[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"cms-blog-posts-en":3,"cms-blog-article-cat-chronic-kidney-disease-ckd-complete-guide-en":43},[4,13,18,23,28,37],{"slug":5,"title":6,"excerpt":7,"date":8,"views":9,"category":10,"categorySlug":11,"image":12},"cat-only-clinic-vs-general-vet-bangkok","Cat-Only Clinic vs. General Vet: What's the Difference and Why It Actually Matters","Wondering whether a cat-only clinic is worth it? Here's a clear breakdown of how feline-specialist vets differ from general practices — and what that means for your cat's health.\r\n","2026-09-14",90,"Cat Health & Care","cat-health","https:\u002F\u002Feveryday-cat-r2.tumwebsme.com\u002Fpbc_27733265\u002Fd7abbpfeiyg27bf\u002Fchat_gpt_image_14_tne0s8nkws_bfhdokdd4k_jc7fnt9gny.256914_22_56.webp",{"slug":14,"title":15,"excerpt":16,"date":8,"views":9,"category":10,"categorySlug":11,"image":17},"warning-signs-cat-needs-vet-immediately-en"," 7 Signs Your Cat Needs to See a Vet — Don't Wait This One Out","Cats are built to hide illness. By the time they look obviously sick, things are often already serious. Here are 7 signs that mean your cat needs a vet — not tomorrow, now.\r\n","https:\u002F\u002Feveryday-cat-r2.tumwebsme.com\u002Fpbc_27733265\u002Fk119g93xeocd71h\u002Fchat_gpt_image_14_p00yq95bov_nbcvvra4fw_wq1elw2ebj.256913_46_37.webp",{"slug":19,"title":20,"excerpt":21,"date":8,"views":9,"category":10,"categorySlug":11,"image":22},"annual-cat-health-checkup-complete-guide","What Does a Cat's Annual Health Checkup Actually Include? A Complete Guide"," Not sure what happens at a cat's annual checkup — or why it matters if your cat seems fine? Here's exactly what's checked, what vaccines are needed, and how it changes as your cat ages.\r\n","https:\u002F\u002Feveryday-cat-r2.tumwebsme.com\u002Fpbc_27733265\u002Fs9aoz9c4jzg6kfr\u002Fchat_gpt_image_14_7xtl6quqhh_k6nplakhb8_dq5m2829yd.256913_50_38.webp",{"slug":24,"title":25,"excerpt":26,"date":8,"views":9,"category":10,"categorySlug":11,"image":27},"cat-chronic-kidney-disease-ckd-complete-guide","Chronic Kidney Disease in Cats: What Every Owner Should Know, From First Signs to Long-Term Care","CKD is one of the most common diseases in older cats — and one of the most manageable when caught early. Here's what to watch for, how it's diagnosed, and what long-term care actually looks like.\r\n","https:\u002F\u002Feveryday-cat-r2.tumwebsme.com\u002Fpbc_27733265\u002F1v35nymyrk9p4x4\u002Fchat_gpt_image_14_h596qyn2mj_m8i9hyhhnt_eihth9fht7.256913_53_40.webp",{"slug":29,"title":30,"excerpt":31,"date":32,"views":33,"category":34,"categorySlug":35,"image":36},"cat-vaccine-guide","Vaccinating Your Beloved Cat","Vaccination is the most essential shield against serious diseases for cats. Learn which vaccines are necessary and how to properly prepare your pet.","2026-06-26",150,"Pet Care Articles","vaccine","https:\u002F\u002Feveryday-cat-r2.tumwebsme.com\u002Fpbc_27733265\u002F5h1p4kxjw1cvj0g\u002Frq62byje5t_4tyxmtzfpj_3dmkty2s94.webp",{"slug":38,"title":39,"excerpt":40,"date":32,"views":41,"category":34,"categorySlug":35,"image":42},"cat-dental-care","How to Care for Your Cat's Oral Health","Oral diseases are common issues in cats. Let's learn how to take care of them",146,"https:\u002F\u002Feveryday-cat-r2.tumwebsme.com\u002Fpbc_27733265\u002Fmk5qis6p8c3pyaq\u002Fj0xo9wa9a8_382vjwxsrq_dlfg7ahevf.webp",{"recordId":44,"slug":24,"title":25,"date":8,"views":9,"category":10,"cover":27,"coverAlt":45,"intro":26,"bodyHtml":46,"keywords":47},"1v35nymyrk9p4x4","Senior cat resting comfortably at home while owner provides attentive daily care for chronic kidney disease management","\u003Ch2>\u003Cstrong>Chronic Kidney Disease in Cats: What Every Owner Should Know, From First Signs to Long-Term Care\u003C\u002Fstrong>\u003C\u002Fh2>\u003Cp>Chronic kidney disease — CKD — is one of the most common conditions affecting cats, particularly those over seven years old. Studies suggest more than 30% of senior cats have some degree of kidney decline. Despite how frequently it occurs, many owners don't know their cat is affected until the disease has already progressed significantly, because cats hide illness well and CKD develops gradually with few obvious early signs.\u003C\u002Fp>\u003Cp>The important thing to understand upfront: CKD is not an immediate death sentence. Cats diagnosed early and managed consistently can live well for years after diagnosis. What makes the difference is when it's caught and how it's handled.\u003C\u002Fp>\u003Cp>This guide covers everything owners need to know — what causes CKD, what the early signs look like, how vets diagnose and stage it, what treatment involves, and what daily care at home looks like in practice.\u003C\u002Fp>\u003Ch2>\u003Cstrong>Why Cats Are Particularly Vulnerable\u003C\u002Fstrong>\u003C\u002Fh2>\u003Cp>Cats evolved to extract maximum efficiency from their water intake — they have a low thirst drive and rely on their kidneys to produce highly concentrated urine, filtering waste at intense levels throughout their lives. That sustained workload takes a toll over time.\u003C\u002Fp>\u003Cp>As kidney tissue deteriorates, it doesn't regenerate. The remaining functional tissue compensates, but only up to a point. In most cats, no specific cause for CKD can be identified — it's classified as idiopathic, meaning it develops as part of the aging process. Known contributing factors include chronic high blood pressure, repeated kidney infections, certain toxin exposures, and immune-mediated disease.\u003C\u002Fp>\u003Ch2>\u003Cstrong>Early Signs — What Owners Actually Notice First\u003C\u002Fstrong>\u003C\u002Fh2>\u003Cp>The fundamental challenge with CKD is that in its early stages, cats usually look completely fine. By the time clear symptoms appear, the kidneys have typically already lost 65–70% of their function. Early signs are subtle, and easy to attribute to ageing rather than illness.\u003C\u002Fp>\u003Cp>\u003Cstrong>Drinking and urinating more than usual\u003C\u002Fstrong> — Damaged kidneys can't concentrate urine effectively, so the body produces more of it to excrete the same amount of waste. The brain then drives increased thirst to compensate. This is often the earliest detectable change, and many owners notice the litter box producing larger clumps before they notice the increased water intake.\u003C\u002Fp>\u003Cp>\u003Cstrong>Gradual weight loss\u003C\u002Fstrong> — Muscle wasting and slow weight decline that's easy to miss when you see your cat every day. Weighing monthly is the most reliable way to catch this.\u003C\u002Fp>\u003Cp>\u003Cstrong>Decreased appetite or increased pickiness\u003C\u002Fstrong> — Waste products accumulating in the bloodstream cause nausea, which suppresses appetite. A cat that used to eat enthusiastically and has become disinterested in food — especially if combined with weight loss — warrants investigation.\u003C\u002Fp>\u003Cp>\u003Cstrong>Coat becoming dull or unkempt\u003C\u002Fstrong> — Cats that don't feel well groom themselves less. A previously well-groomed cat whose coat looks rough or flat is often sending a signal.\u003C\u002Fp>\u003Cp>\u003Cstrong>Increased lethargy and hiding\u003C\u002Fstrong> — Less interest in activity, more time spent in quiet spots. Easy to attribute to personality or age, harder to attribute correctly without bloodwork.\u003C\u002Fp>\u003Cp>In more advanced stages: frequent vomiting, a distinctive ammonia-like odour on the breath (uraemic breath), weakness, and disorientation.\u003C\u002Fp>\u003Ch2>\u003Cstrong>How Vets Diagnose CKD\u003C\u002Fstrong>\u003C\u002Fh2>\u003Cp>Diagnosing CKD properly requires several tests together — no single number tells the whole story.\u003C\u002Fp>\u003Cp>\u003Cstrong>Blood chemistry panel\u003C\u002Fstrong> — Checks creatinine and BUN (blood urea nitrogen), both waste products normally filtered by healthy kidneys. Elevated values indicate declining filtration. The limitation: creatinine doesn't move outside the normal range until significant kidney function is already lost.\u003C\u002Fp>\u003Cp>\u003Cstrong>SDMA\u003C\u002Fstrong> — A more sensitive kidney marker that detects abnormalities when only 25% of kidney function has been lost, compared to creatinine which typically doesn't flag a problem until 60–75% is gone. SDMA can identify CKD months or years earlier than standard panels, which is why it should be part of annual wellness testing from age seven.\u003C\u002Fp>\u003Cp>\u003Cstrong>Urinalysis\u003C\u002Fstrong> — Urine concentration (specific gravity) is a direct measure of the kidneys' ability to do their job. A failing kidney produces dilute urine. Urinalysis also screens for proteinuria — protein leaking into the urine — which indicates kidney damage and has significant implications for prognosis and treatment.\u003C\u002Fp>\u003Cp>\u003Cstrong>Blood pressure measurement\u003C\u002Fstrong> — Hypertension both causes and accelerates CKD. Managing blood pressure is a core part of slowing disease progression, and it requires knowing what the current numbers are.\u003C\u002Fp>\u003Cp>\u003Cstrong>Kidney ultrasound\u003C\u002Fstrong> — Evaluates size, shape, and tissue characteristics. Kidneys that have shrunk or developed abnormal texture help confirm the diagnosis and give the vet a clearer picture of disease severity.\u003C\u002Fp>\u003Ch2>\u003Cstrong>The IRIS Staging System — What It Means for Your Cat\u003C\u002Fstrong>\u003C\u002Fh2>\u003Cp>Vets worldwide use the IRIS (International Renal Interest Society) staging system to classify CKD severity and guide treatment decisions. If your vet mentions a stage number, this is the framework they're using:\u003C\u002Fp>\u003Ctable style=\"width: 624px;\">\u003Ccolgroup>\u003Ccol style=\"width: 82px;\">\u003Ccol style=\"width: 239px;\">\u003Ccol style=\"width: 303px;\">\u003C\u002Fcolgroup>\u003Ctbody>\u003Ctr>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"82\">\u003Cp style=\"text-align: center;\">\u003Cstrong>IRIS Stage\u003C\u002Fstrong>\u003C\u002Fp>\u003C\u002Ftd>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"239\">\u003Cp style=\"text-align: center;\">\u003Cstrong>Description\u003C\u002Fstrong>\u003C\u002Fp>\u003C\u002Ftd>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"303\">\u003Cp style=\"text-align: center;\">\u003Cstrong>What's Typically Seen\u003C\u002Fstrong>\u003C\u002Fp>\u003C\u002Ftd>\u003C\u002Ftr>\u003Ctr>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"82\">\u003Cp>Stage 1\u003C\u002Fp>\u003C\u002Ftd>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"239\">\u003Cp>Kidney damage, filtration still adequate\u003C\u002Fp>\u003C\u002Ftd>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"303\">\u003Cp>No symptoms; detected via SDMA or urinalysis\u003C\u002Fp>\u003C\u002Ftd>\u003C\u002Ftr>\u003Ctr>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"82\">\u003Cp>Stage 2\u003C\u002Fp>\u003C\u002Ftd>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"239\">\u003Cp>Mild kidney decline\u003C\u002Fp>\u003C\u002Ftd>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"303\">\u003Cp>Increased thirst\u002Furination, gradual weight loss\u003C\u002Fp>\u003C\u002Ftd>\u003C\u002Ftr>\u003Ctr>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"82\">\u003Cp>Stage 3\u003C\u002Fp>\u003C\u002Ftd>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"239\">\u003Cp>Moderate kidney decline\u003C\u002Fp>\u003C\u002Ftd>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"303\">\u003Cp>Appetite loss, vomiting, more pronounced lethargy\u003C\u002Fp>\u003C\u002Ftd>\u003C\u002Ftr>\u003Ctr>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"82\">\u003Cp>Stage 4\u003C\u002Fp>\u003C\u002Ftd>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"239\">\u003Cp>Severe kidney decline\u003C\u002Fp>\u003C\u002Ftd>\u003Ctd colspan=\"1\" rowspan=\"1\" colwidth=\"303\">\u003Cp>Serious symptoms, intensive management needed\u003C\u002Fp>\u003C\u002Ftd>\u003C\u002Ftr>\u003C\u002Ftbody>\u003C\u002Ftable>\u003Cp>Knowing the stage helps the vet prioritise which complications to address first, set realistic expectations, and decide how frequently to monitor. It also changes over time — a cat in Stage 2 today may not stay in Stage 2, which is why regular recheck bloodwork matters.\u003C\u002Fp>\u003Ch2>\u003Cstrong>Treatment — More Options Than Most Owners Expect\u003C\u002Fstrong>\u003C\u002Fh2>\u003Cp>CKD cannot be cured. Damaged kidney tissue doesn't come back. But the goal of treatment isn't cure — it's slowing progression, managing complications, and maintaining quality of life. Done well, this approach genuinely works.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Renal Diet — The Cornerstone\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cp>A therapeutic renal diet is the single most evidence-backed intervention for CKD management. Clinical trials have demonstrated that cats fed renal diets live significantly longer and experience fewer uraemic crises than those maintained on standard food. The dietary modifications that matter most:\u003C\u002Fp>\u003Cp>\u003Cstrong>Phosphorus restriction\u003C\u002Fstrong> — Kidneys struggling to filter waste can't excrete phosphorus efficiently. Phosphorus builds up in the blood, damaging the kidneys further and triggering a cascade (secondary hyperparathyroidism) that accelerates disease progression. Restricting dietary phosphorus interrupts this cycle. It is considered the most critical nutritional modification for CKD cats.\u003C\u002Fp>\u003Cp>\u003Cstrong>Controlled, high-quality protein\u003C\u002Fstrong> — Not protein-free, but carefully calibrated. Too little protein causes muscle wasting; too much generates excess nitrogen waste the kidneys struggle to handle. Renal diets use high-quality protein sources that produce less waste per gram.\u003C\u002Fp>\u003Cp>\u003Cstrong>Increased potassium\u003C\u002Fstrong> — CKD cats commonly lose potassium through dilute urine, causing muscle weakness. Renal diets compensate for this.\u003C\u002Fp>\u003Cp>\u003Cstrong>Omega-3 fatty acids\u003C\u002Fstrong> — Reduce kidney inflammation and are thought to slow tissue deterioration.\u003C\u002Fp>\u003Cp>One practical note: the transition to a renal diet should be gradual — days to weeks, not overnight. A cat that refuses the new food and stops eating is worse off than one still eating a standard diet. Your vet can help with transition strategies if compliance becomes a challenge.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Subcutaneous Fluid Therapy\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cp>CKD cats are chronically dehydrated. The kidneys can no longer conserve water effectively, so despite drinking more, many cats run in a mild fluid deficit. Subcutaneous fluids — saline given under the skin, usually at home — correct this deficit, help flush waste products from the bloodstream, improve how the cat feels, and support appetite.\u003C\u002Fp>\u003Cp>Many owners find the idea daunting at first. In practice, most find it straightforward after a few sessions. The vet or vet tech will show you exactly what to do, specify the volume and frequency appropriate for your cat, and adjust as the disease progresses.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Medications and Supplements\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cp>Depending on bloodwork results and stage, the vet may add:\u003C\u002Fp>\u003Cul>\u003Cli>\u003Cp>\u003Cstrong>Antihypertensives\u003C\u002Fstrong> (amlodipine, telmisartan) — if blood pressure is elevated\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>\u003Cstrong>Anti-proteinuric agents\u003C\u002Fstrong> — if protein is leaking significantly into the urine\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>\u003Cstrong>Phosphate binders\u003C\u002Fstrong> — medications that bind dietary phosphorus in the gut before it's absorbed, used when diet alone doesn't achieve adequate phosphorus control\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>\u003Cstrong>Anti-nausea medication\u003C\u002Fstrong> — improves appetite and quality of life in cats experiencing uraemic nausea\u003C\u002Fp>\u003C\u002Fli>\u003Cli>\u003Cp>\u003Cstrong>Potassium supplementation\u003C\u002Fstrong> — if blood levels are low\u003C\u002Fp>\u003C\u002Fli>\u003C\u002Ful>\u003Cp>Not every CKD cat needs all of these. Treatment is tailored to what the individual cat's bloodwork and clinical picture actually require.\u003C\u002Fp>\u003Ch3>\u003Cstrong>Regular Monitoring\u003C\u002Fstrong>\u003C\u002Fh3>\u003Cp>A CKD cat needs consistent follow-up — bloodwork, urinalysis, and blood pressure checks at intervals the vet determines based on disease stage and stability. In early CKD, this might be every three to six months. In more advanced stages, every one to three months. The point is to catch changes before they become crises, and to adjust treatment while there's still room to do so.\u003C\u002Fp>\u003Ch2>\u003Cstrong>What Daily Care at Home Looks Like\u003C\u002Fstrong>\u003C\u002Fh2>\u003Cp>The majority of CKD management happens between vet visits, at home.\u003C\u002Fp>\u003Cp>\u003Cstrong>Multiple water sources\u003C\u002Fstrong> — Place bowls in several locations, or use a cat water fountain. Wet food contributes meaningfully to fluid intake and is worth prioritising over dry food for CKD cats.\u003C\u002Fp>\u003Cp>\u003Cstrong>Weekly weigh-ins\u003C\u002Fstrong> — Thirty seconds on a kitchen scale, noted down. Consistent weight loss despite adequate eating often signals the need to adjust treatment before other symptoms appear.\u003C\u002Fp>\u003Cp>\u003Cstrong>Litter box monitoring\u003C\u002Fstrong> — Track frequency and volume of urination. Changes are often the first sign that something has shifted.\u003C\u002Fp>\u003Cp>\u003Cstrong>Accessible environment\u003C\u002Fstrong> — Food, water, litter boxes, and resting spots should all be easy to reach without jumping or climbing. As the disease progresses and energy levels decline, the physical layout of the home matters more than most owners initially realise.\u003C\u002Fp>\u003Cp>\u003Cstrong>Record-keeping\u003C\u002Fstrong> — A simple log of weight, appetite, water intake, and any symptoms gives the vet useful information at each visit and helps track whether the current management plan is working.\u003C\u002Fp>\u003Cp>\u003C\u002Fp>\u003Cdiv data-type=\"horizontalRule\">\u003Chr>\u003C\u002Fdiv>\u003Cp>\u003C\u002Fp>\u003Ch2>\u003Cstrong>The Bottom Line\u003C\u002Fstrong>\u003C\u002Fh2>\u003Cp>CKD is common, slow-moving, and well-disguised — but it is manageable. The cats that do best with this diagnosis are typically those whose owners caught it early (through routine annual bloodwork, not by waiting for symptoms) and who stayed consistent with diet, fluids, and regular monitoring.\u003C\u002Fp>\u003Cp>The disease will progress — that part can't be stopped entirely. What can be controlled is how fast it progresses and how well the cat feels along the way. For many cats, that means several good years of comfortable, engaged life after diagnosis.\u003C\u002Fp>\u003Cp>\u003C\u002Fp>\u003Cdiv data-type=\"horizontalRule\">\u003Chr>\u003C\u002Fdiv>\u003Cp>\u003C\u002Fp>\u003Ch2>\u003Cstrong>Frequently Asked Questions\u003C\u002Fstrong>\u003C\u002Fh2>\u003Cp>\u003Cstrong>At what age should I start worrying about kidney disease in my cat?\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>The risk rises meaningfully from age seven, and continues increasing with age. Cats between ten and fifteen have a particularly high prevalence of CKD. That said, some cats develop it younger — which is why annual bloodwork including SDMA from age seven is worth doing, even in cats that appear completely healthy.\u003C\u002Fp>\u003Cp>\u003Cstrong>Can kidney disease in cats be cured?\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>No. Lost kidney tissue doesn't regenerate. But the goal of treatment is not cure — it's slowing progression and maintaining quality of life. Many cats live comfortably for years after a CKD diagnosis with proper management.\u003C\u002Fp>\u003Cp>\u003Cstrong>Does my cat need to eat a renal diet forever?\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>Once CKD is confirmed at IRIS Stage 2 or above, renal diet becomes a long-term part of management — not a short-term intervention. If your cat won't accept it immediately, that's common, and your vet can help with strategies to ease the transition.\u003C\u002Fp>\u003Cp>\u003Cstrong>How long can a cat live with kidney disease?\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>It depends heavily on the stage at diagnosis, the presence of other complications (blood pressure, proteinuria), and the consistency of care. Cats diagnosed at Stage 1–2 and managed well commonly live three to five years or more after diagnosis. Some live significantly longer. These aren't guarantees — but they're realistic outcomes with good care, not outliers.\u003C\u002Fp>\u003Cp>\u003Cstrong>How often does a cat with CKD need to see the vet?\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>In early stages, every three to six months. As the disease advances or becomes more complex, every one to three months. Your vet will set the schedule based on your cat's specific situation, and it will likely change over time.\u003C\u002Fp>\u003Cp>\u003Cstrong>My cat was just diagnosed. I'm not sure where to start. What's the most important first step?\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>Start with the diet transition and get blood pressure checked if it hasn't been already. These two things — phosphorus restriction and blood pressure control — have the most evidence behind them for slowing progression. Your vet will guide the rest. The most important thing in the first weeks is to keep your cat eating; a cat that won't eat is at immediate risk of additional complications.\u003C\u002Fp>\u003Cp>\u003C\u002Fp>\u003Cdiv data-type=\"horizontalRule\">\u003Chr>\u003C\u002Fdiv>\u003Cp>\u003C\u002Fp>\u003Ch2>\u003Cstrong>Managing Your Cat's Kidney Disease at Everyday Cat Clinic\u003C\u002Fstrong>\u003C\u002Fh2>\u003Cp>Everyday Cat Clinic is a cat-only practice in Bangkok's Silom-Bang Rak area. We provide full CKD diagnostics including SDMA, urinalysis, and blood pressure measurement, and work with owners to build long-term management plans tailored to each cat's needs. Open every day, 9 AM to 9 PM.\u003C\u002Fp>\u003Cp>To book: Line @Everydaycatclinic or call 096-224-6888\u003C\u002Fp>\u003Cp>\u003Cbr>\u003C\u002Fp>",[48,49,50,51,52],"cat kidney disease","feline CKD"," chronic kidney disease cats","cat kidney disease symptoms","cat CKD treatment Bangkok"]