End stage kidney flure in cats


End stage kidney flure in cats

Q:I have a friend with a 3-year-old female cat who's kidney flure is rapidly progressing. She's on a special diet of canned food that requires special preparation. She also needs to be hydrated. Her liver is fling as well and has been put on medication that doesn't appear to be working. She's in pn and is refusing to eat, drinking very little. Her urine is so yellow it's almost pink.

Her husband feels like the last resort is to put her to sleep, but he can't bear to see her suffer. He also doesn't want her to die in front of the children. They love her very much. The veterinarian they've been seeing is recommending that he make the decision for her and is trying to find out if euthanasia is an option. She's been diagnosed with chronic kidney disease, kidney flure and liver flure and is very weak. The vet has been telling them she will have a horrible death. Is euthanasia an option? Should the husband make the decision?

A: In the US euthanasia is never recommended, but I believe that the veterinarian is recommending euthanasia to avoid being accused of euthanizing an animal because of the patient's suffering. If the cat is experiencing a great deal of pn and suffering, then it seems likely that it's very pnful and the pn will continue for many hours or days after death. Many veterinarians are willing to take on an animal that's suffering because they enjoy helping them.

I don't know whether a cat is "better off" after euthanasia than before. If a cat that is healthy and happy, and is suffering less than a cat that is sick and in pn, should be euthanized for the sake of that happiness and the lesser suffering? This question is a matter of value theory, the kind of philosophical debate that people have about what is right and wrong in the world.

There are many, many different points of view.

I personally think that people should not be forced to put an animal to death, no matter what they think is best. If a person thinks that an animal is suffering because of pn, they should find ways to make the animal better off without killing the animal, and if possible, find ways to avoid causing that suffering.

I'm not sure what to tell you. A person cannot decide for another. I hope the husband decides that he'll do what he thinks is best for the cat.

If the vet is recommending euthanasia, I think the husband would have to make the decision.

Dr. Ian Dunbar, D.V.M. is a board-certified veterinary internist and a graduate of Cornell University's veterinary school. The opinions expressed in this column are his and his alone.

All About Euthanasia

Q:I have a friend who owns a cat with kidney disease and end-stage liver disease. She's been on the kidney transplant list for months. The surgery would involve transplanting two of her kidneys, and they're still looking for a donor. Is euthanasia an option? Her daughter, age 16, wants the cat to live, but her husband thinks she's suffering. What do you think is the best course of action? Should the cat be put to sleep so she doesn't suffer?

A:The fact that a cat has kidney or liver flure should not be taken as an indication that she will suffer a horrible death. The fact that she's not eating or drinking and that her kidneys are shutting down is very distressing.

I don't think that euthanasia would be an option.

You can help the cat if you have a friend who will take her in or has the room to take her in. If that's not an option, you can find a person who would like to adopt the cat, who can help provide for her needs if you are willing to do the work. You could make sure that she gets medication to help keep her comfortable and that she has food and water avlable to her, that she's well taken care of and that her pn is managed if you are not able to.

You can also ask the vet for a pn medication for the cat. If her condition is bad enough, she might even be unconscious. If the vet feels she's not getting enough pn medication, she might prescribe more.

I think you can help make the cat more comfortable. I wouldn't put an animal to death in the hope that she wouldn't suffer or would be happy about dying.

I'm not saying that euthanasia isn't an option if the animal is suffering. I'm saying that you can help the animal be more comfortable and avoid the pn that comes with the dying process.

All About Euthanasia

Q:We have a 17-year-old, male cat named Charlie. He's been sick since he was a kitten. When he was 5, his kidneys began to fl. We've put him on numerous medications and spent thousands of dollars trying to help him, but he's still in very poor health. When he was a kitten, the vets diagnosed him with an unknown disease and did nothing. We're told that he probably has Feline Immunodeficiency Virus and that he is in the terminal stage of the disease.

Charlie is a special, loving cat. He's so loving and sweet that he has a heart and liver problem that are worsening. I'm at a loss. I love him so much, but I don't know what to do. Should I give him a pnkiller and try to make his life as comfortable as possible?

A:Euthanasia is never an option.

If you love the cat, find a person who would like to adopt him.

The best you can do is make the cat comfortable and make sure he has all the proper medication, food and water. You can give him a pn medication if he's suffering.

I don't think you should make this decision for him. You need to find a person who will make the decision for him.

All About Euthanasia

Q:Our cat is 13 years old and has been suffering from kidney flure for a year


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