Kidney Disease Average Cost

From 31 quotes ranging from $3,000 - 30,000

Average Cost

$7,000

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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, no longer processes toxins efficiently and requires more water to do so. Drinking large quantities of water will cause frequent urination, but the urine is not eliminating toxins as it used to.

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, or gradually occur over time. Kidney disease must be treated without delay; see the veterinarian immediately if you suspect your dog is ill.

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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 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
Types
There are two types of kidney disease:
  • Acute
    • This is sudden onset renal failure
    • With prompt treatment, the failure can 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, by the time your pet shows symptoms, the damage is often irreversible
    • Early management can 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
    • Poor diet
    • The organs are worn out from old age
    • 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 level 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 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), and stimulate the function.

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. It must be noted that the change in diet has to be very gradual so that the kidneys can adapt to the switch.

Blood pressure medication may be part of the long-term treatment, as well as other drugs required to maintain calcium levels and stomach acid.

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 effect 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 Questions and Advice from Veterinary Professionals

Polo
Shih Tzu
12 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

not drinking
Lethargy
Depression

I have a 12 year old SHiht-zu who was recently diagnosed with Chronic Kidney Disease. The vet says that he has lost 80% of kidney function, with only 20% left. I am wondering how much time he has left? i have never been exposed to this issue so i don't know what can be done. We currently have him on science diet wet food for kidney disease and vegetables/veggie broth because he also doesn't want to drink water. He is depressed and lethargic all day and i am not sure if it's due to his kidneys or because he also suffers from Glaucoma as well as blindness. We are thinking to take him to Central America to get surgery for his eyes as we cannot afford care and surgery in the U.S to give him the best possible shot at this. Please advise as I am truly lost, his teeth were brushed regularly, he had yearly bloodwork so I am lost for words as how he developed this under our noses

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations
I doubt that Polo would the cleared to travel to Central America and to return and with a loss of 80% of kidney function, I think surgery is off the table; at this point you should be looking at dietary management of the kidney disease along with other supportive and symptomatic care. Regards Dr Callum Turner DVM

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bingo
Indian pariah
7 Years
Critical condition
0 found helpful
Critical condition

Has Symptoms

lathergetic
lack of appetite

Medication Used

injection icrb s
injection avil
injection reglan
injection texer s
injection ripros
injection conciplex
mahaliv cc injection
fructodex saline
r1 saline

My dogs BUN is 70.9 and creatinine is 8.5 what to do. she was having uterine infection plz help me out i m tensed. she is feeling very lathergetic. she is not vomitting her health is detoriating and she has left eating .

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations
From the information your have provided it seems that Bingo is in stage IV and the way forward is dietary management to reduce the workload on the kidneys, fluid therapy and to determine an underlying cause (if not related to infection). Your Veterinarian would be able to assist with treatment; however it may be a case that you may need to consider euthanasia. Regards Dr Callum Turner DVM

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Max
Australian Shepherd
7 Years
Critical condition
0 found helpful
Critical condition

Has Symptoms

Increased thirst
Lethargy
Increased Urination

A few years ago my dog and our German shephard managed to develop leptospirosis, they were treated and put onto kidney K/D dog food. However, a few months ago our German shephard began to vomit blood and eventually needed to be put down because her kidneys had fully quit working. Now a few months after, my Aussie has had his blood work drawn and had majorly high levels of Cretanine and BUN, so he was brought home and was eventually to the case of giving him 500cc every day or so. And as much as I hate myself for it, i have college and my mother constantly works so he isn't able to get the "prescribed" amount of fluids consistently. Thankfully though he drinks well and has access to clean water 24/7, but now he's randomly gotten worse and has become lethargic, wont eat anything (accept the horse hoove trimmings he's not allowed to eat), and just seems rather tired and depressed. I'm at a loss and dreading the day I take him to the vet and am told to put him down due to his kidneys shutting down. So, I've read on the internet and I'm attempting to switch his diet in an effort to get some sort of food in him (because he hasn't eaten in three days no matter what we do), and we've gotten pumpkin (for some sorce of fibers to help draw out toxins i guess) and canned food with low to no phosphorus with good ingredients. He wont eat unless I spoon feed him the dog food (sometimes he'll stomach the pumpkin) and even then it's a huge task to get him to properly eat. I'm at a loss and have done everything I know and have researched to do. I just want him to be comfortable, but i have college classes, several horse concerns, as well as job searching, and my mom has her job that takes up far too much of her time. I've done everything possible I know what to do and I'm willing to listen to any suggestions or advice from anyone.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations
Despite what you would read online there is no one fits all diet for dogs with kidney failure, each diet needs to formulated to each dog based on breed, weight and other health factors; commercial diets by Hills, Royal Canin etc… are the best one fits all solution in mild to moderate cases but in severe cases you may need to consult with a Nutritionist to get the right diet which is not only low in protein and phosphorus but also balanced for Max’s needs. I would recommend you check the link below regarding advice. Regards Dr Callum Turner DVM www.petdiets.com/Ask-the-Nutritionist

Hi,
How is Max doing?

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Flannel
Yorkipoo
17 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Straining To Urinate
Straining To Defecate
Pain
Stress

My dog is 17.3 years old. Her vet which she doesn't see anymore prescribed Royal Canin for renal care after testing urine, I think and stool. She seems in great anxiety surrounding peeing and pooing. Sad to say pain that I would like not to treat with doggie xanax. She is peeing a lot(!) and in pain often! What is this? Some hair loss, could be scabies? She is being shampooed with neem. What can I do home remedy wise to keep her at ease and help with her pain? She has been on Royal Canin Renal and has water with it. I add 2 tablespoons of pumpkin and whole plain yogurt. Advice please. I don't want her legs to atrophy from too much anxiety meds and maybe there is something else to do. I am doing doggy rehab for back legs too and reteach getting up. Her front legs are very strong. Very healthy appetite. Please NO advice involving putting her to sleep!!!!!

Dr. Michele King, DVM
Dr. Michele King, DVM
511 Recommendations
Thank you for your email. Without examining Flannel, I can't diagnose or recommend any treatments for her. She should be evaluated by a veterinarian to see why she has so much trouble urinating, why she is in pain, why she is losing her hair. Not everything can be treated with OTC medications, and at her senior age, she probably needs to be on prescription pain medication in addition to any other treatment that she might need. I hope that she is okay.

Lost my shitzu at 8yrs very sudden onset to stage 4.so sad but didnt have any symptoms till his breathing was shallow .vet had on ivs for 24hrs and list him ,his heart rate kept dropping.

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Maverick
Australian Shepherd
7 Years
Fair condition
0 found helpful
Fair condition

Has Symptoms

Stress
Increased thirst
Increased Urination

I normally feed my dog high quality dry food (protein at 33%), and a vitamin supplement called Rejuvenate.

My dog was very stressed out one week due to weather, he didn't not like the noise the wind was making. He drank a lot of water and was urinating a lot more than usual. I took him to the vet and they did a urinalysis, and he urine was perfect. Then they did a blood test in which his BUN levels were high and his creatinine was on the normal-high level (same level as it was 6 months previously), and he was dehydrated.

I changed his diet to a kidney diet for the past 2 weeks. They performed another urinalysis, which came back perfect, and another blood test which came back with Normal BUN levels and creatinine had decreased by .1

The vet still suspects kidney disease and wants to do an SDMA test to make sure, and wants me to continue on the diet for the dogs life. I will do the test, to make sure of kidney disease.

He's no longer urinating or drinking water constantly. At what point does it become a "fluke" and I can go back to feeding my dog a normal diet? Or a diet with a lower protein than 33% but higher than 4%.

The reason I ask is because my vet isn't very informative and when I ask questions she always suggests another type of test. Which I'm fine with, if it helps us figure out what is wrong. But his tests have come back perfect, and now she wants to do another test. It doesn't make sense to me.

If my dog is fine I'd rather stop subjecting him to vet trips and its getting costly. I'm looking for a second opinion. Thank you!

Dr. Michele King, DVM
Dr. Michele King, DVM
511 Recommendations
Thank you for your email. Unfortunately, without examining Maverick, I can't really give a valid second opinion over email. I do understand your frustration, but your vet has Maverick's best interest at heart, and if we can catch kidney disease early, we can sometimes stop the rapid progression of it. She is trying to be thorough, I imagine. If you do want a second opinion, which is very valid to want to do, you can usually find recommendations in talking to other pet owners about their veterinarians, take your bloodwork and Maverick, and have them go over everything to see what they believe is the next best step. I hope that everything works out well for him.

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Armani
American Pit Bull Terrier or American Staffordshire Terrier
12 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Diarrhea
Vomiting
Loss of Appetite

Hi, My Sweet Precious Armani Girl passed away Thursday am,I am just lost and sick. She was not herself on Sat evening just stopped eating and drinking but still going outside and staying right by us as always. I gave her bland food on Sun. She drank very little water than I used med dropper to give her water also she starting vomitting and had diarrhea i call the vet on Mon. They took x-rays ,blood work. Could not see anything wrong and put her on an anitboctic and pills for vomitting. Tues I'm told she has kidney disease. Blood work showed Creat. 133 and Bun 15.2 .i was told she needed IV Fuilds immediately,she had a 3 her one on Tue ( they closed at 5) at home she was ok ate and drank a little with a seringe.Wed. She had an all day treatment ( 8-4:45) she had Fuilds built up on her back legs could barely walk and would not eat at all. That night she had 4 seizures with in 5 hrs than passed away. Did I make her stuffer ,did I do the wrong thing for her... Just lost and so confused she was my Heart and soul.

Dr. Michele King, DVM
Dr. Michele King, DVM
511 Recommendations
Thank you for contacting us about Armani. I'm sorry for your loss, that is very sad. It doesn't seem to me that you made her suffer, it sounds like she became very ill very quickly, and you tried to save her. It is hard when they get sick so fast, but you did what you could to help her. I hope that gives you some peace, and, again, I am sorry for your loss.

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Bark Twain
Blue Heeler
6 Months
Serious condition
0 found helpful
Serious condition

Has Symptoms

Weakness
Vomiting
Depression
Loss of Appetite

Hi, our dog got into a sealed jug of antifreeze 9 days ago. I took him to the vet the next day after it happened and they tested his blood for levels and they were normal. I assumed he had just chewed on the container and not actually drank/licked much of it. The vet said if he was going to be affected, he'd show signs within 72 hours. He was fine up until two days ago (which was a week after we'd taken him to the vet), we found him laying in the woods, too weak to get up and do much of anything. He has only drank water and then vomited afterwards. He hasn't eaten anything and is only laying around, we've been giving him water and the option of very soft food, but he doesn't seem interested in eating anything. The vet said once they've reached this level of symptoms there usually isn't much of a chance to save them. Any advice as to what I could do to help him at home? I tried giving him gatorade and he didn't seem to like that either. All he's had is water for a couple days. Is acute kidney failure irreversible once it's reached this kind of severity? He seemed more alert this morning when I checked on him, he wagged his tail (which he hadn't done at all previously) and seemed a bit in better spirits. Any advice?

Dr. Michele King, DVM
Dr. Michele King, DVM
511 Recommendations
Thank you for contacting us about Bark Twain today. I'm sorry that is happening to him. I would get him into his veterinarian right away and get him started on IV fluids. If there is any chance of saving his kidney function once if has progressed this far, he needs to have very aggressive fluid therapy, possibly for 3-4 days or longer, depending on how he responds. There aren't any home remedies to give him that level of fluid therapy, he needs to be in a hospital. I hope that he recovers.

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JV
Labrador
9 Weeks
Mild condition
0 found helpful
Mild condition

Has Symptoms

Vomiting

Medication Used

5 mg Pepcid
Activated charcoal
Sucralfate

Hello, our 12.5 lb lab mix JV ate one naproxen pill yesterday. I managed to get him to vomit about 45 minutes after he took it. He vomited 3 times total. I took him to the emergency vet about 2 hours after he ate it as well. They have him sub cutaneous fluids and sent us home with activated charcoal, sucralfate, and 5mg of Pepcid. We are supposed to continue the sucralfate and Pepcid for 15 days.

JV hates the charcoal and it seems to upset his stomach even more but we are continuing with that and a very bland diet until it’s done. I am also pushing fluids with a syringe very regularly as well so he stays very hydrated. He has urinated clear to pale yellow and has 2 bowel movements since the ingesting.

We are about 30 hours out from him ingesting it. Is there any point in which I can feel like he will get through this and be on the other side? My husband and I are barely sleeping we are so worried and getting up with him to give meds and push fluids is making everyone tired and cranky. We just want him to pull through this and wonder if there is a timeframe where there is greater risk vs when he is most likely going to be ok?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations
Induction of vomiting was a good first step, but it depends on the type of pill given (slow release or regular formulations) since 45 minutes is long period of time (but within the two hours window). Kidney damage is a common consequence of naproxen poisoning and it really is a wait and see approach whilst giving aggressive fluid therapy and other supportive care as necessary; a kidney function test should be done at some point to see if there has been an effect on the kidneys or not as we should be able to see some movement of the values by now. Regards Dr Callum Turner DVM

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Mav
Shih-Tzu
11 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Fever

Medication Used

Clavamox antibiotic- oral

Hi there! Maverick is my shitzu we've had him for 11 years took a couple of days ago he started running a fever wasn't playing and had loss of appetite we took him in he had a high fever and just slightly elevated creatinine levels she did give him antibiotic for his fever I'm wondering if we should continue with testings he still continues to not eat or drink he wants to sleep all day, hardly drinks water.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations
It is important for Maverick to be hydrated, if he is not consuming water himself he may need to be administered for fluid therapy; if he has high kidney values, further testing as well as dietary management (when he start to regain appetite) is important along with treatment for an underlying condition. Regards Dr Callum Turner DVM

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Murphy
Tibetan Spaniel
11 Years
Mild condition
1 found helpful
Mild condition

My Tibetan spaniel Murphy is 11 yrs old. I just started to notice that he has begun drinking a lot of water and going out at least every 2 hrs, drinks a lot, pees a lot. He's had a couple of accidents if he goes longer than 2 hrs - at night he goes 10 hrs without having to go out. Otherwise, no other signs.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations
There are various different conditions which may cause an increase in thirst and urination which may include kidney disease, hormonal conditions (diabetes, Cushing’s Syndrome, Addison’s Disease etc…), urinary tract infections among other issues. I would suggest getting urinalysis done at a minimum as this would rule out the presence of bacteria/protein/glucose/crystals etc… and is a relative cheap test before looking at any other condition. Regards Dr Callum Turner DVM

Thank you so much for this service! I am on a fixed income but I feel a bit better is might be something else. I will start with the urine tests. Thanks again! Nellie Cant

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Mocha
Husky
6 years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Lethargy

My 6 years old husky has blood test readings of 4.5 CREA and 44 BUN. Fever has subsided. Doc says that his kidneys are 80% not functioning well. Now on drips and antibiotics. What are his prospects for recovery?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations
There are many causes for the kidneys to have reduced function and the prognosis is dependent on which specific cause is it. Sometimes with treatment and dietary management the condition can be managed but in other causes like where more than 75% of kidney function is gone, the prognosis is less favourable. I would discuss with your Veterinarian the cause of the kidney failure and ask them about the options for that specific underlying cause. Regards Dr Callum Turner DVM

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Kasey
Pitbull mix
7.5 years
Moderate condition
0 found helpful
Moderate condition

Kasey went into ER hospital with lethargy and no appetite. Tests showed high creatinine and BUN levels. They sent me home on the same day with amoxicillin and IV bag. Next day her levels were higher so we admitted her. Today the doc said that her levels were higher than previous day. Sono showed ‘abnormal’ kidneys architectural but no other anomalies. She tested negative for adisons and no real sign of cancer. She isn’t vomiting nor does she have diarrhea. The doc said that sometimes the levels yet higher before they go Back down. They are increasing fluid therapy and antibiotics. Her latest blood culture showed blood, wbc and bacteria.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations
There are various causes of an increase in BUN and creatinine which may be attributable to a loss of functioning nephrons in the kidneys due to structural anomalies. It is important to move her over to a renal diet to reduce the workload on the remaining kidney function and increasing hydration to dilute the relative values of BUN and creatinine. The specific cause of the abnormal kidneys needs to be established and managed. Regards Dr Callum Turner DVM

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Marbles
Shih Tzu
12.5
Moderate condition
2 found helpful
Moderate condition

Has Symptoms

Seizure
Frequent Urination
Lethargy
Blindness
Excessive Thirst

My 12.5 year old Shih Tzu had been diagnosed with CKD about 4 months ago. I took her in for what I thought was a UTI, which she's had a lot of over the years, because she was having accidents on the floor. My vet explained her urine was very diluted which indicates poor kidney function and also explained that's why she's drinking excessively and having accidents. The more I read about CKD, the more I notice similarities in my dogs' symptoms. Lethargy, weight loss, blindness, excessive thirst, frequent urination, and now today she had a seizure. It was terrifying and was accompanied by bloody, foamy discharge from her mouth. It lasted about 1 full minute. Afterwards, she was weak and disoriented for about 5 minutes then shook it off and returned to her normal self. She still has a healthy appetite and her (new) normal bowel and bladder habits. I do not think she seems to be suffering except during the seizure itself. Is the seizure today, alone, a reason for me to consider putting my baby to sleep? I do not want to prolong her life for my own selfish reasons. How long after neurological symptoms begin does the average dog with CKD live a decent quality of life? I appreciate your care and opinion so much.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

Each case of chronic kidney disease is different and the progression will depend on a few factors including any underlying conditions and Marbles overall health. I do not believe that the seizure should be a reason in itself to consider putting Marbles down, but should be evaluated with all the other symptoms and test results; this seizure episode should be brought to your Veterinarian’s attention since management options may be available depending on how your Veterinarian views Marble’s case. Whilst it varies from case to case, there should be no reason why you and Marbles cannot enjoy some more time together if the symptoms can be reasonably managed; however, if the cause of the seizure was due to an increase of waste products in the blood stream, you may need to consider the inevitable. Regards Dr Callum Turner DVM

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Bear
Pomeranian
14 Years
Serious condition
1 found helpful
Serious condition

Has Symptoms

Decrease appetite
Lethargy
Disorientation
Unsteady gait

Medication Used

Epakitin
Mirtazapine
Meloxicam
Benazepril

My 14 year old Pomeranian went into renal failure. Creatinine 6.7 BUN 224. Iv fluids and hospitalized. Each day labs were drawn and his values decreased to creatinine 3.7 and BUN 65. He spent three days in the hospital. He finally ate the last day there a small amount. I have him at home and he still won't eat. He is interested in eating and continually goes to the food and sniffs around then walks away. His phos is 7.1 also. He is weak and unsteady but definitely feeling better. I have read other lab values from other dogs and never seen them this high to begin with. I don't want him to suffer....will he bounce back with lab values that went that high? Have other dogs with lab values this high bounced back?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

I do not wish to offer any false hope to you, you know that Bear is old and is around the upper average age limit for Pomeranians (12 to 15 years - varies depending on literature). Whilst Bear most likely will not bounce back, life can be made comfortable for him and you can enjoy your time left together rather than worrying about how much time you may theoretically have together and missing out on quality time you have left. Regards Dr Callum Turner DVM
http://veterinarymedicine.dvm360.com/laboratory-evaluation-kidney-disease

Just wanted to add I am not worried about how much time I have with Bear. He is old at 14. He has had a good life. I just don't want him to suffer. I know he won't live forever and I am ok with it. I am worried about him suffering.

Also I wanted to comment this is the first kidney episode ever six months ago he had normal labs. 2 months ago we started meloxicam. Then renal failure. So the reason I say this is because we haven't been battling kidney issues with him till now.

Dr. Will is meloxicam make things worse and cause him suffer sooner. What kind of comfort would u recommend....he is getting the meds that I indicated I would like to stop the meloxicam if it makes things worse for him. Also should he have some form of pain medication for comfort. He doesn't seem to be in pain but who am I to tell. I want him comfortable and home when he decides to go. I had decided that he will not go through hospitalization again it was rough on him. I almost believe I extended the inevitable and making him suffer longer.

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Xur
Old English bulldog
2 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Constipation
Dehydration
lack of appetite

My dog stop eating normal and wouldn't poop normals so I took him in and has blood test done and vet says stage 3 kidney failure he got fluids today and a vitamin b12 shot and some food samples to help out but I really wanna know is this something with further testing of course that he can recover from with sufficient care he's seem back to his old self after these treatments today

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

Management of kidney failure is important since the damage caused is irreversible; but by reducing dietary phosphorus, feeding low quantity high quality protein (not plant based protein) and supportive care you can reduce the burden of work on the kidneys and reduce the waste products circulating around the body. Regards Dr Callum Turner DVM
http://veterinarynews.dvm360.com/staging-and-management-canine-chronic-kidney-disease

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Reign
Rottweiler
12 Weeks
Mild condition
1 found helpful
Mild condition

Has Symptoms

Frequent Urination

Medication Used

None

My 12 week old Rottweiler puppy was at the vet today for his monthly check up. I told the doctor that over the past several days he seemed to be urinating more often than normal. His appetite has been fine, he has not seemed to have increased his water intake, he's playful and seems overall healthy and happy. She checked him for a UTI and it came back negative but told me that his urine concentration was off. She said in a range from 1 to 60 "normal" for his age should be 30ish. His number was 4. She said she has seen this in puppies his age before and normally it straightens it self out but, sometimes it does not. She then ran extensive blood test and said that all of his blood work results were perfect and that was a good sign. My question is should I get a second opinion? Is this something that I should have serious concerns about or is it not completely uncommon in a young pup? Should I wait 3 weeks, as she recommends, for him to be checked again? Is there anything I should change in his diet to help improve this? What could have happened to trigger this to happen? Any information or advise is greatly appreciated.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

The method of checking may throw up an error especially if used in a wet refractometer; but if all other test results are normal and Reign is behaving like a normal puppy I wouldn’t be too concerned at this point. Puppies can have various anomalies on tests due to their bodies still trying to calibrate themselves (for example). I would wait for another three weeks and have the test repeated again and ask for the test to be repeated in another refractometer (practices usually have two or three laying around). Regards Dr Callum Turner DVM

Thank you Dr. Turner for responding so quickly!

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Stouffie
English Springer Spaniel
12 Years
Mild condition
-1 found helpful
Mild condition

Has Symptoms

tremors and lack of excessive drinking
see above

Our beautiful (approximately 12 year old) boy, Stouffie has chronic renal insufficiency and is on a regimen of Propalin to manage incontince and Benzacare (half 20mg tab every day). He is generally doing beautifully on this combo. After extensive research (I'm currently writing my Master's thesis but switched to research for our baby) took him off the cripplingly expensive, branded renal food for home cooked food. It takes two days to prep a week's worth but it's worth it knowing exactly what I'm feeding my angel and I've worked hard to get the balance of lowered high quality protein, with fats (essential and otherwise), dog nurturing superfoods and low phosphate grain.
Stouffie still has excellent quality of life and excellent appetite-in fact he eats like a horse! Rarely, we say "to hell with it" and feed him an excellent quality real food, (and not the "real" foods advertised on big branded foods, but an award winning British brand with excellent ethics-would name them if that's allowed here) tinned food, which he loves. Despite some problems mostly associated with progression of disease and the meds, he adores life. Anyway, sorry to ramble- we have an awesome vet but I'm still slightly concerned about the following symptoms:

Tremors during sleep (range from mild to fairly rigorous-we always thought he was dreaming until diagnosis)

LACK of thirst-no one writes about this in 'renal dogs'?!

Not sure if we should be worried or grateful he still has such a huge appetite? I felt strongly that the big branded renal food was starving him of sufficient high quality protein and was mostly mushy water. He's thriving on my meals for him (includes usually a variation on the following: cous cous, sweet potatoes, spinach or kale, egg whites, small amount of animal fat like beef dripping, barley grass powder..little bit of mixed seeds-for omegas-not crazy amount due to phosphorus, occasional egg shell for calcium, I won't bore you with the rest!)

So, thank you so much, for reading all of that-just wondering if we need to be concerned about the tremors and lack of excessive drinking? He passes very good stools which I always keep an eye on.

Thank you so much!








Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

I would be cautious about feeding Stouffie spinach as it contains oxalates that in large quantities can cause kidney damage; in a dog with a preexisting kidney disease I would be cautious. It is great that he has a good appetite and your home made food may have enough water content that he isn’t so thirsty; dogs on home diets and canned food consume less water from their water bowl, his urine, capillary refill time and skinfold test would tell you if he is dehydrated. As far as the tremors, they may be caused by numerous different causes and if Stouffie is otherwise OK, I would just monitor if they get more severe and the lack of thirst may probably be down to high water content in his food. Regards Dr Callum Turner DVM

Thank you so much for your generous feedback, Dr. Turner. Noted - re: spinach. And thank you for the tips about testing for dehydration. We were very fortunate that I noticed some tiny changes in our sweet boy and we took him into our vet, early. I guess he might be stage 2..Although every day is a blessing, I think we may be in a good position to keep him a little longer as a result. Our vet gave us an understandably vague prognosis of between 6 months to 2 years.

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Darwin
American Cocker Spaniel
14.5 years
Moderate condition
-1 found helpful
Moderate condition

Has Symptoms

staggering
Panting drinking water and pacing
anxiety
climbing legs

Medication Used

At home fluids
Paxil
Renal food

PLEASE HELP!!! I'm not sure the experience isn't worse for us than for them. My 14.5 year old cocker/lab Darwin was diagnosed with chronic kidney disease following a surgery to remove a cancerous mass on his anal gland. Since then we have kept him eating and drinking adequately. His behaviour has worsened incredibly to the point where we don't know what to do. He breathes heavily (panting) non-stop , staggers around, and circles through my legs like a cat. The worst symptom we see is he frantically tries to climb our legs and doesn't know what to do if we pick him up. My 73 year old mother is on aspirin treatment and he has caused her to bleed many times. I just bruise. He is on Paxil, we give him Happy Traveler pills or treats, he wears a lavender sachet on his collar. I'm at a loss.Please, please, please tell me what to do.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

Since Darwin was diagnosed with chronic kidney disease have you visit your Veterinarian for further blood tests? It sounds like there may be an accumulation of waste products in the blood stream which would normally be excreted, but if there is a lowering of the kidney’s function or even problems with the liver, similar symptoms may occur. I would recommend you visit your Veterinarian for blood biochemistry tests to determine how effectively the liver and kidney’s are functioning and to have a review of treatment and other options. Regards Dr Callum Turner DVM

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Max
Mixed - Black Lab, Border Collie Cocket Spaniel
14.5 Years
Serious condition
3 found helpful
Serious condition

Has Symptoms

Throwing up
Loss of Balance
Drinking more water

Our 14.5 year old mixed breed was just this weekend diagnosed with Kidney Failure. We brought him in because he has not been wanting to eat his dog food all that well (although he still is eating the human food we make for him - basically boiled chicken and some rice).

They ran bloodwork and came back with the following readings: BUN 165; Creatinine 2.9; Phosperus 8.5. They also ran a urine analysis and his UsG came back at 1.012. There was only a trace of protein in his urine, but no sugar and no blood.

He drinks a fair amount, but I would not say his water consumption is excessive. His urine quanitity and frequency is normal. He does throw up from time to time (licks the carpet excessively).

One doc at the vet recommended he be admitted for several days of intensive fluid infusion followed by at home subcutaneous fluid infusion. We do not want to admit to to the hospital - the stress of that alone could kill him.

A second doc called from the vet today (with the urine results) and she recommended we start with the at home fluid injections. She feels given that he is eating reasonably well (even if home made food) and not urinatign excessively or drinking excessively, the at home treatment may help without subjecting him to the in hospital stay.

Given the results of his bloodwork and urine tests, do you think the at home therapy is worth a try and might help, or are we wasting time if we don't do the intensive in hospital treatment first.

We tend to feel that although his blood test results seem to indicate he is very far along in the progression of the disease, his water consumption and urine output does not.

On one scale I found on the internet, his phosperus rading puts him in stage 3 kidney failure. Better than stage 4 but not as good as stages 1 or 2.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

I understand you not wanting to put Max through inpatient care for fluid therapy due to his age and the stress of separation anxiety may cause. His numbers aren’t great, he is in stage 3 kidney failure but we generally measure kidney failure against creatinine levels; 2.1-5.0mg/dL is the creatinine range for stage 3 kidney failure. Trying at home therapy may help to keep him calm but it is important to keep going back for regular blood tests to check his kidney function and if there is an upward movement in his creatinine he would need to be hospitalised; obviously I haven’t examined Max and I am only speaking generally, a Veterinarian who has examined Max would be in a better position to make a recommendation. Regards Dr Callum Turner DVM

Just closing the loop on this.

We had to put our Max down "one week" after his being diagnosed with Kidney failure. He declined very rapidly over that week, until he would no longer eat any food (include human food) nor drink any water. We had no choice. While our Max likely had chronic kidney failure, it appears to have changed to acute Kidney failure during that final week. The change we saw in his condition over the course of that one week period was dramatic.

Bottom line is that if you dog is in mid-stage 3 Kidney failure (as was our Max) things could take a dramatic turn for the worse very quickly. Once they do there is nothing you or anyone can do to reverse the situation. Don't think as we wrongly did that because your pet is not drinking or urinating excessively that he/she has a good time left. Things can change in an instant.

Toughest thing my wife and I have ever had to deal with.

Thank you Doctor Turner.

Very helpful response. Totally understand your position.

You say at home therapy may keep him calm. I'd say he is calm already. My question is, is it likely to be effective in slowing the progression of his condition if not done in concert with the intensive in hospital multi-day fluid treatment?

The way I read the information online, it seems the fluid treatments are often done once the dog has gotten to the point of drinking (and urinating) excessive amounts of water - evidence that the dog is in stress and not able to hydrate properly. If in fact my dog is not really all that dehydrated, then I am thinking he is able to moderate his level of hydration through water intake and I am wondering how beneficial these fluid injections are likely to be in his case - or at this stage of his condition?

Thanks, Mike

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Sophie
West Highland White Terrier
15 Years
Moderate condition
1 found helpful
Moderate condition

Has Symptoms

Lethargy, decreased appetite, vomiting

I am updating information about Sophie, our 15 year old West that I posted on 12/19/16. We decided to take her to our vet to determine new lab values. The results were what our vet had suspected--he said she is at a 3 with 1-5 being the measurement with renal failure. Her Creatine Kinase is 525; BUN is 71; Creatinine is 3.2; Phosphorus is 7.8; SDMA is 33. The only other abnormality is HCT which is 36.7. However her beginning HCT was 31% when she collapsed with the splenic mass with an emergency spenectomy I described in our last post. The vet recommended beginning daily subq fluids to lessen the toxins so she might feel better and regain her appetite as her weight is down to 12.65 lbs. from 13.4 lbs. Even with coaxing she is eating about 1/2 her normal diet before she began her downhill journey 8 weeks ago. I also read about a kidney product from Pet Wellbeing, Kidney Support Gold, which the vet said we can use as it appears to have no harmful ingredients. I will begin the subq fluids on 12/27 and I have ordered the natural supplement.

My question is with the lab values and palliative care, approximately how long can we expect her to be comfortable before we need to consider putting her to sleep? We know this will be inevitable, but we do not want to have her in pain and misery just for our own selfish reasons.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

I don’t like to give a timeframe for a patient to be comfortable because there are too many variables, especially in a patient I haven’t examined myself; also, a timeframe gives a rough date for you which for some owners can be a curse of the clock ticking down. With the fluids and the supplement you have purchased, you will be able to see if there is any improvement in her condition. Any supplement which isn’t going to cause any harm maybe of benefit, but there are no guarantees of success. Regards Dr Callum Turner DVM

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Sophie
West Highland White Terrier
15 Years
Fair condition
1 found helpful
Fair condition

Has Symptoms

Occasional regurgitation but she swallows it. Sub

Our 15 year old Westie has a long history of sensitive stomach with periodic episodes of gastritis. On 10/29/16 she nearly died when a non-malignant nodule ruptured on her spleen. She made it through the surgery only to develop pancreatitis.

Third issue was a bladder infection that our vet first treated with a long acting injectable antibiotic because of all her stomach issues while recuperating from pancreatitis. When she still had large growth of cocci, the vet gave her an oral antibiotic. A urine sample after completing the antibiotics determined no infection.

There was also concern during this time as to whether she had developed Addison's disease. Our vet completed ADHD testing and her levels were 19.2 which he said could be Cushing's disease. However he felt that we should wait to treat her for this because the levels were not above 20, and in order to allow her to recover a while longer. He suggested we redo the ADHD testing in a few months. She has slowly recovered, and has been eating less than normal but enough to maintain her weight at around 13.2 lbs.

The issue now is that she has been shivering a lot of the time since lower fall temperatures began. Rather than taking her to the vet because of her hospital anxiety levels, I talked to him by phone, and he
had us take her temperature. It was 99.2 rectally and subsequently has remained at or below 99.8.

Our vet said that her heart and lungs have always been healthy, but she has always had a propensity toward creatinine levels in the high normal range, and he felt the low body temperature could be signs of either early kidney disease/failure or, because of her near death experience, there may be damage to her body's temperature regulating center. She drinks a good amount of water at a time about 3 times a day, and she urinated 3-4 times a day which was her usual pattern before all this started heppening.

We agreed not to bring her into the office for further testing for now because of her vet visit anxieties, and to use sweaters and blankets, electric heated beds, to check her temperature periodically, and to call for advice if anything changes.

I would like another vet's opinion just to make sure we are doing things correctly.

Ann Ray
Hillsboro OR

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

While Sophie’s body temperature is low, the 99.8ºF is within the tolerance range for many thermometers (tolerance usually ±0.5-1.0ºF); even if that was the case, her temperature is at the low end of the physiologic range. Many factors may influence body temperature to be low including environment, thermoregulation centre disorder, brain tumours, hormonal disease, smaller dogs more prone to heat loss and systemic disease. Without checking Sophie’s kidney’s we are unsure about the current health status, especially given her history with high creatinine levels. Right now, the best thing to do is to ensure that she is comfortable, warm and has easy access to food and water. Regards Dr Callum Turner DVM

 

Dr. Callum's information was much appreciated, and we are thankful that we are following the conservative suggestions right now. Sophie has been through so much, so we will just see how she does for a while longer.

Thank you Dr. Callum and vetary.com for this valuable service to pet owners.

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Naughty
pomeranian cross
12
Critical condition
2 found helpful
Critical condition

Has Symptoms

Collapsing while walking, fatigue, appetite

My naughty is telve years old an was diagnosed with third stage chronic kidney failure. She has been undergoing fluid treatment for two days. First day there was improvement. Bt since then it has been downhill. She has grown very weak. Infact we thought she passed away or were driven to consider euthanization. Our vet has asked us to give one more day and then redo the blood tests and then continue from thereon. It very hard for us to see her go through this. Now she cries when turning her body. She cannot walk or stand withojt collapsing. She is evn unable to hold herself up to urinate. I have come to terms with the inevitable . However watching her like this has become unbearable. Please help me. J know am bekng emotional and I do not want to make a wrong decision by opting for euthanization for my baby.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

It is always difficult to determine if you should choose to put down your loved one or to continue with treatment or medical management. I haven’t examined Naughty or seen any test results but given her age, diagnosis and current presenting symptoms, I would be cautious about prolonging the inevitable; you can wait to see the results of the blood tests that will be taken tomorrow, but you need to consider Naughty’s quality of life from here (will she be suffering). The decision on euthanasia is yours; all I can say is that people generally regret waiting too long before opting for euthanasia. Regards Dr Callum Turner DVM

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Hugo
Bichon Frise
8 Years
Mild condition
0 found helpful
Mild condition

Has Symptoms

Intestinal mass
Vomiting
Diarrhea, lethargy

My dog, Bichon Frise is 8 1/2. Seven months ago he started vomiting, having diarrhea and his intestines were very loud. Those symptoms are started after he was receiving injections because of a cough. Ultrasound founds that kidneys doesn't have appropriate architecture. My vet thoughts that dog is born with such kidneys. His blood results are good, urea and creatinine are within acceptable limits. He had good appetite, doesn't drink more water than usual but he sleeps most of time. Now, he is on a diet. My question would be is it possible that my dog has some quality life with this kidneys?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

The body as a great capacity for over compensating; the body can lose 75% of kidney and liver function (on average) and still be able to keep parameters within physiological range. Most likely, something like cystic kidney disease which is a condition dogs may be born is the cause. If Hugo’s blood test results are showing as being within physiological range, the kidney findings on ultrasound may not be clinically significant for the symptoms being presented which may probably be attributable to the intestinal mass. Regards Dr Callum Turner DVM

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Syd
king charles cavalier
3 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Loss of Appetite
Lethargic
Sad
Vomiting
Sleeping all the time
Diarrhea

Medication Used

intravenous fluid

Our family dog Syd a 3yr old King Charles hasn't been well since Tuesday 2nd May. He soiled in the back kitchen on Tuesday morning which he has never done before. He soiled on Wed, Thurs, Fri and a little this morning. We called the vet clinic but first appt we could get was today, Sat 2nd May @2.30pm. I was very concerned about him yest eve as he was vomitting and dry reaching. He also had very watery stools. He has been drinking water but no interest in food since Tuesday. The vet called a hour after I dropped him off and said the prognosis was not good. Syd has kidney failure, cause Unknown. He's on intravenous fluids at the moment. There's been a slight improvement but the vet is not hopeful. Can a dog recover from kidney failure? Should we leave him on intravenous fluids for a few days and retest his bloods? I would greatly appreciate your advice. I have a lot of upset kids here! Thanks so much. Sinead

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

There are many different factors which will contribute to the prognosis including: severity, cause, kidney function tests and general health (apart from the kidneys). Kidney failure needs to be managed to reduce the workload of the kidneys so that they are able to function as best they can; this would included dietary management, supportive and symptomatic care. You can wait a few days to see if there is improvement with managing the condition, but some cases are past the point of management; determining the underlying cause would help give an indication to the overall prognosis, ultrasound of the kidneys would give a good picture of the kidney’s internal structure to see if there are any anomalies. Regards Dr Callum Turner DVM

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Chance
Blue Heeler
5 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Drinks and urinates alot

Our 5 year old blue heeler was just diagnosed with a kidney disease. He does drink and urinate alot. The vet said he is ordering a lot high protein dog food for him. I read a lot other post where it states a low protein dog food should be given. We are also to take him back in 3 months for another blood test. I also read where a kidney disease can develop from a bacteria infection. Our other dog, a lab/colie mix recently died from bacterial endocarditis. I am very concerned about this. Both have always been inside developed but do have a very pen outside they play in. Could there be something in our soil they could be getting bacteria from? Also does the treatment to sound right for our heeler or should i get a second opion?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

There are two types of high protein diets: high protein which is exactly how it sounds which isn’t advisable for a dog with kidney failure; and a low quantity high quality protein diet where the protein given is in small amounts but is more useful for the body to carry out its physiological functions without stressing the kidneys (or liver). Bacteria are all around, you cannot escape them; immunosuppressed animals or geriatric animals are more prone to infections than younger ones; soil can harbour a variety of pathogenic bacteria, it all depends on an animal's overall health. Regards Dr Callum Turner DVM

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Maggie
Pomeranian
1 Year
Mild condition
0 found helpful
Mild condition

Has Symptoms

Not eating as much
Sleeping alot
Vomiting

Medication Used

Prozac

My dog is peeing maybe about twice a . She just started vomiting white foming stuff. I did take he in last week. They took xrays of her bladder. It was normal. Should I be worried.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

The symptoms Maggie is presenting with are quite vague; they may be caused by infection, poisoning, hormonal conditions, kidney disease or dietary problems. Lack of appetite may be caused by dental problems so have a look in her mouth to see if you notice anything loose. If the symptoms persist, I would recommend having some blood tests done to see if there is something on the inside causing these symptoms. If Maggie keeps vomiting white foam, try giving her Pepcid before meals and feed her a basic diet of boiled chicken and rice for a few days to calm her stomach. Regards Dr Callum Turner DVM

Maggie is only 1 year. Her teeth are really strong. Can the Prozac be causing this. I give this to her for separation anxiety. Also at night I give her 2 benadryl and 6mg of melatonin to help her sleep. Can this be causing this. She is now throwing up her food. I really cant afford to take her in.
Jessica

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Fletcher
English Labrador
7 Months
Serious condition
0 found helpful
Serious condition

Has Symptoms

Incontinence

Our 7 month old English Labrador got into ibuprofen and other meds at home. We didn't realize the severity until we took him to the ER Vet 2 days later. He was on IV Fluids for 4 days and meds. His urine and blood work at the 4th day had come back to normal. He was diagnosed with Acute Kidney Injury. It's been 2 weeks since he's been home and it seems he sometimes will urinate in his sleep, and he has accidents in the house when we are gone. We do not leave him alone longer than 4 hours, so it seems he cannot hold his bladder longer than 3 hours. Will this incontinence continue for a long time or is this normal ? He also drinks a lot of water, but we are trying to limit to cups in the morning and 2 cups at lunch of water. At night, he normally drinks about 3-4 cups. He was 100% potty trained, but now we have had to start crating him again since he has urinated in the house quiet a bit since then.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

I understand that you are cutting back on Fletcher’s water because of the incontinence, but he needs regular access to fluids because of the poisoning event he went through. A two day wait is a long time before taking him to the Veterinarian Office and if Fletcher was a smaller dog he probably wouldn’t be with you today. It can be frustrating to see all the work in house training a dog go in reverse, but the ibuprofen would have had an effect on his nervous system as well leading to the incontinence; unfortunately I am unable to say if he will regain control of his bladder or not, but it is early days and a wait and see approach should be taken. Regards Dr Callum Turner DVM

Just want to add that he has lots of energy, eats very well and hasn't vomited. In other words, he has normal behavior and appears to be a happy puppy. The only worry is that he's drinking more water and peeing more frequently, accidents in the house and doesn't seem to be able to hold it longer than 3 hours. Not sure if we're giving him too much water or if this is expected after having Acute Kidney Injury.

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Hector
Rottweiler
9 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Not feeding
Lethargy

My rottweiler dog, aged 9 years developed sudden weakness and extreme fatigue. He could not even balance himself properly. He was admitted and started on fluids therapy as he was not tolerating oral feeds. On examination, his lungs and abdomen were normal. There was no edema or distension noted. His Hemoglobin is 10.9.. total count is 12800. His creatinine is 13mg/dl.
He is a known case of epilepsy and is currently on treatment for the same since 7 years. His last seizure occurred 1yr back.
He is currently extremely lethargic n not feeding at all. He is only on IV therapy. He has just received a dose of furosemide. Wat do you recommend we should do next?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

It sounds like Hector may have renal azotemia where a buildup of waste products in the blood lead to central nervous system signs. The treatment is fluid therapy, dietary changes and treatment of the underlying cause of the condition; possible causes are stress, infections, fever, poisoning cardiovascular disease among others. Further tests to see if there is an underlying cause is required to see if there is a treatment option available. Regards Dr Callum Turner DVM
www.vetary.com/dog/condition/high-levels-of-blood-nitrogen

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Bosco
pit mix
6 Months
Mild condition
0 found helpful
Mild condition

Has Symptoms

Frequent Urination

Medication Used

Omeprazole
maalox

My dog snatched a bottle of ibuprofen of the nightstand one night and by the time I caught it he was urinating non-stop all over the house. I brought him to the vet where he was given fluids for 3 days and when they rechecked his Kidneys day 3 they had regained quite a bit of function but are still not at baseline. Today is his first day home and he has had several accidents in the home. Will he ever regain his bladder control back? He goes back to the vet in 2 weeks for lab work.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

In cases of poisoning, there is no 100% way to determine the recovery of an animal or whether they will regain control of their lost bodily functions. Quick identification and prompt treatment always bode well in favour of a positive diagnosis; but this is one question which you would need to wait and see if continence returns. A full recovery may occur, I just cannot guarantee it. Regards Dr Callum Turner DVM

Also, our English Labrador is 7 months old, very close to your dogs age.

To the owner of Bosco, my english labrador also got into ibuprofen 2 weeks ago. We took him to the ER VET and was in IV fluids and meds for 4 days. On the 4th day, he returned back to normal numbers with his blood and urine. Since we brought him home, he has had accidents in the house (urinating) and in his sleep. It's been about 12 days, but we're also wondering if his incontinence will ever return back to normal, as he seems he cannot hold it longer than 3 hours. He used to be able to hold it all night (when we go to sleep) and during the day, he would hold it for 4-5 hours (while we are at work) and he was 100% potty trained. So, we're just waiting to see if this goes back to normal soon. Wasn't sure if this was normal or not after having Acute Kidney Injury from the ibuprofen. I sent a separate email to this site so hopefully we'll receive an answer in 24 hours.

My 4 year old Patterdale has just been diagnosed with kidney failure he is on fluids and antibiotics. All of a sudden started being sick gave him fluid and then not eating blisters on his tongue hope he will be OK as he is only a baby

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Sara
Pekingese
16 Years
Fair condition
0 found helpful
Fair condition

Has Symptoms

peeing alot
Drinking lots of water

Medication Used

Azodyl
denamarin

My 16 year old Pekingese was just diagnosed with kidney and liver disease she is taking Azodyl for kidneys and denamarin for her liver and fluid treatments 3x weekly will she eventually be ble to go off of these medicines and treatments?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

Treatment length would be dependent on the severity and underlying cause of the kidney and liver disease; the denamarin is a nutritional supplement for liver support (not medicine) and the azodyl is a combination of bacteria to improve kidney health, this leads me to believe that Sara’s condition isn’t serious but requires some management at this stage. For more information you should speak with your Veterinarian as I am not aware of blood test results etc… Regards Dr Callum Turner DVM

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Molly
Goldendoodle
5 Months
Mild condition
0 found helpful
Mild condition

Has Symptoms

Diarrhea
Increased thirst
Vomiting

Our 5 month old puppy was at a bording kennel for a week while we were out of town about two weeks ago. Today is Wednesday and this morning she threw up in her kennel where she sleeps. She also had vomiting and diarrhea this past Saturday morning and again on Monday. All episodes have been in the early morning. She has not seemed lethargic or unlike herself in any way. She is eating and drinking normally. Still very entergetiv and playful. Although ever since we got her I've mentioned to the vet it seems like she has a unusually high level of thirst. I called the vet on Monday and they said if she's acting fine otherwise then she probably just has an upset stomach, possibly from the kennel she stayed at. With this morning factored in I am wondering if I should take her in? Her vet is currently closed for another hour this morning. I plan on giving them a call as well. Thank you.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

Boarding kennels are a prime location for dogs to pass infections between each other; whilst boarding kennels insist that all pets must be fully vaccinated to board there, there are still infections (especially tummy bugs – at no fault of the boarding kennels) which a dog may pick up causing vomiting and diarrhoea. This type of infection can last between seven to ten days and treatment is generally just ensuring that hydration levels are kept and any secondary bacterial infection is treated. Regards Dr Callum Turner DVM

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Cocoa
Shih Tzu
15 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Loss of weight
Loss of Appetite

If my 15 yr old shih tzu has a BUN of 84 is there a chance that he will survive kidney failure or that this number can improve and he not worsen? What stage of kidney failure would this be?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

When determining the severity of kidney disease, there are numerous parameters to consider including the general health of the dog, the serum biochemistry results (more than just BUN) and the treatments given. When we stage kidney disease, we use creatinine as the yardstick where Stage I = <1.4mg/dL; Stage II = 1.4-2.0mg/dL; Stage III - 2.1-5.0mg/dL; Stage IV = >5.0mg/dL. It would be difficult to determine a prognosis; generally BUN is around 8-28mg/dL, so the levels are highly elevated. Your Veterinarian would be able to offer more information. Regards Dr Callum Turner DVM

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Shana
Border Collie
12.5
Fair condition
0 found helpful
Fair condition

Has Symptoms

creatinine one pt higher than normal
puddle of water when she gets up, occassional

Hi, My Shana had blood tests that revealed her to be pre-kidney disease. The vet wanted to put her on the low protein food, but she wouldn't eat it so I have switched her to a little of that and canned food. I am told that dry food is not a good for older dogs anyway as it's harder on the kidneys.
For a few months prior to the blood test we had seen some "older dog" traits show up in her. She is almost 13 so we figured that it was truly old age. She would have variable times of not being able to jump onto the bed, seeming to not recognize people, not wanting to play etc. I have started her on a bovine kidney substance for prevention of the progress of the kidney disease and this is my question. Since starting the kidney substance she has been more active and generally acting more like herself, with one reservation, shortly after giving her the pill she lays down on a cooling mat and seems to evacuate her bladder/kidneys. Once that is done she feels even better than before. She has done this 4 times now. Do you have any idea if this is like a natural dialysis for her? It's obvious that the bovine kidney is doing her some good overall, but I will not allow her to be in pain and having kidney disease is not something I will let her experience in anyway, no matter how difficult it will be on me. She is the best dog ever, so loyal and sweet. I also believe that any invasive medical treatment can be just as painful as the disease with little results so I won't put her through that. I just need to know when is that point in time where you make the sacrifice and put her down. I don't think I'm there just yet at all. Can you give me a little advice please.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

It is good that you have caught Shana’s kidney disease before it gets too serious; the most important step in this type of case is to reduce the workload of the kidneys by feeding a low protein, low phosphorus and low salt diet, there are many commercial diets available since Shana may not find some of them appealing. Instead of changing her food from her current food to the special kidney diet food immediately, try weaning her on to it over a ten day or more period following 90%/10% - 80%/20% etc… The bovine kidney supplement, I cannot comment as there are many different products on the market with other ingredients included; you should check the ingredient list with your Veterinarian at your next check up. The incontinence may be due to a variety of factors including age, nerve disorders, infections etc… The cooling mat may just give her the sensation to urinate as dialysis is a complex system to remove waste products from the body which requires the passage of waste products from the blood supply into the machine or peritoneal cavity (depending on the type). Regards Dr Callum Turner DVM

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Jack
pomeranian cross
9 Years
Critical condition
0 found helpful
Critical condition

Has Symptoms

Less blood seems present in urine

My boy, Jack, was diagnosed with TCC Bladder Cancer back in April. He has done really well and I have been giving him previcox prescribed by my vet but have also been using herbal remedies. He became incontinent, due to the cancer, about 4 weeks ago, then last Monday night I woke to his wrap and nappy being full with blood. I took him to the vet the next day to be told he didnt have long and that when he stops urinating completely I was to take him back in to put him to sleep. I then decided to take him to a specialist, where a ct scan was done, and I was told one of his kidney's had failed and although they could remove the kidney, I would still need the stent to help him urinate and then chemo for the cancer. The ct showed the right kidney was blocked and suggested that the tumor had gone into the kidney, it appeared there were nodules in his uretha and some nodes appearing in his lungs. However to get a better idea, the specialist said a radiologist could look at the scans to help give prognosis. The specialist said I should consider putting Jack to sleep as he would be in alot of pain and we should look at doing this, if we decided early in the week.

As you can imagine I am devastated and heartbroken. My husband and I spoke and thought this would be best for Jack and we had decided Tuesday (today being Sunday). Anyway today I thought I will not let this beat us, and I have started him on other herbal remedies. Well the difference in him is amazing. He has now started leaking more urine instead of mainly blood, his apetite has come back, he's alert, running and just seems to have this amazing will to live.

My question is, is it a good sign that there is now minimal blood and more urine? And what does this mean? He just doesnt seem like a dog that should be put to sleep in a days time. Is it worth removing his kidney then looking at the stent and chemo option.

Jack is 9 in February and is a pomeranian cross.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

Decisions regarding euthanasia are never easy, especially when you see moments of improvement in your loved one. When considering whether to remove Jack’s kidney and the use of chemotherapy you need to consider the costs, the trauma of the surgery and recovery of the surgery as well as the overall prognosis by the specialist for life after surgery; recovery from surgery in older dogs can always take longer and can have numerous complications and you need to decide if you want to put Jack through the trauma of surgery and chemotherapy for a marginally extended life. I haven’t examined Jack or seen any test results, but I would be cautious about going down the surgery route due to the severity of the cancer, his age and the expected long-term prognosis. Regards Dr Callum Turner DVM

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Bailee
Shih Tzu
14 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

acid reflux
withdrawn
inability to control his peeing
urinating inside
Drinking lots of water
Lethargy
Frequent urinating, even through the night

Medication Used

Zantac

my 14 year old shih tzu has chronic renal failure. I am wanting to know at what point, what symptoms show me that it is time to consider what quality of life he is having.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
2008 Recommendations

Determining the quality of life of a loved one is always hard as you tend to be bias and look for signs of hope or look for more pros than cons. Usually quality of life is determined by an animals general health, ability to carry out their normal bodily functions, behaviour (consider lethargy and withdrawn) and if the animal is suffering from pain. You know Bailee more than anyone and a decision to euthanize is yours in discussion with your Veterinarian, I cannot comment fully as I haven’t examined Bailee. Regards Dr Callum Turner DVM

My baby Blake is suffering from Acute renal failure. We have been going to the vet for 3 weeks and we can't see any improvement. His appetite went down completely. He is having a hard breAth. Since dialysis is not available does he have any chance to recover. He is being put under intravenous fluid. Please help

What ever happened, mine has just been diagnosed

I have lost my pembroke corgi two weeks ago to this Acute Renal Failure and now I'm going through the same thing with my other corgi that's younger with the same symptoms. I have no antifreeze in my home and no pills in the trash they could have gotten into. I had taken the 2nd corgi to the vet but her numbers were not as high then now here we are 2 weeks later and shes declining just like my first corgi. What can it be? Is there something going around that they got into? The only thing they have had together were the greenies toothbrush. Any suggestions? Any help? Anyone hear of anything that is going around? I have recently fed them Merrick can food has anyone heard if there's a tainted batch of this food? Please Help 2 corgis in 2 weeks something is terribly wrong. Raisin is a 10 year old corgi female that was in excellent health until a 2 weeks ago.

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Kuro
Dog
17 Years
Moderate
Has Symptoms
Disorientation
Falling To One Side
Vomiting
Not Eating
Hello, My dog was taken in two months ago and his blood tests shown kidney and liver failure. Until recently he has managed okay. However more and more frequently he is disoriented and has accidents. Someone stays home with him almost 24 hours a day. The last 3 days he hasn't eaten but has drank water/pedialite. I am most concerned about if he is in any pain. Would someone be able to advise? Thank you for your help.