My old cat has kidney failure and won't eat or drink. What can I do?

I am so sorry about your poor kitty. Renal failure can be a very hard and frustrating disease to manage. This is especially true if we can't fix an underlying cause such as an infection, a tumor, or an exposure to a toxin. Usually once cats in renal failure require blood transfusions and those injections it is the end stage of the disease. There are a couple of veterinary colleges that do kidney transplants. One being The University of California at Davis. That would likely be her only option remaining. If you do not want to pursue a referral to a facility that does transplants, which I believe is very reasonable, it is important to keep Freya comfortable. This could include keeping her on a kidney diet, medications to control her blood pressure and G.I. protectants as well as potentially repeating the injections to increase her blood count level. Ultimately kidney failure is fatal. Therefore I would discuss with your veterinarian quality-of-life factors for her as well as what her ultimate life expectancy is based on her kidney failure. Some cats can survive a few weeks others a couple of months. It is very variable.

Are IV fluids able to be performed? If they are I would recommend doing that over subcutaneous fluids. I would also talk to your veterinarian about starting an antacid with Mimi. When cats are in kidney failure they have a build up of acid in their stomach which make them not want to eat. Otherwise when cats are in kidney failure an aggressive treatment for at least 3 days and it is not helping, they typically at that point don't see any reversal in the kidney failure.

If you are worried she is dying she needs to be seen by a veterinarian right away. Not eating is a serious problem in cats and will only cause her further liver damage, plus she is likely severely dehydrated by the lack of drinking. She needs immediate supportive care and reevaluation to see if anything can be done to save her life and make her more comfortable.

Sorry to hear about your kitty. It sounds like he is in the advanced stages of kidney failure. Unfortunately kidney damage can not be reversed once it occurs - only managed. Once cats get to this stage of kidney disease, most treatments are focused on trying to make cats feel as good as possible for as long as possible. Sometimes treatments that are prescribed include SQ fluids (water given as an injection under the skin to increase hydration), anti-nausea medications, blood pressure medications, antacids, and other therapies to manage complications associated with kidney failure. It is hard to give a prognosis without knowing the specific details of your cat's bloodwork and history, but if he is not eating or drinking, he may be suffering and can quickly decline. If you are concerned about your kitty's quality of life, have a discussion with your veterinarian.

I am so sorry that Alex has been diagnosed with Kidney disease and it sounds like possibly hyperthyroidism. Unfortunately, these two diseases can be difficult to battle. I would talk to your vet about starting him on an appetite stimulant. You can also have fluids given to him under his skin on a daily or every other day basis to help keep the kidney values down to help make him feel better. I would have your vet recheck the thyroid and kidney values if his have been on medicine for awhile to ensure it is working properly and there isn't something else going on. You could also look for an alternative vet to seek acupuncture to help stimulate appetite. I hope this helps!

My concern is that Evelyn is potentially having kidney disease or failure from the cysts with what you are describing. The only thing you can do (if this is what is going on) is take her to a veterinarian and run blood work to see how bad her kidneys are. If the numbers are bad (which I would assume they are with her symptoms) she would need intense hospitalization and IV fluids. There is really nothing at home that you can do for her. I am so sorry she isn't doing well and thank you for using Petco Pet Education Center, formerly Petcoach.

Unfortunately, this could be a number of things. The first thing I tend to think of in older cats in which renal disease has already been diagnosed is the development of a urinary tract infection, and especially if urinary signs (urinating outside the box, increased frequency of urination, increased drinking, etc) that should be considered. Kidney disease predisposes them to the development of UTI's, and they can quickly become serious in these patients as often times it's not a LOWER UTI (i.e. a bladder infection) but an UPPER UTI (i.e., involving the kidneys). At this point she's only missed one meal, so I wouldn't panic yet - especially because she did eat when you hand fed her. However, do be diligent and consider whether she needs another checkup (to include a urinalysis and potentially x-rays or ultrasound) if this keeps up more than 24 hours, since it's such unusual behavior for her.