It is a great emotion for me to deal for the first time with a subject that is very close to my heart.
I share with you the nutritional choices I made when it came to treating and helping my cat with IRC (now CKD).
Below you can read a topic still little explored in veterinary science: “malnutrition during renal failure PEW” as one of the strongest risk factors for adverse outcomes and death in cats and dogs with CKD.
*The concepts and advice given in this article also apply to dogs.
- 1 Functional feeding nephropathic patients
- 2 The cat does not eat because of the uremia
- 3 Home feeding for cats with cat renal failure
- 4 PEW malnutrition cat renal failure
Functional feeding nephropathic patients
For some years now in human, the importance of proposing a functional diet in the course of chronic diseases has been being studied and how this plays a very important role in combating malnutrition (PEW) in nephropathic patients.
What should a cat with kidney failure eat?
When my cat became ill with chronic renal failure, in addition to the administration of the medicinal fungus Cordyceps, + Heel protocol, it was necessary to focus on the nutritional aspect.
Adopt proper nutrition in the course of chronic kidney disease know that it guarantees:
- A slowdown in the progression of kidney disease
- Prevents muscle catabolism
- Delays Cachexia
I knew that we would have to face periods of total loss of appetite (obligatory stage in a cat stage 3 or 4 of chronic renal failure), so it was necessary to ALWAYS NUTRIRE and be pro-active!
Renal cat food or homemade food?
Which renal food for cats with kidney failure was most suitable? a renal food with reduced protein intake or a homemade raw meat diet with added supplements or a barf-cooked or semi-cooked diet?
On the net (it was 2011) the articles on the management of nutrition during kidney failure that were read on the net were always in favor of a diet with reduced protein intake, the so-called renal food for cats.
This article is exclusively the result of personal studies, research and experience, I remember that on the web it is good courtesy to respect the right to paternity of an article always quoting the source.
Anorexia and Poor Appetite in Cats
Solution is ORALADE – Cats do not tolerate fasting and must meet at least 2/3 of their daily energy requirements. Periods of anorexia or poor appetite can have serious consequences and should therefore be approached promptly. Oralade Cat is the perfect supplement to encourage increased consumption of any diet;
- High palatability – can be mixed in both dry and canned diets
- Improves hydrations status and thereby wellbeing
- Improves gastrointestinal tract absorption and barrier function towards bacteria
Cat with CKD at risk of malnutrition
I know the disease and I know how complicated it can be to manage on a daily basis. In addition to the very specific symptoms, food rejection is also a common factor in many cats with CKD.
How many of us have found ourselves looking for solutions to counteract the loss of appetite, how many times have I heard my cat does not eat renal food, does not eat cans, smells food but does not eat.
The cat does not eat because of the uremia
If your cat doesn’t eat and you want to try to help it by changing its diet in favour of a home diet, I recommend that you be followed by a nutritionist veterinarian. The formulation of the diet must not leave room for improvisation, must meet the energy needs of the cat, alleviate the clinical signs of kidney disease, reduce uremic intoxication, contain little sodium and phosphorus and maintain the acid-base balance. The diet must always be personalized on the basis of clinical and laboratory data, remember that a cat at the 1 or 2 stage of the disease must be treated and fed in a different way than another cat in the terminal phase of kidney disease.
According to the IRIS classification (International Renal Interest Society) my cat was in a stage of renal disease III – Creatinine 251 – 440 micromol/l (2.9 – 5.0 mg/dl) and therefore moderately insufficient.
Home feeding for cats with cat renal failure
chronic renal failure cat feeding,
The food for cats with kidney failure must provide an adequate calorie intake, have a reduced content of sodium and phosphorus, must provide sufficient energy to prevent endogenous protein catabolism which results in malnutrition and exacerbation of azotemia.
The energy requirement of the cat is about 50 to 60 kcal/kg/day, although there is a variation of 25% considering the individual energy requirement based on age, level of physical activity, concomitant diseases (tumor ➡ v. neoplastic cachexia) sterilization / castration.
Food for cats with home-made renal failure
My immediate direction in terms of food was to choose a homemade diet with the addition of supplements, vitamins, omega-3 fatty acids, coenzyme Q10.
Food for cats with homemade renal failure
The reason was simple and natural, I wanted to ensure the cat an adequate protein intake, which would prevent muscle atrophy and loss of lean mass and at the same time could prevent and / or counteract lack of appetite. I started to create a weekly diet plan based on homemade homogenize with the main ingredient egg white, a source of protein that was definitely right for us: ORGANIC VALUE 100 + BIODAVAILABILITY OF AMINOACIDS + EIGHT DIGERIBILITY.
Recipe for cat with kidney failure
Read my recipe with cooked egg white blended with a part of chicken or turkey and pumpkin, a digestible and appetizing meal! (*doses and ingredients must be adapted to the clinical history of the animal itself for the choice of supplements). For the dog you can structure a diet of potatoes, black rice, egg white.
For cats with stomatitis, diarrhoea or constipation, you can read all the properties in the special article ZUCCA for dogs and cats, Beneficial properties + recipe
I immediately chose a diet that was mostly homemade, rotating the ingredients, varying the protein sources and opting for proteins with a biological value as close as possible to the value of 100, such as cooked egg white.
Egg white is an excellent source of protein (each egg contains about 7 grams of protein, of which 5 in the egg white).
The biological value (VB) of proteins is an index that describes how efficiently the body uses and metabolizes a protein, meat has a high biological value but the FIRST PLACE is assigned to eggs, their profile and amino acid balance is perfect and is taken as a reference for comparison of all other protein sources. The body is able to assimilate the proteins of the egg or egg white in their entirety.
The low-protein diet is a possible risk factor for malnutrition in cats with chronic kidney disease.
In periods of lack of appetite or when the symptoms of renal disease were more marked, I offered a meal consisting of 1/2 sachet of moist renal food and 1/2 sachet of cooked egg white. In the periods in which stomatitis occurred with total loss of appetite I administered with a syringe every 2/3 hours only wet renal food (I did not add egg white or other protein sources) + therapy with Stomorgyl for 10/12 days + water Fiuggi (administration of water syringes Fiuggi) to combat dehydration and help eliminate nitrogenous waste.
If you do not have time to prepare homemade liquid meat give with syringe, I recommend two products to keep always at home.
The Tjure Eat and Drink Liquid Meat you can read more information here
Or the Kattovit Renal Drink cooking liquid meat with chicken breast fillet
Drink for cats with kidney failure or ideal in case of low fluid intake
To support renal function
Promotes liquid intake: tasty meat cooking liquid with delicious chicken pieces
Rich in minerals: to contribute to animal health
Free of artificial colours, flavours and preservatives
➡ ARTICLE RECOMMENDED AS TO PREPARATE THE HOMOGENEIZED MEAT WITH BIMBY
During the diet strictly with pet-food Renal I added to the food a supplement of amino acids of the GUNA used in human, in 2011 marketed under the name SON FORMULA today Gunamino Formula. (MAP Master Amino Acid Patter)
The cat’s body requires about 20 amino acids for optimal health, 11 of which are essential proteins must be digestible and at the same time with a high VB. The essential amino acids are: leucine, isoleucine, valine, tryptophan, phenylalanine, histidine, methionine, threonine, lysine, arginine and taurine.
Renal+Master Amino Acid Pattern to avoid malnutrition and PEW
Master Amino Acid Pattern ZERO nitrogen slag
The Master Amino Acid Pattern once taken, follows 100% of the anabolic route with the virtual absence of production of nitrogenous waste. MAP (Master Amino Acid Pattern®) is an exclusive composition of essential amino acids in crystalline, free, highly purified form.
It was a blanket of an Italian Maurizio Luca Moretti, a researcher in the United States. It is he, in fact, who has achieved the goal coveted by many scientists working in the field of nutrition: to find the ideal protein compound, that is, perfectly assimilable and bioavailable, that does not produce waste and toxins. The Map (Master Amino Acid Pattern) is a balanced, pre-digested and complete catabolic association of the eight essential amino acids. ➡ MAP™ is the result of 23 years of research by the International Nutrition Research Center (INRC). With Gunamino I avoided protein loss, protein energy and malnutrition.
It produces less than 1% nitrogen catabolites, the lowest value ever compared to any known dietary protein: this makes it particularly suitable for those with liver or kidney dysfunction. Its use avoids the excess of nitrogenous waste and consequently the overload of the kidneys.
is absorbed in a few minutes without digestive commitment
does not produce nitrogenous waste
provides, in the lowest weight and volume, the maximum protein value compared to any other food
It has a Net Nitrogen Use (NNU) of 99%, i.e. 99 parts are assimilated and one part is excreted in the form of waste.
Master Amino Acid Pattern
= Nitrogen net (NNU) 99%
Egg = Nitrogen net (NNU) 65%
Meat, Fish and Poultry = Net Nitrogen (NNU) 32%
TIPS: I’ve been hiring him for several years now 😉 I’m going for a moment Off-Topic are important and useful info!
Ten grams provide a nutritional protein value equivalent to 450 grams of meat, fish or poultry and provides only 40 calories. It allows you to regain or retain lean body mass while reducing fat.
This product has undergone a double-blind and triple cross-over trial, which has shown the absence of side effects, including those common to other amino acid associations, such as nausea, vomiting, abdominal cramps and dilatation.
In this context, its high nutritional value emerged, it should be noted that the digestion of proteins generally takes about three to four hours, while the Map is absorbed in the small intestine in just twenty-two minutes. In fact, it is pre-digested and does not require the intervention of the enzyme peptidase, while it requires minimal stimulation of biliary, pancreatic and intestinal secretions. This, together with its amphoteric characteristic (i.e. it can act both as an acid and as a base, depending on the pH of the environment in which it is found), makes it valuable for those suffering from gastritis, digestive disorders or IBD. I recommend the purchase of Gunamino tablets, the sachets contain sweeteners, to Gunamino add arginine and taurine.
PEW malnutrition cat renal failure
Protein Malnutrition Syndrome – Protein Energy Wasting (PEW)
Why is protein-energy depletion associated with mortality in patients with CKD?
Protein Energy Wasting (PEW) is a pathological condition characterized by a progressive reduction of protein and energy reserves. PEW has a high prevalence among patients with CKD (chronic renal disease / terminal stage renal disease) and is closely associated with adverse clinical outcomes and increased rate of hospitalization, complications and mortality.
Protein-energy loss (PEW), a new term proposed in human by the International Society of Renal Nutrition and Metabolism (ISRNM), refers to the multiple nutritional and catabolic alterations occurring in chronic renal disease (CKD) associated with morbidity and mortality.
The depletion of protein-energy is a frequent condition, strongly related to mortality in patients with CKD, as in human also cats and dogs with chronic renal failure need protein in the diet, supplements and essential amino acids.
Maintaining good nutritional status in cats with chronic renal failure prevents PEW.
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