What is Kidney Disease?
Underlying health problems and injury are just two of the two ways that your dog can become susceptible to kidney disease. Two of the earliest clinical signs are increased thirst and urination. Dogs with renal disease drink excessive amounts of water because the kidney, as the condition worsens, is no longer able to concentrate the urine as it should and excess urine is lost. Dogs drink more to compensate for this.
Also known as renal disease, malfunction of the kidneys results in the inability of the organ to filter toxins out of the bloodstream. The normal processes of water balance in the body are also disturbed. Kidney failure can come on quickly with severe complications (acute), or gradually occur over time (chronic). Kidney disease must be treated without delay; see the veterinarian immediately if you suspect your dog is ill.Kidney Disease Average Cost
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Symptoms of Kidney Disease in Dogs
Though your pet may not present with all of these symptoms, kidney failure may be indicated by the list below:
- Vomiting
- Physical weakness due to low red blood count and low blood potassium
- Itchy skin because of deposits of phosphorous and calcium in the skin
- Lack of appetite that has the opportunity to lead to weight loss
- Increased thirst (polydipsia)
- Large volume of urine being produced (polyuria)
- Blood in urine
- Frequent urination
- Straining to urinate
- Incontinence or leaking of urine
- Acute blindness due to high blood pressure
- Dehydration
- Ulcers in mouth
- Bad breath
- Anemia which may show as pale gums
- Diarrhea or constipation
- Disorientation
- Abdominal pain
Types
There are two types of kidney disease:
- Acute
- This is sudden onset renal failure
- With prompt treatment, the failure can sometimes be resolved before it becomes long term
- Recovery depends upon how much damage was done to the kidneys
- If left untreated, acute kidney disease can quickly become fatal
- Chronic
- This is the most common disease in older dogs
- Unfortunately, it is often irreversible
- Early management can help slow the progression
- Upon diagnosis, chronic kidney disease will be classified as stage I through IV
Causes of Kidney Disease in Dogs
Whether of an acute nature, or a chronic problem, kidney disease occurs for many reasons:
- Acute
- Urinary obstruction
- Problem occurred in surgery
- Heat stroke
- Poisons like toxic plants, antifreeze or human medications that have been ingested accidentally
- Toxicity from ingestion of foods such as grapes or raisins
- Bacterial infection
- Trauma to the organ from being struck by a car, for example
- Dehydration
- Chronic
- Old age deterioration of organ function
- Genetic e.g. PKD
- High blood pressure
- Birth defect in the kidney
- Incomplete recovery of kidney from a previous injury
- Leptospirosis
- Tumor
- Lyme disease
- Pyelonephritis (inflammation of urinary tract which causes bacteria to go into the kidney)
- Glomerulonephritis (inflammation in the kidney structure that filters blood)
Studies have shown that several breeds are found to be prone to inherited chronic kidney disease:
- Samoyed
- Shih Tzu
- Soft Coated Wheaten Terrier
- Poodles
- Rottweiler
- Cocker Spaniel
- Doberman Pinscher
- Lhasa Apso
Diagnosis of Kidney Disease in Dogs
Acute kidney failure must be treated without delay because damage to the kidneys can become irreversible. Upon arrival at the clinic or even while you're in the waiting room, be prepared to give a history of your pet’s recent behavior. The eating, drinking and urinary and defecation habits of your pet of late can be important indications to their health.
The veterinarian will under most circumstances, order a complete blood count, chemical profile, and blood analysis. Creatinine and blood urea nitrogen are found to be high in canines with kidney disease. As well, the electrolyte levels of your dog will be evaluated, to look for abnormalities or disturbances such as hyperphosphatemia (elevated phosphate in the blood). Blood pressure may be elevated, and a urine sample could show evidence of bacteria. The concentration of the urine is another important kidney disease marker.
Dogs with kidney disease often present with weakened bones, bleeding in the stomach and fluid retention in the limbs and abdomen.Sometimes radiographs or ultrasound are used to further examine the kidneys size for diagnosis and to look for evidence of underlying causes. If warranted, a biopsy of the kidney tissue could be part of the diagnosis.
Treatment of Kidney Disease in Dogs
Determining the cause for the kidney disease will direct the veterinarian towards the treatment plan. The condition of the kidneys at the time of diagnosis, and learning whether the renal failure is acute or chronic are other crucial points to be considered.
In the case of acute kidney failure, your pet may need to be hospitalized so the kidneys can be stabilized. Fluid therapy, in the form of intravenous fluid administration, will reduce the amount of toxins and waste in the body. Pain relievers, gastrointestinal protectants, and anti-nausea medications will be given. If the damage to the kidneys is severe, the veterinarian will discuss the option of trying dialysis for an extended time, so the kidneys can have a chance to heal.
Depending upon the state of the kidneys, chronic renal disease will need to be addressed similarly to acute failure, or in the case of a slow progression of the illness, a more conservative treatment approach will be taken. To start, though, intravenous therapy may be done to flush out the kidneys (the process is called diuresis).
A change in diet will be part of the treatment plan. A diet with less protein (of a high quality like eggs and meat), which will create less waste for the kidneys to eliminate, is paramount to battling the chronic renal failure. Low phosphorus in the diet is key also because phosphorus tends to accumulate in diseased kidneys. Phosphate binders may be given.
Blood pressure medication may be part of the long-term treatment, as well as other drugs required to maintain calcium levels and reduce stomach acid.
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Recovery of Kidney Disease in Dogs
Dogs with acute kidney failure can have different outcomes which depend on the cause of the renal disease, and the severity of the disorder. The outcome for a dog with chronic renal failure is impossible to predict. Your pet may respond well to treatment and dietary changes and have months or years of a good quality of life. Other dogs will revert to a crisis situation shortly after the treatment has stopped. In some instances, the kidneys do not recover any function at all.
The change in diet could result in a longer lifespan. Be diligent in the type and amount of food you are feeding your dog. Follow the recommendations of the veterinarian carefully. Always provide plenty of fresh water. Some canines require the administration of subcutaneous fluids at home. The veterinary caregiver can provide training for you. Most dogs tolerate the administration very well.
It's imperative to reduce the amount of stress that your dog is exposed to. Work with him or her to maintain a calm, peaceful atmosphere. For example, if boarding your dog causes stress, have a dog sitter come to the home to stay there while you are away. If your pet prefers human company over the excitement of being around other canines, limit his exposure for the time he has left as your pet. The quality of care is essential to the longevity of your dog’s life.
Expect frequent visits to the veterinarian as part of the quality care. The testing of blood and urine on a regular basis is the safest way to assure your pet’s kidneys are continuing to function well.
Kidney Disease Average Cost
From 31 quotes ranging from $3,000 - $30,000
Average Cost
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Kidney Disease Questions and Advice from Veterinary Professionals
Rottweiler
Eight Years
0 found this helpful
0 found this helpful
My pet has the following symptoms:
Kidney Failure
My dog kidney failure creatinine level 16 ,blood urea 480
Sept. 24, 2020
Answered by Dr. Michele K. DVM
0 Recommendations
Thank you for your question. I apologize for the delay, this venue is not set up for urgent emails.
I hope that your pet is feeling better. If they are still having problems, It would be best to have your pet seen by a veterinarian, as they can examine them, see what might be going on, and get any testing or treatment taken care of that might be needed.
Oct. 23, 2020
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Miniature Pinscher
Spike
14 Years
3 found this helpful
3 found this helpful
My pet has the following symptoms:
Lethargy
Diabetic
Lack Of Appetite
Nausea
Muscle Wasting
14 yo Min Pin. Diabetic for about 5 years, controlled for about 4-1/2 years. About 5 months diagnosed with chronic insufficiencies. We were having difficulties controlling blood sugars. We suspected Cushing's. Well, I kept putting it off and just kept running at home glucose curves that I would email to vet. Any ways, about 3 weeks ago started throwing up, and just went downhill quickly. Ran labs - SDMA 31 - CREAT 1.7 - BUN 61 - CHLORIDE 126 - TCO2 10 - PHOS 5.8 - CALC 9.7 - CREAT KINASE 288
Suggested 2 x weekly 100cc. A week pass before we could get in for training on subq fluids. A day or two later, Spike started acting strangely, so we took to the local ER. The labs were worse: CREA 2.0 - BUN 115 - BUN/CREA 58 - PHO 13 - CA 9.7 . ER vet recommended a phosphate binder (alum hydroxide - not thrilled about) and 100cc fluids 2x daily. We did see a little improvement, but not much. It has been about 1 week or so. I have learned now to feed him 4 times daily - seems to eat more. The vet wants him back to 11.5 pounds. He is currently 9.6 as of yesterday. I increased to 400 calories daily, but someone recommended to bring back down to 311 calories (amount needed for a 11 pound senior) as we saw a bit of a spike in blood glucose; however, no problem eating 350-400 calories. I would like to see how I can begin getting his muscle mass back. The vet said there is nothing you can do, but I would think there is (but then again I am not a vet). His little tail still does not come up, indicating he does not feel well still. HE seems a bit delusional. The vet says the blood work should show improvements in 2 weeks if therapy works. crossing my fingers. Any suggestions on increasing muscle mass? Nausea seems to subsided, however, was given a medication to use in case. I just read somewhere to try raw apple cider vinegar - any thoughts? I really want to get away from medications, and use a more natural approach if possible. Tricky trying to manage low phosphorus, low sugar and high calories.
Aug. 27, 2018
Answered by Dr. Michele K. DVM
3 Recommendations
Managing diabetes and kidney failure at the same time can be very difficult, and it is probably not a good idea to try and avoid medications for Spike. The medications are there to help with appetite, nausea, and controlling phosphors, and they are there for a reason. If you are able to get everything back under control for him, it would be a good idea to stick with a medical plan to keep him managed.
Aug. 27, 2018
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Jack Russell Terrier
Abbey
9 Years
5 found this helpful
5 found this helpful
My pet has the following symptoms:
Weight Loss
Lethargy
Nausea
My 9 yr old Jack Russell Terrier tested positive for Lyme and was started on Doxycycline. She wasn't tolerating the Doxy, so the vet gave her an injection of Convenia. He also took a blood test that day and she apparently has kidney disease. The vet felt it was from the Lyme. She was on IVs for 8 days and her BUN level dropped from 111 to 65. We are now feeding her a low protein/low phosphorus diet, and adding Azodyl and Epakitin. We give her 1/2 Pepcid if she gets nausea. My question is, she is supposed to receive another injection of Covenia for the Lyme. Will that increase the BUN levels? Could the Covenia or Doxycycline have any effect on her kidneys?
Aug. 23, 2018
5 Recommendations
If the blood test was taken on the same day as the first Convenia (cefovecin) injection, it wouldn’t have had the time to cause any issues with the kidneys; Convenia is safe to use and doesn’t cause kidney disease however it is cleared from the body by the kidneys which may result in a longer excretion time. Doxycycline or any other medication should be carefully considered when giving to patients with elevated kidney values. It is more likely that the kidney disease is secondary to the Lyme disease. Regards Dr Callum Turner DVM
Aug. 23, 2018
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Pomeranian
kencha
6 Years
5 found this helpful
5 found this helpful
My pet has the following symptoms:
No Appetiate
No Appetiate , Vomiting
Kidney failure .. doctor says .now his creatinine level is 16 .. Now he is admitted in Hospital and giving him drips ...is there any chance that he can be normal as before
Aug. 20, 2018
Answered by Dr. Michele K. DVM
5 Recommendations
That creatinine level is quite high. If Kencha has acute kidney failure doe to a toxin, IV fluids and medications may reverse the damage and he may be okay. There are many factors that his outcome will depend upon, and without more information it is hard for me to say. Since he is being treated in the hospital, asking his veterinarian would be a good idea - they can see him and see how he is responding. I hope that he does well.
Aug. 20, 2018
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Shih Tzu
Prince
11 Years
15 found this helpful
15 found this helpful
My 11 y/o Shih tzu Prince passed away yesterday unfortunately I had to put him down. Prince had kidney disease two days ago I gave him boiled chicken I had ran out of his dog food that he usually eats which I usually add chicken..the next day he had loose stool this went on for two days this has happened many times before (him having loose stool) I did not give him water for a day in attempt to stop the loose stool smh he began to act weird wouldn’t come when I called him so I picked him up realized he could barely move or walk I took him to the vet where ultimately I had to make a decision to put him down...I am really hurt by this and need answers. Do u think it was me not giving him water for a day that worsen the condition
Aug. 5, 2018
Answered by Dr. Michele K. DVM
15 Recommendations
I'm sorry for the loss of your Prince. Kidney disease is a very difficult disease to control, and it does eventually lead to failure no matter how hard we try to manage it. Prince may have been at the point where his kidneys could not function any longer, and being a little dehydrated would have probably sped up that process. If he was that close to kidney failure, it seems that that would have happened soon, regardless. I hope you can find peace knowing that you did not allow him to suffer.
Aug. 5, 2018
I am trying so hard to cope with this. Thanks so much for your response!
Aug. 5, 2018
Prince's Owner
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Labrador Retriever
Railay
2 Years
0 found this helpful
0 found this helpful
My pet has the following symptoms:
None
Our dog, a labrador of 2 years has been diagnosed by the vet with Renal problems. As two of his brothers in his nest were diagnosed in earlier ( one passed away a year ago, one diagnosed last week due to drinking and urinating a lot ) I just wanted to make sure our beloved dog is free of any complications. He has not one of any symptoms described, so this is where my doubt is. We took him for a blood and urine examination which, from my point of view, doesn’t look concerning. However the vet subscribed him with Royal Canin Veterinary Diet Renal.
Urine value was 1.023
Blood:
Urea 3.9
Crea 125
Bun/Crea 8
Tp 69
Alb 30
Glob 39
Alt 44
Alkp 47
Glu 5.91
What do you give me for advice?
Kidney Disease Average Cost
From 31 quotes ranging from $3,000 - $30,000
Average Cost
$7,000
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