is not on dialysis.

      Make sure to start planning now because dialysis is very complicated but it will be easier once you met with your dialysis center staff and come up with a plan of action. Good Luck!

  16. QUESTION:
    What is the best treatment for pulmonary edema if the person has renal failure?
    The person is currently treating it through hemodialysis. Is there any other way to manage it?

    • ANSWER:
      Depending on how bad the renal failure is (how high the creatinine runs), small doses of lasix or other diuretics can be given to rid the body of excess fluid.
      The dialysis is to treat the kidney failure. It's a tough balancing act for the doctors., and it sounds like "end stage renal disease", which will ultimately (a month, a year, 10 years) likely be the cause of the patients death.

  17. QUESTION:
    my wife is suffering from renal failure where can i get free kidney transplant and treatment?
    she is also suffering from asthma, diabetes &high blood pressure. help is urgently required.

    • ANSWER:
      1. I am not aware of where one could get free kidney transplant & hence unable to advise you about that

      2. I personally know a lady, who is my husband's colleague, whose both kidneys are not functioning for the last 8 years. She undergoes dialysis three times a week. On my advice she started taking 4Life Transfer Factor Plus. In the last 9 months, her position has vastly improved. Details are given on the web site http://www.rmpinfotecmumbai.com

      For further info about 4Life Transfer Factor, you can search the internet with key words like "4Life" "Transfer Factor" "kidney" "renal failure" etc OR

      You can get good amount of information on http://www.rmpinfotecmumbai.com

  18. QUESTION:
    what causes prerenal acute renal failure and what is the treatment?

    • ANSWER:
      Its mostly due to a loss of circulating blood volume. So all types of shock. Things like blood loss, dehydration, infection etc. The treatment depends on the cause, for example if it was due to loss of fluid, you replace the fluids. Hope this helped.

  19. QUESTION:
    What food is good for Yorkie with Renal Failure?
    My sweet yorkie (approximately 10 yrs old ) has been diagnosed with renal failure. Our vet has put him on sub-cutaneous fluids and phosphate binder/hypertensive/
    pepcid medication. As a result of this treatment, his energy level has dramatically improved but his desire to eat has also changed within the past few weeks. He seems to be hungry and wants to eat something, but something stops him. We have been giving him special kidney food in a wet form which he likes but he doesn't eat too much of.
    Anybody out there have any advice of what else would be healthy addition to his diet aside from his wet food? We want him to eat more.
    Also, we have noticed that with treatment, he has started shivering. Anybody with experience with this and why would it be happening? We will ask our vet tomorrow, but we are truly concerned. He is the baby of the house and we want to see him healthy and happy. Thanks :)

    • ANSWER:
      You can try another brand that offers a kidney diets (like Science Diet, Eukanuba, Purina, and IVD). Just be sure to speak with your vet before you switch diets.

      As for the shivering, I have never heard of any proven reason for this (I have heard of a few reasons, but none have been medically proven). You may want to ask your vet about it next time you talk, but I do not think it is something to really worry about.

  20. QUESTION:
    nature treatment of Chronic Renal failure?
    Recently I found abnormal of my urinary with less daytime and more during the night. Microscopic level of blood in urine also was found. My family doctor ordered tests for blood and urine. Prostate and blaader, and uters were also examed, and all looks normal; But I found the frequncy of abnormal urinary increased. It is indicated that the problem got worse. Could you tell me any additional test I should performed to determine if it is chronic renal failure.
    Is there any nature medicine can make the process slower?
    Thanks very much!

    • ANSWER:
      Were you actually diagnosed as having Chronic Renal Insufficiency? Or is this your guess? Sounds like your main complaint seems to be increased urinating at night from what you've described. Either way follow your doctors prescription.

      If you do have renal insufficiency, you might want to do yourself a favor and stick to the proven mainstream medications, prescribed by your physician, rather than taking the "cure all" nonsense being sold online. It's a serious disease. Don't play alchemist with your body...

  21. QUESTION:
    can herbs cure acute renal failure?
    is there any treatment for acute renal failure in herbal medicine
    no doubt this is an acute condition can be treat in hospital under renal expert observation but Is the dialysis final treatment or ARF can cure by convential treatment?
    there are many misconcepts regarding the herbs. The herbal medicine may cause renal failure yes, because herbal medicines or products itself are not systmic medicine. If these use through the system of herbal, Unani, Aurvedic, chinease etc. It can cure all acute or chronic disease.

    • ANSWER:
      No.

      Herbal medicine CAUSES acute renal failure however:

      http://archinte.highwire.org/cgi/content/abstract/155/2/211
      http://www.uninet.edu/cin2001-old/paper/ibanez/foyaca.html
      http://pjms.com.pk/issues/janmar09/article/casereport2.html

  22. QUESTION:
    My father has renal failure and must go in for dialysis 3 times a week. Is there a federal program available?
    Someone told me that there is a federal program pays all costs involved but, I have been searching all day and just can not find one. By the way, he is 70 years young, resides in California, and also owns a small cafe. The expense of the dialysis and other diabetes related expenses even with Medicare is out of his financial ability to continue with the treatments! Please help us.
    He is not a Veteran. My Mom told me today that Medicare denied their claim because they have ,000 in the bank! Unbelievable! This is disgusting! Any other programs that may be available to him?

    • ANSWER:
      Sorry to hear about your father. Check on Medicaid, that should be your federal program. I'm sure that they will pay for it all. Just remember, if your father cannot afford the treatment, HE CANNOT BE REFUSED MEDICAL CARE. That is federal law, and probably state law as well. Someone in that area MUST provide dialysis and diabetes related products and care. I only wish you the best of luck to you and your father. Please let me know what you find out. Have a great day.

  23. QUESTION:
    In 3rd stage renal failure. Looking for treatment via supplement?

    • ANSWER:
      It's called a transplant. Either that, or you can take Hemlock. Socrates was a great man, it's no shame to follow in his footsteps.

  24. QUESTION:
    what is the best treatment/supportive therapy of renal failure in dogs?

    • ANSWER:
      Double click on the following website to answer your questions:

      http://www.healthyhappydogs.com/Article.KidneyFailure

  25. QUESTION:
    My 70 yr father has renal failure and must have dialysis 3 times a week. How do we him get financial aid?
    I was told there is a federal program that pays all costs involved but, I have been searching all day and just can not find one. By the way, he resides in California, and also owns a small cafe. The expense of the dialysis and other diabetes related expenses even with Medicare is out of his financial ability to continue with the treatments! Please help us.

    Kidney foundations? Societies? Organizations?
    Medicare denied him additional aid because he has 00.00 in the bank! This is absolutely DISGUSTING!

    • ANSWER:
      If he's a veteran he can get treatment at the VA.

  26. QUESTION:
    Treatment options for Chronic Renal Failure.?
    My friend's father is 68, diabetic and suffers from Chronic Renal Failure. Can anybody please tell me the available treatment options in US. She is really worried and we both will be very obliged for any help.
    Thanks.

    • ANSWER:
      Treatment for CRF is only hemodialysis to remove al the waste products in her body which should have been done by the kidney. It also remove excess fluids in the body to prevent pulmonary edema or water in the lungs.

  27. QUESTION:
    I have cat with kidney failure beginning there is no cure apparently but there may be homeopathic treatments?
    Cronic renal failure seems to be what he is headed for. I have been to many of the websites and paid hundreds of dollars in vet bills. I cannot afford a transpant for him. He has some blood in urine has been on antibiotics and is very thirsty. Seems to have no real pain yet. Sometimes he seems to have trouble urinating but his bladder is not distended.

    I am now feeding him his dinners as a soup with warm water mixed in his wet cat food to increase his water intake. He likes this very much

    Any info you have may help me so let your minds think outside the litterbox :)

    • ANSWER:
      http://www.i-love-my-cat.com/cat-kidney-disease.html?gclid=CPTW7eiH34oCFQbpYgodIBr02g

      I found this article online. Might be helpful.
      I just lost my cat Sophie to CRF and I wish I could have done more to help her. Don't give up on your little guy, you'll know when it's time, but before then, help him fight a good fight.

      Good Luck!!

  28. QUESTION:
    My 2 yr cat just diagnosed with renal failure. What chances for a good recovery??
    Just got results of blood tests for my cat and show renal problems. He will go on drips for the next week with antibiotics. Is there a good chance of survival and recovery?? What special treatment will he need??

    • ANSWER:
      my 12 year old cat was diagnosed with renal failure due to infections and we couldn't feed her any dry food any more, we took good care of her and 5 years later had another serious failure, they thought she was going and asked my to let them put her down, but she pulled through and lived just 1 more year to the grand old age of 18.
      all is not lost yet, try and get your cat through this, but at 2 years old i dont expect she'll last to 18 but you might get up to 6 years with a lot of care

  29. QUESTION:
    Are there different stages or types of kidney failure?
    My mom has recently had chemo, radaiton & surgery for colon ca. She keeps having to go back to hosp. after vomiting a lot & told she has no renal functon. She gets better after a few days of treatment, but is it normal to have renal failure & get better? Are there oral treatments?

    • ANSWER:
      There are 2 categories of kidney failure: acute renal failure, which happens suddenly and often can be reversed, and chronic renal failure, which happens slowly over a long period of time. Within chronic renal failure, there are 4 stages. In early stages this is treated with ACE inhibitors (a type of drug), calcium supplements, phosphate binders, vitamin D, and maybe Sensipar. Also a restricted diet is required. When you get to stage 4 you need long-term dialysis or a kidney transplant. With acute renal failure, which is likely what your mom has, you need to support with lots of fluids and other drugs that increase blood flow to the kidneys.

      What your mom REALLY needs is drugs to control the nausea and vomiting associated with chemo. She should be on a 5HT3 antagonist (like Zofran or Anzemet), or preferably a newer drug called Emend. I am sure she was prescribed one of these. BUT in most patients these are not enough. You might want to inquire about a drug called Cesamet which can control "breakthrough" nausea and vomiting. It is synthetic and is like marijuana. It will help increase her appetite and control the nausea (and also elevate mood.) A final note, check on her cancer chemo, it should be FOLFIRI or FOLFOX plus Avastin (if it was metastatic). Good luck, it's tough to deal with all these med issues, especially cancer which is really complex. Email me if you have any more Qs.

  30. QUESTION:
    Natural treatments and best diet for kidney failure in dogs?
    My GSD,Lulu,is 8 years old and the picture of health.She eats Merrick,Eagle Pack Holistic and several other premium foods. For the last several days,she has been urinating more frequently and has had two accidents in the house during the night.I took a urine sample to the vet today and her specific gravity was very low.The vet suspects kidney failure and Lulu is going in for bloodwork next week.She is otherwise acting fine - eating, active, good weight,etc. I have had dogs with renal failure before,and most of them were in their teens when diagnosed and did not last long. I did have a mixed breed called Lilac who was diagnosed at age 9 and lived to be 13,which is what I am hoping for Lulu.I really do not think I can bear to lose her right now. Lilac,( the mixed breeed) ate Hill's KD and Cycle Senior ( this was back in the late '80's) and did well on them. I have been looking online for alternative treatments and diets and wonder if those of you who have had experience with canine renal failure can recommend any herbal/dietary treatments to help my dog should she have renal failure.Is there a dog food or homemade diet that you have had good results with? I am open to trying anything,because Lulu is so very special to me,she is just such a great dog and is so loyal and sweet;she is my shadow. Any advice will be appreciated and if you would star the question so that others who have had or do have dogs with renal failure can see it,I would appreciate it.Thanks in advance.

    • ANSWER:
      I'd suggest that you give your dog a natural supplement called Tripsy. It contains a powerful combination of herbal extracts proven to:

      Promote healthy kidney functioning
      Fight kidney infections
      Improve urinary flow
      Reduce the pain and discomfort of kidney stones

      Tripsy is high effective, yet is totally natural and 100% safe for long-term use.
      Here's the link with more info: http://www.petwellbeing.com/dog-kidney-disease-p91.cfm

  31. QUESTION:
    I just got the unfortunate news that my beloved 16 year old cat has chronic renal failure.?
    The vet advised because of his age it may be best to just enjoy him while he is around instead of putting him through rigorous treatments that he may not even survive for his age. His kidneys are working a 10% capacity. As you can imagine, I'm completely devastated. Has anyone gone through this and wondering in anyone's opinion "how much time" before the inevitable. The vet thinks not much more time. When will I know the time is right to end his suffering.

    • ANSWER:
      I'm sooo sorry to hear that.. Just spend quality time with him while you still can! When his quality of life deterorates you will know when it is time.. Again, I'm so sorry :(

  32. QUESTION:
    My dog is diagonosed with Chronic Renal failure?
    My dog is a pomeranian might be 8-9 years old. Can anyone say what are its chances of making it.... What kind of treatment would be beneficial.. And what kind of diet to be fed to it... :-( (( Feeling really sad and low... Ready to do anyhting to help it make through it..

    • ANSWER:
      I have seen pets with renal failure live a long time after being diagnosed..

      a lot of vets start them on a special kidney diet it is a prescription food you can get at your vet clinic it comes in a canned and dry food so you can get the type he normally uses..

      Most vets will start giving fluids under the skin either once or twice a week( they can either show you how to do this at home OR you can take the dog in each time and they will give them) This helps to give the dog extra hydration which helps flush the kidneys out and keeps them working better..

      Sometimes if the kidney values are real high they will keep them in the hospital on IV fluids for a few days to get hydration where it should be and get the values down a little.

      Your vet should go over all the info you need to know but rest assured there are plenty of pets that are diagnosed and still live a good life..

  33. QUESTION:
    Chronic Renal Failure with Diabetes?
    My friend's father is 68, diabetic and suffers from Chronic Renal Failure. Can anybody please suggest any alternative treatment. She is really worried and we both will be very obliged for any help.
    Thanks.
    His creatinine is 7.4
    I meant any treatment other than dialysis or kidney transplant. Yoga, Accupressure, Ayurveda.... any option is welcome.

    • ANSWER:
      A product called Goji juice could help. the website below has some great success stories. It may not cure anything but it could ease some of the associated issues. on the pubmed website you have to use the name lycium barbarum.

  34. QUESTION:
    Renal Failure and High Potassium...serious question...?
    Almost 3 1/2 years ago, a kid was diagnosed with Renal Failure. I am not positive, but I am pretty sure that it is Acute Renal Failure. 3 years ago when he was diagnosed at the age of 16 or 17, (sorry, my math skills aren't the greatest and it is in the middle of the night!) his doctors told him that his kidneys were only working at 40%. He was put on dialysis 3 days a week for 4 hours at a time. At first he did good, with sticking to his diet and everything else he was or was not supposed to do. He had appointments about a transplant, but never really pursued it. About 6 months to a year after he was diagnosed, he started smoking cigarettes again, smoking pot, drinking, not eating healthy...stuff like that. In March of 18, he had 2 grand mal seizures, and was hospitalized for a few days. This week the nurses from dialysis called his father and told him that he had missed a bunch of treatments, and that they had found something on his tests, and that his family should be prepared for him to die VERY soon.. All he would say when asked about what they have told him, is that his Potassium Levels are up a lot. Can that really kill someone? I appreciate any and all help I can get! I would love answers from someone in the medical field, or another person with the same problem.

    • ANSWER:
      A potassium test checks how much potassium is in the blood. Potassium is both an electrolyte and a mineral. It helps keep the water (the amount of fluid inside and outside the body's cells) and electrolyte balance of the body. Potassium is also important in how nerves and muscles work.

      Potassium levels often change with sodium levels. When sodium levels go up, potassium levels go down, and when sodium levels go down, potassium levels go up. Potassium levels are also affected by a hormone called aldosterone, which is made by the adrenal glands.

      Potassium levels can be affected by how the kidneys are working, the blood pH, the amount of potassium you eat, the hormone levels in your body, severe vomiting, and taking certain medicines, including potassium supplements. Certain cancer treatments that destroy cancer cells can also make potassium levels high.

      Many foods are rich in potassium, including scallops, potatoes, figs, bananas, prune juice, orange juice, and squash. A balanced diet has enough potassium for the body's needs. However, potassium is passed in the urine even if the level in the blood is low so the level of potassium in the body can get lower.

      A potassium level that is too high or too low can be serious. Abnormal potassium levels may cause symptoms such as muscle cramps or weakness, nausea, diarrhea, frequent urination, dehydration, low blood pressure, confusion, irritability, paralysis, and changes in heart rhythm.

      Other electrolytes, such as sodium, calcium, chloride, magnesium, and phosphate, may be checked in a blood sample at the same time as a blood test for potassium
      Potassium is an essential mineral required by the body for controlling muscle and nerve function. One of the most important muscles in the body, the heart, beats normally due to potassium. Plus, the body requires potassium in order to maintain its pH level along with electrolyte and fluid balance. We get potassium from the foods we consume. It can be dangerous if the potassium levels in the blood get too low or too high.

      The normal level of potassium in the blood is between 3.5 and 5.0 mM. When the potassium level in the blood goes beyond 5.0 mM, the condition is referred to as hyperkalemia, or the person is said to have high potassium levels.
      If your potassium becomes too high, it can cause an irregular heartbeat or a heart attack.
      This means that your kidneys are not doing as good a job as they should to help keep you healthy. Your kidneys normally remove waste products and extra fluid from your blood. These waste products and fluids come from the foods you eat and liquids you drink. If you have early kidney failure, some of the waste products and extra fluid remain in your blood. Sometimes, early kidney failure may progress to total kidney failure. However, if you follow your doctor's orders carefully, you may be able to slow down this process.

      Vitamins and minerals come from a variety of foods you eat each day. If your diet is limited, you may need to take special vitamins or minerals. Take only the vitamins and minerals your doctor orders for you. Certain vitamins may be harmful to people with kidney disease.
      Kidney failure, also referred to as renal failure, is a condition in which the kidneys lose their ability to adequately filter waste products from the blood and to regulate the body's balance of salt and water. As a result, urine production slows or stops, and waste products and water accumulate in the body. This can lead to a potentially life-threatening overload of fluids (causing swelling, or edema), a dangerous accumulation of waste products in the blood and extreme alterations in blood chemistry that can eventually affect the function of the heart and brain. Renal failure may be acute, chronic or end-stage.
      If your friend does not do what his doctor's want of him, he will die earlier. His kidneys can not function at all or heart attack or strokes even so, yes this is very serious.

  35. QUESTION:
    Cat in renal failure/possible pancreatitis...need experienced advice?
    I brought my 4 year old Smokey in to the vet because of weight loss and lethargy. After blood tests revealed little my vet did an ultrasound and found his pancreas is enlarged. He is also in renal failure. After 12 hour fasting, the PLI test was done and sent off but the vet didn't want to wait on the results for fear he wouldn't make it till then so he went ahead and put Smokey on IV fluids to rest the pancreas. The only treatment he gave me was KD food and a b-12 shot. Isn't there more I can do for Smokey? The vet says if the KD doesn't work, his prognosis is grim. Smokey is an inside cat and I've been feeding a wet/dry combo diet his whole life. I think I need a second opinion although this vet has seen all my cats for years. Has anyone used other methods or treatments for this and gotten good results?

    • ANSWER:
      please DON'T put your cat down til you've tried all the options..

      I have a cat in renal failure too, and unless it's acute, it can be successfully managed and add years of quality life to your cat. A lot of vets have outdated/limited knowledge about "CRF" (chronic renal failure) and are too quick to give up when there are very simple and effective treatments (can't be cured, but can be managed). Please join this yahoo group for owners of CRF cats - the people on this list have tons of knowledge and experience. I've learned more from them (way more) than I did from my vet and my cat is doing very well. If you can get a copy of the blood results from your vet and post them to this list with whatever else is going on, they will be able to give you very good advice.
      http://pets.groups.yahoo.com/group/Feline-CRF-Support/?v=1&t=search&ch=web&pub=groups&sec=group&slk=1

  36. QUESTION:
    acute renal failure in kitten... could the vet be wrong?
    10 days ago I brought my kitten to the vet after 36 hours of not eating and extreme lethargy. He was very dehydrated and his blood work was all over the charts but even in the mess of blood values the vet was still able to discern kidney insufficiency after 12 hours of hospitalization everything but the kidney values (Creatinine BUN and also his WBC) were normalized after 36 hours he ripped out his IV and was much stronger but with the next days blood test there was no improvement in the BUN or WBC creatinine was slightly off after another 36 hours not much change She did not tell me what the numbers were but told me that she still didn't know if he had ingested something or if he was born with bad kidneys. His kidneys looked normal on an X-ray not small like in CRF cats and his symptoms came on so suddenly I refuse to believe he was born with bad kidneys as for ingestion I keep no plants in the house and all toxic products (soaps and cleaning products) are kept almost out of reach for even me let alone the cat. Long story short (too late) I was told I could put him down or if I was up to it take him home and make him comfortable with sub-q treatments and a wet food diet (low protein if he would take it). Her prognosis was I would see him steadily decline in the next couple weeks. I took him home Saturday morning I have given him his fluids every day fed him by hand and stimulated his appetite I have also given him dilute apple cider vinegar to help flush his system and the antibiotics provided by the vet. It has been 5 1/2 days and he is not declining he is getting stronger every day he has stopped drinking so much and urinates 2-3 times per day his bowel movements seem normal a little soft from all wet food but in keeping with what he eats. His twitching has almost completely stopped (was a full body tremor when he came home) He sleeps about 18 hours a day I think that is normal my healthy cat does the same... is it possible that he is recovering? At least to a manageable CRF level? is it possible he had an infection clouded by the other blood values? Could this death sentence she gave my cat be preemptive? I am not looking for false hope I just think it is strange that nearly halfway through his proposed life expectancy he is stronger than he was on his IV fluids in the hospital... has anyone had a cat that recovered from Acute renal failure? How long was the process of recovery after hospitalization... This vet was good and cared but I think she was more worried that I would run out of money than anything else I just want to know if anyone else has seen these cats turn around at a little slower pace
    oh and I check him for dehydration multiple times per day and he is always hydrated sometimes first thing in the morning he skin takes an extra second to spring back but nothing that my other cat doesn't show from time to time. Also when he came home his urine didn't have an odor now it has a light ammonia smell to it... could that mean he is clearing toxins again? I know the natural response is ask the vet but I think at this point she is more operating on a cover her ass mode than anything. (can't say i blame her since everyone sues everybody else if things don't go their way)

    • ANSWER:
      Some cats do recover from this, especially if caught early. A couple things about this vet made me wonder, though. For one thing, did she explain the list of toxins that might have caused this? For example, in a little kitten even one tylenol or NSAID like ibuprofen could have caused this. I have a friend whose cat died from tylenol consumption. So if one fell out of your purse and you never noticed it, it could be that simple.

      Since you obviously care about the kitten, my suggestion at this point might be to get a second opinion. The sad truth is, some vets are just not good with cats, and I've had 2 of these vets in 2 separate states. I would not be impressed if the cat was responding in exactly the opposite way the vet predicted, and rising kidney enzymes aren't even always acute renal failure. If this was me (and I've done this anytime a diagnosis is tricky) I'd ask for a copy of his records and get a separate opinion. Try to find a cat specialist if you can. They're not more expensive, and you might hear something very different. Cat rescue groups can help find one.

      Obviously, if you do this, I'd suggest doing it quickly, partly because of the nature of the diagnosis and also with a weekend coming up.

      I realize you're not looking for false hope and I know how gut wrenching this is! But I wish someone had given me this advice when my cat had some strange symptoms, because I know I ended up in the hands of someone who was out of her league in treating it. Good luck to you and kitty.

  37. QUESTION:
    Does anybody know what renal failure is ? Many dont have a clue .?
    This is often known as kidney failure ,does anybody know any details about this or what one goes through when they have this illness ? Do you know if it's hereditary or how some people end up having this ? Do you know what they go through when they have to be treated ? Do you know what the treatment is I'm just curious how many know information on this?

    • ANSWER:
      in the course of life, you get toxic things - some by-products, and some things you shouldn't have eaten or drank. your kidneys filter them out, along with excess water, and send it to your bladder to become urine.

      when the kidneys fail, this filtration doesn't happen, so the poisons build up n the bloodstream. (the water still comes out)

      this can be caused by heredity, but there are also other things that can cause it. some lifestyles are particularly hard on kidneys, and some diseases and illnesses can cause stress on the kidneys. if the kidney failure is caused by an illness, sometimes they can heal.

      I understand untreated kidney failure causes some abdominal discomfort, but the ultimate result is death.

      kidney replacement is one option, but there is also a process called "dialysis" which essentially uses a technological device to mimic the function of the kidneys. two large catheters are connected, sometimes using a permanent implant, and an extended process cycles most of the blood through the kidney machine. this process is done every two to three days, and can effectively allow a person to live indefinitely, barring other illnesses. some people can get their own dialysis machines, and perform the process themselves, while others go to a local dialysis center for care.

  38. QUESTION:
    can a man with renal failure get a woman pregnant?
    how does kidney dialysis treatment affect a mans ability to get a woman pregnant?

    • ANSWER:
      Female dialysis patients have a 5% chance of getting pregnant. Male patients should have no problem with his fertility.

  39. QUESTION:
    1.0 What causes impotence?2.0 What is the treatment for impotence?3.0 What causes renal failure and cure?

    • ANSWER:
      fat chicks
      thin chicks
      doughnuts

  40. QUESTION:
    how long does one live after discovering chronic kidney failure?
    64 year old male. already has pancretitis, liver disease, gallballder trouble, and renal failure. has been treated medically to try and reverse kidney failure, and now does not wish to have dialysis, and has decided to stop treatments and wait to pass away. all conditions are caused by chronic alcholism. thanks for any input, personal experiences.

    • ANSWER:
      From a medical provider standpoint, you typically live as long as you feel like living, regardless of the disease.

  41. QUESTION:
    Chronic renal failure?
    Scenario B: Chronic renal failure. Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he is not urinating more than once a day.

    oWhy is the condition of Mr. Hodges’s kidneys affecting the rest of his body?
    oAs his chronic renal failure worsens what other symptoms and signs might occur in his respiratory, digestive, nervous, and urinary systems?
    oWhat is causing Mr. Hodges’s kidney disease?
    oWhat are possible treatment options and prognosis?

    • ANSWER:
      so this is why the nurses at the nursing homes are so clueless they ask all their questions on yahoo answers.

      He has Congestive heart failure, that is the reason for his kidney disease. there is less blood flow to the kidney. fluid leaks into the interstitial compartments.

      dyspenia, troble breathing, a specfic condition known as PND he will wake up in the middle of night short of breath, this is because when you fall asleep blood seeps into your intravasculat compartment (up to 1 liter), thisis really a horrible condition, its just like torture. Pray that you never have to witness it.

      kidney disease is secondary to heart failure BASED SOLELY on the information provided. though there is a labyrhinth of possabliities

      diretucs (not so much because of his RF), digitalis, if he's on an ace inhibitor and having those symptoms it might be due to renal artery stenosis.... in that case the ace inhibitor is counterproductive and contributing to his renal failure (RF).

      for that part I will link you to my other answer. do tell this to all patients like this. God will reward you for it!!

      Google the following..

      Dr Stephen Sinatra "Metabolic Cardiology" or any other books by him, he is a cardiologist (cardiac surgeon)with over 30 years of experience, and made his own protocol.

      he says something liek this in his book, but I suggest yuor read it/google it.
      D-Ribose: 15 Grams per day cost is like ~ for 8oz
      Coenzyme Q10: 400mg (atleast 1 to 2 times per day) for 60 capsules
      L-Carnitine (1.5 to 3 grams per day) get the powdered form its alot cheaper. ~ if not you can buy the tablets . (500mg each)
      Magnesium Supplements (atleast 400mg per day)
      Taurine: (atleast 1 gram per day, up to 4 grams maybe more i don't remember the top bracket of it) for 300 tablets 500 mg each. about a few months supply.

      and check the following treatments, he likely has CHF or congestive heart failure he needs this treatment called EECP (35 treatments where they put blood pressure cuffs on the patients legs and abdoment to pump blood back to the heart for 1 hr a day for 35 days to make it stronger, (increased ejection fraction). It makes new blood vessels to that they can get blood to the damaged tissue and save it. It has been shown to IMPROVE heart function. It was just approved after 50 years of research.

      If you have cardiomyopathy look into stem cells, they can be found in thailand, mexico, the carribean and india. some are cheaper than others.

  42. QUESTION:
    Dog diagnosed with pyometra and kidney failure, chances of dog having renal failure?
    My yorki-poo (5lbs) was put to sleep yesterday. I found her limp with cold paws and barely breathing. Once we start going to the vet hospital, I notice she had been having seizures. Eventually at the vet, she's having seizures every minute. The vet demands money upfront, I dont have it-- the dog is a family pet and so far I wasnt able to get in touch with my family, So eventually they decide to stabilize my dog, if I promise to pay the money like in a few minutes. After stabilizing, they say she has pyometra and her kidneys dont seem to be functioning properly. The dog was 8 years old, and had never been spayed. The vet explains that I can have her spayed or put down. She says having her spayed is very risky and that the dog might have renal failure or kidney disease and cant be treated, and that I have to make a decision now as well as pay now. Long story short, I was heartbroken because my dog was suffering and I had her put to sleep. I regret it now, but I just want to know the liklihood of her surving treatment at an older age, and the liklihood of her having kidney disease or renal failure. Thanks!

    • ANSWER:
      Odds were against her.. That's why females should be spayed, many of them develop pyometra when they get older. It can be deadly if it's not caught in time.

  43. QUESTION:
    Do cats with chronic renal failure ever die quickly or is it always a slow, painful death?
    My cat has crf and it looks like he's at the end. I'm giving him sub-q fluids every day and he's on medication but he's not eating and has lost of his energy. His numbers are very high and I don't want to put him through anymore invasive treatments. It is extremely painful watching him slowly go like this - he was a rebellious, spunky cat who loved playing and going out and now he just crouches uncomfortably all day and doesn't even ask to go out anymore. His eyes, once sharp and eager, are now sunken in and depressed. The only time he's not crouching is when he's lying on me. I feel bad that I would rather have him die quickly (like in his sleep) than watch more of his personality wither away. The vet says that most crf cats are put to sleep because they are suffering. I don't think I could bear putting him down. My friend knew a person who died of kidney failure because he decided to stop dialysis. He died within a day without any pain. Do cats with crf die quickly or is it always a long drawn out process and then you have to put them to sleep?

    • ANSWER:
      Long or short your cat is suffering. Humanely euthanizing him is the very last kindness you can do for your cat. His pain and suffering will be over and he will be in a better place.

      After, you will be surprised at how relieved you are. And, you will know that you have done the right thing for the cat you love so much.

      You will grieve, it's natural and normal. But before too long, you'll find that you only have good memories.

      I'll be thinking of both of you.

  44. QUESTION:
    My cat was diagnosed with feline chronic renal failure (kidney failure) about 5 months ago. Resources/support?
    It's not a question of if my cat is sick, but how severely.
    Our family cat that passed 6 years ago didn't show signs of discomfort or pain until she was dying, and the euthanasia was very difficult because her body had already started to shut down and her veins collapsed.
    My cat started throwing up a while ago (she is ten years old, and had always seemed very healthy before that) and blood tests showed she had f.c.r.f. The stress of taking her to the vet and the iv for liquids stressed her out, more like traumatized her than just stress, and she went downhill within a few days and almost died. We were able to find a vet who helped us get her better at home without meds, but she recently started throwing up again, has lost her appetite but is more thirsty, is urinating like crazy, her eyes that were a vibrant green with a bit of blue are now a dull green, and the major thing is she accidently urinated while she was asleep yesterday. From the research I've done, "leaking" is a flag for kidney failure, and I don't have the money (literally) to do any kind of treatments (I'm paying my way through college right now on my own).

    My cat has been like my shadow, inseperable, since we got her as a kitten when I was ten. I feel like she is a part of me, and I know she is not healthy, although she would seem ok to someone who doesn't know her. My worst fear is for her condition to worsen to the point where she is in a lot of pain, and for the euthanasia to be painful or difficult.

    I have a phone appointment with the vet this afternoon, but if anyone knows of any websites with advice or similar stories, I would really appreciate it. I am looking for some support, and to make sure I do what is best for her.
    Thanks, I will definitely look at those groups.
    Unfortunately, when she first got sick and diagnosed, we tried the tablet for naseau but she would not take it, even in her favorite treats or crushed into food. We also tried the at home IV thing to hydrate her, but even that made her panic and we didn't see any improvement. After a while, it was clear they were making her more stressed and just feeling worse, we were finally able to get her relatively healthy by changing her diet (to canned food mixed with water).

    • ANSWER:
      There are some very good CRF cat groups over on yahooGroups, just put the term in the search field. There's also been discussion on it over on the Handicats group over there, so there are a lot of owners familiar with the reactions.

      Has your vet suggested a 1/4 tablet of Pepcid A/C for settling the stomach? It's safe for cats. Phone and ask them. Has your vet taught you how to syringe water into your cat or give fluids? It's do-able at home and extremely helpful for the cat to be hydrated without the stress.

      There's also several very good CRF sites online, google CRF feline and you;ll find it.
      Here's one -- http://www.felinecrf.com/

  45. QUESTION:
    Should I trust the vet with her diagnosis of my cat? What does this sound like to you? I suspect renal failure?
    My 15 year old indoor cat Pookie's health has seemed to decline over the last year with lack of grooming, looking frail, and increased thirst. Previously the vet has minimized these symptoms by saying her issues are from aging but otherwise "Pookie was healthy". I put her in the hospital Saturday after she had diarrhea, vomiting (saliva) , and extreme weakness. I thought she was dying. The vet said she thinks it's a stomach issue. They gave her an antibiotic shot, dewormer and fluids. Vet said Pookie's kidney values were slightly elevated to a 5, but that didn't indicate failure.Everything else in the bloodwork was normal. Now that she's home she seems so weak and just sleeps, but is walking around a little and eating a little. I'm thinking this could be renal failure since Pookie had stones removed several years ago and
    the thirst, loss of weight, and lack of grooming happening before the recent vomiting and diarrhea. The vet wants to see if her stomach treatment works, and then do x-rays and ultra sounds on Pookie's belly. I'm wondering if this treatment the vet is suggesting is just a money pit unrelated to what's really going on here. Sorry for the long post. I just want to do what's best for Pookie. I hate to be shoving dewormer down her throat and subjecting her to stomach scopes when she's actually got a kidney issue. Any tips appreciated.

    • ANSWER:
      The blood tests would show crf (kidney failure) so that is not it. The next step is an ultra sound to find out if there are any tumors or such
      It is expensive. I hope all turns out ok

  46. QUESTION:
    My dog is diagonosed with chronic renal failure....?
    My dog is a pomeranian might be 8-9 years old. Can anyone say what are its chances of making it.... What kind of treatment would be beneficial.. And what kind of diet to be fed to it... :-( (( Feeling really sad and low... Ready to do anyhting to help it make through it..

    • ANSWER:
      You need to take a "step back" and weigh how much pain the dog is in versus how much you want to keep him/her alive. If the dog is suffering and the vet says the odds of recovering aren't good, you need to love your dog enough to let it go. Sometimes it hurts really badly to do the right thing.

  47. QUESTION:
    My Dog is diagnosed with Chronic Renal failure...?
    My dog is a pomeranian might be 8-9 years old. Can anyone say what are its chances of making it.... What kind of treatment would be beneficial.. And what kind of diet to be fed to it... :-( (( Feeling really sad and low... Ready to do anyhting to help it make through it..

    • ANSWER:
      Go to the yahoo group,k9 kidney diet,it has all the info on meds,diet and sq fluids.It will take some time on your part but your dog can have a good quality of life

  48. QUESTION:
    Chronic Renal Failure In Cats and SubQ fluids?
    I was wandering if anyone has had a cat or still has one with CRF? Mine was diagnosed a while ago and she is only two. they said that she probably had a cold that led to an infection that went untreated, since so much damage happens to their kidneys before they show any warning signs it was too late. She is doing much better but the vet is telling me that maybe once or twice a week she should have SubQ fluids just to keep things at a decent level of comfort. Taking my cat to the vet 2 times a week is going to cost me around a week. They told me that if i do it at home i can get a 1000ml bag which is good for 3 to 4 treatments which will cost me around . So ofcourse doing it at home would be much easier plus my cat will be more comfortable at home. Does anyone do this at home, is it easy to do? My cat is a very mean cat and likes to scratch alot thats why i was wandering if it is easy or if it gets easier over time? I would like to thank you in advance and i appreciate honest...
    answers from people who have been through this or are going through this. Thank you

    • ANSWER:
      SubQ fluids are VERY easy to administer. But with a cat that might get a bit angry it might be difficult for you. It shouldn't cost you that much for the fluids and needles. I had a cat I was giving SubQ's last year and I remember I only paid only which gave him about a week's worth of treatments. So you might want to call around to other vets.

      First step is taking the IV bag and putting it in your sink with some slightly warm water. This way when you administer the fluids it won't chill your cat. Plus warm liquid will actually feel NICE for the cat. Once it feels a bit warmed up hang the IV bag up high - you can hang it from a show curtain rod, a hook on the wall, etc. There's a long tube coming of the bag with a little fitting on the end that you snap a new needle onto each time you give the cat fluids. Then it's just a matter of making a litte "tent" with the skin between his shoulder blades, sliding the needle into the skin and then turning the little valve on the tube that enables the liquid to start coming out. Make note of the marking on the bag and how much you've been told to administer and turn off the valve and remove the needle once you get to that mark. Inserting the needle really doesn't make the cat jump as it's very narrow and very sharp. You're also just putting it between skin and tissue. I would have your vet show you in the office how to do it and see how your cat reacts. If he doesn't freak then I'd say definitely do it yourself at home. Here's a site online with pictures on how to do it as well (as well as more detailed info than my Cliff Notes lesson!) http://members.aol.com/aquila111/subq/subq.pdf

      What type of cat is this? My cat I treated last year was a Persian who was only 4. They can have Polycystic Kidney Disease early in life. They're actually born with the cysts and they start to grow and cause problems. Reputable breeders tend to have PKD negative cats but I wasn't sure of Spooky's origin since he was found as a stray. Have they done an ultrasound on your cat to look at the kidneys or are they just going by the BUN, etc levels from a blood and urine test? Sadly, I lost Spooky in October of last year. I hope your cat does better with it. Poor Spooky was an abandoned stray and nearly starving when I adopted him so his poor weak little body really didn't stand a chance.

  49. QUESTION:
    Our cat has Chronicle Renal Failure, is there anything more to do or is it time to say goodbye..?
    Dear friends,

    Our beloved FOXIE, was recently diagnosed with CRF and the prognosis seems to be poor. We are willing to do everything we can to save our little Foxie!!

    Is she in the final stage? We got the diagnosis just 10 days ago, but today when I have learnt about CRF, I think there were signs already during the summer. Her way of movement was stiff and Foxie doesn't really like to be caressed over her back - probably bone pain....
    I thought it was arthritis, but the vet examined her and found no such evidence. Unfortunately, no blood test was done.

    We estimate Foxie's age to something between 4-8 years old.

    Her test result:
    Creatinine 954
    Urea high 41
    Phosphate high 4.3
    Blood pressure high 170
    HCT 19.2%

    The ultrasound shows that the kidneys are damaged, but to our veterinarian's surprise, they looked better than expected with a crea of 950. A urine test tells us the concentration is ok. However, I don't think he did a urine culture.

    She is eating every day, not so much, but app 60 g of wetfood per day. We give special diet, but also normal food. Anything to make her eat!! Foxie weighs 3.8 kg today. She weight 4.1 kg one month ago.

    Foxie has been given intravenous fluids 200-350 ml per day for 8 days now, she is also medicating for high blood pressure, Norvasc 5mg Amiodipin 1/4 of tablett per day, and Renalzin (phosphate binder).

    After 7 days on fluids and medicine, the latest test results show no change....I think she is getting weaker every day, Her appetite is reduced and she sleeps most. It breaks my heart to see her like this.

    Is there anything more to do? Any new treatments? Any other medicines we should give her? Should we continue with the daily intravenous fluids? We don't medicate for the anemia, even though it is very low. Do you think we should and how?

    Do you think medicine for anemia can help? Antibiotics? Or is it time to say goodbye, until we meet again...We want her to have a good cat life. If there is nothing more to do, it is be time for her to go to a better place.

    We are willing to do everything to help Foxie and would be so grateful for your advice.

    Annette, Mike & Foxie

    • ANSWER:
      That is afully youing fopr this sorry you are going through it

      If your cat is not in final stages, this is not want you want to do. You do not want to put your cat on the
      Vets low protein diet. There are simply so many better options out there than to hand the poor cat a low amount of poor quality protein - which often results in a poor appetite and muscle wasting since the body is now robbing its own muscle mass to feed itself a decent quality and amount of protein.
      . There are new thoughts on this and the thinking is it is not the amount of protein but the quality of protein that matters.
      The Merck veterinary manual [www.merckvetmanual.com] says that cats need "4 g of protein of high biologic value per kg body wt/day". That's about 7 calories from protein per pound body weight per day. If a cat isn't a good eater and consumes, say, 20 calories per pound per day, then 7/20 = 35% of calories can safely be from protein. It must be high quality protein, which means meat, milk, and eggs, and not grain or soy.

      I am under the assumption that you have been feeding mostly dry foods. Many use a vegetable based protein instead of animal and that is part of the problem.. Your cat needs protein as it is a carnivore and cutting down on it will lead to other health issues and may cause faster degeneration.
      You want to cut down on phosphorous (no fish allowed now)

      The best way to do this is with a raw diet which you can make yourself or buy. (Making yourself is better) link provided at the bottom
      If you are unwilling to do that then something like the non fish flavors of Wellness or Merrick with NO grains are good alternatives. Wysong is also a good canned choice. This list gives a breakdown. Remember you want low phosphorous
      http://binkyspage.tripod.com/CanFoodOld.…
      http://binkyspage.tripod.com/CanFoodNew.…
      You should be giving sub-Q fluids as needed.

      You also will want to look into phosphorous binders. Something like aluminum hydroxide
      Ask your vet or look into calcitrol

      You may want to talk to the vet about having injectable Pepcid AC on hand or you can buy it in pill form (ac not plain pepcid) and give 1/4 tab for stomach upset which happens a lot in crf cats due to acid in the stomach.
      I hope this stuff helps, here are many links for you
      Please read this about diet
      http://www.littlebigcat.com/index.php?ac…

      Making cat food
      http://www.catinfo.org/makingcatfood.htm
      other links. Read, read, read!!!!
      http://www.felineoutreach.org/EducationD…
      http://www.marvistavet.com/html/kidney_f…
      http://www.felinecrf.org/
      c

      About that vets diet. This report is for dogs but applies to cats
      http://mousabilities.com/nutrition/crf/b…
      http://www.geocities.com/Vienna/Opera/21…

  50. QUESTION:
    Our cat is diagnosed Chronic renal failure and has a very high Crea 954. What can we do to help her?
    Foxie had her diagnosis one week ago and has been given intravenous fluids 200-350 ml per day for 7 days now, she is also medicating for high blood pressure, Norvasc 5mg Amiodipin 1/4 of tablett per day, and Renalzin for high phosphates. New tests show no change:

    Creatinine >900
    Urea high 41
    Phosphate high 4.3
    Blood pressure high 170
    HCT 19.2%

    The kidneys have been examined with ultrasound, and they are damaged, but our veterinarian says he has seen much worse. The urine concentration is normal.

    She is eating every day, not so much, but app 60-80 g of wetfood per day. We give special diet, but also normal food. Anything to make her eat!!

    Foxie is a stray cat, but we estimate her age to something between 4-8 years old. She has been with us for one year.

    Is there anything more to do? Any new treatments? Do we continue with fluid every day?

    We are willing to do everything to help Foxie, no matter the cost.

    We really hope someone can help us!

    Annette

    Annette

    • ANSWER:
      Join the Yahoo Groups feline crf support group. http://pets.groups.yahoo.com/group/Feline-CRF-Support/

      And check out these sites http://www.felinecrf.com/ and http://www.felinecrf.org/
      on this page here is a list of tips for getting your cat to eat. http://www.felinecrf.com/managd.htm

      Continue giving the fluids at the amount and frequency prescribed by your vet And yes there are other things you can do.. Like phosphorus binders added to each meal. ( an inexpensive kind is aluminum hydroxide dry gel powder)
      Something that may help nausea due to stomach acid is famotidine (Pepcid AC) 2.5 or 5 mg once or twice a day. (so 1/4 or 1/2 of a 10 mg tablet).
      and there are some new medicines.
      But discuss with your vet, check out those sites, and join that group and ask questions on there. Best wishes to you and Foxie.


Renal Failure Treatments Canine

Dog kidney failure symptoms can be difficult to recognize, as they can mimic those of other urinary tract problems. But the best way to guard against this potentially fatal ailment is to be aware of your dog's behavior and seek veterinary help at the first sign of anything unusual. You can also help to prevent kidney issues by using natural products to promote good urinary tract health. Anything you can do to avoid the occurrence of kidney failure is worth trying.

Kidney failure occurs when infection, blockage or damage prevents the kidneys from working to eliminate waste. Dog kidney failure can be either acute or chronic. Acute failure happens suddenly while chronic failure happens more slowly, over a lengthy period of time. Both cases are extremely dangerous and can ultimately be fatal if not treated properly.

The most common of dog kidney failure symptoms is the failure to urinate. If your dog stops urinating, this is a serious indication of trouble and you should get it to the vet as quickly as possible. Other symptoms of kidney failure can include nausea, vomiting, weakness, excess thirst and loss of appetite. As the kidney failure progresses, changes in blood pressure can occur which can result in vision loss.

Frequently Asked Questions

  1. QUESTION:
    Treatment for Canine Renal Failure?
    Does anyone know of any natural/herbal treatments for canine renal failure?
    I have a 21 month old yellow lab who has been diagnosed with renal failure.

    • ANSWER:
      comfrey leaf or root tea.
      But best thing right now to to stop feeding your dog any commercially prepared dog food. It could contain melamine imported from Chine (the FDA allows trace amounts). Also commercial dog food is contains dead diseased dog meat from dogs and cats that have been euthanized with sodium pentathol, this drug ends up in the dog food. Dogs are not cannibals.
      Just feed your dog some nice ground turkey beef lamb or chicken or fish, mixed with steamed veggies, some seaweed, and some Vit C.
      when you walk the dog, let your dog lick the urine from other dogs. there are antibodies in this urine that will strengthen your dog's immune system.

  2. QUESTION:
    Natural treatments and best diet for kidney failure in dogs?
    My GSD,Lulu,is 8 years old and the picture of health.She eats Merrick,Eagle Pack Holistic and several other premium foods. For the last several days,she has been urinating more frequently and has had two accidents in the house during the night.I took a urine sample to the vet today and her specific gravity was very low.The vet suspects kidney failure and Lulu is going in for bloodwork next week.She is otherwise acting fine - eating, active, good weight,etc. I have had dogs with renal failure before,and most of them were in their teens when diagnosed and did not last long. I did have a mixed breed called Lilac who was diagnosed at age 9 and lived to be 13,which is what I am hoping for Lulu.I really do not think I can bear to lose her right now. Lilac,( the mixed breeed) ate Hill's KD and Cycle Senior ( this was back in the late '80's) and did well on them. I have been looking online for alternative treatments and diets and wonder if those of you who have had experience with canine renal failure can recommend any herbal/dietary treatments to help my dog should she have renal failure.Is there a dog food or homemade diet that you have had good results with? I am open to trying anything,because Lulu is so very special to me,she is just such a great dog and is so loyal and sweet;she is my shadow. Any advice will be appreciated and if you would star the question so that others who have had or do have dogs with renal failure can see it,I would appreciate it.Thanks in advance.

    • ANSWER:
      I'd suggest that you give your dog a natural supplement called Tripsy. It contains a powerful combination of herbal extracts proven to:

      Promote healthy kidney functioning
      Fight kidney infections
      Improve urinary flow
      Reduce the pain and discomfort of kidney stones

      Tripsy is high effective, yet is totally natural and 100% safe for long-term use.
      Here's the link with more info: http://www.petwellbeing.com/dog-kidney-disease-p91.cfm