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Chronic Kidney Failure in Dogs Community
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Avatar universal

Daisy in final stage

About three weeks ago found out my best friends numbers were off the charts. First vet suggested euthanasia, second gave me some options. I have been researching like crazy and trying everything possible, hollistic and prescribed by the vet. My Daisy, who will be 17 in April has been fighting hard. We have been doing SB fluids twice daily at home, along with many other things around the clock. I allowed my hopes to get to high. She has been so happy and alert, earing again (though still reluctantly) then the last couple days has started to refuse food again. Ive bought every option available and cooked many other options, she just won't eat it. She still keeps sniffing around looking for "junk" food dropped by my little ones. Today she stole a doughnut! Why would she be so drawn to eat junk food? I'm considering adding sugar to her food even though i know it is bad for her. I feel i have nothing to lose. She is waisting away and i can't watch her starve to death.

Another question. Does anyone have some great tips for giving the sb fluids? She is starting to fight me and it's breaking my heart, lately she is jerking around so much i end up having to stab her multiple times. I cannot keep doing this! I know if i stop the fluids she will get worse quickly but am not ready for that decision. I don't want to.be selfish and keep making her fight but i don't want to give up too soon as she is so happy agin, following me around again. How can i ever decide when she has had enough? This emotional roller coaster is killing me. I have had daisy since i was 11! She got me through soooo many hard times, now it is my turn but i feel i am not being strong enough for her. Please help

we are retesting her bloodwork tomorrow and im overly anxious. Her numbers about three weeks ago were crazy high. Bun off the charts >180  creatine 6.5  phoshporus 16 something. (she is sleeping on me or id go grab tge paper for reference)

Thanks for the support, no one in my life can understand right now, so im thankful to have found this group!
71 Responses
Avatar universal
Ok got my print out
Bun >180
Ca 12.6
Phos 16.4
Cre 7.5

Retest tomorrow, she is obviously feeling better so im very anxious to find out. She just got so bad so fast :( with her being 16 we lean towards chronic, but just a year ago her bloodwork was good enough to do a dental, no probs. She does have recurring UTIs and we are currently treating another. Is it possible to be Acute due to infection?

Ive just never seen any others with values this high, but she is strong and even seems happy again. I think she is enjoying mons undivided attention. No vomiting or diarrhea as of yet.
1916673 tn?1420236870
Hello Krissy. I'm pleased you found us here, though obviously not the reasons why you needed to. I really doubt this is acute kidney failure. You know your dog better than anyone else, so have a read of this article ...

http://veterinarymedicine.dvm360.com/differentiating-between-acute-and-chronic-kidney-disease?

It's a long and complex piece, but you may find some of it refers to your observations and experience. At worse, it should give you some insights and provoke a few questions you may wish to raise with your vet.

I would also urge you to read one of my own articles on Diet and Chronic Kidney Failure, which you can find here:

http://www.infobarrel.com/How_Diet_Affects_Dogs_with_Chronic_Kidney_Disease

It should give you some ideas on feeding and, please, read before you think about changing the diet to anything like scraps or sugars. If you want to try it, you can add energy-giving food supplements to an existing kd specific tinned diet (hopefully this is what you are using now), such as a teaspoon of all-natural honey, unsweetened and unflavored yogurt or pure salmon oil. These all help flavor unpalatable foods and give very useful nutrients, probiotics, and essential vitamins and minerals.

Urinary and other infections amongst CKF dogs are very common. But these are likely to happen after the onset of kidney disease, which lowers the ability of the immune system to fight such things.

I need to check her blood values properly, so thanks for giving them to us. I'll check them out and get back to you when I can.

In the meantime, I'm hoping others will reply with some practical advice about administering fluids. I know it's hard going, but it's also very necessary in giving your best friend a fighting chance.

At 17, it may be an uphill struggle getting the blood values under control ... but I can tell you really want to give it your best shot ... and it sounds like your dog also still wants to stay around, so let's see if we can support you as much as we can.

Stay strong.

Tony
1916673 tn?1420236870
Hi again. Just been checking a couple of things regarding your blood panel results ... the BUN is extraordinarily high and I'm tempted to say this should be the priority. BUN levels can be reduced by restricting the intake of protein (hence the useful impact of renal specific dog food for chronic kidney failure dogs) and by increasing the intake of fluids (the administration of IV fluids is particularly effective). What this means is you need to pay close attention to diet - and maintain the fluids. As you are experiencing some issues with administering the fluids, which will help flush the toxins from your best friend's body, I have sent messages out to the Group asking them to offer any suggestions.

Creatinine is also very high. When BUN, creatinine and phosphorus levels are all high, it suggests the kidney disease is longstanding and may have been slowly occurring for a substantial period of time. The level you have given suggests she is in stage 4, the final stage of kidney failure. The prognosis is very poor, so this may best be a day-by-day assessment. If she deteriorates suddenly, then maybe I would opt to consider euthanasia - not something easy to consider, I know, but it might be appropriate if things get worse.

The phosphorus is also high, and this might be best reduced by controlling diet - mainly by opting for foods that do not contain any phosphorus and/or by maintaining a kd specific manufactured canine diet.

It would be useful to introduce a phosphate binder, but first the phosphorus level needs to be brought under control. It may be worth adding a desertspoon of chopped cooked cabbage to the daily diet. This can act as a natural phosphate binder and also helps prevent stomach ulcers forming. It's worth trying, if nothing else.

Okay. there's enough for you to think about and read there. Let me know once you've absorbed this info.

I know this is a very traumatic and stressful time for you. I hope this Group gives you some useful info, good support and - if not much else - someone to talk to whenever you need it.

Best wishes,

Tony
Avatar universal
Tony, thank you so much for taking the time to read about my girl. Let me give you a little more info, since i was kinda all over the place emotionally with my first post. About a year ago her kidney values were very slightly increased, we treated for a uti and they returnes to normal. A little over a month ago she suddenly lost her appetite and was just looking like she wasn't feeling well. I had made an appt with the vet but ended up taking her on a sunday when she suddenly becme lethargic. The other symptoms of excessive drinking/urination/incontinence she has had for a couple years but i do blood work often and never showed signs of kidney disease. We tested for cushings and the vets could never find a reason, but she was still energetic and happy so we just dealt with the incontinence issues.

So when she suddenly becane so ill three weeks ago, i knew it was her kidneys from the smell on her breath :( . She still is not vomiting, no diarrhea. Bp, liver all that is good. Just an ecoli uti we are treating.  Three weeks of around the clock care;
Fluids twice a day
Azodyl
Aluminum hydroxide
A variety of essential oils for kidney health and digestion
Antibiotic
Slippery elm bark for digestion
Naturally alkaline water
Low phosphorus diet
Now cutting protein and increasing cals as much as possible
Pepcid once a day
Wild alaskan sockeye salmon oil
1/2 a B50 vit
1/4 of a renal essentials vitamin
Seacure added to one meal daily (powder for underweight dogs)
Also a goji berry blend i use once a day helps with her energy too

I have tried every royal canin and hills variety for kidney disease, and the lowest phos commercial canned stuff available. ( got values from emailing companies.) Ive been offering two or three options about four times a day.
Originally i.had to puree and feed off my fingers. Now she is turning down pretty much everything. She used to be on raw and homemade food so i think nothing seems higher value to her. Im cooking new things constantly trying new stuff, always choosing the lowest phos options, adding calories through coconut oil and butter. Have tried green trip, cooked, raw, pureed. Ive been adding the cabbage to my purees as i read that about stomach ulcers. Also add ginger to everything i cook. She seems only interested in bread type stuff. Which i am becoming desperate for.calories at this point. Diet has always been very important to me, im just so confused because she is alert, happy following me around. Running outside, and she acts like she want to eat but then turns away or.drops it back out of her mouth :(

I know this is.very long and thank you so much for taking the time to help me and Daisy. The links you posted are not working for me, perhaps because i am mobile but i will try retying into.my browser. Thanks again
Avatar universal
Another thought i had from reading, is that she used to get bladder stones, but if there was a blockage she would not be passing so much urine i assume. It's just in all my reading i have never seen numbers so high and it had to of happen in less than ten months (since last bloodwork was great)

I guess im still blaming myself for not getting her to a vet sooner but there were no new signs until a month ago.

It's nice to just talk to people who understand, so thank you . I know im writing a lot :/ but it's hard to talk through this stuff with people who haven't reaearched the topic. Or think she is just a dog and i shouldn't try just because of her age, but if there is a chance... She deserves it.
Avatar universal
Read your article again Tony. I do remember reading this one before i even found this forum. Very informative! You taught me about nitrogen trapping and the cabbage before i even met you (:.

It is also your article that made me think about how her urine output decreased the week she was the worst, leading me to wonder about acute/chronic. At this point i guess it doesn't really matter :/
Thanks for the great read.
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