My cat has kidney issues and is losing weight. Why an ultrasound?

Question

Cat 1.5 years on Amlodipine 1.25mg 1x/d & Felimazole 2.5mg 2x/d. 6mon not eating, drinking more water & lost weight (4.8kg to 4kg in 3mon), got CBC & vet told me cat has anemia (28) likely CKD but when I asked about kidney function said upper normal (14). I asked for specifics, vet said would forward, instead vet nurse called to book cat for anaesthesia + $1000 aprox ultrasound & refused to release the bloodwork to me. Wanting second opinion, 10-14y/o FIV+ flea eggs found, why ultrasound? Pet's info: Cat | Mixed Breed | Female | spayed | 12 years and 2 months old | 8.81 lbs

Lindsey Edwards MVB, BSc, IVCA · Accepted Answer

Without a full history and physical exam report it is difficult to know why they are recommending an ultrasound which is usually used to track changes in size or texture of internal organs, fluid build up and/or tumor growth. I recommend you contact your vets office and speak to the particular vet involved in order to get a better understanding of exactly what they are trying to identify or rule out and this will allow you to make a more informed decision as to the risks and benefits of anesthesia for an older cat with evidence of kidney issues. A full assessment of the entire blood work and any other current symptoms would be needed to discuss in any more detail and your vet should release these to you for a second opinion should you not feel the situation is adequately explained when you speak to them directly

My cat has kidney issues and is losing weight. Why an ultrasound?

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