End stage renal failure

Hi I'm new to this forum and stumbled onto it while looking for help with my dog not eating. I have a 15 1/2 year old toy poodle named Chloe. She was my daughter's Christmas present in 1994 but has really become my dog over the years. I have noticed Chloe not eating as much and losing weight but attributed it to her advanced age and problems with arthritis. We had her at the Vet's office 3 months ago and he told me she was in pretty good health for her age with the exception on a slight decrease in kidney function and suggested putting her on KD. She has always eaten dry dog food but did not like the KD and I started mixing it with chicken broth to try to get her to eat better. When that failed, I started trying out different foods. They didn't work much better. After a trip to the Vet on April 12, the Vet called and said Chloe was in end stage renal failure. I saw a different Vet from the one I had seen before. She told me her creatinine level was at 6 and wanted to get it down to 3 so they kept her for a couple of days. I told them she would not eat the dry KD so they put her on canned KD and gave her some IV treatments. When I called to check on her they told me her level was down to 4 and let her go home. I went to pick her up and was given a very expensive bill along with a case of KD. The Vet also told me she had some loose stools and gave me pills for that with the recommendation that she take them twice a day. When I got her home I fed her the KD which she ate a little of and then the pill for the loose stool. She started to heave and I took her outside and she staggered, fell, and vomited. She didn't have any more loose stools so I did not give her any more of the pills as they made her so sick. The following day I again offered the KD but she refused to eat it. I called the Vet and she gave me a prescription for canned Royal Canin. She has only eaten small amounts of that and in fact it has taken 2 days to eat 3/4 of one can. She is not drinking as much water either. Has anyone had any luck with a diet I found on line consisting of ground beef, white rice, egg, and white bread slices? It is breaking my heart to see her starving to death. We have given her thin sliced turkey that I'm sure is not good for her since it is processed just to get her to eat something. Of course she readily eats that. I have read many heartbreaking stories on here and as hard as it will be for me, I know I will do the humane thing and put her down once she is unable to hold anything down. This disease seems hopeless and I am very sad.

[lindapalm]

I don't have any suggestions on what you can do, all I can say is to try everything possible for her and don't rush into anything.  If you do end up putting her to sleep you will at least know there was absolutely nothing else you could do, which will help alot.  Good Luck, let us know how shes doing.

[spooches610]

Thanks I will. I went home for lunch a little while ago and was encouraged to see that the small amount of Royal Canin I put in her bowl this morning had been eaten and that she had been drinking her water. I put more food in her bowl so hopefully she will do better with smaller amounts during the day. I also noticed that she had tinkled on my carpet but I just couldn't be mad at her.

[lindapalm]

Why is one food better for her than another?  Does it help her kidneys more than her regular food?  Would human food (meat) be harmful?

[chasha33]

Nutro holistic is a really good food and they usually really like the taste of it.You can boil some chicken and then use the broth and pour on some rice.Also you can use veg-all.You want to feed food that is 17% or lower in protein if you are concerned with the crenatine.Sometimes when my baby turns her nose up to her food i pour a little chicken broth on it,But i really try to limit her meat intake due to it having high protein levels.I know its hard to try to get them to eat food they dont want,Even though its what is best for them.I had to put my little girl on special food for her weight and kidneys.She weighed 26lbs about a month ago and she is a Pekingese.She has lost 2lbs so far and needs to lose about 6 more and then she will be back to her normal weight.She went blind overnight and started eating all the time and when i took her to the vet due to her vision lose and weight gain we found out about her kidneys.What stage is your baby in ?I will keep you to in my prayers.May God Bless You both.

[spooches610]

I will try the chicken broth and rice. I'm desparate for her to eat. The Vet only told me she was in end stage renal failure and didn't say what level. I will have to ask about that. She called me last night to check on Chloe and told me I needed to stick with the food that was prescribed for her. Since Chloe's hind legs are weak and she can no longer get up and down from the sofa without assistance, I have been putting her bedding down on the floor so that her food and water are easily accessable to her. She has always been a private eater and does better with her food when no one is around. It takes her a long time of sniffing and walking away before she will actually take a bite of food. Last night I took her out to go to potty before bedtime and her hind legs kept giving out on her and she kept falling. This morning she was walking better. It's so sad to watch her going down hill like this. Thank you for your prayers.

[spooches610]

The prescribed food is lower in protein and puts less stress on the kidneys. Also so much of human food has too much sodium.

[lindapalm]

It is very hard to watch them go down hill, especially when walking is a problem.  Ours had Cushings, and had good days where she would roll in the snow, and the next day we had to carry her outside.  She wasn't limited to what food she could have, that must make it a lot harder for you and her.  

[chasha33]

Sometimes i pour a little chicken broth over my Pekes NF food to get her to eat it,But i do have to be careful as to not give her to much.Cause of having to watch the protein levels.It is hard to get them to eat food when they dont want it or dont like the taste.I really wish that there was more that i could say or do to help you,I will keep both of you in my prayers.If you need to talk i am here.Take care,Chan

[spooches610]

Thank you for your prayers. We are now into day 2 without Chloe eating a bite. I keep her bedding near her food and water bowls hoping she will eat something. I put out fresh food and water this morning before I left for work. She did drink some water, but has sniffed her food a few times and walked away. If she hasn't eaten anything by the time I get home this evening, I am going to try making a recipe I found on line that comes from Hills that is supposed to be suitable. It consists of ground beed, white bread, hard boiled egg, and white rice. Hopefully this will tempt her to eat. I am so frustrated and worried.

[veryworriedmomdad]

As I read your post, it brought up so-ooooooo many vivid memories of just 10 months ago with our sweetheart Sami (she was the larger, sable & white one).  She was 10 1/2 years old when we finally after 1 week of unbearable misery I put her down.  She was diagnoised with renial kidney failure in September, 2008.  She ate the Science Diet K/D wet dog food.  At first she would eat 1/2 can at each feeding, plus a little bit of dry K/D 2x  per day.  She remained pretty stable for a year.  She did go through boughts of no eating many times.  Sometimes I would give her a little bit of Science Diet Mature wet dog food since it was the closet thing to K/D.  Then last May, she quit eating anything.  The only time she would eat is if I would hand feed her little chuncks of the K/D wet dog food.  Sometimes I would lay by her and talk to her as I fed it to her.  She went from being 45 lbs to being 14 lbs in the end.  You could literally put your hands around her waist and overlap them.  

With her legs giving out it sounds like you are definitely in the end stage of the renial kidney failure.  I would have to hold Sami's hind end up the last week whenever she would go outside to do her business.  Our vet did blood work and told me it was just a matter of days.  I prayed and hoped everynight I laid with her that she would just go in her sleep.  No such luck.  Each morning she would raise her head and perk her ears as if nothing was wrong, even trying to wag her tail.  Her gums were so pail from being malnourished and she emitted an odor that the vet told me was toxins her kidneys were unable to process.  So finally I had to do the only humane thing and my dad and I took her to the vet and I held her until she finally drew her last breath.  It is so heartbreaking and I feel so sorry for you.  Those furry little friends give us so much with their life, that even in the end they try to please!!!!

Will she drink water if you dip your fingers in it and let her lick your fingers?  

Don't beat yourself up or even try to second guess yourself.  Only you know what is the best for her.   My feeling is the quality of life outweighs the quantity.  Be prepared.  the bond between you and her sometimes is so strong, that it makes them hold on even longer than their bodies will allow.  Remember, they don't want to leave us, as much as we don't want them to go.

If you need someone to talk to, we are all here.

God bless,
veryworriedmomdad,  Patty

[lindapalm]

Well said.

[spooches610]

Thank you for your post. I was so much at my wit's end wanting Chloe to eat that I used a recipe I found on line that Hill's put out. She ate a little of it last night, but this morning she wolfed it down and I even put a bit more in her bowl so that was encouraging to me just to see her eating something. She will drink her water still, but probably not as much as she should be. She also likes bits of apple. I am holding on to her as long as I can.

[lindapalm]

Spoil her rotten, and enjoy day.

[chasha33]

I am so glad to hear that she is eating a little.I will keep you both in my prayers.Take care.

[Bluenoselover]

Whats her BUN level?

[Jaybay]

Kidney failure is one of the hardest things to accept in our pets.  We lost our dog Chica to kidney failure in January 2008.  She was sick for a good 6 months and showed no symptoms until it was too late.

Here are some kidney failure facts I learned along the way:

1.   There is no cure.  Period.  Once kidney cells die, they are gone forever and the body cannot make more like say, the liver.

2.   That means you want to preserve what kidney cells remain.  Use plain Tums once or twice a day as a supplement.  They're pure calcium and calcium binds to phosphorus and sweeps it out of the body.  Phosphorus is deadly to kidneys in failure.  There is in expensive product called Azodyl that accomplishes the same thing, but I found the Tums to be much more effective.  If you don't know how to "pill" your dog, have your vet show how to do it quickly and easily.

3.  On diet, your dog will suffer from malnutrition sooner rather than later if you stick with a KD diet for long.  It's not so much that you want to limit all protein, but rather find a more digestible form that is low in phosphorus.  Dark poultry meat (boiled, no seasoning) is a good cheap form of acceptable protein.  Scrambled eggs are also good, but use only half the yolk or less as the yolks are high in phosphorus.  Your vet should be able to provide you with low-phosphorus dog food recipes.  One popular one is to use high-fat, cheap hamburger meat.  Brown it thoroughly, drain thoroughly and mix in plain cooked white rice.

4.  If your dog isn't able to stay hydrated, offer low sodium chicken broth - anything to keep fluids up.  You may have to learn how to give sub-q (just under the skin) injections to supplement hydration.

5.  Once a dog is actually in end-stage kidney failure, it's more important to get him to eat anything - even if it's on the No list - rather than nothing.  The calcium in the Tums will help a great deal to keep nausea and vomiting down in addition to saving what kidney function remains.  Avoid organ meats as they're very high in phosphorus.  Add plain white rice for carbohydrates to any dark poultry meat or hamburger.  Plain yogurt is also a good choice to mix in or offer by itself.

6.  Kidney failure causes nausea and vomiting because the toxins normally filtered by the kidneys are now in the bloodstream.  There are several medications that can help.  Cerenia is expensive, but effective.  Most vets rely on reglan tablets, but beware.  Reglan is metabolized in the kidneys and it doesn't take long to build up to a toxic dose.  The symptoms aren't pretty.  The dog staggers around shaking and trembling, unable to sit still, eyes spinning in their sockets, panting, etc.  Benadryl at 1 mg per pound of the dog's weight will stop the symptoms.  We did find that reglan injections did not produce this reaction.  Sometimes all you have to do is bypass the GI tract to avoid side effects with meds, and this was one of those times.

Phenergan is a very cheap medication that not many vets even know about as a very effective anti-nausea agent.  It worked the best on our dog once we learned she could take it.  I have crhonic nausea myself and always have phenergan on hand.  When any of my dogs get into a nauea and barfing episode, 12.5 milligrams knocks it out within 15 to 20 minutes.

7.  The idea is to keep your dog as comfortable as possible, and as long as possible.  That means calcium supplements, homemade boiled foods, vitamin supplements (read labels for phosphorus content - senior vitamins have little to no phosphorus) and most important, anti nausea meds.  Don't expect your dog to keep up with regular mealtimes.  Keep offering food in small amounts several times a day.  Same goes for water.  Some dogs like various flavors of Gatorade better than plain water, or even ice cubes, so experiment a bit.

8.  Believe me, you will know when it's time to say goodbye.  Once the toxins in the blood reach high enough levels to cross the blood-brain barrier, you probably won't even be able to get a response from your dog.  Copious vomiting and dry heaving usually occur by then because no medication can keep up with the toxins.  It's more heartwrenching than I can say to have to make that last trip to the vet, but still the kindest thing you can do for your suffering friend.  Meanwhile, treasure every good moment that happens in every day.  You'll probably find that your dog will cycle back and forth from good to bad several times in any given day.

Feel free to write any time.  You aren't at all alone in this.  :-)

[chasha33]

I just wanted to check on your baby and see how she was doing.I hope that she is eating a little better for you today.You two are in my prayers ...May God Bless You.

[spooches610]

Thank you so much for the advice. I am definitely dreading the day when she does start to get really sick. This is such a cruel disease. One of my sisters had to put her dog down because of renal failure so I know what is coming. In the meals I prepare for Chloe I have crushed up Tums. She eats but not much. Some days she sort of staggers around and other days she looks perky and almost back to normal.

[spooches610]

Thank you for your concern. At the moment Chloe seems to be doing alright though not eating as much as I would like to see her eat. I am taking her back to the vet tomorrow to check her levels. I will post again once I hear what the vet has to say. I really appreciate your prayers. Blessing to you.

[veryworriedmomdad]

I wish I would of stumbled upon this site back last year when I really needed it.  I searched the internet high and low and only found information that made me second guess myself.  Your information would have been useful knowledge.  The vets in are small town are good, but seem to be limited in knowledge sometimes.  I had asked for any recipes and got nowhere.  

Feel good knowing your giving her the best care!!!  We've all been through this before and will be there for you.  (Lord knows a non-animal lover does not have a clue to what you are feeling or dealing with!)  It's good to have people who are compassionate on your side.  And we all are!!!

Keep us informed.
patty

[chasha33]

If you are concerned over her not eating enough you can use Nutri-cal.Your vet or a local petstore should carry.It really helps as far as keeping them from not getting weak and gives them the nutrients they need.It is highly palatable and most really like the taste of it.I will keep both of you in my prayers.May God Bless You.

[spooches610]

Thank you. I will ask about the Nutri-cal. Chloe is at the vet now for a check-up so I will post when I get the results.

[spooches610]

I received a call from the vet and she told me Chloe's creatinine level had gone up from 4 to 5. She suggested a suppliment that she is going to order for me called Azodyl. Is anyone familiar with that? I am certainly going to give it a try. She has also ordered another suppliment that I forget the name of to sprinkle on food. Hopefully these will help.

[Jaybay]

Azodyl serves the same function as the calcium in Tums, and helps to remove phosphorus from the body.  I remember using the powdered stuff on our dog's food as well, but can't remember the name of it either.  It didn't take too long before Chica refused to eat anything it touched.  The azodyl was pretty expensive as I recall, and it just didn't make one bit of difference with Chica for the month she was on it.  I went back to Tums only and she did better.  Hopefully your Chloe will have a better response.

How is Chloe doing as far as nausea and vomiting are concerned?  I pray she doesn't have that part of it too badly.  

[chasha33]

What was her creatinine level before this lab work.Sometimes they will go up and down.I had some labs ran on my peke and in a 6weeks time they period they started out fine  then where elevated then slightly elevated then they went back to normal again.As of right now they are just slightly elevated due to age.What i am trying to tell you is that there is a chance that they will go down a little.I can tell how much you love her and we can all see that you are willing to do what ever you can to help her.I wish i there was more that i could say to help,But i am here if you need to talk.God Bless and take care

[Spooches]

So far Chloe has not had the vomiting. As I was leaving this morning I noticed that she was eating her food and that was good to see. On the food I prepare for her I started to add a little lower sodium chicken broth and I think that has helped her to be more interested in her food. The vet has ordered the Azodyl for me so I will give it a shot and see what happens. Her creatinine level before the lab work was 4 and it had gone up to 5. On her initial visit it had been 6.6. I do put a crushed tums in her food when I prepare it. Thank you both for your concerns. It helps to know that I am not alone in this.

[chasha33]

I am so glad to hear she is eating a little more now that is wonderful news.I know that has to make you feel alot better knowing that she.That little girl has alot of people praying for her and wishing her well, Hopefully now she will continue to improve and her creatinine will go down.I know that you have really been worried about her,We have all been worried.But we will all continue to pray for the both of you.Let us know how she is doing tomorrow.Take care and May God Bless

[Spooches]

Thank you so much. Your kind words and prayers mean the world to me. I take each day as it comes and am thankful for every day I have to spend with Chloe.

[Jaybay]

At least you got SOME good news.  :-)  The longer you can preserve what little kidney function remains, the better for you both.

After a while, I didn't bother  asking for labs on Chica.  I knew they were bad.  I made decisions during the day based on how she was feeling and acting.  Looking back, I was lucky that I wasn't working by then and was able to do the heavy-duty nursing 24/7.  The last couple of months were brutal and I didn't even realize it until it was over.

Some dogs are blessed to be completely unaware at the end, which makes it so much easier to know when to say goodbye.  Not Chica.  She was awake and aware until we sedated her at home for the last time.  I swear it was just sheer will that kept her going as long as she did.  That dog never backed down from a challenge in her life, and illness was no different.  Oh boy.  I'm actually crying thinking about this so I'd better shut up.  Can you imagine?  

[Spooches]

This past weekend went pretty well. Chloe ate and drank fairly well. I added cooked chicken breast to her diet and she really seemed to like it. It is getting more and more difficult for her to walk and her poor little hind legs tremble so when she tries to support herself when going to potty. Her eyesight is getting worse too. She used to follow me into other rooms but now she just mostly stays put in her bed. She sleeps much of the time and is so still that I have to touch her to see if she is still alive. I am praying that she will just pass away in her sleep before I have to make the decision for her.

[lindapalm]

Wouldn't it be reat if they would just pass away in their sleep, like you said.  Seldom do they, though.  We put ours to sleep a couple of months ago, and I would have given just about anything to have her go on her own, but sometimes their just too tough.  I hope its different for you, but if its not, just know you did everything you could.

[Spooches]

Today was not a good one. Chloe threw up her food this afternoon, but seemed otherwise ok. Tonight I took her out to potty and she could barely stand at all. When we came back in she drank some water and immediately threw it up. Now I don't know if because of the kidneys or something else or if this is the beginning of the end. I'm terribly afraid it's getting to be decision time. I can't stand to see her suffer, but I feel like she really doesn't have a good quality of life right now. I will see how things go tomorrow and then go from there.

[Jaybay]

Oh no.  I'm so terribly sorry.  The vomiting is from the unfiltered toxins, and not being able to hold down water is a very bad sign.   She's obviously very weak now from lack of food.  You're likely right that it's time to at least think about making that awful last decision.  You never know though.  Chloe may bounce back and forth from awful days to slightly better days with nausea meds and sub-q fluids, but the general direction will be inexorably downward.  I think you're down to counting days now and I am reminded of the last days with my Chica like they were yesterday.  They were terrible, yet precious at the same time.  I don't quite know how to describe it.

Have you done any thinking about how you want that last day to play out - assuming Chloe doesn't make the decision for you?  My husband and I had many months to think about how we wanted Chica to be treated and were able to make a plan with the vet ahead of time.  It helped.  Well, as much as anything CAN help in these situations.  Since we have a long and very good relationship with our vet, he gave us the sedation pill to give her at home.  She fell asleep in our arms on the couch - her favorite spot - and never knew we left the house.  We were the last clients of the day and were able to take our time without other people hanging around.  It was a very peaceful release from suffering.  Don't get me wrong - I bawled my eyes out for days, but I know we did right by her.

Some vets will make house calls, or even come out to your car so you don't have to traumatize your dog by going into the clinic.  Ask your vet about the actual process so you know exactly what to expect.  Also ask how much it will cost as well as if you want her to come back home with you.  We elected cremation for both our dogs.  Call me crazy, but since my husband can't bear to bury them or spread the ashes on our property in case we move, I put it in my Will that any dog cremains go in the box with me when it's my turn.  Why not?  Even the ancient Egyptians took their dogs and cats with them.  :-)

My intent is not to upset you having this discussion.  I've learned over the years that it's always better to be prepared and have answers to these kinds of questions well before you need them.  Making any kind of decision when you're overwhelmed with grief and emotion isn't a good idea in any situation.  You sound like a very caring, competent and common sense person.  I have every faith that you will do what needs to be done, when it needs to be done.  Then, my dear, you must give yourself permission to fall apart and scream and cry and grieve as long as you need to.  We're all here to go through it with you.

[chasha33]

I am so sorry to hear that she is having a really bad day.I know that this hard for you as well.I do hope that she will let go on her on.But only you know what is right and how much both of you can stand.She is one lucky little girl to have you care for her and love her as much as you do.I pray that tommorrow will be a better day.May God Bless You...You will be in my prayers.
Lots of love to you both.

[Spooches]

Thank you so much for your support. This morning was better. I started her off with water to see if she could hold it down. She drank quite a bit and kept it down and then ate a bit of food so that was encouraging. I wish I didn't have to work so I could be with her more but I do go home at lunch and check on her.

[Spooches]

When I went home at lunch I took Chloe over to her water bowl and she gulped a bunch of water down pretty fast. Unfortunately it came right back up. I called the vet and she told me she had gotten the Azodyl in for us to try. She also told me I could give Pepcid AC for the upset tummy. I will try all of this and see how it goes. I want to be able to feel like I have done everything I could for her when the time comes to make a decision. Hopefully that will give me a little peace of mind.

[Jaybay]

That's the way it goes: up one minute and down the next.  I doubt the pepcid will help at this stage, but it won't hurt.  The same thing goes for food.  It's better for her to eat anything at all rather than nothing.  The last few weeks with Chica drove me crazy.  Her tastes would change every couple of days.  I'd think I finally landed on something she could eat and then... nope.  She'd turn her nose away.

Has you vet offered anything other than pepcid for the nausea?  There are so many nausea meds available for dogs, so if your vet didn't offer anything, ask for it.  While kidney failure isn't particularly painful, it's extremely miserable.  The nausea is easily comparable to that endured by chemo patients and should be treated as such.  These days, I think cerenia is the gold standard for nausea in dogs, but it also has a matching price tag.  I wouldn't recommend reglan at this point since it's metabolized in the kidneys.  Our ER vet recommended over-the-counter Dramamine (motion sickness med)  for a trial, which did help in the earlier stages.  In Chica's case, phenergan (generic name is promethazine) worked wonders.  It's an old medication so it's cheap.  Eventually, Chica had trouble keeping down pills so my husband (bless him!) gave her injections over her last week.

I'm disabled and my husband worked at home when Chica was diagnosed, so I was there for her every minute of every day.  I honestly don't know which would be worse - seeing every uncontrollable vomiting episode or being at work and wondering how she was doing.  In many respects, it's probably good for you to have those hours of distraction.  Hang in there my friend.  :-)

[chasha33]

You are doing everything you can for your baby so please believe  that.I really admire the way that you care for her.She knows how much you love her.Could her vomting be from her drinking so much so fast.Sometimes when my babies drink alot like that they will vomit.I agree with Jaybay about the phenergran it works really well for vomiting.I will pray that tomorrow will be better for the both of you.Your little girl has alot of people praying for her and for you as well.Take care and God Bless

[Spooches]

Thanks again for the sweet comments and advice. I am going to pick up Azodyl today to give it a try and something else (can't remember the name) that is sprinkled on food. We did try the Pepcid yesterday. We had to crush up a half table and put it in just a bit of water. Then I held Chloe and my husband poured it down her throat. She drank some water this morning, but I had her drink it slower. She would start lapping it up and I would take it away and pause for a minute before offering it again. It stayed down, or at least it had by the time I left for work. She refused to eat anything. I am cooking some more chicken breast tonight and see if she will take that. She hasn't had a BM in several days and that is a concern for me. I did mention it to the vet. When I go to get the Azodyl today I will ask about the phenergran. Blessings to you both.

[chasha33]

I am glad to hear that she held down her water,I have to do that with mine were they want vomit.I hope that the Azodyl works.There are several different types of Phenergran.Sometimes when they wont hold down you can use the rectal form,I hope that she was vomiting due to her drinking so fast.If she still dont eat  tomorrow you could try the Nutri-cal.It will help keep her energy up.Well i will talk to you soon.God Bless and lots of love to you both.

[Spooches]

Good morning! I got the Azodyl and something called Epikitin to help stimulate appetite and decrease nausea. I didn't have a chance to see the vet about Phenergran because she was in with an emergency. Chloe was not interested in the chicken I had prepared for her so I had some thin sliced smoked turkey meat (on the no no list I'm sure) and wrapped the Azodyl in that and she took it. We also wrapped the Pepcid AC in the turkey meat and she took that as well. This was the only bit of food she had all day. She did drink her water and we took it slow with that. The rest of the night she didn't want to eat anything. At bedtime I took her out to potty and she threw up what looked to be either the turkey or some phlegm. This morning I got her to take the Azodyl with the turkey meat but she wouldn't take it with the Pepcid so we mixed it with water and my husband poured it down her throat. We hate doing this but sometimes it's the only way. I prepared the chicken and put the Epikitin on it and again she turned up her nose. She didn't even want water this morning. She is looking so pitiful that I am starting to wonder at what point do we stop and put her out of her misery. She tries her best to walk and falls down. In the 3 weeks since her diagnosis, her health has declined very rapidly. Every time I think of putting her down I cry but then again I wonder if I shouldn't let her go. That's where I am now in my process.

[Spooches]

This is an update. When I got home this afternoon and took one look at Chloe, I knew what my decision had to be. She looks as if she could leave us tonight but I have scheduled to take her to the vet on Saturday morning and put her to rest. She will no longer eat or drink and is fading fast. She was originally my daughter's dog, so she will be the one to go in with her when the time comes. I will not be up to going in there. I am so very sad and can't imagine life without her. She has been my little shadow for years following me everywhere I went. Tonight I gave her a bath because she had started to smell bad and brought her bed outside since it was a nice evening. My husband and I just sat and talked about her and cried. We will make it through this but it will be hard.

[Jaybay]

This is just too sad for words.  I certainly understand your reluctance to be in the room at the end, but I have to tell you it is very peaceful.  For me personally, it's important to be there for my pets.  Yes, it's emotional. Yes, it's painful for us to see that last breath.  I always feel it necessary (for me) to make certain my hands are on them and my voice is in their ear.  Each time I've had to endure it, what stuck me was the very great respect shown by the vet and his staff.  It helps me in some small way.

My mother's cat was dying of liver failure last year and my husband and I had to take him in for that final trip. Mom was too ill and couldnt face it anyway.  I'm so glad I could be there for her pet as a loving escort out of suffering.  And that's really what it's all about - an end to suffering.

God bless you for doing everything you could.  Never forget that.  There always comes a point when we are called home.  The knowing doesn't make it any less painful.  You are both in my thoughts and prayers on this day.  :-(

[lindapalm]

I am so sorry, it is so hard, but you know it has to be done, but yet it hurts so bad to do it.  I too cannot be there when they go, so my husband is the one that always gets stuck, although if he couldn't I would, rather than have them be alone.  You will feel guilty, but try not to, keep telling yourself you did everything possible (which you did)  There just weren't any options left, other than suffering, and you saw how miserable Chloe was.  You can almost see it in their face that its time to go.  She wouldn';t have lasted much longer on her own, and they would have been horrible days.  You made the absolute right decision, don't forget it.  She was much loved, and she knew it.  She was a very lucky dog.

[Spooches]

We didn't wait until Saturday. My daughter came over today. Chloe started out to be her dog. She was her Christmas present in 1994. My daughter took one look at Chloe and knew the time had come, as i did as well. I let her make the call. We all cried. My daughter took Chloe on her final trip. I couldn't face being there and this was a clinic that my daughter had worked at in high school. I stayed with my two granddaughters while she went. She told me that Chloe was sedated and that her death came very easily without any reaction. She died with her dignity. My husband buried her in the yard next to some of our past beloved pets. There was a Dalmatian named Oreo, a cat named T.C. and a hampster named Bubba. We had a little service for her and I read the poem about the Rainbow Bridge which I had a really hard time getting through but one I had decided I wanted to read. Then we all sat around and remembered things about Chloe and cried and cried. I know there will be many more tears to come. Every time I look toward the sofa where she always wanted to be brings fresh tears. Having two young granddaughters to love on has helped tremendously. We know that we will want another dog at some point, but also know they will never replace Chloe. She was a wonderful companion and a much loved family member. Thank you for your prayers. We will be fine in time.

[chasha33]

You loved that baby with all your heart and you did everything you could to help her and keep her comfortable,I admire you so much for all you did.I know that there are going to be alot of tears,But please know in your heart that you gave that sweet little girl the best life that she could have ever wanted.You know that she is at peace now and her memories will live on.Try to remember all the good times even though right now it hurts.You were blessed with all those wonderful years with her and she loved you with all her heart.If you need to talk we are all her for you.I will keep you and your family in my prayers.May God Bless You

[Jaybay]

I have to say I'm glad you didn't wait that extra day.  Chloe told you it was time to leave and you listened.  Not everyone has the strength to recognize that when it happens.  A quiet release from suffering is a gift - a very emotional and difficult one, but a gift nonetheless.

Of course no other dog can replace Chloe!  She will always have a place in your heart and mind no matter how many other dogs you eventually share your life with.  That's what's wonderful about the human heart; there is no limit on the amount of love we have to give.  Take the time to grieve.  I'm hopeful that someday you will be able to share all you have to give with another lucky dog.  :-)

[Spooches]

Thank you both for being here for me. This has been such a sad time. Every time I look at the place at the end of the sofa where Chloe always loved to sit I expect her to be there. The house is way too quiet, although she was never a noisy girl. My husband had cut a bit of fur from the top of her head and I look at it again and again and can still smell her. I see her little pink collar. My daughter took one last picture of her just moments before she went to sleep and I look at that over and over. I am taking comfort in knowing that she isn't sick anymore. She is free of her failing body and the legs that could no longer walk and eyes that could barely see. She gave love up to the end. The final time I took her out to potty she managed to wag her tail when she looked up at me. She was my shadow who followed me from room to room and gave me unconditional love. No dog will ever replace her but I think in time we will have another dog in our lives. They truly are the best and most faithful companions we could ever ask for.

[lindapalm]

You'll walk into rooms and expect to see her in her favortie place out of the corner of your eye, or think you hear her bark when you come home.  It will take a long while, but you'll adjust, and you'll have lots of good memories of her.  She had a very good, long life.

[chasha33]

I lost my little girl 9 months ago,I still can hear her tags rattling and sometimes i think that i hear her walk across the floor.When you love them so much there memories will always live own.Your little girl was very special and she knew that you loved her with all your heart.When the time comes that you bring a new baby home the love you have for it will be just as great but in a different way.You will be in my prayers.God Bless you and Take Care

[Spooches]

Thanks so much. It helps to hear from others who have been through this process. I know I will be fine and she will be fine. I know we did the right thing for her, but in some ways I feel guilty for ending a life. It would have been beyond selfish and cruel to let her continue to suffer until she died on her own. I wrestle with myself over this.

[chasha33]

You gave that little girl the best of everything.You need to think about all the good times with her.Cause if you think of the bad it can really effect.When i lost my little girl i had a really hard time,and sometimes i still blame myself.But i know that i was blessed to have had her in my life.If you need to talk we are here for you.Take Care and God Bless.

[Ginghart]

How do I know when the time is right to let my doggie go?  I don't know what to do... she is declining & has been for some time.  I posted this on another board, but it's just too painful to type it all again.  I have read thru all these posts -- my dog isn't falling down as much, but she is 14 & sooooo thin & so weak & blind (unrelated condition, we think) & staggering & vomiting here & there & having accidents (poop & potty) here & there.  Earlier this past week she went out in the sun in 110 degree weather & laid down -- I swear she was trying to kill herself.  Got her recovered from that, but it's been a steady downhill since then.  

She has the most horrific smell coming out of her mouth -- almost cannot even stand it.  There is this strange black, crusty, scaly, sticky stuff all around her mouth -- she's an italian greyhound & sooooo tiny now - probably 5 lb.  Bones showing everywhere.  Eating here & there -- vomiting some.  I'm heartbroken, but not sure I know when the time is right to not let her suffer anymore?  Love her with my whole heart -- just hate seeing her this way, but also feel like it's unfair to let her go before her time comes, too.

How do I know????  I'm feeling like the day is approaching... and do I let her go a wee bit early to avoid the HORRIBLE stuff to come?  We're getting there... I fear.

SOOOO sad.  

Ging

[Misfits4Me]

Ging....I just answered your other thread........Karla

[spicebaby1]

I discovered this site while searching the web for information on canine kidney disease and what a help it's been! I want to thank everyone for their posts and for sharing what they have been and are going thru.That is actually why I am posting.
    My 9 yr old golden retriever Ginger was Loosing weight (thought it to be her aging so wasn't too concerned), she had diarrehea not alot but, every now & then again thought it just an upset tummy from to much people food,then she was refusing her beloved milk bones taking them but just placing them in front of her.This we thought very strange then the next morning after drinking her water and eating her breakfast she vomited it all up.We thought maybe she had just had too much water and ate her food too fast.Also while lying outside in her favorite spot we noticed she was shaking like she was cold but it wasn't that cold out.Considering the weight loss and diarrhea and especially the shaking we decided to bring her to the vet to be checked out.We thought maybe she had a doggie virus /flu or a parasite of somekind.
   At the vets they examined my sweet Ginger, all seemed fine she has always been very healthy.They took some blood samples.I got a call later that night they wanted me to bring Ginger back on Saturday to get a urine sample the blood samples had came back with high values they were concerned about kidney disease.
     Saturday we went back to the vet they got the urine sample. Then tested her values they proved to be high they said it was kidney disease.They weren't sure if it was from Lyme disease or old age without a biopsy & we wern't going there.So I asked what we do from here.The vet said her condition was gurded but,they could give her fluids to try to flush out the toxins and restart the kidneys.It should give us 2-3 months more with Ginger and help to make her feel better. Needless to say I was floored by this diagnosis! I couldn't even believe my ears.Ginger was acting fine just getting skinny.They sent us home with some pills to keep swelling down and prevent water collecting in her paws, an antibiotic, and a anti nausea med.
Monday morning I dropped Ginger off at the vet at 7am for a fluid drip and would pick her up again at 7pm she would spend the night home with us where she was comfortable and return to the vet tuesday morning for another day of the fluid drip 7am - 6pm. Around 4pm that afternoon we got a call from the vet they had rechecked Gingers values they hadn't changed if fact had gotten worse, the vet recommended we consider euthanasia. Again I was floored! I felt my heart sink down to my feet I felt like I was going to throw up. What had happened to my 2 -3 months? Well, at 6pm I picked up Ginger she was happy her tail wagging her eyes bright.She saw me and ran right over to me.Once home Ginger wouldn't eat anything we tried everything all her favorites.All types of dog food, cat food ,boiled hamburg & rice,coldcuts,icecream,steak, chicken, baby food, shredded turkey she turned away from it all.As the night went on she just layed on the livingroom floor. She didn't move much even when called.Her eyes looked dull as the night went on she was dinking some water and would go out to  pee but with alot of encouragement.Later that night she had a seizure her whole body shaking ,her teeth gnawing,& she pee'd herself.It lasted less than a minute  and the she was fine but tired of course we loved her up and held her, her little eyes were scared and looking for comfort.
    The next day the day before Thanksgiving she started off like her old self happy and ran outside with her brother to pee.Then during the next few hrs her eyes took on that dull,sickly look, she refused to eat anything or drink anything.Just layed there on the floor changing postions uncomfortably back & forth.Around 4pm she had another seizure this one was worse lasted alittle over a minute this time not only did her teeth grind, her paws twitch, pee herself but she also pooped herself. She laid on the fllor the rest of the evening not moving except to change position, not caring about the noises in the house or her brother or anything.Around 10 pm she had another seizure this one wasn't as long but had the same things happen only this time it affected her back legs.They seemed to be weaker and she had a hard time standing kinda swayed back & forth stumbling. Later that night she went out to pee and her back legs had like deserted her they seemed to want to do they own thing she tried to go one way and they went the other she was still able to pee and it looked fine.
     Friday morning 3 days after having had the fluid drips & being home Ginger was noticably weaker and getting very skinny she hadn't ate or drank anything despite our efforts for 4 days.We were heart sick. Ginger lay on the floor only moving to  change her positon she looked terrribly uncomfortable.We discussed puttting her down. Every time she stood up her back end would wobble uncontrolably, her eyes were dull, she loved being held and petted but then she always was a Lover. Later that morning she had yet another seizure this one lasted about 2 minutes she was visably shaken.After the seizure she lay there just staring not caring about anything going on.I loved her up she pulled away.We decided it was time altho we hated the idea of loosing our sweet little baby doll!
      I called the vet crying so much they could barley understand me. I asked if they could come out to our house to put Ginger down it was 11am they came out at 1:30pm and My sweet little Ginger was still laying in the same spot on the floor.Her head picked up at seeing the vet she was very alert! He assessed her and we told him about the seizures, not eating & he noticed how much weight she had lost since saturday. He shaved her leg to see the vein, Ginger's eyes got big ( the noise scared her) , she looked at me. I held her close and told her I Loved her and soon she would be at peace no more seizures, that she would be with our cats in doggy heaven,in the backyard where her brother & us could visit.The vet inserted the needle my Sweet Little Baby Doll drifted off in seconds into a peaceful sleep.Needless to say we cried our eyes out! It's been 5 days now since Ginger left us and we are still crying,talking ,and thinking of her. We have pic's of her on the mantle her brother hasn't been the same.He's been depressed not eating for the first couple days.Not wanting  to go riding wouldn't even go down the stairs to the yard without Ginger to pee.His starting to do better now day by day.He did watch the entire thing from seizures, death, to Ginger's burial in the back yard. Even our cats are acting differently.So Sad to watch. I am however, glad that the vet could come to the house so Ginger could leave this world  in the comfort of her house,in front of the fireplace, surrounded by her cats,her brother, my husband ,& me.RIP My Sweet Baby Doll- Ginger you were such a Great Friend & Copanion we will never forget you.Thankyou for touching our hearts & lives
    Thank you to all who have posted on this topic it has helped us tremendously  in dealing with it all.I only hope my story will also help someone to deal with the quickness and pain that this terrible disease brings.By the time most people realize something is wrong about 75% of the kidneys are already damaged.I still can not believe my Baby Doll is gone! It's like some sort of bad dream.We thought it was the flu or something like that Ginger had never been sick! Good Luck to anyone going thru this My Thoughts & prayers are with you.

[deadgamegrrl]

I am so sorry for your loss,  This is the hardest thing anyone will have to do, but know that you made the right decision.  Its so sad that the decline was so fast, you never even had time to get 'oriented' to what was going on.
I've never yet gone through anything like this, but I'm sure I will.  I have had 3 dogs pass instantly at home, 2 were only 6 days apart, and that about wrecked me.
Our furry friends mean so much to us, and it can truly be a gift to them that we can end their suffering.
you are in my thoughts.

[spicebaby1]

Thank you, for your support it really means alot.Even when you think you have made the right decision you still second guess yourself .You think did I make the right decision should I have waited longer maybe it was just a phase that would have passed. In your heart you know it was time but, you still feel you've somehow let your faithful companion down.
      Yes this did happen so suddenly our whole family is still in shock. Everyone including Ginger's brother are starting to acccept her absence altho very slowly, he still looks for her at meal time & when he goes out to pee (She was always just behind him at these times and he'd wait for her to catch up before continuing to eat  or go outside).
             I hope you never have to face kidney disease with any of your animals.I have had many animals with many different ailments but, this kidney disease was by far the hardest to accept.

[Lexie_Jane]

My dog Halle is following the exact path as Chloe. She is a 13 year old Yorkshire Terrier and is my 'sweetie'. She is having good days and bad days now. Actually, she did very well for about 1 month after she was diagnosed with end stage kidney failure. She is on Azodyl and medicine for an elevated blood pressure. Her numbers almost normalized and she gained a lot of weight, but now she is worse again. My husband and I have been giving sub-Q fluid boluses every other day for 6 weeks. It is so interesting to see all the postings about loss of appetite. That is exactly what Halle is doing. All of your postings have given me good ideas on food, and now I realize how this is going to end. This progression of this disease is really sad to watch. I hope you are well. Did you ever get another dog?

[grits1957]

I was just looking for something online that would assure me that I could have done nothing to save my little 12 year old Pomeranian Buddy.  He had started to slow down over the last few months, eyesight a little diminished, selective hearing, all we attibuted to old age.  My husband and I had even said to each other that when he passed on we would know he had a great life.  He had begun eating grass over the last few months which thought he had begun to help himself poop - he had some arthritis in his back.  Then he began vomiting on a pretty regular basis, usually in the mornings - we thought it was due to the eating of the grass.  July 4th he was his usual begging for tidbits self when we had people over for a cookout and then on July 11th I took him to the vet for the constipation.  He confirmed that he seemed constipated and suggested cat hairball remedy and Rimadyl for his arthritis in his back.  I used both over the next few days and his constipation cleared up but he continued to vomit.  I took him back on July 16th and the vet said he could do some blood work to see if he had problem with his kidneys or liver - he diagnosed him with chronic renal failure.  I asked if I could give anything for it and he said there was nothing that could be done for him.  I told him that I would not put him to sleep.  He gave me a couple of recipes for meals to try and get the phosphorus down and something for nauseau - he said he needed to eat - he had lost 1.5 lbs.  My little "Buddy" continued to drink and pee and was eating from my hand hungrily, but would vomit everything several hours later.  On the 17th, my husband's birthday, I made him one of the meals and he picked through it to eat the chicken - several hours later he vomited it all up in spite of the ani-nausea medicine.  On the 18th he was still drinking and going out to pee, but was weaker - that night he pooped and we had to clean him up.  On the 19th my 24 year daughter and my 4 year grandson came over to visit with him for several hours.  He was no longer eating at all and could barely walk - we were caring him out to potty and caring him back in.  Those two mornings he had brought himself into the bathroom while I got ready for work, his usual routine.  The morning of the 20th around 4:00am I asked my husband how he was and he said he had taken him out to potty but he could not stand.  I went into the living room to find him behind a chair standing and confused.  I brought him and put him on my bed where he stayed, moving every few minutes to get a new position - I knew that it meant he was in pain.  My husband had to go on to work.  At 7:00am I called my best friend to come over and stay with me until I could call the vet.  My friend went outside for a moment and I went into the kitchen, Buddy tried to follow me - I picked him up and put him on a blanket and my friend held him and petted him - she was his Aunty Sharon.  At 8:00am I called the vet and made an appointment for 9:00am to have him put to sleep.  It was the hardest thing I had ever done but I could no longer bear to see him in pain - by that time the smell of amonia (ammonia) was so strong that I knew he had no chance of beating this terrible disease.  The vet asked if I wanted to stay while he put him to sleep - I told him I would never leave my Buddy, and I did not.  I have had a hard time shaking the feeling that I could have done more if I had realized sooner - he was his usual prancing self just a couple of weeks before - it is just so hard to get your mind around, it happened so quickly.  I try and view this as a blessing that he got to live pretty well up until the last few days.  I did not say before but this little guy was diagnosed at 3 with bladder stones that had to be surgically removed twice and then his trachea collapsed at 5 and his bladder burst at 6 - no real health issues again until this - he had been on Science Diet U/D for 9 years.  He had a wonderful vet who retired over a year ago - that was also an issue for me - make sure you have a vet that you trust will tell you the truth but will also be willing to offer options to try if there is a chance to give you dog more time with quality of life.  I had a new vet who had very little experience with my dog.

It has only been 3 days since he passed and I miss him so much - he was my constant companion and my husband's.  We will go on vacation in Sept and it will be the first one in eleven years without him.  They steal your heart with their unconditional love and devotion - they truly are man and woman's best friend.  I am hoping when the sadness passes we will be able to find another little Pom to feel our empty house with new joy.

[shue23]

My dog Silver is a 14 year old mini-schnauzer/poodle mix and dying from kidney failure.

It's been such a drastic change over the past 3 days. He vomited for 2 days, we brought him to the vet, and that's when we discovered about the failing kidneys. He has completely stopped eating, and only drinks plain water. He has refused all prescription food, any food at all, and obviously the medicine. He rejects water too for most part of the day.

The doctor gave us a sodium chloride drip (100ml, twice a day). It makes him pee (but all white, nothing is being eliminated) at the very least but he is so very weak. He stands for hours, just staring into space. He used to be so very responsive to me, but now he doesn't seem to hear me. I think he is delirious. It pains me that he is not resting properly, just keeps standing. He's been on the drip for 2 days. I asked the vet and seems like the drip can sustain him but it's gonna be a very cruel existance. I could hospitalise him for a couple hundred but I don't see how it would help him except to prolong him for awhile more.

He doesn't look like he's in pain yet. Everyone says I will know when it's time, but I really don't know. He's such a fighter (doesn't even flinch when Dad pokes the needle in) that I'm afraid he won't give up so easily. I'm a firm believer of fasting for good health (I fast occasionally too to cleanse myself) and I can't help but believe that there is a reason why my dog is not eating -- he is allowing his system to recover. But the vet says that he we don't force him to eat, it's just going to get worse.

I am so torn. I'm afraid I want to put him to sleep not because he is giving up, but because I'm giving up. I don't know if I should wait till he's suffering before I put him down. Or I should put him down while he still is still aware of us around him (at times).

You know, the worst part of it all, is that I've had him since I was 14. I was young, reckless, an animal lover, and wanted a dog. My parents took care of him in the end. I'm 28 this year and always felt that I've lived life with no regrets, but my greatest regret was to adopt a dog when I neither had the money nor ability nor time to take care of a dog. He has suffered from neglect and I can't even let him go saying 'He's had a good life'. I will never keep another pet again. Animal lover does not equate to a good owner.

I keep talking to him to give up if he needs to. I really hope I won't have to make the hardest decision. This is so difficult.

[PC1107]

Hi - I am so sorry to hear about your dog.  I recently went through this and it moved rather quickly.  My dog stopped eating and drinking about a month ago.  I was able to get him to eat a couple bites and drink a few tablespoons a night.  He then stopped eating or drinking at all.  He succumbed to his illness yesterday.  I had him put to sleep because I couldn't take seeing his pain anymore.  I mistook him moving his legs and trying to get to getting better and the vet said that was his first sign of being in pain and trying to get comfortable.  Enjoy every moment you still have.  When the dog just lays there and you start to see them moving the front legs and trying to get up, it is time.  Unfortunately, I thought I had more time and it moved rather quickly and my dog was in a lot a pain.  I wish you the best!

[LoniS23]

My dod is going through the same thing as others in this forum. Her kidneys are failing and her ability to walk is getting worse everyday. Does arthritis and kidney failure go hand in hand? Does anyone else think that their dog's arthritis medication caused the kidney failure? My dog was on Metacam and then Deramaxx, and kidney damage is listed as a side effect of Deramaxx.

[tonyb286]

Unfortunately, most medicines can undermine the kidneys if used long term. The problem here is, which is the greater evil - or to put it another way, what is more humane? Meds are usually needed to treat short-term problems. In the case of long-term conditions, it is often better to treat with meds and help prolong an active and contented life, than not give the meds because they may inflict kidney and liver issues later on. It's a call best considered by the vet treating the dog, as they are armed with much more information and experience. As for arthritis and kindey disease ... well, I think they not particularly related, though both are common in older dogs, just like the loss of hearing or eyesight.

I am very sorry that your dog is suffering kidney damage. There are many threads on this site that might offer you some advice about forward management and things that may help as time moves on. Tony

[dmb4500]

My little shih-tzu was diagnosed with kidney failure with a BUN of 111 on Sept 29, 2009 at the age of 2 1/2.  Fast forward through the years with steady sub-q injections (100cc every 2nd day), AZODYL 2 pills per day, carafate for nausea as needed, and 5mg daily of enacard for heart.  Two vet visits per year for an overnight IV water fluid stay + Vitamin B shot. BUn remaining at no less than 70 the whole time, CReat. staying no higher than 5.  My dog has been happy, go lucky, smart, and is an amazing little guy who is spoiled beyond belief.   Arrive to 4 days ago when my little Duke decides he's just not going to eat. That's it.  No more food.  No favorite treats.  No people food.  Not even bacon, which was his most special, held-back treat for his entire disease.  I have a piece of bacon in front of him now--he won't touch it.  His eyes stare up at me like he is confused.  It is time to let him go.  I am afraid he will seize, and I can't stand that either.  I feel selfish thinking "he's going to turn around" like he has in the past.  But the poor little guy is in pain, won't stay in one position, won't eat.  He drinks fine still, still is urinating, but has vomited twice in the past week.  I am beside myself with being practical and holding out for some magic to happen.  I know there's no magic here.  Some 2+ years later, $6000 later, great memories made....how do I let my baby go?  I want to schedule him for Saturday, but what if that is too long to wait?  I am asking for advice, even though I really know the answers........my heart can't wrap around the logical outcome here.  I can't set it up for today, it's my husband's birthday.  Selfish, right????  

[dmb4500]

I was rambling and neglected to mention that the 4 days ago point brought us to a vet visit with resulting BUN of 112, CRe at 7.1.  I also want to add that the AZODYL is an AMAZING product that I first purchsed on-line at $30 bucks a bottle, plus $16 shipping (refrigeration) per bottle; I convinced my vet of it's capabilities and he started ordering it direct from the manf. for us, at a price of 3 bottles for $100. Period.  I am firmly convinced that this product kept my baby here this long.  Plus the KD canned canine food that he stayed on this past 2.5 years, without a drop of "people" food until the end here.  I figured he can at least enjoy something at this point.  

[tonyb286]

Wow. What an amazing job you have done with your little guy. There are lessons here for all of us - and proof that if caught early enough, we really can help our best friends stay with us a little longer. What you have achieved (for yourself and your little guy) is little short of remarkable. I can't offer advice about when the time is right ... only you really know that ... my heart goes out to you and Duke. Tony

[dmb4500]

Thanks for your kind words.  I have been reading everyone's stories, and it has been bringing a lot of comfort knowing & actually acknowledging that we haven't been alone in this--every person here has felt these things as well.  Took Duke to the vet and let them know I'd likely be bringing him in Friday AM (tomorrow), and asked for a pain shot to keep Duke comfortable tonight.  Seems to have done the trick.  Duke even ate some ground turkey, then fell right back to sleep.  He won't go down the steps do go outside.  I took him for his last fun car ride, and tomorow he will get a McD's ice cream cone on the way to the vet.  I have cried all afternoon, but I think we are as ready as we are going to be.  Thanks again, all.

[TwoBitsMom]

Tony is right..you have done an amazing job with Duke. Your outstanding care really gave him a second chance at life. Thank-you for all you have done for him. Duke's story will certainly offer hope to others.
You will both be in my thoughts and prayers....
Give him lots of hugs, and tell him he is the best dog in the world.
Connie

[Misfits4Me]

Hello & welcome.....My heart breaks for you tonight....I cried when reading about the Ice Cream Cone.....I agree with the others, you have outdone yourself with Duke's care....I wish all animals had such wonderful families....
I'm so sorry for him and you.....Please know that you both will be in my prayers tonight.....I hope tomorrow brings you strength & comfort....

Come back & join us when you feel you are able....Until then, I will be thinking of you & your husband .....Please give Duke a Kiss from me......Karla

[dmb4500]

Duke took his last vet visit today at noon.  It went as good as could be expected.  He didn't want his ice cream, and that's what brought on my torrent of tears.  There was a few minutes when I held him this morning that I thought he might just close his eyes and go....he just wouldn't let himself relax.  We asked the vet to give him a sedative prior to the shaving/needle insertion so that he wasn't really aware of it.  Less than a minute and a half after the actual med, he was gone.  His eyes were open and we cuddled him like crazy for about 15 minutes.  I asked the vet if he would continue recommending the Azodyl, and he said absolutely.  He's certainly not making any money off of it--but be wary of buying it from any online site--they don't seem to care if it stays cold during shipment.  Sub-Q water, Azodyl, and the Enacard did it for him, and of course renal failure is NOT "curable".  Keep your pet happy, and the minute the Sub-Q water starts pocketing in areas of the next or chest, you know you are close.  THANK YOU EVERYONE your empathy has been EXTREMELY helpful, and I have typically shied away from ths type of interaction.  BUT THANK YOU.  I posted a pix of Duke to my profile.  Dawn and Mark Buckner, Michigan.

[tonyb286]

Hi Dawn and Mark. I am so very sorry Duke lost his battle against this dreadful illness. As I said earlier, I just think you are both the kind of dog owners that ALL dog owners should strive to be. Duke was truly blessed to have been a member of your family ... and I.m sure he knew it. Run free Duke. Big hugs to you both, Tony

[Misfits4Me]

Hello Dawn & Mark.....I thought of you all (Including Duke) today.....It seems you went above & beyond, even through the end...I commend you for such wonderful care for this little creature...You really should Pat yourselves on the back!

I know the days will be hard, painful & lonely.....As time passes, you will be able to smile at the memories, instead of cry......

Duke's picture is delightful. Thank you for sharing it with us......RIP Duke....Your parents love you alot!!!!

Take care & check in when you can........My thoughts are with you,  Karla

[Schunka21]

OMG I am going through the same thing with both of my goldens. Mamma is going to be 13 this year and her labs are better than her Dtrs. Peji is on her last days. I got on here to see what the actual end stages were like. She has not eaten now for 6 days. She does drink, and go out to pee. But she is very weak and lethargic. It is just amazing how quickly she has gotten worse. My Middle dtr going to school to become a vet told me over Christmas Break that it will not be long. I have been making homemade food for over a year for her and then in November I took the girls in for their annual shots ect. I was SHOCKED to find out that Mamma was in failure and her labs were better than Pejis' and that Peji was in Stage 3 renal failure. Of course we decided to not do any heroic measures for either dog as finances did not allow us to. So I started both on Tums, a multivitamin, and homemade low protein food. Mamma looks great. Eats anything that will not walk away from her first. Peji however about 6 days ago just quit eating all together. We have tried EVERYTHING.
We had a Lab golden mix we rescued 3 years ago (he was 9 when we got him) so Peji would have someone to hang with when her mother died. two weeks before Christmas he got sick and within 7 days died. They think it was cancer. So this is just really a sad time for us. It was so nice to get on here and read that other people are /have gone through the same things with their animals. I guess we will have to make that decision here today or tomorrow. Do not want to but I just cannot watch her suffer. After all is said and done, our older  golden (the mother) will have out lived her spouse, and her daughter. And neither one of them were ever sick. She has had allergies all her life. been on Pred. and pain medicine for arthritis. What is wrong with that picture.

[tonyb286]

Hi. Yes, many of us have been where you are now. This must be utterly heartbreaking for you. I too was very shocked at how rapidly my dog went downhill after being diagnosed. The truth is, I still find it hard to believe she happily ran along the beach area down to see the vet, after she went off her food, and within 3 days of being so full of energy and life she couldn't even stand up. On the 4th day of her not really moving at all and not eating at all, we did the dreadful deed. My thoughts are truly with you and Peji. This is such a heartbreaking illness. Big hugs from the UK, Tony

[Misfits4Me]

Hello & welcome.....Well, it seems you've been handed more than your share of heartache, lately! I'm so sorry!

Please know that you are not alone....There is another thread on this forum that you may want to read....It's titled: "4th Stage Renal Failure in my Dog".  I will bump it up to the first page so you can find it easier.....

Also, hang around here so we can help you through this crisis......This is a wonderful forum with very caring people......

I'll be thinking about you & your Peji & I'm so sorry for your loss of your Golden Mix at Christmas.....May he RIP........Karla

[animallover7]

So glad to see your post. My dog has renal failure and I have been giving 25 mg phenergan. He is 68 lbs. Lost weight before I knew what was wrong. Poor appetite. I follow him around hand feeding him. SQ fluids 500cc twice a day. Doesnt sleep well and I am getting exhausted as he wants me awake with him. What can he take to sleep and not affect kidneys? I am not finding much info. I feed him raw meet and rice and probiotics and green supplements in cap form.