6/4 Neko AMPS 206 +10 169 PMPS 245 b/w back

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Wendy&Neko

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Yesterday, another weird night. Looks like a fur shot, but no smell or wet.

6/3 Recap:
AMPS 159 +7 202 +9 144
PMPS 142 +4 114 +8 157

Short condo - off to the island to see my parents. Neko is safe. :rolleyes: She's a little quiet due to high numbers, resting on her memory foam bed. I'll get b/w results later today. :nailbiting:
 
I hope you have a good visit with your parents and you get good b/w results. At least you don't have to worry about Neko today.
 
Well done, Neko, letting your bean be away for the day. Time for some action now. Paws crossed for the BW. Hope all is well with your parents, Wendy.
Liz
 
Hi Wendy, I hope that your visit to your parents was good and that Neko held the fort nicely. When do you get the bloodwork back? Fingers and paws crossed for good results.

Ella & Rusty
 
Paws, Fingers, all body parts crossed for good BW and Lab results! :bighug::bighug: And for a smooth, ferry ride back from your folks- hope they are doing okay!

Surf safely Neko-good girl!! :cool:
 
Neko brought it down a bit today while I was gone. I just got the labs back, less than ideal :(, and just heard from the vet. She's not alarmed and is suggesting urine culture as one possibility (Neko has never tested positive for UTI) or U/S of kidneys. I've created a new labs tab on the SS. Neko tried to lighten my mood by playing with her felt ball again just now. Any feedback on the labs appreciated.

Lori, Carla, Peg, Suki, Molly, Liz, Ella, Ruth - The b/w is not as good as last time. I'm thinking overnight what to do next. We had a good visit on the island. DH replaced two door knobs that had stopped working, so now they won't be locked in places. I spent a bit of time in the garden picking strawberries. Nothing better than a ripe berry warm from the sun. Those kitties were onto something at the full moon party.
 
With the blood in Neko's urine, I would culture....it could be from the needle stick, or it could be from an infection. This happened to Trix earlier this year - she had no UTI symptoms but because of blood in her urine I did request a culture just in case, and she tested positive for enterrococus (I know I just massacred that spelling!). Better safe than sorry! I would culture before jumping to a U/S, but that's just me. I'm sure others will jump in soon, too!
 
A couple of the labs have actually improved from the previous time. I'm not sure of the implications of the potassium, bicarbonate or NA/K ratio.

Are you getting the breakdown of the thyroid done, not just the total t-4? Punkin's total t-4 remained stable but when we had the breakdown done he was seriously low from the SRT.

:bighug:
 
I'm with Amy -- culture before U/S. Fingers and paws crossed that it's nothing serious.

Mmmm, fresh picked berries, nice! Glad you had a nice visit with your folks.
 
I had to go look at Punkin's ss about the thyroid - we had the free T-4 done and that was what revealed the low thyroid.

The reason I mention this is because thyroid affects pretty much everything. I don't know if it could even be related to the other lab results or not but thought i'd mention it.
 
My vet says Sheba has early stage CRD, although the people on the Tanya's website are not so sure. They say it could be the raw diet and extra fluids she gets.
However......her BUN is in the same range as Neko's. Shebas potassium and Na/K are normal but she has a couple of other things abnormal that Neko has normal. Neko's urine Specific Gravity is low at 1014 and suggests a kidney issue as could the protein + in the urine, although that is probably from the blood in the urine. With the blood in the urine it could be infection so I think urine culture........it could be messing up the other readings. if Neko gets extra fluids that could make the sg lower
 
I'm glad the vet isn't alarmed, but I understand your concern. I agree with the others - culture first.

Sweet Neko, telling Mama not to worry - she feels just fine!
cat.gif
 
Neko does have proteinuria, and is on benazapril for that. It's common for acrocats. The urine protein has improved as a result. She has had free T4 and T3 tested before, but not lately. According to CSU, you only have to worry about hypothyroid for the first year after SRT. We are closing in on year 3. The USG is the one I'm more worried about, but the sample was taken in the evening.

Thanks all who have chimed in so far.
 
Punkin's thyroid didn't die until about 14 months after the SRT. I'd forgotten that you've mentioned that before about CSU and the 1 year thing.
 
Wendy the urine SG does change throughout the day and depends on how much fluid the cat gets. Sheba's SG ranges from 1015 to 1027 depending on how much fluid she has had and when it was taken. So I would reserve judgement on it if you can until you find out more. I know it is hard not to worry but it could just be a UTI
 
I also think Culture and Sensitivity is important, in fact, I've heard it's important to insist upon it every time because dilute urine can hide the presence of bacteria or kidney infections. I'm glad to hear that your vet isn't alarmed, but I totally know how you feel when your precious furbabie's labs aren't perfect.:bighug::bighug::bighug::bighug: Good girl Neko for cheering mamabean up!
 
I've just realised how little I know reading these last few posts, but sending healing vines for Neko and hope it turns out to be nothing to worry about, but understand your concern. :bighug:
 
Wendy: here are my thoughts.

Under the staging system, she would be in IRIS Stage 2. I'll try to break it down a bit.

Hydration: typically you would wait until her creatinine approaches 300 to give fluids. You probably already do this but I'd get as much water as possible in her food. It's best to get fluids from drinking or food for as long as possible.

Azotemia: the elevated BUN and creatinine sometimes can be addressed with Azodyl. I never had any luck with it but I've heard others say it helped with the values and still others say it didn't change the values but the kitty felt better and ate better. You could discuss it with your vet. It's basically a probiotic specifically designed for CKD cats. It can be expensive. I do think her creatinine is elevated but you aren't at the "take action now" point.

Phosphorus: it's higher than it should be for her age. It shouldn't be any higher than 1.45 but if you can get it down to 1.5, that would be good. I've found that P can vary but hers has been in the same ballpark lately so I'd try to get the P level down in her food. At 1.9, you need binders so I'd try to do it via food by feeding lower P raw foods. Because P control is really critical, if you can't find lower P raw foods, you might have to make it. I have a recipe from Dr. P for lower P raw food. Let me know if you want it.

Potassium: It is unusual for a diabetic cat to have higher K+ levels because insulin causes the cells to uptake K+. But ace inhibitors like benazepril can cause increased K+ values. I'd just ask my vet if she thinks that might be why you'd see the elevated K+ although she's been hovering on the higher end for a while.

Bicarbonate: has me stumped. over 50% of CKD cats develop metabolic acidosis because the bicarbonate levels are too low and it changes the blood pH (becomes acidic). I haven't seen a cat with high bicarbonate values and I'm not sure what that means. Your vet should.

Osmolality reflects the concentration of the blood and can be high because of an issue with ADH (anti diuretic hormone) which can be associated with diabetes. Or it can just be due to dehydration. I'd discuss further with my vet.

HCT: she's not showing any anemia at all which is great. You need to take action when it gets to 30%.

USG: pretty dilute but since it was at the end of the day, it's hard to say if it's accurate especially if she's drinking more. You'd need the first sample of the day.

I'm glad her UPC is better although I didn't see it but they may record it differently?

I hope this helps. I'd focus on helping her with hydration, decreasing P, and maybe adding Azodyl or trying it....or ask around FDMB for opinions. And I'd definitely ask about the K+ and bicarbonate.

I'd also have the c&s done but sometimes infection doesn't show up on those labs and an u/s is needed. One step at a time though.

I hope this is helpful.
 
@Marje and Gracie - thank you so much. :bighug: Your explanation is wonderful and you've walked me back from the edge. Theo is celebrating because the poultry flavours he's not fond of are the higher phosphorus ones so they'll be leaving the menu. Maybe some Nature's Variety chicken will make it into rotation. Interestingly, the wild boar Neko had last night is the lowest P of all.

To the rest of you, your support means a lot to me. :bighug: Neko is just purring as I type.
 
You're welcome. I am always happy to help as much as I can. Early action on support for the kidneys (like feeding low P foods) can often pay off in the long run by keeping kitty stable. Since you know what the "take action now numbers" are, then when she gets to that point, take the next step for support. For example, as her HCT approaches 30%, start B vitamins (we can discuss later). By doing this with Gus, his HCT never got below 28% and he never had to have the erythropoietin stimulating agents like Aranasp.

We are all here to support you and Soul Sista!:bighug::bighug::bighug:
 
Stereostatic Radiation Therapy is a type of radiation treatment used for otherwise inaccessible tumors, like the benign pituitary tumor (acromegaly), that Neko has, and which causes her diabetes.
 
Wendy, I was in my own world yesterday and just saw the labs. As for the USG, I remember you brought your own early morning sample in before and wonder if that would be a good idea to do again? Raw food with bone will be higher phosphorus as explained to me by some food manufacturers. The Mauri rep told me that was why all their foods except the kangaroo were higher phos. As others mentioned if there is an infection brewing all the numbers could get much better once treated. :bighug:
 
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