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Hello, you are through to Dr Linda, a UK based vet with 10 years of clinical experience working out of West London. It will be my pleasure to help you today.
I'm sorry to hear to this and understand your concern for Princess.
When did she the vet?
Do you know what stage of kidney failure she has?
Bless her, ok.
Do you happen to have the blood results you could attach, or do you know how severe her kidney disease is?
Ok, thank you.
Has she been eating or drinking by herself at all since this?
Has she had any vomiting?
Is she passing urine?
Thank you, ok.
Before typing my reply is there anything else I should know?
Please bear with me as I compose my reply.
I'm very sorry Princess is so poorly and know you will be very concerned.
The fact she has not passed urine since yesterday morning is a huge red flag and may mean her kidneys are no longer filtering and are not working.
Similarly, the complete lack of thirst and appetite (when a cat with kidney failure does not drink we are very alarmed) could indicate a severe toxin build up and nausea.
Given the fact her kidney enzymes were elevated, it may be that she has not tolerated the sedation and her body was not able to deal with the drugs as it should have been, due to her kidney disease.
She sounds acutely unwell and I do not think she is well enough to manage from home I'm afraid.
This is a true emergency and she needs to see an out of hours vet right away.
She may need interventions including high rate intravenous fluids and injectable medicine.
Sadly, it could be that she is in the end stage of kidney failure and that treatment will not be effective.
If her bladder is full and she is not passing urine, there is an additional concern of a blockage due to e.g. a stone or mass.
At this point, I'd strongly encourage a vet check now. If she is not eating or drinking, not passing urine and is very weak, this is a true emergency.
Even if in pain, she would not likely show any obvious signs (like yelping).
More likely than pain, she is fatigued, weak, nauseous and feels discomfort.
Not at all and I'm sorry she has been poorly.
Do you have any further questions this morning for me?
Sure thing and take care.
Wishing Princess all the very best.
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