Cat with kidney issues: Best food brands & Milk Thistle advice?

There is a lot of misconception when it comes to pet food. Grains are not bad for pets as long as they are the right kind, high-quality and easy to digest. They provide many essential amino acids that are not found in animal products. Royal Canin and Science Diet are both high quality brands with lots of research, data and good quality control. Switching to the recommended diet is the best thing you can do for Mercy. The diet contains controlled protein, controlled phosphorus, controlled potassium and additional omega three fatty acid supplements as well as antioxidants. You can certainly supplement her as it is not likely to hurt but the main control for kidney disease will be found with the protein and phosphorus. I hope this helps and please feel free to post any additional questions.

Liver issues can be tricky to treat, and cats with liver issues may be more picky about what they eat. The first suggestion to try is if your cat had a dry (or wet) version of a prescription diet is to try the opposite dry or wet version. (IE if you try Hill's l/d dry, try a can of the l/d wet). Some cats may find the change in consistency and flavor more palatable and may begin to eat without having to completely change foods. If your cat was on a dry diet, a wet food may also be easier for your cat's liver to process. Another suggestion to try is to add a few kibbles of a food or a teaspoon of wet food your cat really likes to his prescription food. While some cats may figure out and pick out the good bits, many cats will begin to eat the whole meal and thus get the nutritional benefit from it. Your vet can let you know if it's safe to try this method depending on the severity of your cat's condition. For over the counter foods, a diet that has a similar nutrient makeup to prescription foods (you can check the nutrition label of l/d or NF if you have a bag handy) may help your cat with his liver issues while still being palatable. This is usually higher protein, contains L-carnitine to promote fat metabolism are low in sodium and have vitamins E and C to support the immune system and liver function. Your vet may also wish to recommend a supplement such as milk thistle which can also help promote liver function without a major change in food.

We always say that it doesn't matter how good a food is if the pet won't eat it. This is especially true with cats. Your goal with a diet for a kidney patient is to avoid foods that are too high in protein, so you will want to avoid any kitten foods. Most non-prescription diets are very similar in their protein levels because they are made for the needs of an average adult cat. If Cricket was previously on a dry food, I found the best way to get my cat to eat canned food was to grind up dry food, then sprinkle it on the top of his canned food to get him eating. I am attaching a link to a handout below with tips to transition a cat onto canned food. https://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=3041 Since Cricket has been a fussy eater, the most important thing will be to find a food that she likes. I have found that cats tend to like Fancy Feast the best, so that might be an option if you can't find something else that she will eat. Good luck! I hope that was helpful. Thanks for using PetCoach.

I would opt for a prescription kidney diet (Hill's K/D or Royal Canin renal) instead of any over the counter option if he has kidney disease especially, because the mainstay of treatment for this is the diet alone. This is also ok for his pancreatitis for now and hopefully he will get over this pancreatitis episode soon with the treatment recommendations through your vet. Pancreatitis in cats is often associated with a triaditis (3 disease) condition affecting both their intestines (IBD), pancrease (pancreatitis) and liver (cholangitis), so its imperative to follow your vets instructions on follow-up care as well. Here is more information on this condition in cats --> https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4952234 I do hope that your pet Cat is going to be ok moving forward. Best of luck and take care.

It is safe unless Mel is allergic to it (quite rare). The efficacy of it is a source of discussion and honestly I have never seen great benefits from its administration. The food you are giving is perfect and is part of the treatment for chronic renal failure in cats. K/D prescription diet (Hill's) is a good quality food as well.

I would recommend feeding a specialist diet formulated for cats with liver disease such as royal canin hepatic or hills l/d. These are high calorie, easily digestible with limited liver function and supplemented with antioxidants and liver protectants. These can be diluted and syringe fed if necessary

If he won't eat the Royal Canin renal diet then you should try a different brand like Hill's k/d. The Hill's diet has an appetite stimulant in it which helps with palatability. If he won't eat that either then all you can do is feed him what he will eat. It may shorten his life span but you cannot let him starve to death. If he is anemic that is called anemia of chronic disease. The only thing to help that is injections of EPO (erythropoeitin). Feeding organ meet is not going to help. ( https://www.petmd.com/cat/conditions/cardiovascular/c_ct_anemia_chronic_kidney_disease )