My cat, Titi, is 9 years old. Just over 2 years ago, the vet diagnosed him with Stage 3 CKD. He advised me to feed him renal dry food and give him Semintra once a day. Those two years went quite well. He even went from weighing roughly 8 lbs 13 oz to 15 lbs 7 oz. About a week ago, Titi stopped eating; his coat was dull and he had very bad breath. He was isolating himself. I took him back to the vet who told me he is now at Stage 4 (his creatinine, urea, and phosphate levels were higher than the machine could detect). He had large ulcers under his tongue. So, he has an AKI (acute kidney injury) on top of the chronic condition. The vet's prognosis was guarded, if not very pessimistic, and he talked about putting him to sleep. The vet said the AKI might be caused by kidney stones. He did an ultrasound where he saw large stones. He then referred us to a veterinary hospital. Titi had another ultrasound which showed that he has almost no left kidney left and that his right kidney is still quite large but with irregular borders. But that wasn't the main issue. The vet hospital advised trying a 48-hour stay to put Titi on an IV drip. The vet also gave him an injection of a steroid and a broad-spectrum antibiotic. After just under 48 hours (around 30 hours), the levels had come down but not enough. They are detectable by the machine but still very close to the maximum limits. The vet stopped the drip and explained that it wasn't right to keep pushing, and since he wasn't eating anymore, it was the end. He gave him a week at the absolute most to live. He could have fitted a feeding tube, but he didn't recommend it. So we decided to bring him back with us to be with him in his final days and give him some comfort. Titi is back home now. For the first three days, I still did two round trips a day to the vet for morphine and anti-sickness injections. I started feeding him (cat fish soups) and giving him water with a pipette (almost every hour) plus Semintra. The vet then suggested trying liquid renal food. Titi took it very well at first. After three days, he had regained some strength and even the vet was surprised. His prognosis went from a few days to a few weeks. So he decided to stop the morphine but keep the anti-sickness meds. This is the first morning without morphine, and I find Titi is really flat, and it's very difficult to feed him. He's drooling from the sides of his mouth. Plus, Titi is constantly going back and forth to the litter tray without necessarily doing a wee. No poo for at least three days. What should I do? Thank you so much for your replies.
