Can baking soda help my cat with kidney disease? Is it safe?

It is great to hear Gracie is doing a little better! Brushing can be a help to reduce plaque levels but will not remove any solid tartar on the teeth. I would be cautious about using water additives containing sodium bicarbonate in a cat with dental disease as compromised kidneys can have difficulty in regulating acid balance in the blood. I recommend you do not use until this can be checked with the manufacturer as to levels and safety for cats with kidney disease.Once she is more stable it may be possible to perform a short dental procedure with intravenous fluids and short acting anesthetic in order to remove the source of pain and discomfort from her mouth

I don’t typically worry about Vitamin B deficiency in cats with CKD. It is common in cats with GI disease or diarrhea. B vitamins are safe in appropriate amounts, but I would recommend that you consult with your vet about any supplements. The kidneys are responsible for excreting excess b vitamins, and if they are severely impaired, there could be negative side effects.

No it is not safe to give your cat Vitamin B human grade b/c this would overdose him. In fact Vitamin B12 is not absorbed readily by mouth and must be given by injection to pets. This also isn't much of an appetite stimulant, but mostly helps with intestinal malabsorption. I would suggest that you ask your vet for anti-nausea medication (Cerenia) which is actually labeled to use for cats with kidney problems that have decreased appetite. It also help with nausea, which in turn can increase his appetite. Also you can look into Azodyl supplements to help lower his kidney values, which in turn can help with the nausea as well and manage his kidney disease better. https://www.amazon.com/s/?ie=UTF8&keywords=azodyl&tag=googhydr-20&index=aps&hvadid=241645664779&hvpos=1t1&hvnetw=g&hvrand=14854120277917394511&hvpone=&hvptwo=&hvqmt=e&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9028263&hvtargid=kwd-3477607953&ref=pd_sl_7qkvgeqbgm_e Best of luck with your pet Tikvichko and I hope he manages his kidney disease well here moving forward! Take care.

Yes that can be given without problems and side effects for kidney functionality. Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. Please find the time to give us a feedback about the consultation as that will be used to improve our service.

It should not have a significant impact on his blood pressure. Obviously eating the renal diet is best but with kidney disease studies have shown that it is actually the phosphorus restriction that is the most effective. Since he is on a phosphate binder you don't have to worry about that too much. At this stage it is best to just make sure he is eating so give him whatever he will eat. Sounds like you are doing a great job!

There is no medication that specifically treats chronic kidney disease. Changing to a therapeutic diet and increasing water consumption can help, and treatment is focused mainly on alleviating clinical signs like nausea or decreased appetite. High blood pressure can occur secondary to kidney disease and if Percy had high blood pressure then a medication might be prescribed. Urinary tract infections are also pretty common in cats with kidney disease so your vet may want to check Percy’s urine periodically.

If she has kidney disease and needs extra fluids than the best way is to give her subcutaenous fluids. Your vet should be able to teach you how to give SQ fluids at home. If she is drinking than you could add some pedialyte to her water in equal parts.