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Animal Corner: Cat and dog kidney problems - 19 August


Kidney problems in cats and dogs

General 
- The kidneys are paired organs that lie in the mid-lower back area 
- They are the filter systems in the body, filtering the toxins from the blood and controlling the water balance in the body 
- The breakdown products from the proteins we eat (urea) are filtered from the blood and excreted in the urine via the kidneys. 
- When the kidneys aren't functioning properly, this filtering and water balancing job isn't performed properly and the animal becomes very thirsty and unwell due to the toxins remaining in the bloodstream and making the animal feel nauseous and depressed 
- Chronic renal failure is one of the most common causes of death on older cats. It's not so prevalent in dogs but still occurs reasonably frequently. 
- Most kidney problems are either 
- Acute renal failure - usually due to a kidney infection, trauma (i.e. an accident) or an ingested  poison affecting the kidneys or 
- Chronic renal failure - due to aging and degeneration of the kidney units (tubules) over a longer period of time

Problems 
- Acute renal failure - usually occurs with an infection of the kidneys (usually bacterial) either in the bloodstream or coming up from the bladder. Can also happen with accidents (trauma) or poisonings 
- Symptoms are acute i.e. one day they are fine, the next they are very unwell, off food, depressed and drinking a lot of water(may go to strange places to drink such as the toilet, the shower or the sink just to find water) 
- Immediate veterinary treatment is important to diagnose and treat the animal or serious complications may arise!

- Chronic renal failure - where the units of the kidney (the tubules) slowly degenerate over a long period of time. Usually occurs in older animals and is one of the leading causes of death in old cats 
- Symptoms are slow loss of weight, drinking more water, eating less, slowing down and muscle wastage. Also there may be mouth sores resulting in a smelly breath. 
- By being aware of the early warning signs and symptoms, a diagnosis can be made with blood tests by your vet and treatment can slow the progression of the condition

Main early warning signs 
- Drinking and peeing more 
- Off food, depressed 
- Loss of weight 
- Fur sticking up and rough looking (usually indicates dehydration) 
- Vomiting, lethargy

What can be done to treat these problems? 
- If your animal is showing any of the above symptoms GET TO A VET ASAP!! 
- Acute renal failure - immediate vet attention is necessary for intravenous drips, antibiotics and blood and urine tests to minimize the damage to the kidneys. If the treatment is successful the animal usually recovers and is fine 
- Chronic renal failure - early detection and treatment will extend the life expectancy markedly. The most important thing is to provide a well balanced low protein diet to reduce the work the kidney needs to do as well as provide all the electrolytes and vitamins that are being lost by a partially working kidney 
- You vet has prescription diets which are higher in fat and carbohydrates and lower in protein that are scientifically formulated to help the kidney function. 
- Acupuncture can be very useful for kidney problems as well as herbs such as alfalfa and glandulars (dried kidney tissue used as a nutritional supplement)

Prevention of kidney problems 
- Always feed a high quality, appropriate diet - talk to your vet about this. It's important not to feed too much protein to cats and dogs, but cats do require much more protein than dogs so it's important to not feed cat food to dogs as it may overload the kidneys. 
- Plenty of fresh clean water available at all times. Water is better than milk. 
- Avoid getting overheated or going without water for extended periods



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