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Question:

8 year old cat diagnosed with stage 3 kidney disease, but with a curve ball

I'm hoping to get some advice or support here. My sweet 8-year-old tabby, Bella, was just diagnosed with stage 3 kidney disease, and I'm honestly overwhelmed. We've started her on a special diet, but here's the curve ball: she also has this weird intolerance to some medications. Our vet is working to find alternatives, but Bella just seems so out of sorts lately. She’s more lethargic than usual and isn't eating a ton, which breaks my heart because she used to be the greediest little fluff ball. Has anyone else dealt with similar med intolerances in their kitty? I feel so helpless, and any tips or reassurance would be super appreciated. Just want to make sure she’s as comfortable as possible during all this. Thanks in advance!

Answer:

Hello, I'm really sorry to hear about your kitty's diagnosis. Managing stage 3 kidney disease is definitely a challenge, and it sounds like there might be something unexpected going on. Cats with kidney disease may often experience issues like increased thirst and urination, weight loss, and decreased appetite. However, if there’s a “curve ball,” it could mean some symptoms are off the usual path, possibly pointing to other complications or conditions.



Sometimes, kidney disease can lead to high blood pressure, dental issues, or even secondary infections. It’s essential to keep a close eye on any unusual changes in behavior, such as sudden lethargy, vomiting, diarrhea, or noticeable discomfort. If you see any of these, it’s important to act promptly.



At home, ensure your cat stays well-hydrated and is eating a balanced diet recommended by your vet, which is usually lower in phosphorus and protein. Consider having multiple water sources, like water fountains, to encourage drinking. Also, keep stress levels to a minimum; a comfy, quiet spot can make a big difference in their comfort.



If the curve ball includes anything worrying, such as atypical symptoms or rapid changes, it’s important to consult with a veterinarian as soon as possible. I’d highly recommend setting up a video consult with one of our Dial A Vet professionals to dig deeper into what might be happening and ensure your cat gets the best care possible.

Answered by

Louise - Senior Veterinary Nurse, Dial A Vet

June 19, 2025

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The "Ask a Vet" forum on Dial A Vet offers general information and helpful tips on pet health, but it's not a substitute for professional veterinary care. The advice here doesn't create a veterinarian-client-patient relationship, and our vets can't diagnose or treat your pet remotely. For emergencies or specific medical concerns, always contact your local veterinarian immediately. Your pet's health is unique, and decisions should only be made after consulting with a qualified professional. By using this forum, you acknowledge these limitations and agree to seek in-person veterinary advice for all your pet's health needs. View our content guidelines.
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