First off, could you please use some paragraphs. It's so very difficult to follow long posts without some paragraphs.
His mouth is still very infected, the antibiotic the other vet gave him was not her first choice for his condition as she says we need to get the inf under control, been a month now that he has been ill with it, but also have to do what we can for the kidneys, so he is now on another antibiotic for ten days, after examining him she does not feel he could be put under anasthesia and have the dental work done,factoring his age, kidneys, and diabetes.
Just doing antibiotics is a temporary fix, most likely. I would definitely look into having the dental done at some point when you feel he's more up to it. And I do believe that will be possible at some point, unless there's something going on that I can't tell from your posts.
when she looked at the labs from the other vet, she honestly said she has never seen a cat with that high a number and still be alive. His BUN on jan 6 was(88) and his creatin was 3.5, o january 8, his BUN was 76 and creatin 4.0.
These are the values that caused a vet to put him on IV's for 3 days?? I checked your other posts looking for dates and it looks to me like Jan 7 is when they called & said to bring him in cause of his kidney values. So it looks to me like Jan 6 is the original pre-fluid numbers they saw that made them have you come in.
Sigh. These aren't that high, relatively speaking of course. You really didn't need to take him in for IV's for this. And you've got another vet saying she's never seen a cat with numbers "this high" and still be alive??? Big red flag. I see numbers like this
all the time -- an that's just the people who come online seeking help. I've seen numbers way higher than this and have them survive, at least for a while. I'm not sure why she's missing out so much. I don't know if it's cause her clients just don't treat so they don't live for long after this, or if she doesn't know how to treat or what. That's incredible she's never seen a cat survive on these numbers.
Wow. OK, sorry, I'm still just flabbergasted.
It is a good idea to check for heart stuff prior to starting fluids, but you can do subq's at home. Over time you can probably get those values down even further. It's possible those are contributing to him feeling bad, but this didn't happen overnight. Getting those numbers down will help. Also, what was his phosphorus, potassium, HCT, calcium... and anything else out of range? High phosphorus can make them feel pretty lousy. But do pay attention to what Hope said. You can give tasteless powered phosphorus binders. And the tummy acid is common which is why we do Pepcid AC. Any combination of this stuff could be contributing to him not eating, but that also may have a great deal to do with the dental issues.
But really, this isn't a dire situation from what I can see. There's definitely stuff you can be doing.
talks about this gum tooth disease that starts with a lesion under the tooth and eats it from the bottom out, so when fuz lost that tooth, there were no roots left. claimed 80% of cats over eight years of age will get at least one lesion......
My Pounce had his first dental when he was 8, just last year, and they already took 4 teeth out. So yes it's common. Sammy had all his teeth and most roots extracted when he was about 12. (So much for dry food cleaning teeth.) The difference now is that I'm making sure the vet stays on top of the dental stuff and getting that taken care of as soon as it's necessary. It kind of got "let go" with Sammy.
As for the food issue you are fighting with yourself over -- right now he is not eating very well so I would give him whatever he will eat. Fancy Feast is higher in phosphorus which isn't great for the kidney issues, but you can get those binders. (I don't know his phosphorus values or whether that is necessary. Some people like doing the binders as a sort of preventive. I prefer staying away from more meds if the values are low. Different opinions of course.) Once he is feeling better you can worry a bit more about a more appropriate diet. I'm not into the prescription renal diets and they aren't good quality. If he'll eat Wellness, that's a commonly used food for the diabetes/CRF combination, especially the turkey & chicken. Dump the dry -- that isn't good for any cat, but especially a no-no for a kidney kitty. Giving fluids and feeding dry food is rather counter-productive. And DM isn't the greatest quality. There's no reason on earth to have to get a prescription food for diabetes. That's just a more cat-appropriate diet, and why should you need a prescription to feed a cat-appropriate diet?? There are much better foods out there at the pet shops that are cheaper. But right now, I think you just need to get food in him. Even if the food isn't the best choice... well, not eating isn't going to keep him alive. In fact, as much as I hate prescription foods, if he'll eat the DM, it's better than not eating.
Lactulose works well for constipation. Some people have noticed glucose issues with that but I never did. The fluids will help with that as well.
You do sound a bit resigned. Please don't be. I think the vets are making you feel like this is much worse than it is. The whole 3-day-stay-on-IV thing made me assume his numbers were much higher.
We will not start fluids till we know for sure about her blood pressure and I will also be doing a recheck on her blood.