Kidney Disease and Cats - Everything you need to know
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- Опубликовано: 23 июл 2024
- Everything a cat owner needs to know about chronic kidney disease and cats. I go over symptoms, diagnosis and general treatment concepts for what is probably the most common old cat disease, and certainly one of top three age related health conditions we see in our cat patients. Check out the follow-up LIVE Q&A session on cats and kidney disease here: • Cats and Kidney diseas...
Hit that Super Thanks button if you find the video helpful!
Hyperthyroidism and cats: • Hyperthyroidism and cats
Timestamps for most important points:
What kidneys do (mostly) 1:45
How kidney disease is diagnosed in cats 3:10
Why annual blood tests are important in 'healthy' cats 4:10
Disease management goals 6:30
Emergency treatment for uremic crisis 7:00
Advanced diagnostics and UTIs 8:30
Should you do a kidney ultrasound? 9:35
Treatment of chronic kidney disease in cats 10:40
Food for cats with kidney disease 12:00
Wet food vs Dry food 13:40
Subcutaneous fluids 16:10
Calcitriol (Medication) 18:20
Frequency of monitoring 20:00
How to decide what other meds will be helpful 20:40
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Животные
I adopted my sweet Smokey at an animal shelter when he was 2 years old. We spent 13 1/2 years todgether, it's so strange now almost a month later to walk into the house and he is no longer there. The first signs were constant need to drink water. The vet prescribed a wet and dry food specifially made for kidney disease. He did well for a few months and then drastically went down hill in a month. Was horrible to make the decision to put him to sleep and then to be there in the vets office petting him, near his face talking to him as she gave him the shot. When she listened to his heart beat and then said he is gone.. I felt numb. She carried him away in a blanket and I carried his empty carrier to the car and then broke down. I miss him so very, very much. I love you Smokey, you will always be in my heart sweet boy ❤
I am preparing for this too my friend. My beloved cat is having liver problems and is at the vet now. My apartment feels empty but I am preparing for the hole in my heart.
@@Kreedogger how are you guys holding up now? I am so nervous.
@@MK-ih6wp She made it! She's alive and is home. She has made a full recovery. About 4 days ago she 110% pepped back up and is having a good time. She's going to be ok! Thanks for your concern MK
That just broke my heart 😢
So sad, Rest In Peace Smokey
I had a cat with kidney disease and it is not the end of the world for sure! He lived 21 years. Take your cat to the vet frequently to avoid any unpleasant surprises.
Thank you for this video, doctor!
Thank you for sharing! Sounds like a happy story :-)
@@HelpfulVancouverVet it is a happy story! He lived the best life with us with a lot of love ( and fluids too)… :)
my cat i just 1 1/2 y/o. I want him to survive. 😢
With a proper diet and simple medications, they can survive longer. So simple to deal with. Mine is 17, sick but allright.
For constipation vet suggested to feed my cat little milk everyday. But now as he has kidney disease, 45% damaged, is milk safe to drink? His vet has no idea about it.
The fact that he petted the cat during the entire course of the video and the cat being so satisfied an chill with it is EXTREMELY adorable 😊☺️☺️😊😻😻
The cats tail wagging side to side is actually an indication that the kitty is becoming irritated. Jackson Galaxy who is a cat behaviour expert says for most cats it's best to pay a cat around the side of the neck, under the chin, and top of the head because they have sensitive nerve endings on their back.
@@jessethepersiankitty2377 I think this person knows this cat well lol
That is one big cat. He/she is gorgeous ❤
lol you know cats. As soon as you stop petting them, they are GONE 😂
I miss my princess so much, kidney disease is tough, the last 6 months we hand fed and watered her. We gave her subcutaneous fluids weekly and that really seemed to help. She still never had an accident and always was the perfect kitty. She passed in December at 19 years old.
I miss you Nibbles.
Mr. Pirate looks happy to be there. He is such a sweet boy.
Mr. Pirate is so loved!
He is the prettiest fur!
My first cat was a tabby. She was the best cat in the world in my eyes
Tabbies have a very special place in my heart because of her 🤗
Looks twice as large too.
I don't know how anyone could focus with Mr. Pirate being absolutely adorable and licking Dr. Uri!
I don't even have a cat, but I'll be watching. A friend lost her cat to kidney disease, and now, 10 years later, she's dealing with this for her current cat. It's a terrible disease!😿
I know...Dry foods cause lower urinary tract disease and kidney failures. It happened to my cats .It is very very hard to go through with .Please tell your friend that I am very sorry for your friend's loss & her/ his cat ! You are such a good friend & sweetheart ! 💔💜💜💜💜🥁🐉🎤💕💞
@@spark_6710 what foods are recommended for cats? Any knowledge of brands, types of food will really help and be appreciated from our side
@@PatriciaCV9 Raw, cooked meats and wet cat can foods (just not the cheapest brands) plus one can also mix kibble foods with some water, cats tend to get most of their water from the foods they eat. running water like a pet fountain can also encourage a cat to drink water.
@@PatriciaCV9 you can watch Jackson Galaxy video on dry and wet food to know what is the best!
Yh it is all most often caused ny dry good
It's a horrible disease but the subcutaneous saline treatments work very well when given as prescribed. Our cat was diagnosed Stage 2-3 when he was 18, gave him the saline treatments every day for 3 years, and it made him so much more comfortable. Passed away at the ripe old age of 21, not even from the kidney disease. It was a labor of love but totally worth it if you have a cat in the early stages!
Wow. You got 3 more wonderful years! A 21 year old cat is amazing! We are doing the subQ fluids for about 4 months now & it does make quite a difference. It's well worth it .
@@mchaelhron279 of course...take your cat to the vet...the care of diet and hydration is key.
can you plz share the food brand you gave him ?
How about the foods? He refused to est or drink that time? How u manage it?
@@juliatravisfemme I just brought my cat home from 3 nights in hospital. While she was there, they fed her a couple of times with a syringe (of course with no needle). Now that she's home, her appetite is good. Sadly, she is at end stage and the IV fluids did not improve her blood work. So, one day at a time.
17:00 "Treating an animal that wants to murder you is just a special kind of awesome" The best line to represent cat people ever. Love your content Dr. Uri.
I lost my cat to kidney disease two months ago, two years after her diagnosis. I administered sub-q fluids at home, gave her vitamins, probiotic, and blood pressure medicine everyday. It kept her symptoms at bay and gave her a pretty good quality of life considering everything. Eventually the treatments weren't enough and I could tell that it was time. I didn't let her suffer. I arranged for a vet to come to my home so she could pass in her sleep.
This will be a bittersweet episode for many I think. Kidney disease can be very quick and surprise killer. I know first hand unfortunately.
So do I. My heart is broken.
Same. If I talk or think about it too much, I cry. This video makes me think I and my vet could have done more but I had no knowledge at all about this topic.😭
@@toriless exactly what did you do? If you don’t mind sharing
Yes, I miss my sweet boy so much. ❤
I’ve lost two furbabies in the past two years to kidney disease. Now my 10 year old kitty has it too. 😞
Lost my cat to kidney disease in December, it was truly a horrible end and took such a heavy toll on all of us. Good spreading awareness, if you don't manage it early enough it's a bad time!
I am sorry for your loss, what a terrible way for the beloved cat to go.
Yes, it can be very bad. I truly appreciate Dr Yuri's advice in the early stages, and we need advice in case the disease gets bad and it becomes end-stage. It's a very delicate and sad topic, but we really need help with this this.
nativeunamerican I am deeply sorry for the loss of your dear kitty. I've been there. Sending prayers to you.
@@hherroyal05 I am very sorry for your loss ! I still strongly believe in ultra sound testing as it shows the shape & size & texture of organs in this case kidneys !!! So, vets & you can see how much damages done ! Also it's non aggressive method & not only that gives us more visions& ideas as well as it decreases stress on cats as we don't have to go back & force between vet's clinic & home !!
Dry foods cause kidney failures & lower urinary tract disease which happened to my cats !
Again sorry for your loss & your cat ! Lots of hugs are being sent to you from L.A. ! 💔💜💜💜💜🥁🐉🎤💕💞
@@hherroyal05 💔
I have 2 older cats, both have underperforming kidneys… this video is actually really useful.
I wish MY cat’s vet explained even just half of all this. instead, I’ve been mostly clueless.
I am so sorry to read this ! I am sending you my prayers & love & hugs from L.A. !!!
Please do not feed dry foods as that causes lower urinary tract disease & leads to kidney failures ! 💜💜💜💜🥁🐉🎤💕💞
I live in Reno, in a rural area. Horrible choices of nearby vets. Any diagnostic work, 1 vet sent me to 187+miles to UCDavis! Ridiculous.
It's so important we have the vital information feline guardians need and it is just like medical care for humans...a lacking patchwork of expertise. That's what makes this Doc so valuable for me. I hope for you. We all need all the help.
my cats get renal wet food served in every room, renal dry food served in one room, have 2 fountains, at least 1 bowl of milk formulated specifically for cats and 2 bowls of still water.
It’s not really the dry food that causes trouble so much as the dehydration that CAN happen if they eat only dry food and don’t drink enough.
my little ones are heavily encouraged to eat wet food (it’s everywhere) and drink water (also everywhere).
I’d rather dry food be available if they insist on it. my cats just have to want it enough to jump and climb a little out of the way.
@@claireconover No. Dry food is the cause of many things including lower urinary tract disease & kidney failure !! It happened to my cats ! One died from a distended bladder issue & severe dehydration caused by the lower urinary tract disease & he had both acute & chronic kidney failures !
Dry foods are highly processed foods & only 10 % moisture that dry their bodies out !! Giving water never catches up for the loss of hydration !! Unless the cat drinks like 4 to 6 cups of water & as you know there's no cat does that !!! If a cat gallops water ,that means the cat has some medical issues !! 💜🥁🐉🎤🐈🐈⬛💞
@@claireconover See *TANYA'S Guide to CKD cats* You need it. It's everything you need, save it to bookmarks. My vets are ignorant. Luckily they are ok with giving me the meds I request, but failed on everything else. I got a vet now who told me to call him with updates, since he never used this blood pressure medication, commonly given to CKD cats with high BP, before. Isn't neat?
I'd also like to point out the importance of manually cleaning (or at least checking) the litter box frequently as a way of assessing cat health. I scooped our cat's litter box every day, and noticed that our then 13 year old cat was producing urine clumps that were about 50% larger. This continued for a week, so we brought her to our vet. I feared diabetes or kidney disease. Her urine and blood values were all OK except for her blood urea nitrogen, which was borderline high. The vet put her on a kd diet and fish oil. At her next checkup, her values were all normal range. She lived for another five years on the kd diet and fish oil and never developed full blown kidney disease. This is why I'd be reluctant to buy an automatic self cleaning litter box - especially for an older cat. I would have missed the change in urine output and she may not have lived to the age of 18 had I not scooped her litter box myself every day.
Did she die of kidney disease? Or something else?
@@post121 Congestive heart failure. Our vet told us that it sneaks up on them and can only be diagnosed with an internal ultrasound. She was being treated for a possible tooth infection and had seen the vet three times in her final two months, and nobody suspected anything wrong with her heart.
What did the larger urine clumps indicate? I know you said test said high nitrogen but I'm wondering in general if cat urine balls get bigger why would that happen?
@@nonone2010 Larger urine clumps just indicate increased urine volume. Our vet said that it's a common symptom in cats with kidney issues. After being on a prescription diet and fish oil, her blood nitrogen and creatinine returned to normal, but she continued to drink more water and produce large amounts of urine. And, yes, she was frequently tested for diabetes, but that always came up normal.
@@andrewj5998 oh thank you so much for the information and for replying so quickly. It helped me.
When my soulmate, Oslo, got kidney disease, I gave him lactated ringers 2x a day, trying everything to help him. When he was gone, his absence was everywhere. Been 20 years - miss him everyday❤️
Have my soulmate salem who was just diagnosed and i am a wreck
@@LindseyRaelle I hope you were able to get good care. My thoughts are with you. 💔
what are lactacted ringers?? And what do they do??
Sorry 😔
IV Therapy electrolytes for cats@@InJusticeAustralia
I adopted a senior cat of 15 in May of this year and he has quite a few health issues including kidney insufficiency. I have to give him half a pill of Benezcare every morning for life and special food for kidney care, no cheap supermarket stuff for my old buddy. Didn't appreciate at first my gently prising open his little gob to give him the pill but now I suppose he's understood it's just an unpleasant moment to bear for he's less reluctant, could be due to the fact that I give him a little treat straight after the ordeal; after the storm there is a silver lining. He has put on weight since I adopted him for he eats well, always a good sign. Did I mention that he is an utter joy and I've already fallen madly in love. I would highly recommend if you wish to adopt a cat not to overlook senior cats even if they do have health issues, they deserve as much love as younger cats just a bit more care.
Thank you for adopting a senior. What an amazing caring thing you have done ❤
My cat was just diagnosed with this today, trying to digest it. I just want to thank you, more than I could ever say, for the gift you give us of information and reassurance.
MAKING WATER MORE INTERESTING FOR YOUR CAT. Dr. Uri's tip of adding Glycerine syrup to bad-tasting meds also works well in getting my cat to drink medicated water. It turns plain water into a cat treat that my cat now craves. So, Dr. Uri, you might want to mention your brilliant Glycerine trick when getting cats to drink more H2O.
Thanks,
Rick
I add hot (not boiling) water to the raw food my cat eats. She laps it up like it is the best thing in the world. It also takes the chill off of refrigerated raw food.
@@vo1d470 The product is Vegetable Glycerin, and the brand I usually use is Now. Here in the US, it is hard to find it as a sweetener because the substance is also used in the "beauty industry:" with use in the beauty industry the substance gets taxed, where as if it were considered food it would not be. I know all this because the product used to be sold in the sweetener section in health food stores; now you can only find it in the beauty section.
Thank you for making this video! My cat was diagnosed with kidney disease aged just 5 (she's a rescue, so we don't know what might have caused it). It was a very steep learning curve, but three years later she's still happy and stable. Tanya's Comprehensive Guide to Feline Chronic kidney Disease has been an invaluable resource for us. I wish more people were aware of this condition, as early management really does make a huge difference.
I have found so much useful information from the Tanya's CRF site, too. My cat also was a stray, and was diagnosed with early CKD at age 6 or 7. Good luck with your cat!
@@ymn202 thank you, likewise! I hope your kitty stays happy and stable and you can share many years together.
Been using Tanya for many years when needed. Great info.
The food.....and vet care
Tanya's is amazing! So glad someone mentioned it.
I just want to hug you!! Even though this video is two years old, you don't know how on time it is for me to see it. My cat was just diagnosed with very early signs of kidney disease, and the vet wasn't very informative on what to expect from now on. Just sent us for more tests. So I was beginning to panic and feel hopeless. All this information that you give here finally calms me down. I know now that our situation is not fatal, at least not in the near future, if I do everything right! So , thank you, thank you, thank you! All the best for you and your lovely cats!
I know the feeling. Exactly why i came here too.
I was panicking and spiralling tbh. This video is reassuring. How is your cat now? What was the treatment that doc suggested?
I rescued my cat from a horrible home where they had just left her to rot and die. A family members house actually (i dont speak to that family member anymore).
The cat was most likely born with congenital defects. She needed special care so i took her and with vets cared for her as best i could. I knew she was chronically ill and that i wouldn't have her forever but i wasnt aware that she had chronic kidney disease. During her year with me, i got her coat looking shiney+regrow in areas where it'd fallen out, got her eating a great diet, played with her, took her out to play and experience the trees, and cuddled her all the time. She really did seem at one point like she might survive, she looked great and had energy, she was loved and well fed.
Today after her rapidly going downhill, i had to have her put to sleep. The vet explained that there was nothing i could have done and that she improved for that short time because of my care, but that there was nothing we could do. My heart is shattered into a million pieces. Ive never had a cat whos so loving, talkative, caring, and cuddly. She was so special. Im happy that shes not suffering anymore, but i am going to miss her forever.
You both needed each other::::
Kidney disease is so common but so hard. I lost my girl Lily last year to Kidney Failure. When she entered into stage 3, they don't lie when they say you have only up to 30 days left. Kidney failure is hard to watch. She battled it for 4 years before developing a Kidney infection and she got 6 months going from stage 2 to 4.
They told you onlyb30 days left at 3rd stage !!? I think you meant stage 4 ?? I am very sorry for your beloved Lily ! Yes,very sadly kidney failure is almost inevitable for cats as they're sheer carnivores ! 💔💜🥁🐉🎤💕💞
I know exactly how you feel. Loss to kidney failure is so devastating. I lost a cherished kitty to kidney failure amost 30 years ago. And I am not convinced that I have really gotten over his loss. I had to have him euthanized at the end, and it was the hardest thing I have ever had to do in my life. I have had several cats sinc then and I have loved them all unconditionally, but my pain still lingers once in a while, especially when I see a picture of him. So my heart goes out to you in your loss. It's been said we never get over the loss, we just learn to live with it. I wish you happiness and joy. Thank you for sharing your story.
@@nelsrinden510 I totally relate to your experience, I've got too many !!! I never forget each one of mine ,like you said I've loved all of mine equally, unconditionally ,too !!! And people say time heals everything ! They don't know what they're talking about when it comes to this !! I still sleep with my cat's ashes( boxes ) in my bed ,though it's been 4 years now !! They didn't have to die like that ! I didn't get the chance to euthanize .I didn't get much of help from vets at all & lots of neglects !!
I talk to all of my loved ones who aren't here physically anymore ! I recommend you to do so ,too ! I know it sounds crazy ! But ,it helps !! And they say the deads love us remembering 'em & love hearing us talking about them ! I believe that myself !! And I found out recently ,lots of my Y.T.friends do that as well !! Lol.💜💜💜💜💜🥁🐉🎤💕💞
@@spark_6710 what do you mean you didn't get a chance to euthanize? I'm asking because I may be at that stage and I don't want to believe that's the best thing for my cat but you're saying you didn't get a chance to? Did your cat suffer, is that what you mean?
@@RONNIELA400 My cases were different . As previously mentioned ,I didn't get a full support ,or help from the vets . I decided to let them go naturally as I wasn't getting real supports ,or help !! Vets had misdiagnosed my dogs in the past & ever since I disagreed ( I was right !!! ) with them & complained ,I got mistreated very badly, didn't ever get full support or help ,even harrased by their staff !!! Even worse !! So ,when I decided to get a help ,it was too late .
If your cat becomes very lethargic ,stops eating or peeing ( then you have to take your cat to vet asap !! As she/ he can get a kidney failure & die ! ) ,or pooping ,or can't hold & defecates everywhere ,so on ,clearly losing the quality of life & will to live ,then it's the time .Natural deaths aren't always painless ,my cats suffered & I don't want your cat to suffer ! So,you should start talking about that with your vet ! How old is your cat ? Is your cat eating well ? Don't rush it ,but don't wait too long either when your cat's health keeps declining !! But,as long as your cat shows her/ his will to live ( eats ,drinks ,using cat litters & peeing/ pooping fine ) & you see life ( lights,sparks ,brightness ) in your cat's eyes ,then it's not the time to go ,yet !
Euthanasia is tough mentally / emotionally ,but physically ,it's easier & it's painless .It used to be horrible !!( in the '70's to '90's !! ) Vets will make your cat sleep 1st then inject a chemical to slow her/ his heart down to stop ,so literally die in her/ his sleep .I had done that with my dad ,too ! It is far better than suffer their deaths ( my cat suffocated to die with his tail furs ,the vet denieded it !!! the other one had a heartattack in my arms from severe dehydration caused by distended bladder & kidney failure !!! )Wishing you & your cat the best luck !!! Sending you lots of hugs from L.A. !!! 💜🥁🐉🎤💕💞
So I don't know if this helped, but our 16 year old was diagnosed with advanced kidney disease almost two years ago. His stools were hard and dry and his fur thinning. We switched him over to a quality low phosphate dry food and a different high quality low phosphate wet food. He mostly licked up the liquid from wet food and wasn't eating a lot. As a last ditch effort I decided to add small amounts of Resveratrol to his wet food. It took some time, but he really has made huge improvements. He is eating a TON now, has good stools, and a lot more energy.
background - there are studies for humans showing Resveratrol with DHEA and another small dose of a prescription drug actually reversed aging and repaired cellular damage. I figured there was a *chance* it might help my kitty. I do not know for certainty if it is what has made a difference and do not want to give false hopes, but I would love for others to give it a try and maybe we might accidentally discover something that could actually help repair damage we thought was unrepairable.
Again, I do not want to give false hope but just maybe this might save other cats.
Mr. Pirate being his magnificent self
I lost my sweet Danu to kidney disease and cancer earlier this month. Subcutaneous fluids every day for a year when it got bad, bloodwork, and a constant eye. He was my best friend for 18 years. I wish I knew more earlier but I learned as fast as I could and did my best. The sooner people know about how to help maintain this disease the better. Hug your furry friends close
I don’t know what it about having someone petting a cat while talking about what many would consider a kinda dry topic, but I think it boosts viewer retention.
It's a handy prop for anchors, especially those who have not developed a smooth body language
Our little Chuckles (not so little,she's nearly 15!) just got diagnosed with very early stages of kidney disease (she's getting blood work every 3 months due to another condition, so that gets checked too). She's now on renal food (which she's not amazingly impressed with), and she's got a water fountain which she loves!
Pomme Bour: our litlle girl , only 17 years !!! , had bad blood results concerning her kidneys. She immediately was put on new cat biscuits and wet food, which has helped . Her kidney results are stable , every 6 months a blood test) or if needed every 3 months.
The main thing is, regular check ups and she will stay well .
All the best, thinking of you and your cat.
I only know so well, changing the food, very, very tricky. A good thing is she loves water. Eveywhere in all the rooms is water for her available. Its not, she is lazy, but whereever she is, she quickly can drink.
@@karindickinson7993 Glad your cat is getting better! Chuckles has blood test every 3 months for a condition she's got and they systematically also check her kidneys. Her results were normal just three months ago and she is "just outside" the normal range (they did a second test to confirm that) . She seems completely fine, playful, and has her appetite (even if a bit reluctant with the new wet food - she does like the kibbles though!)
@@pommebour5354 💖♥️💖👣🐾👣 I keep my fingers crossed, that your lovely cat still has good years with you, as we wish for our beloved moggy ROO. 💖🐱🐾🐱💖
@@toriless It is so sad , to hear this. Hug you !!!
Let us hope, that our old beloved MOGGY ( 17 ) eats properly again. I hope, once the new dosage for her THYRIODPROBLEMS kicks in, she will eat again. She has gone several times to her food bowls for nipping cat buscuits. That's a small success.
Next week her teeth are cleaned( tartar) and there is a small inflammation too.
All together adds up.
She gets up, walks around, their is life in her.
But one big thing : SHE AVOIDS ME !!!! I AM THE BAD MUM !!!
I GIVE HER THE MEDICINE !!!
I feel so unhappy about it, but I still love her dearly. I know why she does it. I want to make her well and she doesn't understand the reason.
My beloved old MOGGY, please stay with us a little longer . You tell us, when your time has come .♥️🐱♥️🐱♥️🐱♥️
@@pommebour5354I know is being two years since you commented this but my cat that is looking grate and had labs with normal leves 5 months ago, is know with not good results, the levels of creatinine and urea are quite up, is your cat still with you?
Diet. Diet Diet Diet Diet. This cannot be stressed enough. Turns out, feeding your cat bad food leads to a low quality life. Makes me sad seeing all the crap cat food in stores. I learned this from first hand experience. My cat was actually eating Blue cat food(higher end would you believe) and got completely blocked up somehow. I could hear him scratching at the litter box and not having anything come out, it broke my heart. I took him to the vet and they did the tests, he checked out after having finally peed that weekend. I was completely lost and on my way out of the vet and would you believe one of the assistants recommended science diet for him and it legitimately saved his life. I will buy science diet cat food for the rest of his happy life. Was a night and day difference for my cat. Instant relief!
NO DRY KIBBLE! Raw food diet with warm/hot water mixed in is great! Cats would never eat dry food in the wild.
What’s science diet?
My cat is about 18 years old and has chronic kidney disease. I have had good success using a whole chicken BARF diet supplemented with Chitosan, taurine and NAC. Also the meal size has been reduced to about 1 teaspoon four times per day. By restricting meal size you also decrease the processing burden on the internal organs like the kidneys. Smaller more frequent meals seems to work in the direction of overall health in humans as well. Larger meals overburden the organs and hormones and this eventually results in a disease process!
Kiki is an old cat and she looks great! Thankfully her disease process is manageable but it took a lot of research and effort! 🐈🐈⬛
I just lost my 17 year old cat Figaro to kidney disease. I miss him terribly. Our pets are such a huge part of our lives and it leaves a huge void when they are suddenly taken from us.
💜🐱⚘.. my cat is 17 tomorrow but struggling a lot. I don't think she has long. I have had many cats but miss then all.
Thank you. I hope people watch this before it's too late. I wish I knew the warning signs to look for when our elderly cat started succumbing to kidney failure. She lived 17 years. The last couple months and especially last two weeks were difficult ones. I became a pro at administering subcutaneous fluids but it's definitely not something I wanted to have to excel at. After her initial crash we were able to nurse her back to a few good months but just as it seemed like she might go on for another year or so the disease got worse. It's truly heartbreaking but if caught in time you can add so much more to your cat's life so don't give up hope.
My Hope had stage four kidney disease since he was five (he was born with an irregular kidney) and somehow managed to make it to age ten before he had to go last year. When he had his last acute episode, one of the values that was supposed to be in the 300-400s was elevated to 1.4k and the vet frankly told me he had no idea how Hope was still alive. He was a tough little cookie! Hope he's having fun chasing birds in cat heaven.
What things you taken cares please share the details
Thanks, I just ordered the special food for my boy, the vet was recommending I put him down 8 months ago but I took him home instead after some hospitalization and he has been doing really well. He started vomiting again recently so im looking this up now, Its just so hard to get this info and get treatment when you dont have money to bring your cat in a few times a year for lab work. But im going to do my best because he is my boy, he has had many more Purrs since that day when I signed the paper for them to take him away, Im glad I couldnt let them take him and decided to let him die at home with me. I had to use a baby syringe with wet food at first to get some strength back in him and then he just starting eating on his own again one day. He had been almost a month without food. I now have food and water cameras so I can keep better track of these things. I didnt even notice he was sick until he was reeealy sick. anyway thanks, stay strong if your in the same boat.
I'm so happy to see that Mr. Pirate will be joining us for this video! I am very excited. I have a 16 year old Japanese Bobtail at home and our vet has just diagnosed her with kidney disease in March. I can't wait to hear what you have to say about this topic because I have been beside myself with worry about her from this diagnosis.
Sorry to read this ! Regardless the age of your cat ,wet food alone is much better for your cat ! Dry food causes lower urinary tract disease in cats especially males also kidney failures which happened to my cats !! I am sending you lots of love & hugs from L.A. !!! Hoping everything will be alright with your cat ! I cooked meals every other days for my cats to heal from lower urinary tract disease ! One healed completely, but the other one had a congenital issue made him prone to ...he almost healed but not completely & that led to a distended bladder ! And kidney failures ,both acute & chronic ! 💜💜💜💜🥁🐉🎤💕💞
@@toriless I am very very happy for your cat & you !!! Yes,diet is the key !!! Please do not feed dry foods ! As it leads to lower urinary tract disease and kidney failures which happened to my cats ! 💜💜💜💜🥁🐉🎤💕💞
Any Vet that says “…because treating a cat who wants to murder you is a special kind of Awesome” And Means It gets my Subscribe. It’s like he knows my cats…
I wish my aggressive cat had a chance to be treated by this vet. Dr. Uri, you set my standards for a vet's attitude too high!
@@leaf-in-beefleaf It's like he met my old cat, who earned himself the nickname of The Bastard, and was both loved and feared as a murderous little house panther, and excellent exterminator...
@@neuralmute I can relate to the feared and loved part a lot! And unfortunately my cat was sick, so giving him ton of medicine was a pain but also quite the achievement haha.
My new vet literally called my cat a bitch during our first appointment and in the same sentence said she loved her sassiness for her age(23).
@ladyvin pill shooters are a lifesaver if your cat doesn't do pill pockets.
What a cute thumbnail design! I love how helpful this channel is...it's really a gem!
Thanks, I try!
My babies are ... Well babies (1 year and 2 years) but I'll research on ways to prevent kidney disease.
Thank you for explaining so well
The most important thing is to feed our kitties food rich in moisture so no kibble.
Check out the follow-up LIVE Q&A session on cats and kidney disease here: ruclips.net/video/BXXkiSkAYMk/видео.html
Should I have any kidney-related concerns if my kitty came back "very positive" for feline coronavirus? The vet has been really vague about what we need to do next. Her liver and kidney tests came back normal. I want to be proactive.
@@jess_ismore If its just feline coronavirus then no.
Q: for the blood work that check out the kidney function, is it mandatory that cat don't eat anything 8 hours prior? (the lab person told me that if the cat eats it will mess up the results; I just want to know if it will mess it up badly or the results will still be relevant. I can't keep my outdoor cats for 8 hours in a cage, to make sure they won't eat anything, that's why I keep postponing the appointment). Thank you!!
Q: How does kidney diseases affect treating other chronic conditions in cats? Mine had kidney disease, arthritis, and asthma. And when it came to managing her arthritis I was told that many of the more common medications can exasperate the kidney disease. Is this true with multiple conditions?
Thanks for the helpful video! In the follow up, I would really appreciate if you could speak about treatment options for cats with both heart disease and kidney disease. Our cat is 10 and so she couldn't receive fluids when she collapsed because it would cause heart failure.
I wish this video existed at least 5 years ago...
It was very late for me to denoise my Cat as we never knew this disease existed in Cats. By the time we did try to keep my Cat normal, it was almost impossible to do. Sadly, we had to put our Cat down and it seems like he knew himself it was something he could not suffer long enough. It was in too much pain to go through living and he was around 8-9 years old. He passed away in 2019 for those who are wondering.
I want to thank you for all the help you’ve given me with my cats. I’ve had Winston and Lenina since 2002. They both lived good, long lives thanks to your help. She passed two years ago at seventeen and I lost him earlier this week at nineteen. It’s hard to say goodbye to anyone you’ve called family for the best part of two decades. I miss them dearly, but I can go to sleep knowing I was able to do all I could for them with your guidance. Thanks, Doc .
Thank you for being such an Eloquent, Humble & Compassionate Advocate & SAINT for the Vet/Pet community. You are Truly sent from Heaven❣Thank you seems so understated
Sending Great Gratitude & Appreciation, Big Blessings & LOVE, Many Mercies & Compassion and All the Luck & Joy🍀✌🏽❤🙏🇨🇦May All be Free from Suffering
I'm blushing :-)
Dear Mr Vet (& kitty),
Thank you so very much for taking the time to educate us. You are truly appreciated.
My last 2 senior fosters both passed from kidney disease at 17, was heartbreaking. They refused special food so my vet compromised and told them they could have crappy wet fancy feast (no tuna or salmon) as long as they promised to eat it with healthy crunchies sprinkled on top.
Never heard of calcitrol, I'll make a note of that for the future.
Actually fancy feast isn't bad at all from the well balanced nutritional ratio points of views ! When you calculate to convert the wet form to dry matter ,you'll see ! Aside from arguments on by- products .Especially their turkey & giblets is an excellent one !! So called " premium" wet foods aren't any better !! Not to mention the prescriptional foods!!! That's why your cat refused it !! As it didn't match your cat's palate. I don't blame her/ him ! 😅
I am so sorry for your losses & yes,it's very very hard ! Sadistic disease ! 💔
I thank you so much for fostering senior cats !!! That's so sweet & precious 💖 The cats were very lucky to be with someone like you ! 💜🥁🐉🎤💕💞
@@spark_6710 good to hear it's not that bad! I call fancy feast 'cat crack' because even the pickiest eaters dive right in haha.
Thanks for the lovely compliments, that's so nice of you 🤗 I take seniors and last chance cats, have an inappropriate pee-er right now. Hasn't done it for over year so it's working out better than expected yay. 😻😸
Nunia Bidnez, you meant not to give tuna n salmon to cats?
@@mayjo7444 tuna and salmon are high up on the ocean food chain and are older/larger when harvested. So a higher level of toxins builds up in them from the marine life they ate, multiple times their own weight in a lifetime. Also salmon has almost 2x the phosphorus as most whitefish and that's one of the things you're avoiding on a KD diet. So if the goal is to avoid accumulating toxins that can cause damage and reduce the amount of work the kidneys need to do, fish is not your cat's friend.
I wish I had this thorough information before my Missy passed away at 17.5 from kidney disease. I watched her go from 11 lbs. to 8.5 in the latter stages. I learned how to give her subcues, but she had no appetite most of the time and lots of vomiting. Her Vet did not suggest hospitalization. I was lost for answers and left with a dwindling bank account. I know now what to do if need be for my next fur baby. Thank you much for sharing your knowledge with us and helping us understand what we can do to help our Cats. Listening to you from Paso Robles, CA.
Pls give me some suggestions. My 11 year old cat is in stage 3 kidney disease. What should I do?
So sorry. I just lost mine and I suspected a kidney problem but didn't know all this. He was about 20 yrs old
Thank you. I really need this. I’ve been crying all night. One of my cats is diagnosed to have a kidney disease. I hope that I can keep him happy towards the end of his life.
My dating profile is going to say looking for a guy who can pet a cat for 20 minutes! That cat looks happy 😃
Always a joy to see you demonstrating with Mr. Pirate. You two are pretty much the perfect cat-owner relationship that everybody aspires to.
My dear cat recently passed from a sudden, aggressive kidney cancer that destroyed her one functional kidney. The other was completely shriveled and non-functional with no apparent cause. It was very sad, and having access to a video like this would've helped me understand what the problem she was facing was like. I'm glad it exists now - so it can help other people help understand the kidney function is in our feline friends.
I wish you lived in Sweden so my cats could have you as their vet.
I wish I lived in Sweden for the delicious food and cozy table cloths, but I'll have to settle for visiting next time I'm in northern Europe :-).
@@HelpfulVancouverVet You are much welcome here! :)
Hi, I think your chat stopped before I could share this link to Caitlin Doughty's channel Ask A Mortician. As I mentioned, my dear cat Tabitha died at age 20 from end-stage CKD, and I did not know anything about mobile services when the disease was far-gone. As you said, CKD is insidious and unless you are vigilant, even regular vets don't make a big deal about it at a certain age. At the end-stage, she was vomiting several times a day (because the CKD led to pancreatitis) and had a bleeding squamous cell tumor in her mouth. I tried to give her Pepcid orally via syringe for her upset tummy, but it helped very little. She was obese, severe arthritis, and could barely care for herself. She couldn't clean herself anymore. She developed a wheeze and got very constipated. It started with CKD4, and every few days there was another problem. I took her to a vet dentist when my regular vet saw a tumor in her mouth - the vet dentist said that he could resect the tumor and remove some of her jaw, but she would be on tube feedings indefinitely. At a cost of $3,000 USD. It would have been worth it if she would be healed, but c'mon - she was 20 and had so many problems. It broke my heart that she now had a terrible tumor in her mouth, because food was her favorite thing. She still loved to eat, especially wet food. So the myth that dry food causes CKD is incorrect. It is a degenerative disease - at a certain point in life, a lot of humans develop CKD and it affects their heart, their digestive systems, and their ability to tolerate IV fluids for rehydration. Back to Tabitha - at that point, I just knew that there was one way this would go and it would just mean horrible pain for her. At this point, I was taking her to her regular vet ALMOST EVERY 2 WEEKS because the vet refused to renew her narcotic pain medication without a visit to evaluate. I know that a lot of vets are more compassionate than to require such a thing when they themselves made the end-stage diagnosis - but in my area, vets are hard to get appointments for as they are a hot commodity. I know that there are amazing vets who are more than an hour's drive away - but Tabitha hated going to the vet. She would pee and poop in the carrier and cry nonstop. There are vets who do provide mobile services. I live in the Bay Area, CA, and there are vets who can come to the home when pets are dying - in order to avoid the traumatic last visits to a vet in order to have pain medication renewed. I am also an RN who did human hospice, so this was something I sought out in order to provide palliation and a good death. This link ruclips.net/video/kORGk6s1C_s/видео.html is extremely moving but very useful. This was the service I used peacefulpathways.com which serves my area. The vet was available for emails - which, being upset and worried and freaking out, I admit that I used a bit too much but I was distraught. The vet arranged, via a special pharmacy that compounds medications, for Buprenorphine and Gabapentin, in addition to Cerenia, to be delivered to my house. She came to my house when Tabitha was obviously declining rapidly, and I didn't want the end to be horrible, and she put her to sleep in our home. It was incredibly sad - but she was home. I hope that you can devote a segment of your channel to end-of-life and options for palliative care. Thank you! I don't want to depress anyone and this is a hard topic. But if your cat is at an end-stage, look into the options available - it may really surprise you. Love your channel.
All of her medications were compounded transdermal. So I could just rub them into the lateral parts of her ears (where the little divet is). She was very comfortable at the end.
Compounding and transdermal meds are amazing tools that we should all remember more often (me included).
@@HelpfulVancouverVet I know this is a service which requires some investigation. But I titrated her up all on all of her medications over a period of 2 months, and while the transdermal route isn't as immediately effective as the oral route, cats' ears are very thin with heavy blood supply, so transdermal medications are gentle to their systems. Our hospice vet also supplied oral sublingual Suboxone. Just having to not take her to a cold clinical vet office and making her last moments terrifying meant a lot to me. It didn't help the grief, except for the fact that we had comfort knowing she was with us in her home at the end. It's a tough subject - but CKD is ultimately an end-stage condition. This needs to be put out - it can be controlled for a bit, but it is bad for cats. We as a community need to know what the resources are for the end stage. I feel that this is hard for you - maybe I am getting it wrong - could we have a link to help us for end-stage diseases? Thank you, Dr Yuri.
If you are in the Tacoma/Kitsap Peninsula area of Washington State I recommend Dr. Heather Houser. She helped my girl cross. She was amazing. She came to my home in the middle of covid.
Also ask a mortician is amazing
Going through this now with my cat. Also hyperthyroid and on methimazole transdermal. BUN is 46 and T4 was stabilized to 2.4 but edged up to 4.6 over last two months. The problem is progressive weight loss over about three years from about 9 Lbs. to about 6.0 right now. She has a decent appetite though but doesn't seem to be able to metabolize sufficient calories. Weight loss has stopped in the last two months but still unable to gain.
Looking forward to your information on CKD.
So looking forward to this video!
It’s a bittersweet episode, my cat died to some disease similar to cancer.
I miss her so much.
@@toriless How rude you are!!!
It's intimidating when your cat is diagnosed, and treatment results vary widely. However, we had a cat diagnosed with kidney disease at the age of ten. With fluid treatments and diet changes, she lived another 2 1/2 years and you would have never have known anything was wrong with her. Once you get used to administering the fluids, it becomes second nature.
So true!
hii just want to ask what stage of kidney disease was your cat?
Thankyou for telling. I too wonder what stage it was? Regards.
Awesome! So helpful! I learned so much. Thank you
HUGELY helpful, thank you!!!
Thank you for such an important message you shared with all cats’ parents. We’re now very well informed 🙏
Thank you so much for this, Dr. Uri! I used your subcutaneous fluids video when my cat first got diagnosed with kidney disease earlier this year, and this video had so much great information that I'll be talking to my vet about during our next appointment!
Thank you!!!! Your "squish that cat" advice is SO good when giving SQ fluids to a cat with kidney disease. We have to do it twice a week.
Thank you for such an educational video!
My cat was just diagnosed with kidney disease. This was SO helpful!
Thank you for putting up this video, I hope you can do one on Pancreatitis too! :)
Thank you so much for this video!
This was a great explanation, has really put me at ease that this can be managed, thank you
This was so informative and educational. I really wish I knew some of these signs and statistics with my senior cats that I had years ago. They definitely would have had a better quality of life as they got older. Thank you for this video!
Thank you! Professor Paws, who is sleeping in my lap as I watch this, has stage 2 kidney disease. I am anxious to do everything I can for him, and will definitely ask my vet about calcitriol. (We are already doing the other things you mentioned.)
Thank You for this Video! Our last cat lived a little more than 17 years, but didn't start to "go downhill" until about the last six months--when she became more finicky about what she would eat and rapidly lost weight. Our biggest fear about getting a new cat is having to relive the same experience with an animal that has the same kidney disease.
This was such an informative video, thank you!
Thank you; very timely for me and my 19 year old kitty, Mia. Thank you again.
Thank you for your great work, doc! Very informative and helpful as always 🙏🏼
Glad it was helpful!
Thank you for this!
You're so welcome!
Thank you so much this was such a brilliant video. I learned so much. Please continue to make more there's so many people out there with so much information that is not given by the veterinarians. This video gives you information to bring to your veterinarian and seek further information about your cat's health.
Thanks so much for this helpful video Dr. Uri and mister Pirate! Mr P looks like he is loving being serenaded by your voice and explanation ☺️
My 15 year-old lady was diagnosed with kidney disease three years ago. We've had to make some compromises with her management since she gets medicine for high BP with her wet food, which she always has been very picky with since I adopted her 6 years ago. So far she's doing pretty good, though blood tests show the disease is slowly becoming more advanced. This video had some great information for us going forward.
@@toriless may I ask what diet you changed him to? My 10 yr old baby was just diagnosed today with early-stage kidney disease.
Thank you for the great information. I give a home to the stray cats that come to me.Generally that averages about 1 cat a year. Their general health is usually somewhat poor and some have chronic issues. The cost of the tests and treatments on the timeline you list is beyond what I can generally offer. As it is my vet bills are usually several thousand dollars a year. For instance, just to bring in a new stray it costs about $500. Tests, neuter, vaccine…. I’ve lost a couple of very special cat friends to kidney disease. I’ll try to use the things you mention to improve the care of my “pride”. In general though it’s all a bit depressing. I love them all very much. To not be able to give them the very best care available is tough. I’m hoping your tips will help me spot problems in a more timely manner. All you can do is do your best. The upside of helping strays feels so good. I recommend everyone give it a try!😁
Btw: My rescue cat Garua might have given Mr Pirate some competition as “best cat ever”. He was very sick when I took him in. The vet said he would have probably died within days. Helping him was money well spent. He was “possibly the best cat ever”. 😿
Thank you for your great RUclips channel.
Garua was so lucky to have found you.
Thank you for caring for the strays. What an amazing thing you do. They are very lucky to have you
As always - great info in your video! Thank you! I actually shared your video with another RUclips content writer, as she found out her kitty got kidney desease. Thank you so much for video that actually gives knowledge, and also puts people at ease with many complex issues.
I was suffering from similar issue in the past,but I'm glad it has been fixed
Thanks for this excellent video Doctor, there is a small karmic connection to me and I'm sure there are many others. I discovered your awesome youtube presence due to this very disease when searching ways to give fluid medicine to my ckd cat. Pirate and Clawdia are so sweet and calm, I couldn't manage my girl Chichi that well, but I tried. In the end the disease took her away, just about a month ago, after a brave fight lasting about 4 months. Thanks for everything doc, your help is really appreciated.
Thank you so very much! This video has been so very helpful and insightful. My kitty is definitely not a fan of the wet diet food but he's slowly warming up to it
thank you so much for the video and spending time on educating us about chronic kidney disease. The video was really helpful and it was an eye opener for me. I have an elderly cat with chronic kidney disease. I can now learn how to manage the disease and keep my best friend safe and somewhat healthy. Thank you again.
Thank you so so so much for this information! I really wish I lived closer so you could be my cats vet! So much love for you and Mr. Pirate!
My cat just got diagnosed with early stage 2 and the vet didn't tell me anything about calcitriol. I will certainly mention it when I get the chance and see if they know about it.
Thank you so much for that video. It really helped me understand what's going on. Now I feel better about it!
Excellent information. Thank you for your thoroughness and clarity.
My pleasure!
so true that many of us only remember approx 30 percent of what the doc said, and so helpful to have a video to refer to... thankyou
This was super helpful and helped my anxiety as my cat was just diagnosed with early kidney disease based on SDMA and other lab values. Thanks so much!!
My 16 year old cat was, I guess, in uremic crisis based on what you described. We immediately took her to the vet who said she probably wouldn't last the day so we made the decision to end her suffering. It was awful. Listening to this video makes me wonder if the vet should have done more and we could have saved her. We didn't do any of the things you said and looking back, maybe we should have. I have so many regrets and a lot of guilt with that cat just because of my lack of knowledge. I have made it my mission since then to become a more informed cat guardian. Thank you for making this video so I can be more equipped to discuss treatment options with my vet if it ever comes up again.
I am so sorry for your loss. May I ask, what were the symptoms that she presented at the vet?
I am worried the vet we see tmw might not be as smart or well-informed as RUclips's most compassionate vet, Dr. Yuri.
Do you think you will get another kitty someday?
It would be nice to put all this new health information into practice, and be the best damn cat guardians we can be.
@@MK-ih6wp Thank you. Her symptoms were that she could barely walk. She was vomiting but not much was coming up, she was very lethargic, and was down to 4 lbs. I had no idea that even in this state fluids could be given and an overnight stay at the vet may have been the key to keeping her alive. We'll never know. She passed in September of 2010 and we adopted 2 sisters that December. Almost 2 years ago we rescued another cat from our back yard so now we have 3. I am definitely more informed now than I was 11 years ago. Just wish I would have known then what I know now.
@@EmpressLishy My cat has similar symptoms right now. But the vet said her blood work looked good, kidneys thyroid were fine, she just has a UTI & needs antibiotics.
But that doesn't seem right to me, my cat is like super sick. Wobbley & weak & skinny, so thirsty, looks miserable, although she is still eating.
I hope the antibiotics help her, she also gets her first fluid IV today. Hydration is key.
Glad you guys adopted more furry friends! They need us just as much as we need them. Invest in a cat fountain if you havent yet, esp male kitties. Then you can hopefully avoid chronic kidney problems.
@@MK-ih6wp Good luck with your kitty. I hope her treatments work and she gets well soon. And I do have 2 cat fountains. :)
@@EmpressLishy she is 10x better, in just 24 hrs! The vet gave her subcutaneous fluids & it made a big difference. Keep that in mind if you ever have a dehydrated kitty! It only cost like $40!
Excellent video, thanks very much for your time. My cat was also diagnosed as early KD and he's on a KD diet now and he is super active now
Best of luck!
I have lost several to renal failures. This is really urgent to address. I will always have cats and am always looking to learn more. Thank you 😊
Thank you so much for education, it's priceless!
The more I learn the better for Kaylee. Kay is. Having UTI and Kidney issues.
Ironic. Kay just sat down next to me. She is so smart, beautiful, and sweet
my cat has stage 1, and we are trying to manage it, thank you for the info.
This was super helpful. My cat was diagnosed a couple months ago with early stage KD. He’s 17 and 10 pounds. He’s slowly gaining weight with the Hills K/D wet food, he loved it from the start so- thank goodness.
Tysm for making this. My baby, Shady, died of kidney disease two years ago, and I didn't understand exactly what it was. Thank you for helping me understand and what to look for so I can see it before it's too late.
My sweet little Minnie has had kidney problems for about two years. She’s strong at age 13!
In what stage was she diagnosed?
@@kekamirza she was diagnosed stage 2 I’m pretty sure
I'm adopting a cat who is likely going to be diagnosed with CKD. I'm nervous for her since she is my first pet, but this video has helped me calm down some. I want to give her the best life I can outside of the shelter, so going into her life knowing how to take care of this and that it can sometimes be managed is good to know
You’re an angel 😇 I hope your cat is okay. ❤
Thank you so much for this video, you are a very kind human being + a good professional. God bless you and all felines!
Thank you! I have done diet management, blood tests, even sub Q's with my elderly cats in the past. I am thankful to know there is an additional drug that can assist in slowing this disease.
My kitty got her blood drawn to check for kidney problems today :( She is younger than a year and I hope she’ll be okay. Hasn’t been eating well and according to the vet she is pretty dehydrated, we will get the results of the blood work tomorrow morning. Hoping for the best, preparing for the worst. Thank you for the information 🌹
I'd love a video on Hyperthyroidism in cats. I treated my 16 yr old darling for a few years with this disease which finally took her, it was awful. I adopted a senior cat who lived in a colony and was pretty rough looking, but I knew she needed a home for her golden years. She has early kidney disease so this was very helpful.
I just published it! Check it out on my channel 🙂
THANK YOU SO MUCH for posting this video!!! Communication is everything! I have been in tears for a week over my F3 Savannah’s (Apollo’s) diagnosis of kidney disease. This has really explained everything and given me so much piece of mind and comfort. I have left both appointments with internal medicine with more questions than answers and $1600’s in so far. Who would have thought I would have found all the answers on your RUclips video. Thank you again doctor for these videos.
My cat is on early to moderate stages of kidney disease. This was very helpful, my vet never told me almost any of this. Thank you very much, you teach me so much of my baby girl and how to give her a better life.
My cat was recently diagnosed with stage 3 renal insufficiency. We are doing more tests (second opinion) but I’m hopeful after watching this video. Thank you!
hii! i know it's over a year, but just wanna ask how's your dear cat now?