Bailey has stopped eating all together. She vomits up everything she tried to eat. Now she just doesn't try anymore. I have given her some peptol bismol to help stem the nausea and tried to get her to eat a special dog food from the vet to no avail. I also know that she's now dehydrated and she will gulp some water and then go outside to vomit it up. I've read that Pedialyte is safe for dogs. How do I get her to drink it? And how much is appropriate for a 4 year old 14 pound Jack Russell?
Attached is my post from a couple of days ago to give you some additional information on what's happening.
Thanks.
Reversible Renal Failure?
by dezusa
Jul 02, 2008 09:39PM
We were told yesterday that our wonderfully spirited Jack Russell terrier was somehow poisoned and has been diagnosed with acute renal failure. Our Bailey is only 4 years old. The vet kept her overnight, flushing her system in the hopes of lowering her B.U.N. level, which is 91. We were contacted today and told we could bring Bailey home. She still has a catheter in her forearm with some kind of medicine drip that we were told we could take out tomorrow. The vet also gave us a syringe with vitamin B in it and instructed us to inject her with it before 12 noon tomorrow. The vet could not determine what caused Bailey's kidneys to shut down so he sent a blood sample to a univeristy lab for analysis. The vet told us he would call us with the results but that there could be a five day turnover. My questions are:
Why would the vet send our precious little one home when she is still unable to keep anything down? Did he send her with us to die at home where she is well loved? This is devistating to watch and know that there is nothing we can do to help her. Or is there? Can renal failure be reversed?
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by Jaybay
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Jaybay
Female, 45 years
Republic of - TX
Member since Jan 2005
Mood: Jaybay is going to dog school tonight.
Journal Entry: "I suppose it could be worse news, but it ..." [Read]
, Jul 02, 2008 10:02PM
To: desuza
I'm so sorry to hear about your poor pup. Kidney failure, whether acute or chronic, is one mean problem to deal with. The problem with kidneys is that once the tissue is damaged, it doesn't heal. New cell growth doesn't happen like say, with the liver or skin.
With an acute case, obviously you have to treat the underlying condition to stop further damage. The idea is to keep the damage from getting worse. Depending on the toxin, it may not be possible to stop. Without at least some idea of what she may have ingested, i can see why it would take several days to complete the lab work.
If your dog can keep water down, then I can understand sending her home. Dogs can go a few days without food, but not water. It does seem a bit much to ask you deal with catheters and injections at home though. On the other hand, some dogs just seem to recover better at home than in a hospital setting.
Did your vet give you any instructions as to what constitutes an emergency? For instance, if she can't keep water down for X hours or has excessive vomiting to call him? Is he giving her anything for nausea or does he want to wait until he knows exactly what he's dealing with?
Nausea and vomiting are very typical for dogs in kidney failure, and it can get pretty extreme. In fatal cases, the textbook patient will also have some mental changes. When the unfiltered toxins get to very high levels, they cross the blood-brain barrier and the dog may not even be aware of anything at that point. I so wished my old dog had been granted that blessing, but she was fully aware until the end.
The only "good" thing about kidney failure is that it really isn't a painful condition. Miserable, but not painful.
I wish I could be more encouraging, but the truth is that your dog is very seriously ill. I pray the vets get to the bottom of it very soon and stop the damage in its tracks.
Please consider copying and pasting your post in the Ask a Vet Forum here at Med Help. I'm sure Dr. Cheng can give you much more detailed information than I have, and she'll probably have some good ideas regarding supportive care for you.
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by dezusa
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dezusa
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, Jul 03, 2008 10:44AM
To: Jaybay
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Jaybay
Female, 45 years
Republic of - TX
Member since Jan 2005
Mood: Jaybay is going to dog school tonight.
Journal Entry: "I suppose it could be worse news, but it ..." [Read]
Thank you so much for your response. I needed to hear what you had to share.
Our vet is rather old, but I believe him to be a kind and decent person. He did not give us any instructions regarding emergencies or any anti-nausea medicine. He told us he would call us in the morning. Which he did. He informed me that Bailey's B.U.N. levels did not go down after flushing her system. Her level is very high (still at 91) and he believes her to be in total renal failure. He suggested that we give her very small amounts of water and or low fat milk when I informed him that I stayed up all night with her because of her shaking tremors and vomitting. She could not even keep water down. Before he hung up he also stated that he would call us when he received Bailey's lab report and I asked him if Bailey was dying, if renal failure is reversible, and if she was in any pain. He replied: Yes, she is dying; renal failure is not reversible - it's fatal - and that she cannot recover from it; and that Bailey may have some small amount of pain but we would never know it because the JRT is a very tough breed and would probably not show us any outward signs of pain. I believe that no animal should suffer - not even a little bit - when there is no hope of recovery.
All my family does around her is cry and I think this reaction is causing sadness in Bailey, I can see it in her eyes. I think that my husband needs to try to keep things more normal around the house so Bailey would be happy and not appear to have "given up the fight". But he won't eat until she can eat and when he starts crying the rest of the household follows. Except me. I am trying to remain strong and only let it out behind the closed bathroom door. I take Bailey outside and have her walk around a little. Exercise can't hurt her. She is a avid swimmer and swam laps in our pool along myself or my grandson every day, weather permitting. The vet said if Bailey wants to be in the pool that I should let her. But my husband thinks that maybe she was poisoned by the chlorine in the pool water. I don't know what to do. I am trying to stay positive around her.
My mother stopped by last night, bringing some holy water blessed by the church, and we sprinkled some on Bailey and said a few prayers to St. Francis of Assissi (sp?), the patron saint of animals. But this made my husband upset.
Is there any way of knowing how long Bailey will still be with us? Our vet only said that the time varied. But what does that mean? And if Bailey isn't showing any outward signs of pain is euthanasia still a kindness or is it a cop-out?
I don't know how to "copy and paste" my post in the Ask a Vet Forum. But I will give it a try.
Again, thank you so much for sharing your insights.