Help! My cat with renal failure isn't eating. What should I do?

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 )

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.

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.

I hate to hear that Lily is having an issue eating her food. I would advise too try several renal diets. Royal Canin makes three different formulas. Purina and Science diet also make their own version. The best medicine would be for her to eat only a renal diet but sometimes pets have other ideas. If you cannot find a food that she likes and will readily eat, try mixing in about 25% of the renal diet in with 75% of her normal kibble. Every few days gradually increase the renal food. Even if she never goes on the renal diet fully, it's still better than not eating it at all. Try the canned renal diets as well (once again, all the brands carry this formula). If you want to try making her food at home, you will need to work with a veterinary nutritionist. Renal diets need carefully controlled protein, phosphorus and potassium levels. You can go online and find several who offer both phone and online consultations. I hope this helps to point you in the right direction. Please feel free to post any further questions!

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!

Oh dear, I'm sorry to hear that you and Bonnie are in this situation. Bonnie's weight loss could be caused both by her lack of appetite, as well as any cancerous process and/or subsequent kidney disease. You can try to tempt her to eat with bits of boiled white meat chicken, small amounts of tuna, or even meat-based baby foods. Also discuss appetite stimulant medications (cyproheptadine and mirtazepine are two commonly used drugs) with Bonnie's veterinarian since they may be helpful. However, if none of these strategies improve her appetite and her overall quality of life is declining, it may be time to consider euthanasia. I hope this helps and that all goes well for Bonnie.

I would suggest trying a large variety of foods to try to entice him to eat. You can boil some chicken for him or even offer him turkey or boiled ground beef. Dogs will go without eating for extended periods of time when they have conditions like renal failure, but it is very important to get them eating again as soon as possible. You can try several varieties of canned food as well. If your dog still refuses to eat you may need to take him to the veterinarian for an appetite stimulant and fluids.