My beloved dog Lucky was diagnosed last Weds with an acute episode of kidney failure. His creatine was 3.1, BUN 128, and ALT (liver enzyme) 130. No major visible damage to kidneys, minor signs of chronic kidney disease in an ultrasound but they said nowhere near end stage chronic kidney disease. After 2 days of fluids and a brief treatment with antibiotics (which they discontinued when culture came back negative) his creatine was down to 1.6, BUN of 74 and they sent him home on a kidney diet. He still seemed a bit lethargic and ate a bit less at each meal than usual, so we went in for a recheck today (one week after admission) and his creatine was back up to 3, BUN down to 67, but ALT up even higher to 175. We now have SUBQ fluids to administer every 24 hours.
1. Has anyone had a dog improve after an initial decline and then resurgence in Creatine? (He was tested after a meal.)
2. Is there anything I should ask my vet to test for that could be causing the acute episode?
3. Any treatment tips?
Thank you everyone.