Go Back   Pet forum for dogs cats and humans - Pets.ca > Discussion Groups - mainly cats and dogs > Cat health - Ask members * If your pet is vomiting-bleeding-diarrhea etc. Vet time!

Reply
 
Thread Tools Display Modes
  #1  
Old August 31st, 2010, 11:01 AM
Bengalgirl3 Bengalgirl3 is offline
Junior Member
 
Join Date: Aug 2010
Location: Sudbury, Ontario, Canada
Posts: 24
Bengal brothers with elevated creatinine - need input!

Hello. First post here. I brought my 2 bengal boys (brothers from same litter...will be 6 on October 2) for dentals on August 13. The vet ran a mini-profile, prior to anasthetic. She called me back to say the dentals were off since both had elevated creatinine! She further stated that since 2 brothers were presenting with similar blood work, she suspected a genetic disease such as Polycystic Kidney Disease (PKD).

3 days later a complete urinalysis and UPC were done. I also sent off cheek swabs to UC Davis for genetic testing to rule out PKD1. Last Thursday, blood pressures were done. Here are all the results (numbers in parentheses represent reference values from the lab).

I should note that the boys came to me at 3 months of age, fed Iams dry. Zoomer vomited daily. I then did my research and switched to better dry, then ok wet, and now premium grain-free wet. Since cutting out Innova Evo canned last year, Zoomer has not vomited once. They each eat 5.5-6oz/day and a scant 1/8 cup premium grain-free dry at night (mix of Taste of the Wild and Acana Grasslands).

Both are enthusiastic drinkers/peers, and have always been. Tigger is 19 pounds and the vet estimates he should be 17, Zoomer is 18 pounds and the estimated healthy weight is 16.5 lb. They are extremely muscular boys, typical of the Bengal breed (mix of African Leopard cat and other breeds).

Ok, here are the test results:

Zoomer:
HCT = 41.4% (24-45)
HGB = 13.5 g/dL (8-15)
MCHC = 32.6 g/dL (30-36.9)
WBC = 10.30 K/uL (5-18.9)
GRANS = 5.40 K/uL (2.5-12.5)
%GRANS = 52.4%
L/M = 4.9x10^9/L (1.5-7.8)
%L/M = 48%
PLT > 205 K/uL (175-500)
ALKP = 39 U/L (14-111)
ALT = 39 U/L (12-130)
BUN/UREA = 28 mg/dL (16-36)
CREATININE = 2.9 mg/dL (0.8-2.4) HIGH
GLUCOSE = 131 mg/dL (74-159)
Total Protein = 8.2 g/dL (5.7-8.9)
Chloride = 128 mmol/L (112-129)
Potassium = 5.0 mmol/L (3.5-5.8)
Sodium = 166 mmol/L (150-165) HIGH

Urinalysis:
USG = 1.043
Glucose = negative g/dl
Bilirubin = negative
Ketone = negative mg/dl
Blood = negative
pH = 7.0
Protein = 100 mg/dl
Urobilinogen = normal units/dl
Sediment = squamous ephithelia cells: 0 to 5/40 pf, WBC 0 to 1/40 ph,
renal tubular cells occasional/40 pf
Comments = good urine concentration
Urine protein/creatinine ratio = 0.017

DNA testing: PKD1 = negative

Blood pressure = 149/67


Tigger:
HCT = 42.4% (24-45)
HGB = 14 g/dL (8-15)
MCHC = 33 g/dL (30-36.9)
WBC = 7.6 K/uL (5-18.9)
GRANS = 4.9 K/uL (2.5-12.5)
%GRANS = 64.5%
L/M = 2.7x10^9/L (1.5-7.8)
%L/M = 36%
PLT = 427 K/uL (175-500)
ALKP = 46 U/L (14-111)
ALT = 24 U/L (12-130)
BUN/UREA = 28 mg/dL (16-36)
CREATININE = 2.7 mg/dL (0.8-2.4) HIGH
GLUCOSE = 166 mg/dL (74-159) HIGH but very stressed at vet
Total Protein = 7.8 g/dL (5.7-8.9)
Chloride = 127 mmol/L (112-129)
Potassium = 4.3 mmol/L (3.5-5.8)
Sodium = 163 mmol/L (150-165)

Urinalysis:
USG = 1.050
Glucose = negative g/dl
Bilirubin = negative
Ketone = negative mg/dl
Blood = negative
pH = 6.5
Protein = 100 mg/dl
Urobilinogen = normal units/dl
Sediment = squamous ephithelia cells: 0 to 3/40 pf, RBC occasional. WBC
occasional/40 pf
Comments = well concentrated urine
Urine protein/creatinine ratio = 0.014

DNA testing: PKD1 = negative

Blood pressure = 133/71

The vet recently confered with an internist in Toronto. His opinion is that due to their high protein diet and more muscular nature, slighly elevated creatinine is normal for Tigger and Zoomer.

Any thoughts/opinions? I am getting a full blood panel done prior to the dentals to get phosphorus and calcium values, and double check the creatinine. If anything else is off, I do plan on getting ultrasounds done....
Reply With Quote
  #2  
Old August 31st, 2010, 11:59 AM
Love4himies's Avatar
Love4himies Love4himies is offline
Rescue is my fav. breed
 
Join Date: Mar 2007
Location: Boating in the 1000 Islands
Posts: 17,769
Normally with kidney disease, you will get increased BUN and phosporus (I don't see a phosphorus level, but the BUN looks great) and your cat's urine specific gravity looks good, meaning the kidneys are doing their job.

High Creatine without the high BUN can also be signs of Diabetes and Hyperthyroidism.


Why would your vet think PKD???
__________________
Cat maid to:


Rose semi feral, a cpietra rescue, female tabby (approx 13 yrs)

Jasper RIP (2001-2018)
Sweet Pea RIP (2004?-2014)
Puddles RIP (1996-2014)
Snowball RIP (1991-2005)

In a cat's eye, all things belong to cats.-English Proverb

“While we are free to choose our actions, we are not free to choose the consequences of our actions.” Stephen R. Covey
Reply With Quote
  #3  
Old August 31st, 2010, 01:11 PM
Bengalgirl3 Bengalgirl3 is offline
Junior Member
 
Join Date: Aug 2010
Location: Sudbury, Ontario, Canada
Posts: 24
No phosphorus yet, but we'll get that when a full panel is run before the dentals. The vet thought PKD since 2 brothers are presenting with similar trends. She thought it might be a genetic disease, hence PKD1. Fortunately, they were both negative for this gene!

How are diabetes and hyperthyroid diagnosed? Are those just standard blood tests? Since I'm having a full panel done, if any additional tests need to be done now would be the time for me to write up a "list" to discuss with their vet...
Reply With Quote
  #4  
Old August 31st, 2010, 01:18 PM
14+kitties's Avatar
14+kitties 14+kitties is offline
150% PRO S/N
Starcastle Champion, V:force Champion, UFO Shoot Out Champion, Parachute Panic Champion, Mission To Mars Champion, Disc Dash Champion, Crazy Closet Champion, Railway Line Champion, Penguin Pass Champion
 
Join Date: Nov 2007
Location: MYOB
Posts: 15,408
This sounds like a good thread for Dr Lee. I will PM him.
__________________
Assumptions do nothing but make an ass out of u and me.

We can stick our heads in the sand for only so long before it starts choking us. Face it folks. The pet population is bad ALL OVER THE WORLD!
Reply With Quote
  #5  
Old August 31st, 2010, 01:29 PM
Bengalgirl3 Bengalgirl3 is offline
Junior Member
 
Join Date: Aug 2010
Location: Sudbury, Ontario, Canada
Posts: 24
Bengal boys' diet

Here are the canned foods the boys currently eat in a week (each eats 5.5-6oz/day): 3 cans Wellness Chicken, 3 cans Wellness Turkey, 1 can Natural Balance Duck & Green Pea, 1 can Natural Balance Venison & Green Pea, 1 can Natural Balance Chicken & Green Pea, 1 can California Natural Salmon & Sweet Potato, 1 can either Evangers Organic Turkey & Butternut Squash OR By Nature Organics (chicken, turkey, or a combination), 1 can Nature's Variety Instinct Rabbit, 1 can Nature's Variety Instinct Lamb, and finally 1 can Nature's Variety Instinct Venison OR Duck.

For dry they each get a scant 1/8 cup dry before bed. I mix Taste of the Wild and Acana (Grasslands variety).

Lastly, all foods are 100% grain-free and by-products free....

The internist my vet spoke to thought that the elevated creatinine could be due to high muscle mass and/or high protein diet....
Reply With Quote
  #6  
Old August 31st, 2010, 01:54 PM
Love4himies's Avatar
Love4himies Love4himies is offline
Rescue is my fav. breed
 
Join Date: Mar 2007
Location: Boating in the 1000 Islands
Posts: 17,769
Nomally a high protein diet will affect BUN, but not so much creatinine. However, as your boys are large they may have higher cre naturally.

Hyperthyrodism is normally done on separate blood work and sent out to a lab.


Have you ever had blood work done on them in the past to compare?
__________________
Cat maid to:


Rose semi feral, a cpietra rescue, female tabby (approx 13 yrs)

Jasper RIP (2001-2018)
Sweet Pea RIP (2004?-2014)
Puddles RIP (1996-2014)
Snowball RIP (1991-2005)

In a cat's eye, all things belong to cats.-English Proverb

“While we are free to choose our actions, we are not free to choose the consequences of our actions.” Stephen R. Covey
Reply With Quote
  #7  
Old August 31st, 2010, 07:06 PM
Dr Lee's Avatar
Dr Lee Dr Lee is offline
Senior Contributor - Expert
 
Join Date: Jun 2007
Location: East Coast
Posts: 1,060
Quote:
Originally Posted by Love4himies View Post
1) ...the BUN looks great and your cat's urine specific gravity looks good, meaning the kidneys are doing their job.

High Creatine without the high BUN can also be 2) signs of Diabetes and 3) Hyperthyroidism.
These are common ideas. However let me clarify a bit and the interaction of BUN, Creatinine, Urine Specific gravity, Diabetes, Hyperthyroidism can be super confusing sometimes! I agree with you Love4himes but need to clarify some of these points:

1) While dogs will lose their concentrating ability early in renal (kidney) disease, most cats do NOT lose their concentrating ability until late in the stage of renal disease. In light of the creatinine, Zoomer's concentration is not actually that high - for a cat. BUN is a function of protein metabolism and renal filtration. So I agree, most of the time, renal disease will have a rise of both creatinine and BUN, BUN can vary a lot upon protein intake (diet).

2) If you have DKA (diabetic ketoacidosis), then the ketones can falsely elevate creatinine. Dehydration that arises from some diabetics can also raise creatinine. However with negative glucose and ketones on the urinalysis combined with no real (Tigger's 167 is from stress, not DM) elevation in blood glucose; creatinine cannot be caused from diabetes in this case.

3)
You are correct, uncontrolled hyperthyroidism can alter creatinine levels but it will LOWER creatinine, not raise it. When cats are on active treatment for hyperthyroidism, then creatinine can rise if there is existing renal disease. So there is not a direct relation here.

The concern with Zoomer and Tigger is two fold: elevated creatinine (2.9, 2.7 respectively) and proteinuria (100mg/dl in both). For these reasons I think that your vet was very wise to consult an internist. The fact that your vet performed very thorough blood, urine testing and blood pressure, was worried about PKD due to the familial link and contacted an internist is indeed a wonderful thing. I would give this vet a lot of kudos!!! As proverbs says, ”it is the wise that seek counsel”.

What is creatinine?
“Creatinine is a breakdown product of muscle exertion. You may have heard of ATP (Adenosine TriPhosphate). ATP is the basic unit of energy in the body and the ‘fuel’ that drives most cells. When ATP is used, it turns into ADP (Adenosine DiPhosphate). Like a dead battery, ADP can be ‘recharged’ into ATP. Muscles (and the brain too) use phosphocreatine (sometimes called creatine phosphate) to regenerate ATP after muscular (and neuronal) exertion. This regeneration creates creatine which passively turns into creatinine. Thus creatinine is produced at a consistent rate in relation to the muscle mass of the body and eliminated at a consistent rate by the kidneys. Thus blood creatinine is based upon a direct relationship between kidney filtration (also known as Glomerular Filtration Rate GFR) and total body muscle mass. Assuming that the body muscle mass stays the same, if the creatinine rises, then a drop in the GFR has occurred.” – Silent Spiral: Kidney Disease in Cats – an Owner’s Guide. Author: me (Dr Lee).


Since creatinine is a function of both muscle mass and kidney function – muscular animals with normal kidneys can have slightly elevated creatinines and animals in renal failure who have lost muscle mass – can have a reduction in their overall creatinine.

Furthermore, in cats, an ideal creatinine is 1.1 and definitely less than 1.6. Many specialists disagree with the reference range of cats being up to 2.6. According to IRIS, cats are in stage II/IV renal disease from 1.6 – 2.8. So 2.6 is actually closing in on Stage III/IV!! For more information, please see: IRIS – International Renal Interest Society.

With that said, we cannot put on blinders and look at creatinine. We must also look at BUN, Phosphorus, physical condition, urine specific gravity, urine protein, UPC ratio, and oh, yeah, the cat too!

The second concern for me is the urine protein. Your vet did a great job by running a urine protein creatinine UPC ratio. Normal dogs and cats should have a UPC ratio < 0.4. Zoomer and Tigger are 0.017 and 0.014.



So when we add up the wonderful work up by your vet, I would agree the lab data other than the creatinine looks good. I would have also wanted an internist’s opinion before I placed a cat with 2.9 and 2.7 creatinines as “normal”. I would also agree with your vet’s caution even with such evaluation. I think that the checking of phosphorus, calcium and repeating creatinine is a very good idea. I think keeping close contact with the internist is also a good idea. If money is not an issue, I think that an ultrasound is good idea perhaps along with rechecking the creatinine in a few months. (I would get your vet’s recommendation on this since she seems to be doing a great job!).

Hope that helps.
__________________
Christopher A. Lee, DVM, MPH, Diplomate ACVPM
Preventive Medicine Specialist With a Focus on Immunology and Infectious Disease
myvetzone.com

Last edited by Dr Lee; August 31st, 2010 at 09:53 PM. Reason: Spelling. My 4th grade teacher would be disappointed.
Reply With Quote
  #8  
Old September 1st, 2010, 09:19 AM
Bengalgirl3 Bengalgirl3 is offline
Junior Member
 
Join Date: Aug 2010
Location: Sudbury, Ontario, Canada
Posts: 24
Hello and thank you so much for your input, Dr. Lee! Your thorough explanations are very appreciated given that I'm new to all this and still educating myself.

My vet also consulted with experts at Hills (pet food) and yet another internist. The concensus now amongst all is that we go into this assuming the beginnings of renal failure, but hoping of course for nothing!

I'm bringing both brothers in for full abdominal ultrasounds ASAP. Also, the vet(s) suggested very slowly transitioning to lower protein/phosphorus foods (not "kidney" diets per say, but lower such as Hills G/D and Hills T/D (also have bad tartar issues). We will retest via a full bood panel in 1 month. I'm to closely watch for any symptoms and report anything to my vet immediately.

At this point, given the above current test values, what further testing would you recommend? I've heard of a "E.R.D. (early renal damage) healthscreen urine test" that can detect renal failure much earlier than other testing. Is there any value to having this done for Tigger and Zoomer?

Again, many thanks for your expertise! It's a huge relief given how much conflicting information I've received over the past few weeks....

Last edited by Bengalgirl3; September 1st, 2010 at 12:36 PM.
Reply With Quote
  #9  
Old September 1st, 2010, 08:12 PM
Dr Lee's Avatar
Dr Lee Dr Lee is offline
Senior Contributor - Expert
 
Join Date: Jun 2007
Location: East Coast
Posts: 1,060
Quote:
Originally Posted by Bengalgirl3 View Post
The concensus now amongst all is that we go into this assuming the beginnings of renal failure, but hoping of course for nothing!

I'm bringing both brothers in for full abdominal ultrasounds ASAP. Also, the vet(s) suggested very slowly transitioning to lower protein/phosphorus foods (not "kidney" diets per say, but lower such as Hills G/D and Hills T/D (also have bad tartar issues).

At this point, given the above current test values, what further testing would you recommend? I've heard of a "E.R.D. (early renal damage) healthscreen urine test" that can detect renal failure much earlier than other testing. Is there any value to having this done for Tigger and Zoomer?.
I think this is a good plan. Creatinines at this level are disconcerting but again, much of the other values are looking good.

Hill's G/D is a very good food. Think of it as a transition between regular and kidney diets. It has more protein than k/d but is moderate in its levels. G/D has restricted phosphorus, restricted sodium, some pH balance, supplemental omega 3 to help improve kidney blood flow and supplemental potassium. The food is also all natural - no artificial preservatives. I wrote an article that may be helpful, "Is There Science in Science Diet?". It goes over some common misconceptions of the diet. The key to switching to this diet is to go very, very slowly. It is generally recommended to slow transition over a month or more.

The ERD Test is a great screen and it looks for microalbuminuria. In English, this means we are looking for presence of a blood protein called albumin being found abnormally in the urine. When present it is often representative of kidney damage. This test would be a good idea. Even when the UPC is normal (<0.5), and a ERD is positive (even low positive), it is still supportive of abnormal presence of blood albumin in the urine (microalbuminuria) and suggests that monitoring for renal and/or systemic diseases is indicated.

Typically this test must be done a couple of times to make sure that we are seeing a consistent elevation. The exact significance of microalbuminuria however is not completely clear as many cases that are positive do not necessarily progress to end stage renal failure. There are other causes of a positive microalbuminuria other than renal disease so sometimes additional tests may be needed. When positive, it is more evidence that there may be a problem and that nutritional changes should be made.

I hope this helps and I am glad that my earlier post was clear.
__________________
Christopher A. Lee, DVM, MPH, Diplomate ACVPM
Preventive Medicine Specialist With a Focus on Immunology and Infectious Disease
myvetzone.com
Reply With Quote
  #10  
Old September 2nd, 2010, 03:56 AM
growler~GateKeeper's Avatar
growler~GateKeeper growler~GateKeeper is offline
Moderator
 
Join Date: May 2007
Posts: 17,568
The abdominal ultrasounds are a great diagnostic tool, see if you can get them to take a quick peek at their hearts at the same time (just for normal reference & not to have to do it again separately if needed). Hopefully your clinic allows you to be present at the ultrasound, I found that a great experience especially since you can ask questions & get instant feedback. It is also wonderful to have the vet explain any abnormal findings along the way.

Here's a little reading for you on glomerulonephritis:
http://www.felinecrf.org/causes_of_c...erulonephritis
http://www.marvistavet.com/html/body...nephritis.html

and proteinuria:

http://www.felinecrf.org/diagnosis.htm#proteinuria
http://www.vin.com/proceedings/Proce...6122&O=Generic

As for diet here's my I would stick with the Wellness Chicken & Wellness Turkey as they both already have low phosphorus levels

drop the Natural Balance the phos levels are far too high for kidney related issues
drop the California Natural Salmon & Sweet Potato the phos levels are too high for kidney related issues

Unfortunately Evangers, By Nature & Nature's Variety don't post their nutrient analysis so I can't check the phos levels in their foods and unless there has been a formula change since I fed NV Instinct a couple of years ago the Rabbit & Beef are too high in phos, likely the Venison, Lamb & Duck are as well.


To stay within your grain/by products free wish other foods with good low phos numbers: EVO 95% Chicken & Turkey, Felidae Grain Free Salmon, Felidae Grain Free Cat & Kitten, Wellness Kitten, Wellness Beef & Chicken, Wellness Core Chicken, Turkey & Chicken Liver.

While not grain free but by product free and still with good low phos numbers: Felidae Platinum, Eagle Pack Holistic Select Turkey & Barley, Eagle Pack Holistic Select Duck & Chicken, Eagle Pack Holistic Select Chicken & Lamb, Felidae Chicken & Rice.

There are plenty of high quality holistic low phosphorus foods perfect for feeding kidney cats that one does not need to resort to the prescription diets.
__________________
Avoid biting when a simple growl will do

The Spirit Lives As Long As Someone Who Lives Remembers You - Navaho Saying

Last edited by growler~GateKeeper; September 2nd, 2010 at 04:17 AM. Reason: adding Wellness Core
Reply With Quote
  #11  
Old October 1st, 2010, 08:13 AM
Bengalgirl3 Bengalgirl3 is offline
Junior Member
 
Join Date: Aug 2010
Location: Sudbury, Ontario, Canada
Posts: 24
Updated blood test results

The boys went in yesterday for a full blood panel before finally getting their dental done. Here are the new results (numbers in parantheses are the reference values):

Zoomer:
HCT = 47.1% (24-45) HIGH
HGB = 15.0 g/dL (8-15)
MCHC = 31.8 g/dL (30-36.9)
WBC = 10.50 K/uL (5-18.9)
GRANS = 6.0 K/uL (2.5-12.5)
%GRANS = 57.1%
L/M = 4.5x10^9/L (1.5-7.8)
%L/M = 43%
PLT > 400 K/uL (175-500)

BUN/UREA = 23 mg/dL (16-36)
CREATININE = 2.7 mg/dL (0.8-2.4) HIGH (but down from 2.9)
Phophorus = 3.3 mg/dL (3.1-7.5)
Calcium = 10.0 mg/dL (7.8-11.3)
Total Protein = 8.1 g/dL (5.7-8.9)
ALB = 3.4 g/dL (2.2-4.0)
GLOB = 4.7 g/dL (2.8-5.1)
ALT = 32 U/L (12-130)
ALKP = 46 U/L (14-111)
TBIL = 0.4 mg/dL (0.0-0.9)
Cholesterol = 272 mg/dL (65-222) HIGH
AMYL = 832 U/L (500-1500_
GLUCOSE = 111 mg/dL (74-159)

Sodium = 166 mmol/L (150-165) HIGH
Potassium = 4.2 mmol/L (3.5-5.8)
Chloride = 126 mmol/L (112-129)


Tigger:
HCT = 39.6% (24-45)
HGB = 12.7 g/dL (8-15)
MCHC = 32.1 g/dL (30-36.9)
WBC = 6.3 K/uL (5-18.9)
GRANS = 3.7 K/uL (2.5-12.5)
%GRANS = 58.7%
L/M = 2.6x10^9/L (1.5-7.8)
%L/M = 41%
PLT > 366 K/uL (175-500)

BUN/UREA = 24 mg/dL (16-36)
CREATININE = 2.7 mg/dL (0.8-2.4) HIGH
Phophorus = 3.1 mg/dL (3.1-7.5)
Calcium = 9.4 mg/dL (7.8-11.3)
Total Protein = 7.0 g/dL (5.7-8.9)
ALB = 2.7 g/dL (2.2-4.0)
GLOB = 4.3 g/dL (2.8-5.1)
ALT = 23 U/L (12-130)
ALKP = 47 U/L (14-111)
TBIL = 0.3 mg/dL (0.0-0.9)
Cholesterol = 243 mg/dL (65-222) HIGH
AMYL = 669 U/L (500-1500_
GLUCOSE = 108 mg/dL (74-159)

Sodium = 160 mmol/L (150-165)
Potassium = 4.1 mmol/L (3.5-5.8)
Chloride = 127 mmol/L (112-129)

Could someone please "bump" this (or whatever it's called) to Dr. Lee to ensure he sees this? Thank you!

Oh, results of dentals. Tigger fine but did see grooves on 2 teeth. X-rays showed no damage. Zoomer had 1 resorbed lower pre-molar with affected roots. Crown amputation with flap closure so roots will resorb naturally. Another tooth showed on x-rays as beginning resorption but very early so no action taken. Sent home with clavaseptin (50 mg) as antibiotic/anti-inflammatory pills, 1.5 pills given 2X/day for 1 week. Also given tolfedine (20mg) as pain killer, 1.5 pills given every 24 hours for 2 days only - this one does affect the kidneys so the vet wants me to dose exactly every 24 hours, for only 2 days.

Last thing. The vet(s) now think it extremely likely that the boys fall into the 2.5% of all cats with naturally elevated creatinine. HOWEVER, they did the dentals on the premise of kidney failure so altered the anasthetic protocol accordingly (doubled IV fluids, etc.) I am worried about the tolfedine but the vet assured me that I'm only giving it for 2 days and with all the other blood tests results, long-term negative impacts on the kidneys are unlikely...
Reply With Quote
  #12  
Old October 4th, 2010, 02:07 AM
Dr Lee's Avatar
Dr Lee Dr Lee is offline
Senior Contributor - Expert
 
Join Date: Jun 2007
Location: East Coast
Posts: 1,060
Quote:
Originally Posted by Bengalgirl3 View Post
Could someone please "bump" this (or whatever it's called) to Dr. Lee to ensure he sees this? Thank you!

Love4Himies was nice enough to PM (private message me). This or direct email or via my website are the all great ways to get my attention. With my job, my volunteer time comes in waves on pets.ca. However, if you direct email me I virtually always respond and try to respond within 24 hours if possible.

You stated that the specialist thinks that the kidney function is fine - will all other values than creatinine looking good - this appears to be good news.

I am glad that they handled the anesthesia fine. It sounds like everything looks appropriate.

My recommendation would be to keep up with whatever regular checkups your vet wants on the creatinine and stay on a kidney friendly diet. A kidney friendly diet would have controlled and balanced levels of protein, low phosphorus, low sodium and supplemented DHA (Omega 3).

Again, I am very glad that all appears to be well. Please keep us updated!
__________________
Christopher A. Lee, DVM, MPH, Diplomate ACVPM
Preventive Medicine Specialist With a Focus on Immunology and Infectious Disease
myvetzone.com
Reply With Quote
  #13  
Old October 4th, 2010, 07:47 AM
Bengalgirl3 Bengalgirl3 is offline
Junior Member
 
Join Date: Aug 2010
Location: Sudbury, Ontario, Canada
Posts: 24
Thanks for your input Dr. Lee! There's just Zoomer's elevated HCT level but I'll ask the vet specifically about that this Thursday. Both cats' lungs sounded congested for a few days so I think they pushed too many fluids, too fast and pulmonary edema resulted! Zoomer in particular (had crown amputation so under anasthetic longer) sounded very "rally" for a couple of days so I kept a close watch on him. Both are much better today but still a bit of coughing. That is something else I'll bring up with their vet as I don't think this is within the norm of post-anasthesia reactions...
Reply With Quote
  #14  
Old October 1st, 2010, 04:28 PM
Bengalgirl3 Bengalgirl3 is offline
Junior Member
 
Join Date: Aug 2010
Location: Sudbury, Ontario, Canada
Posts: 24
....another thing. The new tests show an ALB/GLOB ratio of 0.72 in Zoomer, 0.63 in Tigger. Optimal apparently is around 1.1. What does this mean since it is low in my boys?

Also, the Calcium/Phosphorus ratios are off for both Tigger and Zoomer. Optimal is 1.1-1.4 (???) but theirs are extremely high at 3.03. Is this cause for concern?

I've been researching like crazy but can't find anything at all on these ratio. All of the above individual values (i.e. ALB, GLOB, Ca, Ph) are within normal ranges, but the ratios are very off...
Reply With Quote
  #15  
Old October 1st, 2010, 07:16 PM
Love4himies's Avatar
Love4himies Love4himies is offline
Rescue is my fav. breed
 
Join Date: Mar 2007
Location: Boating in the 1000 Islands
Posts: 17,769
Have you searched for Bengal specific sites (forums or on Facebook), that may help you with the bloodwork. If these results are common in the Bengal breed, it may set your mind at ease. If not, then perhaps your vet can consult with a blood specialist (if there is one)
__________________
Cat maid to:


Rose semi feral, a cpietra rescue, female tabby (approx 13 yrs)

Jasper RIP (2001-2018)
Sweet Pea RIP (2004?-2014)
Puddles RIP (1996-2014)
Snowball RIP (1991-2005)

In a cat's eye, all things belong to cats.-English Proverb

“While we are free to choose our actions, we are not free to choose the consequences of our actions.” Stephen R. Covey
Reply With Quote
  #16  
Old October 3rd, 2010, 12:39 PM
Bengalgirl3 Bengalgirl3 is offline
Junior Member
 
Join Date: Aug 2010
Location: Sudbury, Ontario, Canada
Posts: 24
No, I haven't investigated on Bengal only forums. I was hoping to get some input from Dr. Lee since he was so informative before. Is there any way to PM him to ensure that he sees the new numbers?


Quote:
Originally Posted by Love4himies View Post
Have you searched for Bengal specific sites (forums or on Facebook), that may help you with the bloodwork. If these results are common in the Bengal breed, it may set your mind at ease. If not, then perhaps your vet can consult with a blood specialist (if there is one)
Reply With Quote
Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Forum Terms of Use

  • All Bulletin Board Posts are for personal/non-commercial use only.
  • Self-promotion and/or promotion in general is prohibited.
  • Debate is healthy but profane and deliberately rude posts will be deleted.
  • Posters not following the rules will be banned at the Admins' discretion.
  • Read the Full Forum Rules

Forum Details

  • Powered by vBulletin® Version 3.8.8
    Copyright ©2000 - 2024, vBulletin Solutions, Inc.
    vBulletin Optimisation by vB Optimise (Reduced on this page: MySQL 0%).
  • All times are GMT -5. The time now is 10:22 AM.