Sorry to send this msg; I do have some questions regarding the CKD of my cat. I am located in a small city in China where the Vet can't really build trust with me.
A week ago, I realized my cat's appetite started to decrease a lot, and in a severe dehydration state, so I took him to the vet. The blood report shows the BUN and CREA are severely high, like 4x. His PHOS was high, CA was low. And his WBC and Gran are high as well. So we used some antibiotics and rehydrated him. Almost 500ml. Day and night IVF. We did a blood test again after 4-5 days of treatments, all these levels are back to normal. But new things appeared. He was in diarrhea. His Na, K, and Cl are high. PH, HCO3-, and BEecf are low, But AnGap is normal. I was a nurse before, so I considered this metabolic acidosis is due to diarrhea. Although the poop wasn't completely watery, I still can see it contains lots of water, and on the first day of diarrhea, he poops 6-7 times, after 3 days, each day he poops at basically the same frequency. But when I talked to the vet, he was telling me this acidosis wasn't bcoz of this, it was due to his CKD. Then I was pretty confused, bcoz I saw his blood test was back to normal. And here, we did run the urine test, he can't give me the UPC, and the protein just tested once, he told me was +, and specific gravity was 1.018. This was during the treatment. So basically we had 6-7 days of IVF, and in the last 2 days, he was in metabolic acidosis till now the 9th day I guess. And when I was giving him the 5% dextroses IVF, his breath was super fast.. I asked the vet, but he has nth to tell me. So, with all this info I'm just not sure if he can be diagnosed with CKD, then what exactly causes him metabolic acidosis? And for his diarrhea, I was considering the diet change and antibiotic used that killed normal bacteria inside his intestine. Right now, after the meds I gave him for like 2-3 days, his diarrhea stopped, I'm giving him sodium bicarbonate orally 3 times per day. Now is the 2nd day. I didn't take him to the vet yet, his basically scared of everyone, and I can clearly see that he was so stressed when he was outside of our home. Now, his appetite is kinda normal and dehydration doesn’t seem that much coz I grab the skin on his neck, and it's back quickly. But he is still breathing fast, for like 30 times? Or maybe more even in his sleep. And recently is getting hotter here, and he sleeps quite a lot (maybe bcoz he was in the hospital and couldn't sleep well for many days.) I also considered that he felt stressed somehow, coz I was taking the needle out of his leg, which made him hurt. Still, I’m not sure…
So, I just wanted to solve the confusion in my head, bcoz I really have no other choices. All I wanted was just for my cat to get better. If anybody here can help me with my confusion, I would be pretty appreciated it. BTW, I was trying to join the forum, but it shows an error.
Thank in advance,