Hi Debra, I emailed Pam on March 2nd and she responded very quickly. She was very informative and gave me a lot of suggestions. However, at the time I had emailed her, Lily was eating the cat food with the pills in it. I will have to email her again and update her on Lily’s status. She had suggested that maybe Lily doesn’t feel good when she takes the pills and that’s why she refuses to take them. I think this is a valid point. She suggested giving fewer pills more frequently. I ordered a bacon flavored paste that coats pills from Amazon. When it comes, I will try her suggestion. Thank you for following up. I appreciate it. I will post an update after trying the paste and let you know how Lily is doing. Thanks again.
Sorry, I haven’t posted in a few days. I have tried putting the pills in a couple of new foods and she refuses to eat any of them. I tried tuna fish with a little mayo, which she normally likes, and I also tried raviolis. Anything I give her she is skeptical of. She will not readily take anything until she smells it for a good 2 minutes and if she even thinks it doesn’t smell right she won’t eat it. It is so frustrating because not everything I give her has pills in it. I tried to make a game of it by giving “treats” to Lily and Georgie thinking the competition would help, but Lily insists on smelling everything and doesn’t care if Georgie gets her treats before she has a chance to eat them. She will just as willingly not eat anything. Thanks for listening. I will let you know how things go over the next few days.
Yes, the veterinarian showed us how to give the SQ fluids and it was very easy. @tanza had a great idea using a grooming table. I just put Stuart on a table so it would be easier for me to give the fluids. I know with Lily that she had glucose in her urine but her blood glucose was normal. She also had certain venous blood gases that were not in normal range. All of this combined led my veterinarian to diagnose her with Fanconi Syndrome. Her HCO3 was below normal, her TCO2 was very low, and her pH was low. From what I understand, with kidney failure there is a low urine specific gravity, an increase in protein in the urine, and sometimes the blood urine nitrogen (BUN) and blood creatinine (CREA) are elevated depending on how much kidney function is compromised. So from what I can see there are different things that they look for in the blood work and urine analysis. I hope some of this information helps and doesn’t confuse you more. There is a great article written by Dr. JD Foster, staff veterinarian and director of hemodialysis at UPenn Veterinary Hospital (Ryan Veterinary Hospital). It is in todaysveterinarypractice.navc.com and the title is canine chronic kidney disease. It was written in September/October 2013 but the information might still be relevant. Hope this helps and good luck!
Lily has figured out that the cat food has pills in it. I made a mistake and used liverwurst last night instead of cat food because it doesn’t smell as much. She knew right away that there were pills in the liverwurst and she ate all of the liver wurst and left a few pills. This morning I went back to cat food and she ate all of the cat food and left a few pills. I am going to try to give her the pills she didn’t take later in a different flavor cat food. She is just too smart! I hope it works otherwise I will have to try a different food.
Sorry, I had to reply again because I can’t get the cursor to stay on the line. It keeps going between the lines. Anyway, Stuart tolerated the SQ fluids very well. We also put him on a special renal diet made by Hills. If you have any other questions that I might be able to answer, please feel free to ask. I also noticed that you titled your post Fanconi vs Renal Failure. I have a Basenji that has Fanconi Syndrome. If you have any questions about specific tests to determine if the Fanconi Syndrome is what caused the renal failure I will answer whatever I can. Good luck and hang in there!
What a handsome boy! I hope everything works out for both of you. I had a cat that had renal failure and we were giving subcutaneous fluids and oral potassium gel. The subcutaneous fluids were difficult because the volume was large and the needle was very big. It didn’t hurt Stuart at all but I felt horrible doing it. My husband would hold him and I would just pinch his skin and insert the needle underneath, then squeeze the IV bag so it would empty faster. We were giving anywhere from 500 to 1000 mls once a day. This was about 4 years ago so I am not sure of the exact amount. I
I have found that the Gooby stretch fleece pull overs on Amazon are the best. Lily has a few of them in different colors. She has ripped at least 4 different wool sweaters that I bought her made by Chilly Dog. I think the wool makes her itchy or she just doesn’t like the bulkiness of them. Anyway, the fleece ones are great. If it is really cold, I put a jacket over the fleece. Also, Lily can get anything off it is too loose or has a zipper so the fleece pull overs I buy are a one piece.