Diets for Managing CKD in Cats

Posted on October 1, 2023 by felinepurrspective_u3q4o6

Diet is a key therapy for cats with chronic kidney disease (CKD). Diets for managing CKD in cats aim to (Reference 1):

lessen the clinical signs of CKD
slow the progression of the disease
provide adequate nutrition

Diets for managing ckd in cats

The goal of diets for managing CKD in cats is to reduce the amount of uremic waste products while providing adequate nutrition. There are a number of commercially available diets that are formulated to do this. These foods feature (Reference 1):

reduced phosphorus
restricted amounts of high-quality protein
higher calories
reduced sodium
potassium supplementation
B vitamins and fatty acids

Phosphorus

Phosphorus is needed for the growth, maintenance, and repair of all tissues and cells, and for the production of the genetic building blocks, DNA and RNA. Phosphorus is also needed to help balance and use other vitamins and minerals, including vitamin D, iodine, magnesium, and zinc (Reference 2).

As kidney disease progresses, the ability of the kidneys to excrete phosphorus declines. To reduce stress on the kidneys, diets for managing CKD in cats aim to reduce the amount of phosphorus and balance the ratio of calcium to phosphorus. Too much phosphorus and not enough calcium can lead to kidney and bone damage (Reference 1). Commercial kidney diets are formulated to maintain an appropriate ratio of calcium to phosphorus.

protein in diets for managing cats with ckd

Since protein contributes significantly to phosphorus content, kidney diets restrict the amount of protein. Less protein means less uremic waste products. Emphasis is placed on formulating these diets with “high quality” protein. High quality proteins are a “complete package” and provide the cat with all the amino acids he or she needs. Thus, the protein used is highly bioavailable and generates less uremic waste products (Reference 1).

There are concerns that reduced protein diets predispose cats to weight loss and loss of lean muscle mass. Some recent studies suggest that senior cats may require more protein than younger cats to maintain lean body mass (LBM) (Reference 1).

Some practitioners advocate feeding higher protein diets to cats suffering with CKD to maintain the LBM. This may not be the answer to maintain LBM – increased protein in the cat’s diet means more uremic waste, making the cat feel nauseated and not inclined to eat. Ultimately, the cat will be eating less and calorie reduction will lead to muscle wasting as the cat’s body uses his own muscles for nutrition (Reference 3).

More on Lean Body Mass…

A recent study in 2019 (Reference 4) found a correlation between consumption of essential amino acids (essential amino acids must be consumed in the diet) and LBM. Cats with CKD Stages 1 and 2 were fed either a control kidney diet or a higher calorie “test” kidney diet that included higher amounts of essential amino acids and carnitine, an amino acid derivative that plays a role in energy production in the body.

The cats eating the lower calorie control diet lost LBM whereas the other group of cats eating the “test” diet maintained their LBM. Researchers observed that the cats on the control diet did not eat enough food to get adequate amounts of essential amino acids. They found that essential amino acid intake, not total dietary protein, correlated with maintaining LBM.

Although offering reduced protein, most commercial kidney diets make sure that more than sufficient amounts of the essential amino acids are available. The challenge is to get cats with CKD to eat enough of the diets.

Other Supplements

Commercial diets for managing CKD in cats also supplement:

Potassium, an electrolyte essential to the function of muscles and nerves
B vitamins – these water soluble vitamins can be depleted as the cat drinks more water and urinates more
Fatty acids – fatty acids found in fish oils are thought to reduce inflammation and decrease protein in the urine

Starting a kidney Diet

Renal diets are typically recommended for cats in IRIS Stages 2, 3, and 4. Occasionally a reduced protein diet may be prescribed for a Stage 1 cat who has persistent protein in her urine. Many practitioners like to introduce therapeutic diets when the cat is in IRIS Stage 2, because the cat should still be feeling well and more likely to accept the new diet (Reference 3).

The best time to switch to a kidney diet is when your cat is eating her regular cat food well and is feeling well. Wait to introduce the new diet if…

Your cat has just come back from the hospital
You have visitors or are doing home remodeling
Your cat is not eating her regular food well
Your cat is vomiting or having diarrhea

Introduce the new diet gradually, over several weeks (Reference 1)


Week 1	Week 2	Week 3	Week 4
Offer 25% of the new diet and 75% of the current food	Offer 50% of the new diet and 50% of the current food	Offer 75% of new diet and 25% of the current food	Offer 100% of the new diet

Make sure to offer the appropriate amount of calories to your cat – the new renal diet will most likely be more caloric than the your cat’s current food and you will not need to feed as much.

tips for transitioning to a kidney diet

Choose a food similar to the one your cat is eating already – wet or dry? fish or chicken?
Offer the new food in a separate bowl alongside the regular food
Make sure to offer fresh food
Use a “topper” to encourage your cat to try the new food – fish flakes or a favorite treat
Try gently warming wet foods – the stronger smell may make the food more appealing
Meal feed your cat – small, frequent meals gives your cat more chances to try the new food
Avoid mixing medications into the new food – use a small amount of another food or pureed treat to give the medications

If you are struggling with a finicky cat, talk to your vet. If your cat is healthy, ask if you can do a trial of mirataz to stimulate his appetite and facilitate the transition to the new food.

Alternatives to a commercial kidney diet

Use a phosphorus binder in the food your cat will eat. Consult your veterinarian for the appropriate dose.
Home cooked diets are an option but should be formulated by a veterinary nutritionist. Nutritionists affiliated with websites such as balance.it will work with your vet to formulate a recipe for your cat.

Studies have shown that diets for managing CKD in cats can increase longevity, help control uremia and maintain phosphorus concentrations. While some have concerns about the protein restriction in these diets, kidney diets have been shown to maintain LBM providing the cat eats enough food to get sufficient nutrition.

New research is focusing on the connection between the kidneys and the GI tract, particularly the uremic toxins that originate in the gut. Prebiotic and probiotic treatments in CKD cats are being investigated to see if improving the health of the microorganisms living in the gut can reduce blood concentrations of gut-derived uremic toxins. (Reference 5)

references

Quimby, J. and Ross, S., Diets for Cats with Chronic Kidney Disease (CKD) [updated 2022]. http://www.iris-kidney.com/education/protein_restriction_feline_ckd.html [viewed 9/2023]
Phosphorus: Fact Sheet for Health Professionals, https://ods.od.nih.gov/factsheets/Phosphorus-HealthProfessional/, viewed 9/2023.
Cave, N. and Wall, M. Protein restriction for cats with chronic kidney disease, Vet Focus, Issue # 30.1, © 6/25/20
Hall JA, Fritsch DA, Jewell DE, Burris PA, Gross KL. Cats with IRIS stage 1 and 2 chronic kidney disease maintain body weight and lean muscle mass when fed food having increased caloric density, and enhanced concentrations of carnitine and essential amino acids. Vet Rec. 2019 Feb 9;184(6):190. doi: 10.1136/vr.104865. Epub 2018 Dec 4. PMID: 30514741; PMCID: PMC6589452.
Summers, S. and Quimby, J., The feline gut-kidney axis: food for thought, Veterinary Focus, Issue #33.1, 5/31/23, https://vetfocus.royalcanin.com/en/scientific/the-feline-gut-kidney-axis-food-for-thought, viewed 9/2023

Managing the Cat with Chronic Kidney Disease

Posted on September 24, 2023 by felinepurrspective_u3q4o6

HDO BP cat — A cat relaxes in his basket during a home blood pressure check. Regular blood pressure checks are essential to monitoring chronic kidney disease.

Chronic Kidney Disease (CKD) in cats is progressive and not curable but there are strategies we can undertake to improve the quality of life of our “kidney” cats and possibly give them some more time with us. Here is a checklist for managing the cat with chronic kidney disease:

Keep Kitty hydrated
Feed a diet that will lessen the stress on the kidneys
Maintain appetite
Manage high blood pressure
Treat anemia if necessary
Treat urinary tract infections

Managing the cat with chronic kidney disease

hydration

Kidney failure is tied to the “death” of nephrons that filter the blood. The remaining nephrons compensate by increasing filtration. Dehydration decreases renal blood flow putting more stress on the remaining nephrons. Keeping the “kidney” cat hydrated helps maintain electrolyte concentrations and dilute the waste products the kidneys are struggling to filter out.

Increasing Voluntary Water Intake

Have a variety of water sources and fountains in the home to encourage water intake.
Consider feeding a wet diet – many canned foods contain about 80% water.
Try water from tuna, water used to poach chicken or fish (offer alone, add to the water bowl, or try frozen in an ice cube tray and added to the water bowl).

Hydration supplements like Purina’s Hydra Care are designed to maximize the amount of water cats take in while drinking. Nutrient enriched water is more viscous, clings to the cat’s barbed tongue, and increases the water consumed with each lap of the tongue.

Subcutaneous Fluids

This refers to giving fluids under the skin, not in a vein. It is done using a bag of sterile fluids, an IV line and a needle. This is a strategy often employed in IRIS stages 3 and 4 of kidney disease. This can be done in the veterinary clinic or at home, once you and your cat are comfortable with the process.

Kidney-friendly diets

As the kidneys fail, they are no longer as efficient at filtering the waste products of protein metabolism. Phosphorus in the form of phosphates tends to build up in the body while potassium levels may drop.

Commercial renal diets for kidney cats feature reduced phosphorus and restricted amounts of high-quality protein, an increased calorie density, sodium restriction, potassium supplementation, supplementation with B vitamins, anti oxidants and omega-3 fatty acids (Reference 1). There have been a number of studies done addressing the effectiveness of these diets – the results show that cats suffering from CKD lived longer when fed a renal diet (Reference 2).

Phosphorus Binders

For some cats in advanced stages of CKD, a renal diet may not reduce phosphorus enough; other cats simply refuse to consume a renal diet. For these cats, adding a “binding agent” to the food can help reduce the amount of phosphorus that is available for the cat to metabolize. Supplements that “bind” with the phosphates in the food form a nonabsorbable compound eliminated in the stool. “Phosphorus binders” include (Reference 1):

Aluminum hydroxide
Calcium carbonate
Calcium acetate
Sevalamer (a hydrogel of poly-allylamine, free of aluminum and calcium)

appetite and nausea

A “kidney” cat can suffer from nausea and vomiting due to the buildup of uremic toxins in the bloodstream. The cat consequently doesn’t eat well resulting in dehydration and weight loss. Reduced potassium levels and anemia due to CKD also contribute to a reduced appetite (Reference 1).

Medical Management

Managing the cat with chronic kidney disease also includes managing nausea and vomiting. Drugs that target nausea and vomiting include maropitant (Cerenia) and ondansetron. These are typically available in oral tablets.

There is another drug that is often the first choice of many practitioners. Mirtazapine is an antidepressant drug that not only controls nausea and vomiting, it also stimulates appetite.

available in a transdermal gel (Mirataz) as well as tablets
the transdermal form is FDA approved for use in cats
the transdermal gel is applied once daily and the dose is easily adjusted
side effects are vocalizing and increased activity.

If a cat is too nauseous or unwell to maintain food intake, a feeding tube should be considered.

high blood pressure

Increased filtration rate in the remaining nephrons and activation of the renin-angiotensin system can lead to high blood pressure in cats with CKD. Systolic blood pressures over 160 mm Hg require treatment to prevent damage to the cat’s eyes, heart and kidneys. In particular, the leakage of proteins into the urine (proteinuria) can be reduced once high blood pressure is managed (Reference 1).

Amlodipine is the most commonly used drug to reduce cats’ blood pressure. It is a calcium channel blocker that is available in tablets that can be taken once or twice daily. Amlodipine typically reaches therapeutic levels in 7-10 days. Managing the cat with chronic kidney disease should include a blood pressure check every 3-6 months.

anemia

One of the kidney’s functions is to produce the hormone erythropoietin. Erythropoietin triggers cells in the bone marrow to make more red blood cells. Failing kidneys may not generate enough erythropoietin and anemia (low levels of red blood cells) can result.

Fewer red blood cells means less hemoglobin. Less hemoglobin means less oxygen is getting moved around the body. Anemia can result in weakness and tiredness.

If the fraction of red blood cells in the blood drops below 20%, many practitioners will supplement the cat with a man-made analog of erythropoietin. The most commonly used drug is darbepoetin; it is given as an injection under the skin. Injections of iron supplements often accompany the darbepoetin injections in the initial stages of therapy (Reference 1).

A new treatment (2023) is available for anemia in cats with CKD. Varenzin -CA1 is a once daily oral liquid medication made specifically for cats. Varenzin-CA1 is designed to stimulate the cat’s body to make its own erythropoetin.

Urinary tract infections (UTI)

With increasingly dilute urine seen in cats with CKD, UTI’s are more common. Most of these UTI’s do not have clinical signs such as frequent urination or blood in the urine. Urinalysis should be part of the CKD cat’s checkup. White blood cells found in a centrifuged urine sample are indications for a bacterial culture and treatment. Treatment can be based on sensitivity testing and a kidney friendly antibiotic chosen.

Managing the cat with chronic kidney disease requires attention to multiple factors. Treating dehydration, nausea, high blood pressure and anemia can keep the “kidney” cat comfortable and slow the progression of the disease. A critical part of managing the cat with chronic kidney disease is feeding an appropriate diet. The next post will look at the science behind the commercial renal diets and alternatives to them.

references

Sparkes, A. (panel chair), ISFM Consensus Guidelines on the Diagnosis and Management of Feline Chronic Kidney Disease, Journal of Feline Medicine and Surgery (2016) 18, 219–239.
Quimby, J. and Ross, S., Diets for Cats with Chronic Kidney Disease (CKD) [updated 2022]. http://www.iris-kidney.com/education/protein_restriction_feline_ckd.html [viewed 9/2023]

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Chronic Kidney Disease in Cats

Posted on September 17, 2023September 17, 2023 by felinepurrspective_u3q4o6

Cat on Baby Scale — Weight loss is a symptom of kidney disease.

Chronic kidney disease (CKD) is common in older cats. A 2014 study found that 30-40% of cats over age 10 years had CKD. (Reference 1).

chronic kidney disease in cats

Let’s take a closer look at what the kidneys do for our cats.

regulate fluid volume in the body
maintain the pH and electrolyte composition of the body.
make renin, an enzyme that helps maintain blood pressure
make erythropoietin, a hormone that stimulates production of red blood cells
filter the blood removing waste products

Nephrons are the tubular structures in the kidney that filter the blood and produce urine. A cat’s kidney has about 200,000 nephrons (Reference 2).

Over time, nephrons become damaged and are replaced by scar tissue. Renal failure occurs when less than 25% of the nephrons are functional and the remaining nephrons can’t maintain adequate function. The most common cause is an inflammatory process called tubulointerstital nephritis (Reference 3).

The remaining nephrons compensate by increasing filtration rate. The result of this “hyper filtration” is scarring of the tubes in the nephrons and loss of protein into the urine. The “hyperactive” nephrons also release the enzyme renin. Renin triggers the production of the hormone, angiotensin II, that makes heart beat more forcefully and raises the cat’s blood pressure. (Reference 3).

Diagnosing Chronic Kidney Disease in Cats

Clinical Signs of Chronic Kidney Disease

Some clinical signs are similar to those of other chronic diseases such as hyperthyroidism and diabetes. Like those disorders, these signs are usually not present until later in the disease process.

weight loss
increased thirst and urination
rapid pulse and breathing
unkempt hair coat

In addition the “kidney cat” may have

lethargy
weakness
poor appetite
bad breath or ulcers in the mouth (occasionally)

Diagnosing Chronic Kidney Disease in Cats

CKD is typically diagnosed by measuring creatinine and SDMA in the blood and measuring the urine concentration (Reference 1).

Creatinine

Creatinine is a by-product of energy-producing processes in the muscles. A healthy cat’s kidneys filter out most of the creatinine. As kidney disease progresses, the remaining nephrons filter out less creatinine and values of creatinine in the blood rise.

SDMA

SDMA (symmetric dimethylarginine) is a metabolite of arginine, one of the essential amino acids for cats. SDMA is produced from metabolism of proteins and, like creatinine, is filtered out by the kidneys. Unlike creatinine, SDMA is not influenced by the change in muscle mass. SDMA is more sensitive to the increase in the filtration rate as kidney disease progresses. It will increase earlier than creatinine.

Urine Concentration

As remaining nephrons increase filtration to compensate for the loss of nephrons, the cat drinks more fluid and the urine he produces becomes more dilute. As CKD progresses, urine concentration decreases.

the stages of chronic kidney disease

The International Renal Interest Society (IRIS) has formulated a guide to staging CKD in cats, as well as in other animals. There are 4 stages of CKD. The table below summarizes the values for creatine and SDMA seen for cats in the stages of CKD.

Stage	Creatinine (mg/dL)	SDMA (mcg/dL)	Comments
Stage 1	<1.6	<18	Blood values are normal but urine is dilute or kidneys are abnormal on examination or imaging
Stage 2	1.6 – 2.8	18 – 25	Clinical signs are mild or absent
Stage 3	2.9 – 5.0	26 – 38	Clinical signs are present but vary in severity
Stage 4	>5.0	>38	Risk of uremic crisis

Signs of Uremic crisis (end stage kidney failure):

Refusal to eat, vomiting, lethargy, confusion (possibly pacing and restlessness), withdrawn, uncontrolled urination or defecation, ammonia-like odor to the breath, seizures (from https://www.petmd.com/cat/conditions/urinary/kidney-failure-cats). Emergency treatment is needed.

other signs of chronic kidney disease in cats

Even if creatinine and SDMA are within normal limits, high blood pressure and protein in the urine may indicate that a cat has kidney disease. Recall that as nephrons “die”, the remaining nephrons increase filtration to compensate and blood pressure rises. The higher pressure damages the walls of the tubes in the nephrons and protein can leak out into the urine.

High Blood Pressure

Systolic blood pressures under 140 mm Hg are considered normal; SBP 140- 159 is prehypertensive; over 160 is hypertensive and treatment is recommended. (see “Measuring Your Cat’s Blood Pressure: Why and How”)

Protein in the Urine

Protein in the urine can be associated with disease processes such as urinary tract infection. Persistent protein in the urine warrants a closer look and the veterinarian will often choose to run a test to measure the urine protein creatinine ratio (UPCR). UPCR < 0.2 are normal; ratios of 0.2-0.4 are borderline; ratios over 0.4 support a diagnosis of CKD.

Diagnosis of chronic kidney disease can be challenging. Clinical signs are non specific and shared by other chronic diseases such as hyperthyroidism and diabetes. Because the kidneys have so much reserve capacity and our markers do not detect it until nephron death approaches 70-80%, it can be easy to miss some of the more subtle indicators of kidney dysfunction. It is important for our cats to have regular exams to assess their overall condition, lab work, and blood pressure measurement. Kidney disease is progressive and not curable, however, early intervention can slow down the process. In the next post, we discuss treatment of Stage 1 through Stage 4 of chronic kidney disease in cats.

references

Sparkes, A. et al. ISFM Consensus Guidelines on the Diagnosis and Management of Feline Chronic Kidney Disease, Journal of Feline Medicine and Surgery (2016) 18, 219–239, https://journals.sagepub.com/doi/pdf/10.1177/1098612×16631234
Sadeghinezhad, J. and Nyegaard, J. Cat Kidney Glomeruli and Tubules Evaluated by Design-Based Stereology. The Anatomical Record, Volume 302, Issue 10, 18-46-1854, 14 May 2019, https://doi.org/10.1002/ar.24144
Grauer, Gregory, Feline Chronic Kidney Disease, Today’s Veterinary Practice, February 6, 2015, Issue March/April 2015, https://todaysveterinarypractice.com/urology-renal-medicine/feline-chronic-kidney-disease/

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Diagnosing and Treating Hyperthyroidism in Cats

Posted on September 10, 2023September 10, 2023 by felinepurrspective_u3q4o6

Over 10% of cats over 8 years old will be diagnosed with hyperthyroidism in their lives. Although evidence points to thyroid disrupting chemicals in the cats’ food and environment, we don’t really know why these cats will become hyperthyroid. Prompt diagnosis and treatment will help these cats live long and healthy lives.

Diagnosing and Treating Hyperthyroidism in Cats

Diagnosing

Clinical signs of hyperthyroidism include increased appetite and weight loss. These signs progress slowly and it may be months to years before the cat owner realizes that something is wrong.

Cats are considered seniors at the age of seven. Regular lab work is recommended for senior cats and most senior feline blood panels include a thyroid hormone (T4) measurement. Persistently elevated T4 concentrations coupled with one or more of the classic clinical signs (below) at the same time often confirms the diagnosis of hyperthyroidism. (Reference 1)

weight loss
increased thirst and urination
increased vocalization
hyperactivity
rapid pulse and breathing
vomiting, diarrhea
unkempt hair coat

This list of clinical signs is also shared with other feline diseases, such as diabetes, kidney disease, and GI disorders. These diseases can lower the T4 measurement, so that it is in the reference range, making diagnosis of hyperthyroidism challenging.

a challenging diagnosis

Cats that may have kidney disease as well as hyperthyroidism are particularly challenging to diagnose. Thyroid hormone increases the blood flow through the kidneys, often lowering kidney values to within the reference ranges. At the same time, kidney disease impairs the binding of T4 to proteins, reducing the T4 concentration. One disease masks the other and vice versa (Reference 2).

Cats with borderline T4 values and those suspected of having another chronic disease will need additional testing before a definitive diagnosis of hyperthyroidism is made. The veterinarian may request a more sensitive test called a “free T4 by equilibrium dialysis” in addition to remeasuring total T4. “Free T4” measures a form of T4 that is not bound to proteins in the blood. (Reference 3)

Routine thyroid monitoring in humans and dogs measures levels of TSH or thyroid stimulating hormone. Unfortunately, levels of TSH in hyperthyroid cats are often too low to be detected using canine tests. Zomedica has recently developed a feline TSH assay capable of measuring the low levels of TSH in cats which may aid in diagnosing feline hyperthyroidism. (Reference 3)

treating hyperthyroidism in cats

At the present time, there are 4 treatments available to cats with hyperthyroidism (Reference 1).

radioactive iodine (I-131)
medical management with a drug called methimazole
surgical removal of abnormal thyroid tissue
dietary therapy using iodine-restricted food

1. Radioactive Iodine (I-131)

Treating hyperthyroidism in cats with radiation must be done at a licensed facility. An injection of radioactive iodine is given under the skin, like a vaccine. The cat stays at the facility until radiation levels drop enough to send cat home (about 3-4 days) (Reference 1, 4)

95% cure rate
side effects are rare
small risk of hypothyroidism (too much tissue is destroyed and the cat will need thyroid supplements)
owner must store wastes and soiled litter for 2 weeks
cannot cuddle kitty for extended times for 2 weeks post discharge (e.g. cat cannot sleep on bed)

2. Medical Management with Methimazole (Reference 1)

not a cure and the cat must receive daily medication to manage his hyperthyroidism
methimazole is available in pills and transdermal gel
frequent monitoring of T4 values is necessary
side effects: vomiting, facial itching, liver failure
tumor may continue to grow and become cancerous

3. Surgical Removal of Thyroid Gland (Reference 1)

The abnormal thyroid tissue is removed surgically, leaving the normal tissue alone. It is a procedure most surgeons can perform.

up to 90% cure rate
if not all the abnormal tissue is removed, hyperthyroidism can return
general anesthesia can be risky in cats with cardiac issues and kidney disease
there is a risk of damaging the adjacent parathyroid glands (regulate calcium in the body)
risk of hypothyroidism if too much normal tissue is removed

4. Dietary therapy (Reference 1)

Hills y/d diet reduces the amount of thyroid hormone in the body by decreasing the amount of iodine in the cat’s food.

response is 82% when on the diet
safe for cats with kidney disease
the cat cannot eat other foods
only low-iodine treats and water can be used
the cat will become hyperthyroid if he stops eating the diet

Both I-131 and thyroid surgery offer a cure for hyperthyroidism. However, both have a low risk of too much normal tissue being destroyed and the cat developing “hypothyroidism” as a consequence. The “hypothyroid” cat does not produce enough thyroid hormone and must be supplemented with daily oral medication for the rest of his/her life.

Both I-131 and surgery run the risk of unmasking more advanced kidney disease. Unlike medication or diet which can be adjusted or stopped, I-131 and surgery are permanent. Before recommending I-131 or surgery, some practitioners will conduct a trial with methimazole to assess kidney function when the hyperthyroidism is managed. However, some clinicians will opt to treat with I-131 even in the face of advanced kidney disease – persistent hyperthyroidism will further damage the kidneys if left untreated (Reference 5).

Diagnosing and treating hyperthyroidism in cats can be challenging. The presence of other diseases can mask hyperthyroidism and interfere with testing. I-131 is considered the gold standard for treating hyperthyroidism in cats. It does not carry the risks of surgery, avoids the side effects of methimazole and the difficulties of maintaining a strict prescription diet with a cat. Whichever treatment you choose, you have taken a step toward giving your hyperthyroid cat a healthier and longer life.

references

Carney HC, Ward CR, Bailey SJ, et al. 2016 AAFP Guidelines for the Management of Feline Hyperthyroidism. Journal of Feline Medicine and Surgery. 2016;18(5):400-416. doi:10.1177/1098612X16643252
Geddes R, Aguiar J. Feline Comorbidities: Balancing hyperthyroidism and concurrent chronic kidney disease. Journal of Feline Medicine and Surgery. 2022;24(7):641-650. doi:10.1177/1098612X221090390
Kvitko-White, Heather. Recognizing and confirming feline hyperthyroidism. dvm360 March 2021 Volume 53, Feb 9, 2021. https://www.dvm360.com/view/recognizing-and-confirming-feline-hyperthyroidism (viewed 9/2023)
Brooks, Wendy. Thyroid Treatment Using Radiotherapy for Cats. Veterinary Partner:VIN. Date Published: 01/01/2001
Date Reviewed/Revised: 09/05/2023. https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951399 (viewed 9/2023)
Vaughan, F. and Wackerbarth, D. “Methimazole Trials: What Are They Good For?”, https://www.felinehtc.com/documents/Methimazole-Trials.pdf (viewed 9/2023)

Hyperthyroidism in Cats – What is it? Why Does It Happen?

Posted on September 3, 2023 by felinepurrspective_u3q4o6

Thyroid Disruptors have a similar structure to the thyroid hormone T4

About 10% of senior cats will develop a condition called hyperthyroidism in their lives. Hyperthyroidism can affect a cat’s quality of life and potentially shorten it.

What is hyperthyroidism?
A cat has two thyroid glands, one on each side of the throat below the larynx or voice box. In a healthy cat, these glands are small and difficult to feel. In a cat with hyperthyroidism, these glands are enlarged due to an overgrowth of tissue. This tissue is functional and produces thyroid hormones. Chemical assay of an affected cat’s blood will show an excess of thyroxine (T4).

Most of these growths are benign – only 2% of hyperthyroid cats have cancerous tumors at the time of diagnosis (Reference 1).

Hyperthyroidism in Cats – what you may notice

Weight loss
Increase in vocalizing
Hyperactivity
Increased thirst and urination
Unthrifty haircoat
Vomiting
Diarrhea

Hyperthyroidism in cats – causes?

Hyperthyroidism was rare in cats prior to 1970 – the first case was officially reported in 1979 (Reference 2). What has changed since the ’70’s?

cats are living longer
more cats are eating commercial cat food
many cats live exclusively indoors

Longer Lifespan
Humans are more at risk to form small growths on their thyroid glands as they age (Reference 1). It is likely that older cats are also more predisposed to thyroid tumors.

Diet
Soy can be found in many cat foods, particularly dry formulations. Soy inhibits some of the key enzymes in the production of the thyroid hormones. The pituitary gland responds to the lower levels of thyroid hormones by producing TSH (thyroid stimulating hormone). More thyroid tissue grows to meet the need for thyroid hormones.

Studies with rats have linked eating soy with thyroid tumors, but only when consuming diets deficient in iodine (Reference 2). Could iodine supplementation help? More research is needed to determine how large a role iodine plays in feline hyperthyroidism. Most cats are exposed to other chemicals in their environment, drinking water, and diet that also affect thyroid function. How much do these chemicals contribute to the development of feline thyroid tumors?

Cat food can linings and Bisphenol A

Most canned cat foods have a plastic coating to extend the shelf life of the food inside and guard against contamination. Many of these canned linings contain a chemical called bisphenol A or BPA.

BPA has a chemical structure that is similar to the thyroid hormones and can possibly interfere with thyroid hormone function. (Even though most of the linings are PVC, BPA can be an additive in the processing of PVC). Although the FDA says the level of BPA in cans is very low and does not present health risks to humans, the agency did ban the use of BPA in baby bottles, sippy cups and infant formula packaging in July of 2012.

Hyperthyroidism in cats – the environment

Poly brominated diphenyl ethers (PBDE) are another class of compounds that have a chemical structure similar to the thyroid hormones and are known to disrupt thyroid metabolism. PBDE’s are used as flame retardants in electronics, furniture and textiles as well as construction materials (Reference 2).

In 2004, manufacturers in the US voluntarily stopped making many of the PDBE flame retardants. However, these chemicals accumulate in the environment and have been detected in significant amounts in animals as well as humans.

Multiple studies have found that house cats have serum levels of PBDE that are about 50 times higher than that in humans (Reference 2). A study at the University of Illinois found that feral cats had a lower level of PBDE’s in their blood than house cats. This indicates that house cats are exposed to PBDE in their homes.

Further work analyzed dust samples and found higher concentrations of PBDE’s in dust from the homes of hyperthyroid cats compared with those of healthy cats (Reference 2). As cats groom, they can ingest dust and possibly PBDE.

At this time, there are not any studies that have conclusively linked exposure to a specific chemical compound to hyperthyroidism in cats. Soy, iodine, BPA and PBDE’s may or may not play a significant role in cats becoming hyperthyroid (Reference 1).

Preventing Hyperthyroidism in cats

The suggestions below will certainly not hurt your cat and may limit his exposure to chemicals that can disrupt thyroid function (Reference 2).

Avoid cat food products containing soy products.
Limit fish-flavored foods: fish contain high levels of iodine and may be contaminated with PCB, PBDE, etc.
Feed wet foods in foil pouches in preference to using canned food possibly lined with coatings containing BPA
Home cooked diets can help help avoid contamination with chemicals but consult with a veterinary nutritionist so that the diet is balanced and complete.
Use ceramic or glass containers for feeding and storage to reduce exposure to chemicals like BPA.
Use filtered water from the tap to limit exposure to chemicals.
Vacuum regularly to limit the dust your cat ingests.
Avoid cat litters with deodorizers or odor neutralizers.

Thyroxine (T4) levels are routinely checked on most senior feline blood panels. Annual or bi-annual labwork will let you know if your cat is developing hyperthyroidism. This way, you can plan for appropriate treatment before your feline friend starts to show outward symptoms.

What are the treatment options for hyperthyroidism in cats? We will look at these in the next post.

references

Carney HC, Ward CR, Bailey SJ, et al. 2016 AAFP Guidelines for the Management of Feline Hyperthyroidism. Journal of Feline Medicine and Surgery. 2016;18(5):400-416. doi:10.1177/1098612X16643252
Peterson M. Hyperthyroidism in cats: what’s causing this epidemic of thyroid disease and can we prevent it? J Feline Med Surg. 2012 Nov;14(11):804-18. doi: 10.1177/1098612X12464462

The Link Between the Environment and Cat Behavior

Posted on August 13, 2023 by felinepurrspective_u3q4o6

A cat enjoys the scents of a summer night from his window seat.

I remember visiting the zoo as a young child. Back then, the animals’ enclosures were not the large, landscaped areas that you see today. The animals were behind iron bars with a few hides to go into, water, and maybe a tree or two. It was not uncommon to see the tigers or lions pacing repetitively back and forth along the walls of their enclosures or the giraffes continually licking the chain link fences.

These repetitive behaviors are referred to as ARB’s, abnormal repetitive behaviors. In the past few decades, zoos have found that changing captive animals’ environments to allow more natural behaviors reduces ARB’s significantly. Expressing species-specific behaviors allows an animal to control and modify its environment, ensuring survival and reproductive success. Creating a den (safe place) is an example of how an animal controls and modifies its environment (Reference 1).

Environment and cat behavior

Many cats live predominately indoor lives. Our homes are quite different than the territory of a wild cat. The indoor cat often has little opportunity to engage in typical cat behaviors such as hunting and climbing trees. It is not surprising that some domestic cats indulge in ARB’s to reduce the stress of being unable to predict and control their environment. Overgrooming, where a cat licks or scratches her fur so much that the area becomes inflamed and bald, is one of the more common ARB’s shown by domestic cats.

Of course, a good, solid medical workup may uncover a cause for overgrooming and itchiness – perhaps kitty has a food allergy or skin infection. But it is not uncommon for some of these cases to be “idiopathic”, meaning we don’t know what the cause is.

environment and cat behavior: ARB’s

The wound on this cat’s neck comes from repeated scratching.

A study published in 2018 (Reference 2) investigated the link between the environment and cat behavior. The study followed thirteen cats who had been diagnosed with Idiopathic Ulcerative Dermatitis (IUD). IUD presents as a crusted, non-healing ulcer on the neck, head or between the shoulders. Medical therapy including surgical excision is rarely successful. The cat scratches at the wound frequently; the wound will heal if the cat cannot scratch it, say if she wears a collar or bandage. Once the collar or bandage is removed, the cat will scratch the area again and the wound reappears. (Reference 2)

The research team asked the owners of the 13 cats to institute the following environmental changes:

Leave closets open to allow cats to use them as a hideout
Free access to food and water (add a fountain if the cat prefers running water)
Free access to a garden or balcony/window – a cat door was recommended
Provide access to a secure area where each cat can sleep, eat, use the litter box without competing with other cats (some cats were separated from their house mates)
Regularly offer new toys to the cat
Stop interactions initiated by owner such as carrying the cat, petting the cat. Allow the cat to initiate the interaction.

As soon as environmental changes were set up, the ARB of scratching stopped within 2 days. All cats except one healed – for this cat, the owners were not able make the environmental changes. Oral medication was given to this kitty for two months but the neck wound did not heal. The other twelve cats did not receive medication. The research team followed these cats for two years and no relapses were noted in that time.

The environmental remedies in this study aimed to give the cat control over her environment by allowing her to exercise typical “cat” behaviors. These are in line with the AAFP* recommendations for a healthy feline environment (Reference 3):

Provide a safe place <> leave closets open to allow the cats to use them as a hideout
Provide multiple and separated key environmental resources<>secure area for eating, sleeping and using litter box
Provide opportunity for play and predatory behavior <> offering new toys to the cat
Provide positive, consistent and predictable human–cat social interaction <> emphasize interactions initiated by the cat
Provide an environment that respects the cat’s sense of smell <> access to a garden/balcony/window exposes the cat to outdoor scents and smells

Although our cats are a domestic species and have lived alongside humans for over 10,000 years, life in our homes sometimes reduces their opportunity to express behaviors typical of their wild relations. The environment and cat behavior are intertwined. Improving the cat’s environment to encourage species-specific behaviors can reduce a cat’s stress and, in some cases, cure disease.

Note: I don’t agree with free-feeding cats even in such a situation – I think it is better to meal feed and use feeding as a positive interaction with humans. Using food puzzles and tossing kibble for the cat to hunt down allows cats opportunities to engage in foraging and hunting behaviors.

* American Association of Feline Practitioners

references

Joseph P. Garner, “Stereotypies and Other Abnormal Repetitive Behaviors: Potential Impact on Validity, Reliability, and Replicability of Scientific Outcomes”, ILAR Journal, Volume 46, Issue 2, 2005, Pages 106–117, https://doi.org/10.1093/ilar.46.2.106
“From Feline Idiopathic Ulcerative Dermatitis to Feline Behavioral Ulcerative Dermatitis: Grooming Repetitive Behaviors Indicators of Poor Welfare in Cats”, Titeux Emmanuelle, Gilbert Caroline, Briand Amaury, Cochet-Faivre Noëlle. Front. Vet. Sci., 16 April 2018 Sec. Veterinary Dermatology and Allergy Volume 5 – 2018 | https://doi.org/10.3389/fvets.2018.00081
Ellis SLH, Rodan I, Carney HC, et al. AAFP and ISFM Feline Environmental Needs Guidelines. Journal of Feline Medicine and Surgery. 2013;15(3):219-230. doi:10.1177/1098612X13477537

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Social Lives of Cats: Family Toms

Posted on July 23, 2023July 23, 2023 by felinepurrspective_u3q4o6

10,000 years ago, the ancestors of our domestic cats decided to take advantage of the abundance of prey near and in human settlements. During this time, the social lives of cats changed from solitary hunters to members of structured, stable groups called colonies. Today’s free-ranging cats, particularly those that live in urban environments, depend on food provided by people, in addition to hunting rodents and raiding human garbage cans.

Social lives of cats: family toms

In urban settings, food is more plentiful and colonies of cats organize themselves near feeding sites. Members of these colonies are friendly with other members but will defend their territory against intruders from other colonies. (References 1, 2)

Male domestic cats have two mating strategies:(Reference 3)

Solitary toms with large home ranges will mate with females from colonies in their home range. These are typically larger cats and they do not form social bonds with the females in the colonies. This is more typical of rural areas where resources are more spread out.
In urban settings, males, unrelated to the females, often affiliate themselves with a colony. These “family toms” enjoy the greatest mating success within their particular colony, even if they are small. (References 2,3)

The “family toms” have been known to participate in the care and rearing of the kittens, sharing food with kittens and sometimes disrupting play of juveniles that is getting out of hand with an experienced adult paw. They also band together with the female cats to drive off marauding tomcats that threaten the kittens. (References 1, 2, 3) Killing of kittens by tomcats is rare in the urban cat colonies (Reference 2).

In contrast, infanticide accounts for 25% of the deaths of lion cubs. When the resident males in the lion pride are displaced by a new “coalition” (group of males associated with a pride), incoming coalition kills the young cubs in the pride, so that the females go into estrus. Thus, the cubs are sired by the new incoming males. ( Reference 4).

Social lives of cats: my Family toms

I have had two cats in my life that I believe were “family toms”.

Marty

My childhood cat was a male Siamese named Marty. He was an indoor-outdoor cat that somehow did not get neutered until he was 8 years old. He participated in his share of fights with cats and other animals. We always patched him up and let him out again.

I took him with me to college and he lived with me in dorms and apartments. One apartment we lived in had a back door that opened onto an alley. I used to let Marty out during the day. There was a population of cats that frequented the alley. One day, I was walking back from classes and noticed Marty sitting peaceably with these cats.

This social experience might explain the ease with which Marty got along with the kitten one of my roommates brought home and the young cats that I acquired when Marty was about 11 years old. I did not do much of an introduction with these kitties – they seemed to get along immediately. At one point, we lived in a old farm house; the two younger cats would accompany Marty on his expeditions to the neighbor’s house.

Gus

Gus was a free-roaming cat caught in a trap by my veterinarian employer. He is still with me and his story can be read at “Bringing a Wild Cat Indoors“. He lived briefly at the vet clinic where he was always interested in kittens, jumping onto the treatment table when you were giving the kittens vaccines.

Today, Gus watches over the three other cats in my house, looking out for wildlife when we go outdoors (supervised nowadays). One incident that I won’t soon forget involved Gus and Zelda, a female cat in the household. We were walking around our townhome when a terrier dog chased Zelda. Gus took notice and ran the dog off, chasing her away. He then escorted Zelda back to our front door. This level of protectiveness makes me think that perhaps he was a “family tom” in his previous life on the streets.

In the 10,000 years cats have lived with humans, the social lives of cats has changed. Some cats still are solitary hunters but many choose to live in structured, stable social groups. They have been able to change their behavior to take advantage of their environment. The tolerance of kittens and other cats may be one reason the domestic cat has successfully spread across much of the world (with the exception of Antartica).

An additional note…
Attitudes and care of cats has changed in the past 2-3 decades. Many cats live exclusively indoors, enjoying safer and healthier lives. Older and wiser now, I keep my current group of cats primarily indoors with daily supervised outdoor time.

references

Natoli, E.; Litchfield, C.; Pontier, D. Coexistence between Humans and ‘Misunderstood’ Domestic Cats in the Anthropocene:
Exploring Behavioural Plasticity as a Gatekeeper of Evolution. Animals 2022, 12, 1717. https://doi.org/ 10.3390/ani12131717
Vitale, K.R. The Social Lives of Free-Ranging Cats. Animals 2022, 12, 126. https://doi.org/10.3390/ani12010126
Crowell-Davis, S.L. (2007). Cat Behaviour: Social Organization, Communication And Development. In: Rochlitz, I. (eds) The Welfare Of Cats. Animal Welfare, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-3227-1_1
University of Minnesota, College of Biological Sciences, Lion Research Center, (https://cbs.umn.edu/lion-research-center/all-about-lions/social-behavior)

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The Social Cats – The Lion Pride and The Cat Colony

Posted on July 16, 2023July 16, 2023 by felinepurrspective_u3q4o6

These two cats have spotted something in the plants by the road. Cats rarely hunt together. Only one cat will get the prize!

The lion pride and the cat colony

I received an interesting comment on a post I wrote recommending feeding house cats separately. The author felt that having cats share a large bowl of food is like sharing a “large kill” and increases “pride unity”. Lions and cats are the only members of the Felidae (cat family) that live in social groups. The pride is the social unit of the African lion; the domestic cat will form colonies if there are sufficient resources. How does the pride compare with the domestic cat colony?

The lion pride

A typical lion pride consists of about 6 related females, their dependent offspring, and a “coalition” of 2-3 unrelated resident males.
Most females spend their lives in their mothers’ pride or with their sisters in a new pride.
Males may be a bit more mobile, spending a few years in a given pride. They will stay with their coalition throughout their lives. (Reference 1)

the cat colony

The core of the cat colony is the queen, her female relatives, and their offspring.
There may be a group of “family” males, who spend most of their time with this group of females and develop social bonds with the females.
Other males are solitary, with large home ranges that
overlap the home ranges of several different female groups. These “philandering” males will mate with females from different groups and do not form social bonds with members of the colony. (Reference 2)

the lion pride and the cat colony

Both the lion pride and the cat colony aim to take advantage of resources. Lions and cats need reliable access to food, water and shelter.

Lions

Lions locate in areas where prey is likely to come by. The areas where two rivers intersect are desired locations. Water, provided by the rivers, and vegetation, growing near the rivers, attract the lion’s herbivorous prey.

The confluences of the rivers act like a funnel – prey animals get “trapped” in these funnels. They are attracted by the vegetation but are leery of crossing the rivers, where predators can ambush them.

The lions that band together can protect these valuable territories from other lions and predators. The pride that controls the territory has reliable access to food and water. (Reference 1)

Cats

Cats form colonies where there are sufficient resources, that is food, water, and shelter. The more food there is, the more cats can live in that area. Large colonies exist where there is lots of food; smaller colonies are located in areas where food is not as readily available. Where food sources are few and far between, cats adopt a solitary existence. (Reference 2)

The socialization of the domestic cat occurred as humans transitioned from being hunter-gatherers to farmers. The abundance of mice at the grain stores attracted wild cats and provided them with the resources to form colonies.

The lion pride and the cat colony – Other advantanges

Cubs and kittens have higher survival rates in the pride/colony. The mothers as a group are more successful defending the cubs/kittens. A group of lionesses can successfuly drive off invading male lions, whereas a single lioness does not have a chance. (Reference 1). Likewise, the female cats of the cat colony can band together to challenge invading toms, dogs or coyotes. (Reference 2)

Cooperative Hunting

Lions hunt together when it is needed – for example, when taking down difficult prey such as a Cape Buffalo or zebra. Most of the time, lions hunt singly; their targets are wildebeest or warthogs. Living in a large pride does not mean that you will be well-fed. (Reference 1)

Although groups of 2-4 cats have been observed hunting squirrels and rabbits together, this is not the norm. (Reference 2). The prey of domestic cats tend to be small and not very calorie dense. An average mouse is thought to have an energy value of about 35 kcal (Reference 3). It is not practical to share game this small and cats typically hunt alone and dine alone.

More about food…

Male lions typically feed first at a kill, followed by the lionesses and subadult lions. The male lions will aggressively reinforce this feeding hierarchy (Reference 1).

A study of a cat colony in Rome where humans provided bowls of food found a different feeding-order: kittens were the first to feed, followed by the females and then the males. Typically the male cats are at the top of the social ladder and the kittens at the bottom. (Reference 4)

Sharing a large kill appears to reinforce the social hierarchy in lions. In free-ranging cats, we see a social tolerance of kittens by both males and females when feeding in a managed colony. Although aggressive behavior is rare (<5% of the time) in cat colonies, it is most prevalent around feeding time, but aggression is seldom directed toward kittens.

The Multi-cat Household

Feeding all the cats in the human household at one large dish is unlikely to promote unity. Instead, competition and conflict over the food will increase as cats try to sort out who eats when and establish a feeding hierarchy. It is best for our pet cats to dine solo.

The lion pride and the cat colony are matrilineal social groups. Both groups locate where there is food and water. Both groups result in higher survival rates of cubs and kittens. The lion pride is an adaptation to life on the savanna whereas the cat colony was an early step in the process of domestication, a social group formed to take advantage of food near human settlements.

Gus is the more experienced hunter and caught the lizard.

references

University of Minnesota, College of Biological Sciences, Lion Research Center, (https://cbs.umn.edu/lion-research-center/all-about-lions/social-behavior)
Crowell-Davis, S.L. (2007). Cat Behaviour: Social Organization, Communication And Development. In: Rochlitz, I. (eds) The Welfare Of Cats. Animal Welfare, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-3227-1_1
DVM360, Client Handout: “How Many Calories is a Mouse?” September 17, 2014. https://www.dvm360.com/view/client-handout-how-many-calories-mouse
Vitale, K.R. The Social Lives of Free-Ranging Cats. Animals 2022, 12, 126. https://doi.org/10.3390/ani12010126

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Food and Your Cat’s Mental Health

Posted on July 9, 2023 by felinepurrspective_u3q4o6

Eating is a positive experience for healthy animals. Two neurotransmitters released while eating are dopamine and serotonin. Dopamine is associated with feelings of reward and motivation; serotonin with feelings of happiness and calmness. Thus, food is one of the ways we can induce a positive emotional state in a healthy cat.

Food and your cat’s mental health

Recent research points to two dopamine events when eating: the first when you actually eat the food and the second, when the food reaches your stomach. (Reference 1). On the other hand, rising serotonin levels act as an appetite suppressant, giving a feeling of satiety. (Reference 2)

The connection between food and your cat’s mental health provides us an opportunity to take advantage of the emotions triggered by dopamine and serotonin when eating.

Foods that calm

There are foods that incorporate tryptophan, a precursor to serotonin. Royal Canin’s Calm diet and Hill’s c/d Multicare Stress for cats contain hydrolyzed milk protein and L-tryptophan to reduce your cat’s fearful behaviors in stressful situations or environments. The caveat with these foods is that the cat must eat enough of the food to get the appropriate dose of tryptophan.

food and environmental enrichment

Engaging in foraging behavior can benefit cats with generalized or separation anxiety. (Reference 3)

Foraging can provide a cat that is vigilant, tense and easily aroused with an alternative outlet for her energy
Cats with separation anxiety will find foraging a rewarding activity that is not related to interacting with the owner.
Serotonin release during the foraging cycle promotes calm behavior.

Foraging Method 1 – Multiple Separate Feeding Stations

Divide your cat’s daily food ration into portions.
Place these in different places around the house.
Put some dishes up high or in boxes and closets for variety

Foraging Method 2 – Use of Food Puzzles

Cats have to use their paws to get the food
Vary in complexity and style

Food and your cat’s mental health: behavior modification

We can use the positive emotions triggered by eating to guide our cats’ behaviors. The use of a stream of small food rewards will trigger dopamine release, which in turn gives the cat feelings of reward and motivation. Food can be a powerful adjunct to some of the interventions used in veterinary behavioral care: (Reference 3)

counter conditioning
operant conditioning
differential reinforcement of alternate behaviors

These methods work best with foods that the individual cat finds particularly palatable and desirable.

counter conditioning and food

Counter conditioning refers to training a different response to a situation. Consider the cat carrier that takes your cat to the vet. Many cats have a fearful association with the carrier and the process of going into it. The goal of counter conditioning here is to teach the cat that good things happen when he’s near the carrier.

We start with getting the cat accustomed to the carrier by just leaving it out in the room. Once he is comfortable with the carrier left out, we can offer some treats close by the carrier and gradually work up to treats in the carrier. Over time, the cat will associate good things with the carrier – we have used food (treats) to change the cat’s emotional state when near the carrier.

operant conditioning and food

With operant conditioning, an animal repeats behaviors that have good consequences and avoids ones that are not rewarding. Say you ask your cat to “sit”. When he sits, you reward him with a treat (food) he likes. He will be more likely to sit next time in anticipation of getting his reward.

differential reinforcement of alternate behaviorS

Here you will be replacing an undesired behavior with one that is more appropriate to the situation. Say your new kitten attacks and hangs on to your legs as you as come in the door or you have a “door-dashing” cat. You could train (operant conditioning) your kitten/cat to jump up on a nearby shelf or table on cue for a food reward when the door is opened. (The cue can be spoken or you could jingle your keys.) The goal is to replace the attacking/door dashing behavior with sitting on the nearby piece of furniture.

Food makes our cats feel good. Neurotransmitters such as dopamine and serotonin promote positive emotions when eating. This connection between food and your cat’s mental health provides you with opportunities to influence your cat’s behavior through diet, environment and training.

references

1. Cell Press. “Your brain rewards you twice per meal: When you eat and when food reaches your stomach.” ScienceDaily. ScienceDaily, 27 December 2018. <www.sciencedaily.com/releases/2018/12/181227111420.htm>.

2. Voigt JP, Fink H. Serotonin controlling feeding and satiety. Behav Brain Res. 2015 Jan 15;277:14-31. doi: 10.1016/j.bbr.2014.08.065. Epub 2014 Sep 16. PMID: 25217810.

3. Delgado M, Dantas LMS. Feeding Cats for Optimal Mental and Behavioral Well-Being. Vet Clin North Am Small Anim Pract. 2020 Sep;50(5):939-953. doi: 10.1016/j.cvsm.2020.05.003. Epub 2020 Jul 8. PMID: 32653265; PMCID: PMC7415653.

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The Behavior of Feeding – Why Separate Cats When Feeding

Posted on June 18, 2023July 9, 2023 by felinepurrspective_u3q4o6

Gus eyes Athena’s dinner and prepares to move in.

Solitary hunters, cats will eat or cache their prey after a successful hunt. Mother cats will bring prey back to their kittens to teach them how to hunt and what to eat but cats typically DO NOT SHARE their prey. They will growl when eating to warn other cats off.

In photos taken on the “cat islands” of Japan (called neko shima), cats line up at dishes of food put out by the island residents. There are 11 islands in Japan that have more cats than people on them. There are not enough mice for the cats to eat so residents of the islands provide food for the cats. Feeding times appear to go smoothly on the cat islands with the occasional spat between cats. The island residents do put out food in more than one location so a cat can always move to another feeding station if he gets into a fight over food. Contrast this with our picture of a wild cat, a solitary hunter, munching his mouse in solitude.

Our indoor cats don’t have the option of leaving if they are the target of food aggression. Although cats may appear to get along eating next to another cat or out of the same bowl, cat behavior experts recommend that we separate cats when feeding, preferably out of sight of other cats. (Reference 1)

Why separate cats when feeding?

Cats with more dominant personalities will nose smaller, more timid cats out of the food bowl.
Victim cats may gorge and eat their food quickly, leading to “scarf and barf”.
Victim cats may start to lose weight.
House-soiling issues can start if the “bully” decides the game should extend to resources other than the food bowl.

These behaviors can be subtle. The “thief “at first just sits quietly near the “target” cat and stares at her. The target may stop eating. There may be some fisticuffs as the target tries to keep eating. Eventually the thief just noses the target out of the bowl, and the target cat leaves.

Strategies to separate cats when feeding

Assign each cat his own food station out of sight of the other cats. If you are meal feeding, you can fill each station with a cat’s portion and call each cat to his station as you place them around the house. Collect the feeders in 15-30 minutes as the cats finish their meals. If you like, you can offer the meals in food puzzles, one per cat.

Locations of feeding stations

You may be able to take advantage of your cat’s preferences when deciding where to locate her feeding station. Some cats like to be up high and can be fed on their cat tree or tops of shelving units.

Closets can also make good feeding stations. Cats who like to be up high can eat on the top shelf and may just need a step ladder, storage cubes that form a ladder, or a single pole cat tree to get up there. If you just need to keep the family dog out, a gadget called a “Door Buddy” can work.

Baby gates can be used to block off doors to closets or rooms to separate cats. Although an agile, determined cat can easily scale a baby gate, this is usually pretty difficult for a dog.

feeding stations

Microchip Feeders

If you are dealing with cats on different diets or cats that eat slowly or “graze”, microchip feeders such as the SureFeed Microchip Pet Feeder are worth the cost. These feeders will only open for the cat or cats they are programmed for.

Enclosures for Feeding

A “Meow Space” is a deluxe feeding enclosure. It is ventilated and has a locking pet door which can be accessed by microchip or collar tag. Like a microchip feeder, the “Meow Space” will only open for the cat or cats it is programmed for.

A plastic pet carrier can make a great “kitty diner”. Each cat can eat in his own carrier. If one cat finishes before another, the gate can be closed until the slower eater is done. This also helps your cat become more comfortable with his/her carrier.

Tip: Make a carrier cover that will “camouflage” the carrier, matching your color scheme and decor.

not enough room to separate cats when feeding?

Consider feeding social groups together. Cats who belong to the same social group prefer to spend time with each other and are often willing to share resources such as food and litter boxes.

How do you know if cats are affiliated? The following behaviors can help you identify the social groups in your home.

Sleeping the same room
Allogrooming (grooming each other)
Sleeping touching each other
Touching noses

Note who does what and with whom, then diagram the social groups in your house. You may be able to feed cats in a social group in the same area. It is still recommended for each cat to have a separate bowl, be spaced apart, and to meal feed the kitties.

Separating your cat from other animals while eating allows your cat to feed in the same way as a wild cat. Feeding alone helps avoid behaviors like gorging and vomiting which can affect a cat’s physical and mental health. Although it can be a challenge to separate cats when feeding, attention to each cat’s preferences and identifying the social groups in your home can help you develop a feeding strategy.

references

1. Sadek,T. (chair) “Feline Feeding Programs:Addressing behavioral needs to improve feline health and wellbeing” Journal of Feline Medicine and Surgery (2018) 20, 1049-1055

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