Re: [FH] Hobo update
- Hi Lisa,
In a message dated 1/28/07 9:04:32 PM, lisamarialocke@... writes:
> --no sign of bacterial infection in urine (they did a culture)Ok, this is good. I just want to throw out a teeny reminder that not all
infection shows up all the time...and it's possible to have a low-grade smoldering
infection that's not detected. I'm not saying Hobo has one. Only that it's
> --urine did have increased number of red cellsHow about blood? It's possible to have blood/RBC in urine from some type of
inflammation...without bacteria. And if Hobo does have sterile
inflammation/hematuria, there are some gentle remedies that can help.
> --specific gravity is a little low, microalbumin (?) is very highI'm assuming they did a special test for the microalbumin (as opposed to the
> (19.7), urea = 45, creatinine (?) is 2.7, amylase is high.
dipstick for protein)?? Are they also going to check blood pressure? The test
for microalbumin detects 1-30 mg/dL. The usual ref. range for BUN is 14-36
mg/dL and creatinine 0.6-2.4 mg/dL (altho some labs consider the upper range
It would be helpful to get results also for phosphorus, potassium, sodium,
hematocrit/PCV, and urine specific gravity.
> --thyroid ok, glucose ok, liver ok, red and white cells in blood ok,All this sounds good except the funny-looking thing.
> no fluid in lungs (per xray), something funny looking on kidney in
> But he's wondering about switching to a lowNo, this really isn't a good idea. This is outmoded thinking...that should
> protein diet (???)
never have been applied to cats to start with. Without going into a long
explanation, the goal is to keep an eye on the amt of phosphorus, while providing the
highest amt of high-quality protein possible.
> --current food is California Natural (made by the same folks who makeThis phosphorus content on this is about 1.18% (dry matter). I think 1% is a
> INNOVA) Venison & Brown Rice canned, which he loves.
reasonable amt...and this isn't too far from it.
> However, I firstI don't know either. I think it's unlikely...but I certainly couldn't swear
> noticed the urinary sxs a few months after starting him on Natural
> Balance Venison & Green pea canned. Don't know if this is a random
> coincidence, or if something in this food could affect kidney
>I'd want to know the blood/urine results mentioned above. And also ask if he
> So...what questions should I be asking the specialist on Monday?
thinks a blood pressure check is needed.
> I really don't want to switch foods again if I don't have to,Yes, Lisa!! Bingo. Actually, his whole body needs the protein, b/c Hobo's
> and to me low protein doesn't sound like a good idea b/c his muscles
> need the protein (right?).
whole body evolved to get energy and nutrients from animal protein.
Here are some articles on this subject (some of this is about dogs...but the
same principles apply to cats):
1. "Nutritional Management of Dogs and Cats with Chronic Renal Failure" by
Kalkstein, DVM, DACVIM at www.southpaws.com/news/99-2-nutrition-CF.htm
2. "Kidney Disease in Older Cats" by Hofve, DVM at
3. "Mythology of Protein Restriction for Dogs with Reduced Renal Function,"
by Kenneth Bovee, DVM, MMedSc (UPenn) at
4. "Effects of Dietary Protein Intake on Renal Functions," by Delmar Finco,
DVM, PhD (Univ of Ga) at
5. "Dietary Protein and the Kidney" by Patricia Schenck, DVM, PhD (Michigan
State Univ) at
> I'd also like to avoid subQ fluids for asI hear you about this...it isn't the most fun way to spend 4 min with your
> long as possible.
cat. But it's not dreadful, either, and hydration is so important for overall
comfort and health. And Hobo may not need fluids right now. You can also keep
him hydrated by adding some extra water to the food or encouraging him to drink
(eg if he likes a fountain)...and some caregivers also give water by oral
syringe instead of subQ. When the time comes, you can get help with the fluids,
too (if you need it). // Rosemary
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