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1358341 tn?1282209843

How to reduce elevated creatinine in very old healthy cat ?

Hello, my cat is not sick yet, it is a female of 19yo or more (found in September 1991), and she has 23,3mg/L of CREA (<24), so still not kidney, but my two other cats dyed of kidney with CREA that went up very fast.
Veterinary prescribed Fortekor 2.5 one by day for prevention.
Her Urea is normal, although she had drink and eat before blood test, it is 0,524g/L. But she drinks a lot: each time she awakes up she wants food and water.
In veterinary there is Epakitin, there is still a lot left from the 2other cats, Veterinary says I can give her. But here they don't sell Azodyl. I don't know if it is good and if we can give without prescription. And if there is something else known there that has got no secondary effects.
And for food I have Royal Canin RENAL wet and dry, although she licks the wet but don't eat it and eats the dry. But I just read it's better to try wet furthermore she is overweight 4.05kg, has osteoporosis and takes Cosequin. Cosequin allows her to be more active and flexible when she takes it and Veterinary says Cosequin is no danger for kidney.
Thank you for all your advices.
99 Responses
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1356964 tn?1302087435
Hello,
I lost a cat also to CRF over a year ago after a four year battle.
I have a cat now that has has elevated kidney values , creatine 2.8 and BUN of 56.
Where to start, since you are familair with this disease and have some knowledge, I guess you know that dry food is the worst thing we are suppose to give to any cat who has kidney issues.My cat was a dry food junkie and it took awhile to convert her over to strictly canned food. She does not, and will not eat any kind of prescription kidney diet food..
For this reason the vet has prescribed Aluminum Hydroxide, it is your basic antiacid but since it only came in liquid form and it would be too stressful to give twice a day to my cat I called a specialty pharmacy and they compounded it into powder in a capsule and I open the capsule up and give it to her twice a day, every 12 hours. This is so she can eat canned foods that may not be "acceptable" in the levels of Phosphorus, etc..I guess it blocks some of the phosphorus and such so the kidneys do not have to work as hard .
This capsules, for 3 months worth ran me about $54, not bad if you break it down for each month.
Vets still live by the old standard of a prescription kidney diet which is low in protein and in phosphorus but more recent research indicates that too low of protein actually causes muscle wasting and supposedly shortens the life span of a CRF cat.(this is what I read so you be the judge).
I believe that a good quality canned cat food such as Wellness no grain in Turkey, Merrick canned cat foods are acceptable for cats with kidney impairments.
Azydol (sp?), possibly a good substitute would be Forta Flora from the vet or another is Benebac, it is fairly cheap and can be bought at a Petco or ordered from Amazon.com..
Fish oil is a good supplement, it is good at reducing inflammation, so that would be great for your cat since it has arthritis and good for the kidneys at reducing the inflammation ..An excellent brand is Oceanlandic (sp?) UNSCENTED salmon oil, it comes in a pump can and will need to be refrigerated to insure shelf life and since it is an oil, to keep it from ever going rancid..
Drinking is good for your cat, as long as your cat is taking in enough water it helps to flush out toxins..I sit a bowl in the dining room, one in the kitchen and one in the bedroom, since cats are random drinkers .
My cat's kidney values haven't changed for the worse much in the past 6 months and it was over a year ago that her levels became slightly abnormal.
My cat has been having constipation issues, this can also go along with renal problems and I have had her to the vet this morning for some retesting of blood work that showed high WBC and Esophils (sp?, can never spell this), she has been on antibiotics now for 21 days and we will hopefully know what is going on perhaps by tomorrow.

Good luck and hopefully some of this info will be of help to you..
Helpful - 0
874521 tn?1424116797
donna has given you excellent first hand experience withCRF!!

she is right about not wanting to reduce the protein very much, this is the basis of a feline diet and too low will cause additional problems.

some other words I can add is the Japanese have successfully added ESP(egg shell powder) to the diet to balance the phosphorus levels in meat...you can make your own, bake an eggshell than crush, only add a pinch.

can also substitute cooked egg whites for a 'portion' of the meat, do this slowly or the kitties will protest.

Glucosamine/chondrodin capsules also reduce inflamation in the bladder/urethra. as well as slippery elm bark.
I can send you the correct usage if you are interested in trying this just let me know.

another trick to try since your kitty likes her dry food so much is to crush a tiny amount of her dry over top of the canned so she will still get the scent, its a good way to do the transition....transitions need to be done very slowly...believe me I had two of the absolute most stubborn kitties in the world to work with.
She absolutely without a doubt needs to GET OFF dry food.
Helpful - 0
1358341 tn?1282209843
Thank you for your advices. I hope your cat gets better.

My pet isn't having diarrhea but she has a little constipation, not sure Bene-Bac and FortiFlora would be recommended unless it has a wider action?

I read about Bena Fish Oil but my cat is taking Cosequin for inflammation. Don't know. Didn't find oceanlandic for cats on the net.

I just discovered about potassium for cats on the net. It is good for renal failure and hair quality. But me who is constipated I had taken some already, although it isn't written it helps constipation.
http://www.all-about-cats.com/renal_failure.htm
http://ezinearticles.com/?Potassium-For-Older-Cats&id=2276088
Found Kaminox Potassium Supplement: http://www.vetuk.co.uk/digestive-supplements-dietary-organ-supplements-c-5_143/kaminox-potassium-supplement-120ml-bottle-p-327

Problem is: don't know is she has low levels of potassium. And don't know her levels in anything because blood analysis isn't complete.

If there were some vitamin alimentary complement with potassium that I could be sure 100% good ?

Glucosamine/chondrodin is good for arthritis: http://www.peteducation.com/article.cfm?c=1+2175&aid=669 What is the name of your product ?

There she woke up and went drinking. I'm very glad to have all of those advices. But I'm still lost because here in France there is not a lot of products like that for sell. I'll have to know what to order ?

So excuse if I hesitate.

And I'm trying dry over wet. Thanks.
Helpful - 0
1356964 tn?1302087435
I am sorry, the correct name for the fish oil is ICELANDIC, comes in Salmon UNSCENTED, which is great because fish oil can be of a strong odor..

The Flortiflora is good for diarrhea AND constipation as it puts the good flora back into the colon and helps with the digestive tract.It also has antioxidants and vitamins..Ask your vet ot look it up on the web.

You said blood analysis wasn't complete, so I am assuming one was done and is not back yet ?? If potassium is low, I am sure vet will suggest a supplement.

As far as what to order or get, try to wean your cat off of dry (dry is the worst thing for a cat especially with kidney problems), it might take a while, you can slowly mix in a little can in your cat's dry food ... Opus might have a good suggestion for this as I had no problem with this for my cat.
The prescription kidney diet at the vets is generally too LOW in protein and I feel does not help your cat..I give mine Merricks canned catfood, Newmans own Organic, Wellness grain free is another good one.Good quality canned cat food is what you are looking for, free of by products, additives, etc...
If Phosphorus is too high /and / or sodium there are binders which I think you may be using already or have on hand..

I give my cat a probiotic, Miralax 1/4 teaspoon twice a day for constipation, this can be bought over the counter here..The vet said it was fine to give and that there were no side effects except her stool could become too loose and if that happened to cut back a little on the miralax. I also give her as of recently b12 in METHYLCOBALAMIN for, sublingual, I crush it up in her food once a day, 1/4 of the 1mg.. This helps with constipation also and some cats with renal problems .
She also gets ALUMINUM HYDROXIDE, I had it compounded into a capsule and I mix it in her food twice a day, 2 hours prior to others meds or two hours after, this was prescribed by the vet to filter out excess phosphorus that is bad for kidney cats..Aluminum hydroxide is actually an anti acid that you can buy over the counter here, it usually also contains Magnesium Chloride, I believe..

I can not tell you what to give but only what I am now giving my cat who has elevated bun and creatine levels and suffers from constipation...For just kidneys, the probiotic would be beneficial, also the fish oil as it also helps to reduce inflammation, helps with constipation, good for skin, coat.. You can ask your vet about the aluminum hydroxide ..

Hope this helps a little..
Helpful - 0
874521 tn?1424116797
You can do alot of reading on TRANSITIONING TO CANNED FOOD on this website, Dr. Pierson has tons of good advice and is by this I was finally successful.
www.catinfo.org
click on 'transitioning feline dry food addicts to canned food'
good luck.
Helpful - 0
1358341 tn?1282209843
Yes, I will ask the vet about aluminium hydroxyde, but not sure he knows because we never tried it.

I just bought Katalax for constipation because here I only have something with paraffin. And it has cod liver oil too.

Do you think Renalzin, that I only can order online too, could replace Aluminium Hydroxyde or is it too strong?

I stopped after 4days Fortekor, because she had no more energy. People think it was because of constipation, but today where she also was constipated, she had a lot of energy for her age, that means she did a little thing like playing a few seconds and no lying in the litter. And Fortekor has an hypotension effect.

I'm giving her Epakitin (Ipakitin), but I'm not sure if it is usefull. She doesn't like it.

In France they do not use to make complete blood test, next month I'm going to ask it very specifically. I have 3 blood tests from this year and indeed CREA is getting high.

I really want to have your opinion about Renalzin since Azodyl seems not to be known.
Helpful - 0
1358341 tn?1282209843
I'm thinking about Renal KS 120 Capsules, but I did not found no comment. So what do you think about it ? Did anyone use it ? Is there side effects on your cat ?

RENAL KS® is specifically formulated for renal disease and contains the highest quality of Co-Enzyme Q10, which acts as an important antioxidant and removes harmful substances from the body. Vitamin B12 (pyridoxine) plus choline and Inositol (IP6) to reduce fluid retention. Vitamin C with bioflavonoids, which acidifies the urine, boosts immune function and aids in healing.

Each capsule contains 10MG of Co-Enzyme, 225MG Calcium, Magnesium Succinate 240MG, Zinc 25MG, Choline 21MG, Ascorbic Acid 20MG, Insoitol 20MG, L-Methionine 10MG, Magnesium Stearate 10MG, Silica 10MG, Acidophilus 4MG, Citrus Bioflavanoids 3.2MG, Vitamin B12 2.5MG, Copper 2.3MG, Cellulose 35MG

Or is there any food I could cook to have one of these antioxidants? I'm keeping Royal Canin Renal Special because the pack is full.
Helpful - 0
1356964 tn?1302087435
Hello,
Renal KS sounds like it would be ok. Since I posted about the Aluminum Hydroxide , I am holding it for my cat because of her constipation issue and read that it can indeed cause constipation..however the Renal KS lists constipation and /or diarrhea also as a potential side effect.
Here are some wonderful websites to research and I would like you to check out articles on RENAFOOD by Standard Process, I have purchased some and will be giving this to my cat and also VITAMINERAL GREEN, which I am waiting on to be delivered.

Tanya's UK feline chronic renal failure/holistic methods is a great website, Pethealth.abeautifulurn.com/herbal-cures-crf and www.littlebigcat.com/index.php?action=library&act..These have information on CRF, also have information on the supplements that I listed above.

At this present moment my cat has started back drinking excessively, this started again two days ago, 6 days after a 20 day course of Amoxicillin..She was retested after the last round of 10 more days and everything was back to normal (White blood cell , etc..) of course not her bun or creatine levels..
So, I too am having a difficult time as to what to do, I guess call vet and ask if Sub Q fluids would help, if this may stop her excessive drinking, or is she still fighting something that the antibiotic did not fully eradicate..Can't figure that one out because the bloodwork indicated that the infection (or what ever it was ) was gone..
However, The vitamineral Green is the one I myself am most interested in, it is plant based, non toxic, organic, helps with kidney function, constipation, loaded with natural B vitamins, which is good because my cat's red blood cell count was a tad low .

As far as the Renal KS , no, I have not used it before and really have no feedback on this particular product.

My plan is to get my cat on vitamineral green, 1/8 tsp twice a day, the renafood, plus get her some Icelandic Unscented Salmon oil and hold the aluminum hydroxide for the moment since her phosphorus levels are not high and still well within the normal range.
I also give her Miralax (polyethylene glycol 3350) for constipation, it can be purchased over the counter at a local drugstore or even Walmart, I give her 1/4 tsp twice a day, it is safe for CRF cats but you need to make sure your cat is drinking adequately because it does draw water into the bowels, that is the purpose of this laxative so they can have a painless bowel movement..It has been a life saver for my cat but since she started that antibiotic she became constipated..I know most people will say that the antibiotic shouldn't do this but my vet said it could go either way, constipation or diarrhea..

Good luck
Helpful - 0
1358341 tn?1282209843
Hello,

I didn't bought renal ks because I find that it's too strong for a cat but I liked the idea of vitamin C inside. So I looked for a renal cat food with vitamin C. Renal k/d has vitamin C, but I bought some german renal cat food, Happy Cat... I thought it had vitamin C but there isn't:

vitamine A (25 000 UI/kg), vitamine D3 (1 900 UI/kg), vitamine E (150 mg/kg), vitamine B1 (6 mg/kg), vitamine B2 (6 mg/kg), acide pantothénique (12 mg/kg), niacine (50 mg/kg), vitamine B6 (4 mg/kg), vitamine B12 (100 µg/kg), biotine (1 100 µg/kg), fer (120 mg/kg), cuivre (12 mg/kg), manganèse (30 mg/kg), zinc (150 mg/kg), iode (2 mg/kg), sélénium (0,15 mg/kg), taurine (1 400 mg/kg).  And only 0,35mg of phosphorus.

I also bought her a lot of Sheba chicken with slices, it is the only wet food she likes. But I'm not allowing her to have fish.

I'm not with her now, because I traveled, but my mother has the food.

I'm thinking seriously about probiotics. Looked at Fortiflora but I'm afraid because she has little constipation. She's like me. The problem is not that it is too dry, it is just dry at beginning, the problem is that it is large so it doesn't get out easy anymore, since several months. I already bought Katalax wich has cod liver oil.

What do you advise ?

Names I found on the net:
* Canivida cat and dog
- DHEA : 10 mg (is it harmfull for cats?)
- Silicium organique : 5 mg
- Flore probiotique : 10 mg
- Omega 3 : 10 mg
* Pribiavi cats:
- mixture of 9 strains of probiotics (not very clear)
* Intesyl
- Lactobacillus acidophilus souche LB

This Vitamineral™ Green seems it is for humans ?
Helpful - 0
874521 tn?1424116797
Hi Francoise, I'm not sure if DonnaYav is still monitoring this forum,  I hope she see's your questions and gets back to you, she has alot of knowledge on CRF...You could possibly try sending her a 'private message'..go to her profile page and in the upper right hand you'll see where to click on messages.

I'm sorry I know very little to even begin to answer your questions, I can recommend some reading for you tho, if that helps any?

http://veterinarymedicine.dvm360.com/vetmed/article/articleDetail.jsp?id=478487&sk=&date=&pageID=4

you can also go to the site.
www.felinecrf.com

One of your questions about Glucosamine/Chonrodin supplements and the safest brands for cats I can give you the answer to that. these are the products that are recommended.
-NOW Foods-Glucosamine Sulfate OR
-NATURAL FACTORS-MSM joint formula capsules with Glucosamine Sulfate, Chondroitin Sulfate, and MSM

acute stage 500mg day than reduce down to 125mg for long term use.

Sorry I can't offer you any advice on Renal KS, Vitamineral or Renalzin I'm not familiar with these at all.
Please keep us posted on how your kitty is doing, we are all worried parents here.
Helpful - 0
1358341 tn?1282209843
Hello, I now have her detailed new blood analysis.

She has Kidney problem not because of Phosphorus but because she is old. So I think I'd better give her the best food I can find.

Here I have Happy Cat renal (german food from Zooplus), but I am thinking about buying when the month changes Renal K/D wich is the best because it has vitamin C but not what they like the most.

And the doctor said: avoid the proteins from the wet, so no more Sheba chicken.

So I give you her new values:

Urea 0,774 g/L (high, max is 0,756)
Crea 26,8 mg/L (high, max is 24)
Phos 44,47 mg/L (ok, max is 75)
Ca 102 mg/L (ok, max is 113)
TP 76 mg/L (ok, max is 89)
ALT 51 U/L (ok, max is 130)
ALKP 37 U/L (ok, max is 111)
GLU 1,18 g/L (ok, max is 1,59)
Na 166 mmol/L (high, max is 165)
Cl 126 mmol/L (ok, max is 129)
K 4,9 mmol/L (ok, max is 5,8)

I also had command probiavi feline but the doctor said there might be protein in probiotics, tooth brush and tooth paste but my family is afraid it could be toxic since cats don't know how to spit, and renalzin, doctor said I could give it to her with fortekor 1 morning and 1 night, but since she is not having phosphorus problems, I think it's better to focus on food quality, because it could have side effects if she takes it when no phosphorus problem.

So what would you do ?
Helpful - 0
1358341 tn?1282209843
I'm just asking a paying question, if you want to see it and comment as users, feel free. Thanks.

http://www.justanswer.com/questions/3tjuc-hello-my-cat-is-very-old-19yo-she-is-starting-kidney-disease?jats=91026-46741454-ER-8rs78dk1-12AC4C53&utm_source=sys&utm_medium=email&utm_content=Button&utm_campaign=AnswerNotify&r=ems|2010-07-31|suba|crev1.1|AnswerNotify

Helpful - 0
874521 tn?1424116797
Oh Francoise, I know so little about blood values and levels, or diets for CRF.
did you read the websites I recommended?
Or the ones DonnaYav recommended?
Oh I do think you mean 'normal range of phosphorus of less than 7.5 and not 75?) at least here thats the values I read.

I would follow the Vets recommendations and feed the RenalKS, I know nothing about this food...
Even when kitties phosphorus is still good I read the following:
"if phosphorus can be MAINTAINED in the normal range (less than 7.5) a special medication called CALCITRIOL can be used to help prevent or SLOW the progression of kidney failure"
this was taken from
www.marvistavet.com ...than follow the links for 'chronic renal failure'
sorry I didn't copy the exact site for you, I just have a printout.

the note on this medication says: this med actually represents activated Vit D.
Vit D is not a vitamin in the way other vitamins are or in the way way we think of vitamins, Vit. D is actually a hormone. it plays a very important role in calcium phosphorus balance and is beneficial in PREVENTINE
progression of kidney failure....WHEN ADMINISTERED WHILE PHOSPHORUS LEVELS ARE STILL NORMAL!!!
the doses that are used are exceedingly small and must be compounded by a s special pharmacy .
you can follow the links on that page for instructions on how to obtain and use it.

based on this reading I would sure ask my Vet about this medication.

check out the site I gave you and see if some of your questions can be answered there. unfortunately DonnaYav is no longer posting....she was very knowledgeable on CRF.

I'm sorry I can't be of more help. keep posting to let us know how everything is going.
Helpful - 0
1358341 tn?1282209843
Hello, yes I had have read everything. I think the sun can also bring vitamin D. Just caress your cat in front of the sun so their hair helps producing vitamin D.

She is taking what the vet call "international treatment":
- 1/2 Fortekor for reducing protein loss (US)
http://www.ah.novartis.com/products/en/fortekor_cat.shtml
- 1 morning / 1 night Renalzin for reducing the phosphate (UK)
http://www.renalzin.co.uk/
- One 8g spoon of Probiavi for natural defenses (Canada)
http://www.probiavi.com/
+
- Renal dry (US and Germany)
http://www.happycat.de/
http://www.hillspet.com/hillspet/utilities/selectLanguage.hjsp
- And I've decided to give her once a week 1 wet Sheba Chicken (UK) since she only likes real slices in the wet and her phosphorus is still ok.
http://www.sheba.com/landing/index.htm
- Low mineralised water for low sodium and low calcium diets (France)
http://www.mont-roucous.com/presentation.htm

I suggested myself to the vet Renalzin and the cat probiotics, but we don't know if it will work.

And I'm not giving her the distilled water, because here tap water is low mineralised, so low mineral water is better, besides it is recommended here in France for humans with chronic kidney disease also.

If the cat probiotics is serious (if no lies) and if the bacterias survived the 1 week shipping + showing the closed bottle to the vet + open and closing the refrigerator, it has inside (when it was sent) more bacillus types and quantity then my probiotics and it is less expensive then mine.

Here is description - which is not available on website maybe because they don't understand it is more important for consumers and vets to have the ingredient list then to be afraid of copyright problems. Plus I wouldn't advise this one if the cat is diabetics because the dextrose gives a sugar taste.

"
Lactobacilles, Bifiodbacteria, Streptococcus, Pediococcus, Enterococcus, FOS and Dextrose, non OGM, Food Frade.
12x10^9 CFGU/GR.
"

To use it I mix it with Renalzin in morning, because:
1) She doesn't eat dry with medicine she can see or smell.
2) If I mix it with water she won't eat it with water.
3) She doesn't like the Renalzin taste, and the dextrose in it makes her likes the Renalzin, she licks herself instead before I clean her.
4) There is no chlore in the Renalzin but there is in cat renal food and there is in tap water of course. Their chlore-potassium is interesting but chlore (Cl-) kills all bacterias good and bad. That's why renal food weaken cats digestive system (I suppose).
5) I'm just afraid the bacterias eat the Renalzin ?

Anyway now that I've discovered that chlore in cat renal food kills intestinal and stomachal flora, me also recommend you any probiotics available for cats in your country.

And second reason: Renalzin takes phosphate from Urinary System to put it in Digestive System, so and if you look for human name of Renalzin (the lantharenol ingredient), you see it's not safe for Digestive System, that's why they spit at beginning, it changes something. So I think it's better that they have probiotics natural defenses supplement.

And make sure to clean your cat after any medication because cat likes to look pretty, they feel better all clean.
Helpful - 0
874521 tn?1424116797
sounds like you are reading and using a good regime that I hope will be very useful.

There are articles I have read in the past(sorry can't find again) that cats DON'T absorb Vit D from the sun as we do...so its necessary to supplement. however in very minute doses. YOu would need to read on that one also.

LACTOFERRIN is very good to boost the immune system.
brands to use are
Jarrow
Life extension lactoferrin(apoloctoferrin) capsules
or Symbiotics 100% lactoferrin
20mg per kg of body weight.
tasteless and can be added to food.

Probiotics are also a good choice. hope all these arrive safely.

good luck keep us updated.
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1358341 tn?1282209843
I was wondering about what cat bowl material is less toxic for cats with renal disease ? Any suggestions.

Most bowls, are toxic. I was giving her food in baby bowl for the past 1-2 years because bowls for babies should be safe. But since 2 of my cat died, and the bowl material could be part of responsability with aging of course. And before we were more than 15years giving them food on aluminium, but some years they had cat plastic bowls. On aluminium they were younger and didn't have much disease.

Studies on net shows iron is bad:
http://tpx.sagepub.com/content/33/3/398.long
Plastic is bad:
http://www.cas.org/newsevents/melamine.html
Aluminium is bad:
http://emedicine.medscape.com/article/165315-overview
I thought ceramic could give cancer because the cat of the brother of my ex only eated in ceramic and died of mouth cancer ? And indeed:
http://www.ceramicstoday.com/articles/toxic_materials.htm

So what do you suggest ? What kind of plate material is less toxic ?

And what about paper, cardboard, wood toxicity... ? Any other ideas ?
Helpful - 0
1358341 tn?1282209843
I asked french people about plate toxicity, they believe in law, not in science neither in observation. That's why science is so bad in France. In human sciences there is only dogmes of the 70s, and in science they don't dream about discovering new things, they are stuck in habits of the past... no use to speak with my people.

I have another question: I want to measure the PH of my cat's urine ! Could you advise me a good PH test I can buy online ?

http://cats.about.com/od/lowerurinarytractdisease/qt/catsurinpH.htm
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874521 tn?1424116797
goodmorning. The best dishes I can recommend IMO are metal, clean and disinfect easily and don't absorb bacteria like plastic. ceramic I guess its the finish glaze that can be toxic.

Ph test STRIPS are avail through your Vet or even a pharmacy or online.
The one recommended that I've read about is,
"Ten-parameter reagent strip."

Collection of the urine is not an easy thing to do, I would sure like to find a way that works with my Nemo.
good luck.
♥Opus
Helpful - 0
1358341 tn?1282209843
Giving you new about her: today she was very good. Even if she changed her hours of food. Since she is sick she doesn't eat at all during day, but she eats a lot during night. Today she is eating during day, weird.

And she had a 4 days constipation. Opinion about 3 medicines:

* Katalax: no use, but microlax one day then next day neither, she stopped being consipation when I have done 1 day with no medicine, 1 day with no Fortekor and no Renalzin and no Probiotics. Then she went. And that day I've tried 1 renal k/d wet canned, it has psyllium husk inside (like purina problems) so I was afraid, but she liked this prescription Hill's k/d wet, and the psyllium husk inside did the trick. Very big.

*Psyllium husk inside food. I think it could be dangerous for cats with diarrhea but it was very usefull for cats with chronic constipation. The problem of Purina and Hill's psyllium husk is not: safe or not safe. But rather: constipated or not constipated. Psyllium husk does what cat laxative or microlax doesn't do. So I'm satisfied with psyllium husk and I order canned k/d, could order 24 for 1,25euros with good date garentee at petmed.uk (.fr no -10%).

Personnally, I used a different website for each of my past buyings. But I buy my Fortekor and (some other stuff) at my Vet because in France it is only under prescription. And besides each time I go buying someting at my vet, I discuss a different topic with the vet that is there, so that's where I have my "-10%", free advices are good.

Now I bought Laxatone, hope if problem persists, it'll be better than Katalax.

* Finally, Probiotics. Probiavi is for smell. I'll say it didn't work for smell. My cat's constipation smells less good than before. And it doesn't work for constipation. But, and here is the good point, it works for not vomiting. When she takes her probiotics, all day she is OK, no more vomits like before. Second her mental and physical health is better and her hair is a little better than before even if she doesn't lick herself anymore because of arthrits, I find my cat more beautifull, more shiny, and more intelligent, strong and aware with probiotics. So I recomend Probiavi for vomits and for skin and strength, not for pooh (?) smell.

This is my opinion after 2 weeks of medicine.



Helpful - 0
1358341 tn?1282209843
Before choosing wich renal cat food to buy, I looked for all weird named ingredients inside. I want to speak about 2 websites that disappeared from Google. I'll call them: The Psyllium Husk Absurde War.

So Purina has psyllium husk inside. I fell on a forum that told a tale about what psyllium husk can cause to a cat ? So that's why it shouldn't be inside pet food. The tale was about digestive system, can't tell more because I don't speak well english, and didn't translate tale. This forum discussion appeared on top of google. Now it might have been deleted.

First there were only websites that spoke bad of psyllium husk that appeared on top of Google, then a fake user's blog about psyllium husk in Purina's food appeared. It's title was something like: Why psyllium husk is safe ? And the address finished in purina.aspx. It was a fake blog because it didn't spoke of his/her cat, neither said that psyllium husk is a laxative. It was the live answer to the forum tale! Both of them were on top of google.

It was written that it could only arrive to a cat what people believed on the net (this explanation that concerned digestive system and that used the same not understandable words then in the forum) ...if the cat only eated a hole plate full of psyllium husk alone, but Purina's food has other ingredients then psyllium husk inside, so the risk of having such dramatic problem is very tiny.

This blog disappeared then. But its existence was an absurdity, because of what I told you. The only information we could get about psyllium husk was a non informative war. Pro and against, but none part defined what is psyllium husk, neither what it is used for? My conclusion on this subject was: the problem with psyllium husk is not if it is safe or not for a cat to eat it, but rather, and this is internationnally understoodable, if it is a laxative or not? If you don't tell cat's owner a medicine is a laxative than it's a poison!

My conlusion on one try of this food with laxative inside is that it works. And I hope it is safe because my cat has a serious constipation.

My conclusion on Purina is that instead of paying fake blogs they should update their label if they want to sell SAFE food.

My conclusion on Hill's psyllium husk, is that instead of following Purina's personnal reaction to cat owners by saying more sillyness then them, is that they should update their label if they want to sell SAFE food.

I've only contacted Hill's (but not shure they will answer since I don't live in USA and in France they only take telefone calls) to tell them:

A drug is a poison if missused and a medicine if used in an appropriate way. So update your label!

Finding Purina's renal food with Psyllium Husk inside is very difficult, because they might have lost a lot of money with this nonsense war. But Hill's must do something. Their food is better quality then Purina's (Hill's is worldwide recommended), so they can sell canned food with Psyllium Husk:

http://www.hillspet.com/products/pd-feline-kd-feline-renal-health-with-chicken-canned.html
Ingredients
Water, Pork Liver, Chicken, Pork By-Products, Brewers Rice, Oat Fiber, Corn Starch, Glucose, Chicken Fat (preserved with mixed tocopherols and citric acid), Potassium Citrate, Psyllium Seed Husk, Guar Gum, Calcium Carbonate, Fish Oil, Calcium Sulfate, DL-Methionine, Choline Chloride, Taurine, Iodized Salt, Vitamin E Supplement, L-Cysteine, Glycine, Thiamine Mononitrate, Ascorbic Acid (source of vitamin C), Zinc Oxide, Ferrous Sulfate, Niacin, Beta Carotene, Manganous Oxide, Copper Sulfate, Pyridoxine Hydrochloride, Calcium Pantothenate, Vitamin B12 Supplement, Riboflavin, Biotin, Vitamin D3 Supplement, Calcium Iodate, Folic Acid, Sodium Selenite.

I left a review about Psyllium Husk must be well labeled on 2 websites, the one I've ordered canned Hill's and another that I look a lot but still have not bought:
http://www.petmeds.co.uk/p-230-hills-feline-kd.aspx

http://www.vetuk.co.uk/ (they still did not put it on).

But anyway, if ou agree with my user's opinion, I highly recommend you to review all Prescription Hill's canned cat food that contains Psyllium Husk additive by adding something like that:
** * **
I recommend this wet food for cats with kidney disease (low sodium and low phosphorus) with chronic constipation (psyllium husk).

Medical label of all cat food that contains " psyllium husk " must be updated. Please change label to mantain quality.

Warning: Not recommended for Kittens, Pregnant or lactating queens or Cats with sodium depletion, and cats with diarrhea.
** * **
And if you know Purina – wich I don't – just adapt the review with what you know about it.

I think it's a better way to finish a war in a intelligent way than deleting or adding websites that don't inform consummers.

Mine is again on third day of constipation, but I hope paraffin (Laxatone) will do well.She might have a microlax at the end of the day. And I hope when Hill's canned food arrive, she'll be better.

=======================================

@Opus88: About PH test strips, I'll look for them in pharmacy, but Vet said it is not very usefull, the only thing you can do with them is saying: the cat can have cristals if PH is too basic. But what they prefer to measure is urinary density, but bringing urine from the litter is not good, because litter has impurities that makes urine denser, so either to measure it she must directly **** in a recipient, either they can extract urine with a needled syringe, wich I don't want.

I'm feeding her on aluminium paper again. But still don't know for what to change. I'll try to wash better her dishes.
Helpful - 0
874521 tn?1424116797
you have so many questions it would take me an eternity to go over dear.
I will just comment on a few items you spoke of and give you more reading ok.

first of all psyillium husks are not a medicine! they are a soluble FIBER and more needed in the case of diarrhea.
for constipation I wouldn't use, it could cause more of a inpassable stool UNLESS kitty is drinking huge amounts of water!!
A safe additive to kitties food would be canned/or fresh pumpkin.
I would stress that after 3 days kitty needs a Vets help and perhaps an enema, you shouldn't let this go any longer.

PH stips DO need a fresh collection of urine yes!!...........they will measure if urine is acidic or alkalline. the Vets tests are much more accurate...with kidney's you want to be sure the tests are accurate, follow your Vets advice.

I will give you a reliable website concerning commercial pet foods....do NOT believe everything you read on web blogs esp claims by the manufacturer of any product.
there are good and not so good foods out there, I will give you this reading to make up your own mind, but I STRESS with kidney disease a special diet is necessary.!!
www.catinfo.org/commercialcannedfoods.htm
this woman is a well respected Vet! and gives very knowledgeable advice.

I also stress when reading pet food labels............see the second or third ingredient... MEAT BY PRODUCTS.
do you know what they mean by ...by-products?
this can be anything from beaks, feet, hides............and UNUSABLE part of an animal that should be thrown out, can and will be put into pet food, remember pet foods are not regulated like human food...so by products can be anything......they will use any part of the animal and get away with labeling as meat by products...
also watch GRAINS....again any thing can be added here whether its beneficial to a pet or not. they are ALL fillers meant more for a cheap way for these manufacturers to fill a can CHEAPLY...its always about financial gain and NOT the health of a pet.
Keep in mind the grains and vegtables contribute to the carbs and protein content of food BUT understand that the protein from thses ingredients are plant based NOT animal based. Cats are strict carnivores and need to get their protein from other animals NOT plants...................

didn't mean to get carried away here. read the site it will answer all of your pet food questions.  It also give resources on how to contact manufactures for more info.
Take all this into consideration, but again I stress after reading this consult with your Vet. Go with the good quality pet food that is best for renal problems.
good luck, hope kitty is doing well.

♥Opus
Helpful - 0
1358341 tn?1282209843
I'm not completely conviced that cats are strict carnivores because mine like her catnip grass. If you ever now about a canip grass with other herbs than grass (some sites say it's hordeum ?), I would take some for her.

I'm indeed very lost in wet cat renal food, because until now the only wet food she had accepted is sheba chicken and tuna (but I'm not giving her tuna, and I've asked sheba about % of phosphorus and sodium and protein in their sheba chicken, but I'm not sure they will answer). There are 2 kidney wet food she doesn't like, one is Royal Canin, but I disagree with her because it looks good for health, and the other one I don't know the name. It was a surprise she liked renal k/d with psyllium husk inside. Didn't know it could be dangerous for constipation ? Indeed a lot of websites say it's for constipation, some say it's for diarrhea, some say it's for both.

She doesn't like chunks (pouches) and she doesn't like gelatinous pastes, she only likes with real slices or with something she can lick (like paraffin). I think she doesn't like mastication if it's soft. If you know of a wet renal food with real slices or very very pasty, just tell me.

I still a bit afraid of canned k/d. If she likes it, I can't deduce if psyllium husk has something to do with its taste or not ?

I found a very comparative website, but it doesn't speak about Sheba, neither the Integra Protect (german) renal wet food I could buy from Zooplus:
http://webpages.charter.net/katkarma/canfood.htm

The poor website owner lost her cats.

I don't know if my cat is pretending to be better for me to feel better? She is a little overweight and perhaps she has lost a little bit weight and that made her feel better? She let's me more control her and she still " speaks " a little about everything she is doing.

I still maintain that Probiotics is related with her not vomit, because when I give them later on day, before she starts not having a very good stomach, then she's fine.

http://www.vetuk.co.uk/ is the only website that answered me, normal, English people likes a lot cats, and in a serious way, for the first time. They told me now they can sell to France, and they'll mail my e-mail to Hill's again, asking them to put " laxative " on their canned food. And if Psyllium Husk is not a laxative, since it has an effect they didn't understood neither, they're professionals, I believe, if Hill's listen to us, they'll put the right labelling, may it be " soluble fibers " like you've said. If it is dangerous for constipation as you've said (I thought it caused diarrhea), they'll put: " not to use on constipation ", I hope.

I've already ordered them, my cat is 19years old, she liked them, and now I'm afraid. Moreover I don't know what is better than Hill's ?

What canned food do you give to your cat with Kidney ?

About NO GRAIN, now Happy Cat (german) dry has no grain, but they don't sell: no grain + kidney, I heard that Wellness also have no grain, but I don't think they have kidney + no grain neither.

And I've added a new photo to my profil, my beautifull cat !!! You also all have beautifull cats !!!
Helpful - 0
1358341 tn?1282209843
About PH strips, neither the vet neither the pharmacy don't sell them. Pharmacy told me they can't order because they can't find it's product code inside the PC. Any websites suggestion ?
Helpful - 0
1358341 tn?1282209843
Hey, I've found on the net, even on Amazon.com:
Rapid Response 10 Parameter (10SG) Urinalysis Reagent Test Strips, 100 Strips/Bottle

But I must be sure PH has cat PH range ]6-6.5[

Urinalysis Reagent Strips provide tests for glucose, bilirubin, ketone, specific gravity, blood, pH, protein, urobilinogen nitrite, and leukocytes.

If it has and if I show it to the vet, I think all vets will be admired, because this is better then showing cat probiotics to a vet!

ooooooooh it tells also protein level !

http://www.medexsupply.com/product_info.php?products_id=19450#products_notes
http://www.amazon.com/Response-Parameter-Urinalysis-Reagent-Strips/dp/B001EUAXZM
Helpful - 0
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