Help with LABs and blood in Urine

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Veronica & Babu-chiri

Veronica & Babu-chiri

Member Since 2016
Good night to everyone!!

This is my last condo regarding this subject

As a recap a week ago Babu started showing hemoglobine in the stips I use to test his urine, later on I took a sample to the vet and he said there was some bacteria (they did not made a culture) so last sunday he gave him a shoot of antibiotics ( not sure which )

I've kept testing him at home with the strips and they keep showing hemoglobine ( around 50 ca ) so I took Babu to the vet today

This morning vet did a blood analisis and an ultrasound, I've loaded the results from the analisis into Babu's SS I hope someone can help me interpreting, what I can see is they show an improvement from the ones he had in March

I don't have the report from the ultrasound yet but I was present and what the vet said was that they did notice his right kidney did not looked normal, but not very damaged either and not tumors or masses

So far what the vet told me to do is to increase the dose of Azodil, he had been taking 1 pill at night and starting tomorrow he is to get one in the morning and one in the night.

It worries me that the vet said that's all that we'll do for now and maybe another shoot of antibiotics but until next saturday

I don't know but for what I read from Azodil it may help him (and probably has already since his numbers improved) but It doesn't say it will help with the hemoglobine in his urine
 
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The active ingredients in Azodyl are bacteria that MAY reduce blood levels of creatitine and Bun.
http://skeptvet.com/Blog/2011/06/azodyl-for-kidney-failure-in-cats-an-update-on-the-evidence/
It will not effect blood in the urine.
Some cats like my Patches I have blood in the urine with no infection (e.g., bacteria in urine). Patches I's was due to stress. If there was bacteria before and the antibiotic shot does not result in elimination of the bacteria then I would have the urine cultured in order to find the best antibiotic
 
There's no elevation in white blood cells on his most recent lab work, and without that culture you really don't know if that was a true infection or just possible contamination of the sample or harmless colonization of the bladder. Did the vet check the sample for crystals? This is a common reason for blood in the urine especially in male cats. Some other issues can involve the kidney (tumor, cancer, stones, etc) so it's good that you are investigating that. Your kidney values are a little off - does your cat have a diagnosis of CKD or is this something new?

There are many cats that get sterile cystitis - basically signs of UTI including bleeding and ulcers on the bladder without infection. This is likely due to something irritating the bladder or some auto-immune process. I'm not sure how they treat - mostly symptomatic treating pain if there is pain. Maybe steroids. In humans it is also treated with certain anti-depressants which change the perception of pain.
 
There were no crystals, and he started having off numbers just recently ( end of March) so is something new, he does have a history of UTI with out any infection when he was young and before he was sterilized (all of this problems ended after his sterlization) but on those occasions pain was present and even crystals which is not the case right now he is acting totally normal
 
Veronica & Babu-chiri said:
There were no crystals, and he started having off numbers just recently ( end of March) so is something new, he does have a history of UTI with out any infection when he was young and before he was sterilized (all of this problems ended after his sterlization) but on those occasions pain was present and even crystals which is not the case right now he is acting totally normal
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He does have Stage 2 CKD and the things I think you should address with your vet are:

--his phosphorus is too high; I would suggest you feed a low P, low carb food and talk to your vet about starting a phosphorus binder if you can't keep it under 6 with diet. The best binder is aluminum hydroxide powder because it is tasteless. You add it to the food and it binds the P in the food.

--his potassium is too low and should be 4 or above. I'd talk to my vet about adding potassium. One of the easiest ways to do it is with potassium gluconate powder (if you can get NOW brand, that's a good one). It's important to stay on top of testing for potassium because too high is as bad as too low.

--his hematocrit is under 30 so he's tending towards anemia. The best way to slow that down is to give methylB12 and a multiB vitamin. Here is info about vitamin B from Tanya's Comprehensive Guide to Feline CKD. That website is the "bible" for CKD and you might want to start reading through it.

Please let me know if you have questions.
 
Marje and Gracie said:
Please let me know if you have questions.
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Thank you very much, I'll talk to my vet today since the level of hemoglbine in the urine test last night (human test strips) got higher.

He is already having the low carb comercial food with the lowest phopsphorus (Instinct, chicken or turkey) that I could find down here so I guess Ill have to start considering phosphuros binder.

Again thank you Ill let you know how the call with my bet went, not much hope though
 
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tiffmaxee said:
With stage 2 CKD I'd try and find a lower phosphorus food he likes. Otherwise Marje said it all. There are lots of things you can do to help him feel good. Just don't get overwhelmed. It's easy to do. I did at first. Read slowly through the info on Tanya's.
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Finding one he likes is hard enough he is a finicky eater and not driven by food at all but truth is we don't have many commercial options down here Instinct is the lowest one other than k/d which is 27% carbs so not an option.

I've considered cooking it myself but I'm still trying to get the supplements I 'll need without any luck
 
Veronica & Babu-chiri said:
Thank you very much, I'll talk to my vet today since the level of hemoglbine in the urine test last night (human test strips) got higher.

He is already having the low carb comercial food with the lowest phopsphorus (Instinct, chicken or turkey) that I could find down here so I guess Ill have to start considering phosphuros binder.

Again thank you Ill let you know how the call with my bet went, not much hope though
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You're welcome. It's a challenge even in the US to find low carb, low P foods that cats like. It's important to get P down though as it is one of the primary things that determines how well they do with CKD.
 
Marje and Gracie said:
He does have Stage 2 CKD and the things I think you should address with your vet are:

--his phosphorus is too high; I would suggest you feed a low P, low carb food and talk to your vet about starting a phosphorus binder if you can't keep it under 6 with diet. The best binder is aluminum hydroxide powder because it is tasteless. You add it to the food and it binds the P in the food.

--his potassium is too low and should be 4 or above. I'd talk to my vet about adding potassium. One of the easiest ways to do it is with potassium gluconate powder (if you can get NOW brand, that's a good one). It's important to stay on top of testing for potassium because too high is as bad as too low.

--his hematocrit is under 30 so he's tending towards anemia. The best way to slow that down is to give methylB12 and a multiB vitamin. Here is info about vitamin B from Tanya's Comprehensive Guide to Feline CKD. That website is the "bible" for CKD and you might want to start reading through it.

Please let me know if you have questions.
Click to expand...
I agree with all of this. This is also the point when I started doing sub q's a few times a week. It got my cats bun down to 30 and dropped the creatnine a bit too. Kept him at stage 2 for over a year until he died of a stroke /aneurysm.

Definitely do the b12 methylcobalamin.... He will feel so much better and it will help with appetite.
 
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