g her go?

Experienced and professional animal trainer provide their insights in answering this question :
A. Fluid treatment is a corner stone of treating chronic kidney failure. Complementary treatment like ACE-inhibitor, phosphorus binding medications. wet diet are useful as long as the kidneys are capable to maintain they function. If your cat does need fluids treatment to keep going it cannot be replaced by other therapy.

How to Identify Common Pet Problems ?

Our sources include academic articles, blog posts, and personal essays from experienced pet care professionals :

Alternatives to Subcutaneous Fluids

For mild cases of dehydration, you can simply increase oral fluids. For older kittens who need encouragement to drink water, a water fountain can help!

There are different ways to administer SQ fluids, but using a `drip bag` (the bag containing the fluid for administration) and a length of `drip tubing` attached to a needle which is placed under the skin is the most common method. Most cats tolerate being given SQ fluids tremendously well.
2 to 3 days of conscientious intravenous fluid therapy can produce remarkable results.” If your cat`s bloodwork is still improving, your cat may stay on IV even longer, occasionally cats are on IV for as long as a week.
Administering supplemental fluids can benefit cats with a variety of medical conditions. Most commonly, home fluid therapy is recommended for cats with kidney disease or chronic kidney disease (also known as chronic renal failure).
There is a risk if excessive fluids buildup in the pleural or abdominal cavities. Some cats do not tolerate this treatment well and it is extremely stressful to them, taking away from their quality of life if required in a chronic situation.
Infection is uncommon, but call your vet if you see persistent redness, swelling, pain, or discharge (other than the temporary clear discharge expected after giving fluids) at the site where fluids were given. Vomiting is a possible but very rare side effect of subcutaneous fluid therapy.
Administration of SQ fluids in cats with chronic kidney disease corrects the dehydration associated with excessive urination. Your cat feels better, will eat better and maybe the kidney blood tests will be a bit lower.
Cats have lived a superb quality of life for three-plus years with chronic renal failure simply because their caretakers gave them subcutaneous fluids regularly.
Unfortunately, once the kidneys are damaged, they have minimal ability to recover. However, with proper management, most CKD cases progress very slowly. Your cat may have several years of quality, active life with treatment.
End-stage kidney failure symptoms in cats include the general symptoms listed above, as well as dull, sunken eyes, inability to walk, body odor, urinary or bowel incontinence, seizures, confusion, refusal to eat or drink, twitching, blindness, pacing, and restlessness, withdrawing, hiding, and running away.
Fluids can be administered by mouth using a syringe. Your veterinarian will give you specific instructions on how much and how often to administer fluids. If it is not possible for your cat to be given fluids by mouth, your veterinarian will hospitalize your cat to provide the necessary supportive care.
Fluid Therapy Procedure in Cats

Fluids are commonly administered to cat intravenously (through a vein), or subcutaneously (under the skin). To begin intravenous (IV) fluid therapy, the vet will shave the area around the vein being targeted for injection.

Those diagnosed in the advanced stages of CKD or living in situations where treatment is not possible generally do not live long—perhaps weeks to months.
Technical Disadvantages

The rate of absorption is slower with the subcutaneous route than with the other parenteral routes. Blood supply to the subcutaneous tissue often is sparse compared with muscle. However, submucosal injections in the oral cavity have a relatively rapid effect because the vascularity is abundant.

Potential local adverse reactions of subcutaneous infusion include edema, erythema, pain, and ecchymosis.
Lactated ringers solution or 0.9% saline are appropriate fluids choices. Dextrose containing fluids increase the risk of abscess formation, and Plasmalyte is reported to sting. Many owners can be taught to administer the fluid dose at home.
The needle used for subcutaneous injection is usually small and short and causes minimal discomfort. The amount of pain a person feels depends on factors such as where they or another person administer the injection, their pain tolerance, and skin sensitivity.
The easiest way to give your cat liquid medication is to mix it in with some canned food. To ensure that your cat swallows all of the medication, it is best to mix it into a small amount of canned food that you feed by hand, rather than mixing it into a full bowl of food that the cat may not completely eat.
Syringe feeding means giving food and water with an oral syringe into the mouth of a pet that is unwilling or unable to eat on his or her own. It is a method of nutritional support used when a temporary illness or health problem compromises the appetite, and nutritional deficiency becomes possible.
First Approval for Cats Under Conditional Approval Pathway. Today, the U.S. Food and Drug Administration conditionally approved Varenzin-CA1 (molidustat oral suspension), the first drug for the control of nonregenerative anemia associated with chronic kidney disease (CKD) in cats.
Again, as the kidneys fail, toxins build up in the bloodstream that can cause your cat to feel nauseous. He or she may just have a poor appetite, or may start vomiting.
Life expectancy of an individual with stage 4 kidney disease depends on their current age and gender. For instance, males with stage 4 kidney disease have an average life expectancy of 14 years while women of the same age group will have an average life expectancy of 16 years.
Kidney Disease: When the kidneys aren`t working properly, your cat may be dehydrated. This causes them to drink more and urinate more. Common causes of kidney problems in cats can be kidney stones, a kidney infection, or even kidney failure.

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

Q. Why do cats meow?
ANSWER : A. Cat parents often wish they could better understand what their favorite feline friends want or desire. A cat’s meow can be interpreted in many different ways and can indicate an array of feelings and needs. Here are some of the most common reasons for your cat’s vocalizations:

1. Greeting- Many cats will meow as a greeting when you enter your home or walk into a room. Cats will also meow at another cat or animal in the household to extend a hello and acknowledge the other animal’s presence.

2. Attention – An exuberant meow followed by leg rubbing or another attention seeking behavior may indicate your cat is looking for some quality time spent together. Some petting or rubbing behind the ears may be in order.

3. Hunger – A meowing cat is often a hungry cat. This is one of the most common reasons for a cat to vocalize to their owners. A cat will meow to get your attention at feeding times or even when they want extra food.

4. Sickness – A sick or hurt cat may begin to meow excessively, warranting a visit to the veterinarian. There are numerous reasons for a cat in distress to meow—whether it is related to an upset stomach, an injured leg or a urinary blockage. These meows should be carefully investigated.

5. Entering or leaving – Most cats will vocalize when they want to be let in or out of a room. You may notice when you are in the bathroom or behind the closed door of a room that your cat begins to meow, scratches at the door, and often reaches its paw under the door. This is a clear indication that the cat wants to be where you are.

6. Angry – An agitated cat may meow to warn their owner or another household pet that they are upset and would like to be left alone. This angry meow may increase in sound volume as the cat becomes more stressed or agitated. Often a cat will exhibit this type of meow at the veterinary office when they are unhappy with their examination or restraint.

Each feline is different and so are their vocalizations. Learn to understand the variety of meows your cat uses on a daily basis. This will help you develop a better relationship with your cat and help them live a more trusting and happier life.

Q. Home remedies for aging cats with azotemia ?
ANSWER : A. I notice your cat is a Persian, and I’m wondering if she has had an ultrasound done to look at her kidneys and perhaps diagnose the source of her azotemia? Persians frequently have a condition called polycystic kidney disease. The kidneys are misshaped, usually from birth, however the cat frequently doesn’t become clinically ill or have azotemia until many years later.

Really, azotemia, which is the state of having elevated BUN and creatinine on lab work, can be caused by 3 things: dehydration, true renal failure or malfunctioning kidneys, and post-renal causes, which typically means there’s something preventing the cat from eliminating urine (such as a stone in one of the ureters or the urethra.

Assuming your cat has true “renal” azotemia (because the treatments for the other 2 kinds involve addressing either the dehydration or the blockage), there aren’t a lot of remedies, period – much less home remedies. The mainstay of therapy is a prescription diet low in phosphorus and protein, which is available from a vet. Some cats do well with fluids given subcutaneously (under the skin) at home – this helps keep them hydrated and helps the kidneys to function. And there are some supplements, although the true scientific proof that they help is lacking. They’re called Azodyl and Renal Support.

If you want to talk more about your cat’s particular situation we can consult about it.

Q. My 11 yr cat has renal failure and kidney stones..uncooperative so subcu IV hydration at home is a no go…any other options short of letting her go?
ANSWER : A. Fluid treatment is a corner stone of treating chronic kidney failure. Complementary treatment like ACE-inhibitor, phosphorus binding medications. wet diet are useful as long as the kidneys are capable to maintain they function. If your cat does need fluids treatment to keep going it cannot be replaced by other therapy.

Read Full Q/A … : October

Q. My cat continues to scratch on furniture and carpets. He has plenty of scratching posts around the house. Please help!
ANSWER : A. Scratching is a natural behavior in cats that can be frequently frustrating for pet owners who want to keep their furniture from being shredded on a constant basis. The texture of furniture and carpet is very appealing to cats and this why they frequently choose to spend their time on this activity as opposed to playing with their own cat toys. Here are some suggestions to help curb this unwanted behavior:

1. Purchase a cat scratching post or cat tree that is covered in carpeted or textured material. Place it in an appealing spot that your cat would be inclined to spend time (eg. in the sun). You can also place catnip on the scratching post or cat tree to make your cat even more interested in the new object.

2. You can utilize double sided tape on the ends of the furniture because you cat will not like the sticky feeling and will learn to not scratch in that region. Use the tape that has a lighter adhesive in order to prevent any permanent damage. Other materials, such as aluminum foil or bubble wrap can also be placed on the furniture to discourage the scratching.

3. Keep nails trimmed short by either learning to do this on your own at home or using a veterinary technician, or groomer. Nails can usually be trimmed every 6-8 weeks.

4. Redirect the unwanted behavior. If your cat begins scratching, use a favorite or new toy to distract the cat from the scratching. Give your cat positive praise for not scratching.

5. As a last resort you can use a spray bottle full of water to spritz your cat when he or she is scratching inappropriately at your furniture. Generally, cats do not like water and this will discourage them from continuing the behavior.

Have patience with your cat because it can takes time to understand this is an unwanted behavior and that furniture is not another toy for them to use. You can always consult your veterinary or veterinary behaviorist to help with ideas or further solutions to this problem.

Read Full Q/A … : I found Pickle on

Q. My cat will not eat the renal food my veterinarian recommended, can I feed a grocery store food?
ANSWER : A. Your veterinarian recommended a therapeutic kidney diet because it has ingredients that will help slow the progression of your cat’s conditions, especially phosphorus and lower protein levels. Many of the non-prescription or grocery store foods generally have high levels of phosphorus and would not be ideal for your cat.

To help your cat accept the new food It is important to do a transition. There are two reasons to do a transition:

1) Occasionally a pet will have a GI upset when switched to a new diet,

2) A pet will accept a new food better when a transition is done to allow the pet to get use to the new texture and flavor.

There is more of a chance with a hydrolyzed protein or different (high or low) fiber level food to cause a GI upset. Transition recommendation:

1) Recommend ¾ old diet – ¼ new diet

2) Do this for a few days; if no GI upset, go to the next step

3) ½ old diet – ½ new diet

4) Do this for a few days; if no GI upset, go to the next step

5) ¼ old diet – ¾ new diet

6) Do this for a few days; if no GI upset, go to the next step

7) End with 100% of the new food.

Sometimes a transition should be longer, especially for cats. Use the same recommendation, but instead of a few days, recommend doing each step for a week or more. If you cat is still not interested in the new diet you can research other non-prescription diets focusing on the labels for appropriate levels of phosphorus and protein.

Also, home cooking may be an option but make sure to provide adequate nutrients. A good website to consult is balanceit.com. This website helps you to create well balanced home cooked recipes and offers supplements to add into the diet.

Q. My cat will not stop going to the toilet on my carpet, bed, washing pile etc.. Also uses its litter box occasionally? I don’t understand why this is?
ANSWER : A. Inappropriate elimination in cats is often a behavioral problem rather than a medical problem, so the first step is to have him seen by your vet to eliminate any kind of illness or condition as a cause for his eliminating outside the box.
If medical issues are ruled out, take a look at other reasons. Has there been a lot of unusual activity? Has you cat been left at home or boarded? Is the litterbox in a busy area? Has anything happened recently in this area to make him reluctant to use it again? Is there another cat, pet or person that is preventing him from getting to the box? Have you changed it from a hooded to an open box, or vice versa? Is it big enough? Have you changed the type or brand of litter? Is there something attractive about the spot he uses? Cats dislike disturbances to their routine and may act out to express their dissatisfaction.
The general rule is one litter box per cat in the household, plus one. That way each cat can have a place of their own to go in case the box is occupied or another cat has claimed it as territory. They should be scooped daily, if not more often and changed completely weekly, washed with soap and water only. You can offer one kind of litter in one box and another kind in another to see if there is a preference. I don’t recommend the crystals, it makes a hissing sound when wet that startles some cats and make them reluctant to use it again. The litter boxes should be located in a quiet, low-traffic area so that the cat can use them in peace. Make sure any other pets or people aren’t giving them a hard time around or in the litter box. It may take some investigation and experimentation to find your cat’s preference and accommodate him so that everyone is satisfied with the situation. And, when cleaning up pet accidents, don’t use any cleaner containing ammonia. This leaves behind a scent similar to urine.

Q. My cat started to pee outside the litter box. What should I do?
ANSWER : A. Inappropriate bathroom use in cats is often a behavioral problem rather than a medical problem, so the first step is to have him seen by your vet to eliminate any kind of illness or condition as a cause for his defecating outside the box.

Once medical issues are ruled out, it’s time to take a look at other explanations. Has there been a lot of activity that wasn’t normal? Were you away and your cat was left at home or boarded? Is the litterbox located in a busy area? Has anything happened recently in this area to make him reluctant to use it again? Is there another cat, pet, or person that is preventing him from getting to the box? Have you changed it from a hooded to an open box, or vice versa? Have you changed the brand of litter or kind? Or is there something about the spot he has chosen to use that is attracting him in some way? Cats dislike disturbances to their routine and may act out as a way of expressing their dissatisfaction.

The general rule of thumb is one litter box per cat in the household, plus one. That way each cat can have a place of their own to go in case the box is occupied or another cat has claimed it as territory. They should be scooped at least daily, if not more often and changed completely on a weekly basis, and washed with soap and water.

You can also offer one kind of litter in one box and another kind in another to see if there is a preference. I don’t recommend the crystal kind, since it makes a hissing sound when wet that can startle some cats and make them reluctant to use it again.

The litter boxes should be located in a quiet, low-traffic area so that the cat can use them in peace. Make sure other pets or people aren’t giving them a hard time around or in the litterbox. It may take some investigation and experimentation to find your cat’s preference and accommodate him so that everyone is satisfied with the situation.

Q. Our cat of six years has on two separate occasions has defecated on the living room rug and recently pee’d on the skirt of the Christmas tree.
ANSWER : A. Inappropriate elimination in cats is often a behavioral problem rather than a medical problem, so the first step is to have him seen by your vet to eliminate any kind of illness or condition as a cause for his eliminating outside the box.

If medical issues are ruled out, take a look at other reasons. Has there been a lot of unusual activity? Has you cat been left at home or boarded? Is the litterbox in a busy area? Has anything happened recently in this area to make him reluctant to use it again? Is there another cat, pet or person that is preventing him from getting to the box? Have you changed it from a hooded to an open box, or vice versa? Is it big enough? Have you changed the type or brand of litter? Is there something attractive about the spot he uses? Cats dislike disturbances to their routine and may act out to express their dissatisfaction.

The general rule is one litter box per cat in the household, plus one. That way each cat can have a place of their own to go in case the box is occupied or another cat has claimed it as territory. They should be scooped daily, if not more often and changed completely weekly, washed with soap and water only. You can offer one kind of litter in one box and another kind in another to see if there is a preference. I don’t recommend the crystals, it makes a hissing sound when wet that startles some cats and make them reluctant to use it again. The litter boxes should be located in a quiet, low-traffic area so that the cat can use them in peace. Make sure any other pets or people aren’t giving them a hard time around or in the litter box. It may take some investigation and experimentation to find your cat’s preference and accommodate him so that everyone is satisfied with the situation. And, when cleaning up pet accidents, don’t use any cleaner containing ammonia. This leaves behind a scent similar to urine.