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Question:

female cat w/ benign vomiting 1 year ago -> 3 weeks elevated SDMA + creatinine

Help, I'm really worried about my cat, Luna. Last year she had a bout of benign vomiting, and we managed to get through it with some dietary changes. She's usually such a playful, mischievous little thing, but recently, I've noticed she's been more lethargic and doesn't seem as interested in her toys or even her favorite treats. I took her to the vet about three weeks ago for some blood work, and they mentioned her SDMA and creatinine levels were elevated. I’m freaking out a bit because she used to be the picture of health, aside from the vomiting incident, and now I'm not sure what to do. Has anyone else experienced something similar with their cats? What did you do? The vet suggested a follow-up, but seeing her so unlike herself is breaking my heart. Any advice or insights?

Answer:

Thanks for reaching out with your concern. Given your cat's history of benign vomiting and the recent lab results showing elevated SDMA and creatinine, it's understandable to feel concerned about her kidney health.



These markers suggest that her kidneys might not be filtering waste products as efficiently as they should. In cats, elevated SDMA and creatinine are often early indicators of kidney disease, which can develop gradually. Other potential causes could be dehydration or dietary factors, so it's essential to rule out these, too.



For at-home care, ensure she has plenty of fresh water available at all times to stay hydrated. Feeding her a high-quality, kidney-supportive diet can help slow progression if she's starting to show signs of kidney issues.



Watch for signs of serious issues such as increased vomiting, lethargy, decreased appetite, weight loss, or changes in urination. These symptoms may indicate a progression in kidney problems and require prompt veterinary attention.



While these tips can help manage her condition, it’s important to have a more detailed discussion. I recommend booking a video consult with one of our vets on Dial A Vet. They can guide you on the next steps, including any additional diagnostics or dietary changes that might be beneficial for your cat.

Answered by

Louise - Senior Veterinary Nurse, Dial A Vet

June 29, 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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