Chronic kidney disease: Diagnosis
Chronic kidney disease (CKD) is a common cause of illness and mortality in feline patients, with approximately 10% of cats older than 10 years and 30% of cats older than 15 years suffer from CKD. Read more about clinical signs of CKD.
Chronic Kidney Disease: Management
Cats with CKD are often inappetent, however, it is very important that cats continue to eat when they have renal failure, and therefore, cats should be encouraged to consume adequate calories to maintain a bodily condition score of 4 to 5 out of 9. There is good evidence that providing cats with renal failure with a renal diet will delay the onset of uraemia (Stage 4 chronic kidney disease), and premature death. Read more about the long-term prognosis for cats with chronic kidney disease.
The BSAVA (British Small Animal Veterinary Association) holds an annual Scottish congress, on a smaller scale than its Birmingham cousin, but still very interesting and filled with practical speakers. In September 2016, Yvonne McGrotty (BVMS CertSAM DipECVIM-CA MRCVS) took the stage to discuss SDMA (Symmetrical Dimethyl Arginine)- the newest test for detecting early kidney disease. This article provides an overview of her talk, to explain what SDMA is and how it can be used to identify kidney disease earlier in small animal patients, therefore allowing earlier management strategies to be implemented.
In veterinary practice the urine test is a useful way to learn about the state of health of the kidneys. This analysis has a low cost and is psychologically easier to offer to an owner than a blood test. Furthermore, as is now well known in the literature, proteinuria may be the only, or at least the first, data indicating a nephropathy in asymptomatic animals.The purpose of this review is to understand how to perform a proper analysis of the urine, how to interpret the parameters found and deepen the meaning of proteinuria.