My cat has kidney issues and is losing weight. Why an ultrasound?

Cats that are losing protein through their kidneys can lose weight. With your cat's medical history, I would recommend having him examined by the vet. Blood work will check the kidneys and urinalysis will look for extra protein in the urine. The blood work can also screen for other issues that can cause weight loss.

Although we can not prescribe treatment via an online method (illegal with our veterinary licenses), what i can tell you is that an ultrasound can not assess liver function. Ultrasound is just an image so it can tell you size and texture changes to organs and evaluate for masses, fluid, etc. Also the good appetite and energy level are not typical with liver failure. Your cat has elevated liver enzymes and total bilirubin but this does not always mean liver failure. I would try to get better clarification from your vet about what was seen on the ultrasound and were the other organs normal (pancreas, GI tract, etc.). More common causes of these bloodwork changes would include liver/biliary infection, pancreatitis, and underlying GI disease associated with the above. Cancer and certain infectious diseases such as FIP can as well. So options would include additional testing to search for a cause (such as pancreatitis testing, liver aspirates, etc.) and/or symptomatic treatment can be attempted for pancreatitis, liver infection, etc. I hope this helps and thank you for using Petco Pet Education Center, formerly Petcoach!

There are a number of causes of weight loss in cats. I'm assuming that the information of 1 kidney being larger than the other was something that the vet noted when the belly was palpated on exam. That finding, in and of itself, doesn't necessarily mean the kidneys are the issue. I see that Neko is only 3 years old. Weight loss in a younger cat could be due to kidney failure, though its much more common in senior cats. Working only off of the information that Neko is a young cat who losing weight and has 1 kidney larger than the other, with no other history given, it is hard for us to get any impression for what may be wrong. Again, if she were a senior cat I would suspect kidney failure, and I would then recommend a canned prescription kidney diet, lots of water, TLC, and know that time is limited -- with the understanding that we don't KNOW its the kidneys without blood work. However, since Neko is young, its harder to jump to this sort of advice. It could be her kidneys, but other concerns would include inflammatory bowel disease, intestinal worms, or even something like FIP (feline infectious peritonitis). Some causes are relatively inexpensive to treat, and others are much more difficult. Additional information about any other signs would help us-- is she vomiting, how is her appetite, is she playful and active or is she dumpy and lethargic, is she hiding, etc. Please feel free to resubmit a question on the forum (no charge), or request a consultation (for a fee) and we can give information back and forth and would likely be able to assist you further that way. Thank you for asking Petco Pet Education Center, formerly Petcoach.

The anemia could be from fleas but it could also be from chronic kidney disease. Are the BUN and PHOS also high or just the CREA? I think your vet needs to do some more testing to assess whether or not she is in kidney failure. An abdominal ultrasound, more specific blood testing and a urine test would be needed.

Renal failure often causes cats to lose weight. The waste products that build up in the blood because the kidneys can't properly eliminate them cause nausea and gastritis (inflammation in the stomach) and sometimes even ulcers in the mouth. Talk to your vet about trying some medications to manage these conditions - either omeprazole or famotadine are often helpful, as well as the anti-nausea drug Cerenia. Also the drug mirtazipine can be used to help stimulate his appetite. Unfortunately it sounds like he has multiple problems that may be difficult to manage concurrently. I'd also consider running a bacterial culture of the nasal discharge to try to focus the antibiotic therapy and ensure that an effective drug is being used.

Yes, the ultrasound should have seen if there was anything abnormal in his abdomen. It may have been intestinal movement as you thought. Hopefully with treatment of his diabetes his weight will stabilize. The abdomen may just seems larger now since he lost the weight. Thanks for using Petco Pet Education Center, formerly Petcoach to help you care for Farafero.

That is odd. My first thought was that she's developed diabetes, but it sounds like you ruled that you already with lab work. If full blood tests have already been performed, an abdominal ultrasound would be the next step in trying to figure out what is going on. Talk to your vet about whether abdominal ultrasound is something they can do for you, or if there is somewhere they can refer you where ultrasound can be done . Thank you for asking Petco Pet Education Center, formerly Petcoach!