With protein in the urine, the vet should be running a urine protein/creatinine ratio (UPCR) test. And good that he's getting a blood pressure test. If you haven't seen it yet, this website is a good one:
https://felinecrf.org/
I'd also double check that he doesn't have any infections, such as a kidney infection, which can raise the kidney numbers. Do you think he was dehydrated when the test was done? That can also inflate kidney numbers. Also, was a urine test done? If so, what is the USG (urine specific gravity). It can tell you if his kidneys are able to concentrate the urine. An early morning urine is best as it'll be more concentrated.
Can you tell us what his phosphorus level was? In general, most Fancy Feast foods are too high in phosphorus. I'd choose a lower phosphorus food as soon as you can.
Here is Harlow's recent labs. He did say he was slightly dehydrated, but also said his urine was dilute so he dint think the dehydration would be raising his numbers. I've started adding more water to his food, and got three new water fountains to encourage him to drink more. His blood pressure came back normal .
They did add an additional test onto his urine when the vet called me with the initial results (I cant remember what it was called), but they haven't called me back yet with those test results .I'm starting to try and ween him off FF, but he's not happy about it. I got the weruva wx brand so far.
The lowest carb renal diet I can find is the Royal canin diet D "in gravy". I thought maybe if I rinse the gravy off that would bring down the carbs, and I can just add a little broth over the top.
Renal Tech Index
Renal Tech Prediction POSITIVE
This patient's RenalTech status indicates that it will develop chronic
kidney disease within the next 24 months with greater than 95%
accuracy.
Suggested Follow-Up:
Within the next 3 months, and every 3-6 months thereafter, perform a
complete evaluation of kidney function to evaluate the patient's
progression toward developing chronic kidney disease. It is
recommended that a minimum database including a chemistry panel, CBC,
and urinalysis are performed.
Additional diagnostic testing and imaging should also be considered to
investigate for comorbidities and underlying conditions that may
contribute to the development of chronic kidney disease, including
hyperthyroidism, diabetes mellitus, cardiomyopathy, and systemic
hypertension.
The International Renal Interest Society (IRIS) has guidelines for the
diagnosis, staging, and treatment of chronic kidney disease.
Visit the website
http://iris-kidney.com/ for more details.
For more information, please see:
https://antechdiagnostics.com/RenalT
ech
Urine Protein/Creatinine Ratio
Protein 67.5
Creatinine 182.7
Urine/Protein Creatinine Ratio 0.4 <0.5
----------------- URINE P:C RATIO INTERPRETATION ---------------------
The urine P:C ratio must be evaluated in conjunction with urine
sediment findings as gross hematuria or inflammation can cause
elevated ratios.
Urine P:C ratios >/= 0.5 in dogs & cats indicate overt
proteinuria and are evidence of persistent renal proteinuria when
found repeatedly (3 or more samples obtained 2 or more weeks apart)
and are unable to be attributed to a pre-renal or post-renal cause.
The urine microalbumin test is a more sensitive test and will be
positive before overt proteinuria is detected.
In dogs, persistent renal proteinuria with urine P:C ratios >/= 2.0 is
usually due to glomerular disease.
---------------------------------------------------------------------
Superchem w/SDMA
TOTAL PROTEIN 7.8 5.2 - 8.8 g/dL
ALBUMIN 4.0 2.5 - 3.9 g/dL
GLOBULIN 3.8 2.3 - 5.3 g/dL
A/G RATIO 1.1 0.35 - 1.5
Test Results Ref. range Unit
AST (SGOT) 18 10 - 100 IU/L
ALT (SGPT) 31 10 - 100 IU/L
Alk Phosphatase 25 6 - 102 IU/L
GGT 1 1 - 10 IU/L
Total Bilirubin 0.1 0.1 - 0.4 mg/dL
BUN 48 14 - 36 mg/dL
Creatinine 3.1 0.6 - 2.4 mg/dL
SDMA 13.8 <15 ug/dL
Result Verified
BUN/CREAT RATIO 15 4 - 33
PHOSPHORUS 4.8 2.4 - 8.2 mg/dL
Glucose 71 64 - 170 mg/dL
CALCIUM 10.1 8.2 - 10.8 mg/dL
MAGNESIUM 1.9 1.5 - 2.5 mEq/L
SODIUM 155 145 - 158 mEq/L
POTASSIUM 4.0 3.4 - 5.6 mEq/L
NA/K RATIO 39 32 - 41
CHLORIDE 114 104 - 128 mEq/L
CHOLESTEROL 347 75 - 220 mg/dL
TRIGLYCERIDE 343 25 - 160 mg/dL
AMYLASE 1693 100 - 1200 IU/L
PrecisionPSL 12 8 - 26 U/L
Acute pancreatitis is unlikely. Chronic pancreatitis is not excluded by a normal PrecisionPSL.
CPK 127 56 - 529 IU/L
Sample Conditions Lipemia 1+. No significant analyte interference.
Complete Blood Count
WBC 4.2 3.5 - 16 10^3/uL
RBC 9.3 5.92 - 9.93 10^12/L
HGB 13.7 9.3 - 15.9 g/dL
HCT 39 29 - 48 %
MCV 43 37 - 61 fL
MCH 14.8 11 - 21 pg
MCHC 35 30 - 38 g/dL
Platelet Count 242 200 - 500 10^3/uL
Platelet Estimate Adequate
Neutrophils 61 35 - 75 %
Bands 0 0 - 3 %
Lymphocytes 32 20 - 45 %
Monocytes 2 1 - 4 %
Eosinophils 5 2 - 12 %
Basophils 0 0 - 1 %
Absolute Neutrophils 2562 2500 - 8500 /uL
Absolute Lymphocytes 1344 1200 - 8000 /uL
Absolute Monocytes 84 0 - 600 /uL
Absolute Eosinophils 210 0 - 1000 /uL
Absolute Basophils 0 0 - 150 /uL
T4
Test Results Ref. range Unit
T4 1.7 0.8 - 4 ug/dL
Urinalysis-Complete
Collection Method Cystocentesis
Color YELLOW
Appearance CLEAR
Specific Gravity 1.026 1.015 - 1.06
pH 7.0 5.5 - 7
Protein 2+ Negative
Urine protein:creatinine ratio testing is recommended (if the sediment is inactive) to help determine the clinical significance
of proteinuria.
Glucose-Strip NEGATIVE Negative
Ketones NEGATIVE Negative
Bilirubin NEGATIVE Negative
Occult Blood NEGATIVE Negative
WBC NONE 0-3 /HPF
RBC NONE 0-3 /HPF
Casts NONE SEEN Hyaline 0-3 /LPF
Crystals NONE SEEN /HPF
Bacteria NONE SEEN None seen /HPF
Epithelial Cells NONE SEEN /HPF
