Dog with kidney failure - what's next?
nycefarm_gw
16 years ago
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nycefarm_gw
16 years agoanita22
16 years agoRelated Discussions
Kidney Failure
Comments (2)Ive been on dialysis 5 years,Ive been dr,ing since I was 18,they do watchyour creatin level if they know his problem is kidney,I was peeing alot my kidneys werent holding,so he said ok port to start dialysis,they have to move fast its evident if ankles are swollen they arent working correctly,Now he'll have port in for dialysis a short time because that is a direct line to your heart, arteries you could get an infection,so next step is a fistula,they put a natural in my arm,they look where veins are good ,could be a graft too ,they cut from my armpit all the way to my elbow,lifted the vein so they can stick the needles in the vein,they will remove the port when the fistula is ready to be used.Your dad probably didnt tell all.No dont be upset just help him along.I went for dr visit I was ready to leave and I said Im peeing allll the time now he stopped me and said its time for dialysis so next day I was in surgery.If you want to talk email me Ill help anyway I can..on gardenwebs email...See MoreWhat do kidneys taste like?
Comments (44)Well, I have to say, I didn't mind the idea of eating them before reading this thread, but now I never want to eat organs again! What was I thinking?!! I guess that they're good for you. But I didn't give much thought to what kidneys are used for - blech! Why would people eat that on purpose? I stopped eating hotdogs the day my son informed me that pig anus's are still 100% pure pork. And labeled as such on the ingredient list. And I almost went vegetarian the day I read a description of meat as "putrescent, cadaverous flesh." EEWWW!!...See Moreliver failure of 10yr old dog please help
Comments (7)I also somehow missed that she was sent home on painkillers. While I agree that pain control is most likely needed, keep in mind that some pain medications depend on the liver to be metabolized, and when an animal has significant liver disease the drugs are not properly excreted. This can lead to a dangerous accumulation of the drug in the bloodstream. What medication was your dog put on for pain? There are options that do not require the liver and they work just as well for pain control. I attached an article that explains some of the laboratory workup for liver disease. Right now, because your dog is jaundiced, the bile acids test results are not accurate- we know her serum bile acids are elevated because she is yellow (assuming she isn't suffering from a hemolyzing anemia). I also somehow forgot that Dobies are a breed that commonly get copper storage disease. A liver biopsy is the only way to confirm that, but it is also a good way to confirm other diseases (idiopathic hepatitis, neoplasia, cirrhosis, etc). Ultrasound can also be useful to see if the structure of the liver is normal and to evaluate the gall bladder and bile ducts. It can also show abnormal nodules and help direct aspirates to get a better sample. Ultrasound would also help evaluate the rest of the abdomen, in case there is a mass elsewhere as well as in the liver, and can be done with little risk to the patient compared to exploratory surgery. I would strongly suggest at least ultrasound and guided aspirates if indicated to diagnose her specific disease. "Old age or cancer" is not a diagnosis- it's a wild guess and may be completely off-base, but there is no way to know unless further diagnostics are done. Unless your dog's labwork showed certain indicators of liver failure such as low albumin, low glucose, low BUN, low cholesterol, or decreased clotting function, then liver function was not truly evaluated. These findings suggest 80% or greater loss of liver function and can be described as hepatic failure or end-stage liver. But I've seen dogs do fairly well for at least several months with proper management even when they are at this stage. I've seen others not do so well. It depends on the underlying disease and what, if anything, can be done about it. True end-stage liver disease with significant cirrhosis is irreversible, but other diseases are manageable or even curable if treated properly before significant damage is done. Also the liver is a wonderfully regenerative organ, so acute damage that is stopped quickly allows the liver to heal itself to a point. I hope this article helps explain some of the common tests we use for liver disease, and also shows the need for more information. Good luck. Here is a link that might be useful: article on liver chemistry panel changes, bile acids...See MoreKidney problems - help needed with diet. Anyone? Meghane??
Comments (17)Here's another canine renal diet from my clinical nutrition textbook, based on an 18 kg dog: 237g cooked white rice 78g cooked regular beef (not lowfat) 20g boiled egg 50g white bread 3g vegetable oil 1.5g calcium carbonate 0.5g iodized salt 1 adult vitamin per day This is a reduced protein (21%), phosphorus restricted (0.22%) diet, appropriate for early renal failure. Sounds a lot like the one you already found. Dr. Pitcarin's for dogs is: 1/4# hamburger (not lowfat) 2 3/4# cooked white enriched rice 2 large beaten whole raw eggs 1/4 cup cooked carrots 2 tablespoons cold-pressed safflower, soy, or corn oil 1 slightly rounded teaspoon eggshell powder 1/8 teaspoon iodized salt 20 milligrams vitamin B complex 1000 milligrams vitamin C optional- 1/2-1 clove minced garlic Mix and serve raw if accepted. Or mix everything except the vitamins together and bake 20 minutes in a moderate oven and wait until it cools to mix in the vitamins. Occasionally substitute 1-3 teaspoons liver for part of the meat. Will feed a 40# dog for 1 day. Provides slightly less protein (17%) 25% fat, and 55% carbs, low phosphorus. If you can calculate recipe nutrients or have a program that can do that, here are the recommendations from my clinical nutrition book for dogs with early renal disease: Phosphorus: 0.15-0.3% dry matter Protein:Sodium: Potassium recommendations vary based on individual- some animals especially cats become hypokalemic, whereas dog may become hyperkalemic. If Taco has normal potassium levels now, try to feed the same amount but make sure you monitor her renal profile including potassium on a regular basis so adjustments can be made. omega 6: omega 3 fatty acid ration There has been considerable debate on when to restrict dietary protein in dogs with renal disease, and by how much. I would definately have the urinalysis done on Taco to determine if she has proteinuria. If so, she needs more restricted protein than if not. However, the protein in either case should be high quality and easily digestible, like the eggs and hamburger meat, not plant-based which is harder to digest. My personal belief is that you should restrict the protein as little as necessary and monitor the pet to see how the diet is working. If you switch diets and the BUN (especially sensitive to dietary changes) goes up, may have to reduce the protein a little bit and recheck. The appropriate protein level will vary among individuals and by the stage of renal disease. You have to adjust as needed. It is not 100% true that there are no meds to help with kidney disease. Any medications are based upon the symptoms of each individual pet, and applied on an as-needed basis. For example, if Taco is protienuric, an ACE inhibitor such as Enalapril may be beneficial. Secondary hyperparathyroidism may require more restricted phosphorus or phosphorus binders. Anemia may require erythropoietin. If she is dehydrated and cannot drink enough water to compensate, she may need subcutaneous fluid maintenance. If she has GI signs such as vomiting or nausea, then histamine blockers (cimetidine) or proton-pump inhibitors (omeprazole) may help. If she develops hypertension, the ACE inhibitor may help but if that is not enough then can add calcium channel blockers. Proteinuria is managed through the diet. Keep in mind that you can only safely restrict the protien by so much, since protein is required for a healthy immune system. Also at some point, restricting the protein more can contribute to worsening protein-losing nephropathy, which is definately not wanted. Chronic renal disease affects pretty much the entire body. But quality of life and survival can be enhanced by careful frequent monitoring (I'd do blood pressure, CBC, renal chemistries every 3-6 months depending on progression of signs) and appropriate treatment of signs as they occur. It is not easy nor inexpensive, but I think it's worth it to keep on top of things. The single most important thing to be careful about, as others have alluded to, is water. Even a short episode of dehydration in a pet with kidney disease can be devestating and send the animal over the edge and into failure. Second most important thing is to make sure she eats well. Eating doggie junk food is preferred over anorexia, even in animals with kidney disease. The best thing though, as always, is the easiest- provide lots of love and attention as you already do. Good luck....See Morenycefarm_gw
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