As a practicing veterinarian, Dr. Dym has over 19 years of experience and dedication to enhancing the overall health and well-being of pets. His commitment and passion for pet health continuously drives him to learn more about the art and science of homeopathy through ongoing training and education.Submit Your Question
Question:Needing A Low Protein Diet, Would Feeding Her Oatmeal With Peanut Butter Be Ok ? All She Gets Now Is Can Food That Has 11% Protein. She Is About 14 Years Old.
Answer:I Would Not Assume She Needs Low Protein Diet, As That Would Depend On Degree Of Kidney Disease And Elevation In Creatinine/bun. If It Is Truly Needed, See The Wonderful Low Protein Diet Recipe In The Book Dr Pitcairn's Guide To Natural Health For Dogs And Cats By Richard Pitcairn, Dvm, Phd, Which Has Great Kidney Recipe. Oatmeal And Peanut Butter Not Adequate
Question:My 14yo Lab Was Recently Diagnosed With Kidney Disease And A Gi Bleed After Being On Nsds For 2 Years. We Have Been Able To Get His Bun And Cret Back In Range With Diet And Supplements. Unfortunately Now He Can't Take The Nsds And His Arthritis Is Really Bothering Him. I Have Been Reading About Fish Oil To Treat Arthritis But Also Used For Kidney Disease. Would His Be An Option Vs Cosequin Ds/msm Which He Was On With The Nsds. Not Sure If Cosequin Is Safe For Kidneys. Thanks For Your Help.
Answer:I Think Fatty Acids Are Great. Try Nordic Naurals Pet Omega 3 From 1800petmeds. I Am Not Cosequin Fan. Try Glycoflex Iii From 1800petmeds. Consider Also Consulting With A Holistic Vet Skilled In Acupuncture Or Chinese Medicine, Or Perhaps Even A Veterinary Homeopath. Many Homeopaths Consult Nationwide Www.doctordym.com
Question:The Protein In Her Blood Is 7,6 Higher Then The 7.4 Max Range. She Also Has 2 Protein In Her Urine. I Ask My Vet About High Blood Pressure Meds But She Says Because Her Specific Gravity And Albumin (in Her Blood , She Was Not Screen For Albumin In The Urine) Are Within Range She Does Not Initiate Meds For These Numbers. I Have Lost Dogs To Kidney Disease So I Am Concerned. Most Vets Do Not Take Bp Readings I Have Not Ask Her About This But I Am Thinking That She Should Reconsider Her Treatment Options. Do You Have Any Suggestions. Thank You
Answer:The Test You Need To Ask Your Vet To Run At An Outside Lab Is A Urine Protein/creatinine Ratio< Which Will Tell You If There Is Significant Protein Loss In The Urine, Which Needs Medication Possibly Or Not I Would Also Start Your Morkie On A Good Quality Omega 3 Fatty Acid Like Nordic Naturals Pet Omega 3 From 1800petmeds. Fatty Acids A Part Of Chronic Kidney Disease Management, With No Side Effects, As Well As Wont Hurt Even If No Kidney Disease Present
Question:I Have A 15 Yr 3 Month Old Neutered Male Dog. Poodle, Carin Terrier, Corgi, Rat Terrier Mix. We Were Just At The Vet For His Rabies Vaccine 4 Weeks Ago And He Had A Checkup. He Is Currently Taking Enalapril (1-5mg Am 1/2 5 Mg Pm) And Furosemide (1/2-12.5 Mg Every Other Day). He Weighed 16 Lbs On August 6th At The Vet. Within The Past Two Weeks He Has Lost His Appetite For His Dog Food. He Will Eat Treats Though. He Has Lost A Considerable Amount Of Weight In The Last Few Weeks. He Is Still Drinking Water And Going To The Bathroom. In March He Had A Sweat Gland Carcinoma Removed And Was Doing Very Well Till The Last Few Weeks. I've Tried Adding In Wet Food And Even Ground Turkey In With The Dry Food. Do You Have Any Advice On How To Improve His Appetite? I Understand He Is Extremely Old However I Want His Quality Of Life To Improve. I Did Start Giving Him Duralactin For Inflammation Upon The Dr's Suggestion. After About A Week On It He Seemed To Have An Upset Stomach So I Discontinued It And Put Him Back On His Glucosamine. Any Suggestions As To What I Should Do?
Answer:So Sad That This 15 Year Old Chronically Ill Dog Got A Rabies Vaccination As A Pet Like This With Chronic Disease And This Age, Should Be Medically Exempt From Rabies Vaccination, In My Opinion, Due To The Potential Health Risks In This Patient And/or If Your State Allows Medical Exemptions. See Www.rabieschallengefund.org To Learn More. Also A Pet On These Drugs With These Symptoms Should Have Recheck And Blood Work To Make Sure No Complicating Kidney Problems From These Drugs And/or His Heart Condition, However Rabies Should Could Be Involved As Well, Especially If He Was Fine Before That
Question:Hi Doctor, I Am Writing In To Ask For Your Advice. When We Were Visiting The Washington Dc Area In The Beginning Of July, Our Two 10lb Chinese Crested Dogs Each Got Approximately 30 Or So Ticks On Them. We Tried As Best We Could To Remove All Of Them Within 24 Hours, But Some Were Probably On For 48. We May Have Missed Some. (one Dog Is Hard To Check As She Is Super Sensitive.) Because They Each Had So Many Ticks On Them, We Gave Them Doxycycline (i Think It Was 20mg Two Times Per Day) For Two Weeks. It Has Been About A Month Since They Were Off The Doxy And About A Month And A Half Since The Initial Incident Happened. We Now Live In Dc And Have Been Checking Every Night For Ticks. Luckily, We Haven't Found Any Ticks On The Dogs. I Am Writing To Ask Several Things: (1) First Of All, Should The Dogs Be Tested For Lyme And Various Other Tick Bourne Illnesses Even Though They Were On The Antibiotic? (2) They Are Due For Revaccination Of Lyme About A Month From Now. If We Take Them To The Vet In The Next Few Days To Have Them Tested For Lyme, Is It Ok If We Vaccinate Them For Lyme A Month Early? (3) If Their Initial Lyme Vaccine, The Booster, And The Next Years Vaccine Were All A Form Of The Killed Virus, Is It Ok That Their Vaccine Isn't A Killed Virus But Instead An Antibody Based Vaccine? (we Moved And The Vet That We Are Thinking Of Going To Has A Different Vaccine.) (4) I Keep Being Nervous That My Dog Is Limping, But I Really Can't Tell. If She Were Limping Or Having Stiff Joints Due To The Lyme, Would It Be Apparent? She May Just Be Walking Oddly Because Our New Apartment Has Wood Floors And She Slips. I Really Appreciate Your Time And Feedback.
Answer:Thank You For Your Questions. All Of These Questions Are Quite Variable In Their Answer, Depending On The Particular Veterinarian You Consult With, Etc As There Is No Black Or White Traditional Answer For These. Most Allopathic Veterinary Experts Dont Even Recommend Lyme Vaccination, Including Renowned Lyme Disease Expert And My Former Professor At Penn Meryl Littman, Vmd, Who Is Against Lyme Vaccination, Because Of The Potential Autoimmune Nature Of This Disease In Animals, As Well As The Fact That The Vast Majority Of Dogs Who Are Exposed To Lyme Disease Never Get Sick, Even Though They May Test Positive On In House Vet Lab Quick Lyme/heartworm Checks. In Fact, As You May Read, Lyme Disease Is Way Overdiagnosed By My Traditional Veterinary Colleagues. Treatment With Doxycycline Can Never Hurt, Accept For Rare Digestive Upset. Doxycycline Can Also Help Limping Through Its Anti Inflammatory Effect On The Bone As Well, Which Does Not Mean It Is Helping By Killing Lyme Bacteria. I Am A Conservative Veterinarian When It Comes To This Lyme Vaccination, And Dont Recommend It, As There Have Been Chronic Complications From The Old Lyme Vaccination In People, And In My Experience And Opinion, Even In The Animals I Have Seen In Practice Over 25 Years, And From My Experience Of Practicing In Lyme Hot Bed Of The Northeast Much Of That Time. You Could Consider More Accurate Clinical Testing That Has Recently Developed Including Pcr Testing And/or C6 Antibody Testing Which Most Vets Can Send Off To An Outside Laboratory. More Importantly In Animals Exposed To Lyme Disease, It Is Probably A Better Use Of Your Money To Have A Urine Protein/creatinine Ratio, As That A Unique Form Of Kidney Disease, Where Protein Is Lost Through The Urine Is Truly The Only Really Very Rare Complication Of Lyme Exposure, And Most Of These Cases Are In Certain Breeds Such As Retrievers Or Shelties, Which May Have A Genetic Predisposition To This Very Rare Lyme Exposure Condition. So Please Try And Have Peace Of Mind, And Not Get Caught Up In The Scare Of Testing And Overtreating For This Condition. I Hope This Helps Good Luck
Question:Would A Brat Diet Help Our Dog Get Appetite Back?
Answer:Not Sure What You Are Asking But You Need To Be Having Kidney Disease Addressed At Local Vet In Your Area Via Fluids, Etc Appetite Stimulants Like Mirtazipine Can Sometimes Help
Question:My Cat Is 20years Old(human Yrs). Lately He Has Been Bumping Into Objects & Off Balance As If He Can't See Anything. I Need Help Don't Know What's Going On!. What Can Cause A Cat To Go Blind & What Are The Treatments To Correct Vision?
Answer:Many Possibilities But Most Common Is High Blood Pressure Causing Detached Retina. I Would Go To Vet And Have Blood Work To Check Metabolic Function As Sometimes High Thyroid Levels Or Kidney Disease Can Cause High Blood Pressure Which Can Lead To Sudden Blindness. Treating These Underlying Potential Disorders Would Be Important
Question:Hi Dr. Dym, My Soon To Be 11 Year Old German Shepherd Was Diagnosed With Chronic Kidney Disease Less Than 4 Months Ago After He Became Sick With Many Symptoms Of The Disease. We Treated His Uti First And Tested Again For Crd And It Came Back That Archie Has Beginning Stage 2 Crd. The Vet Recommend Hills Science Diet For Senior Dogs But Archie Has A Very Sensitive Stomach And He's Been Eating Purinia One For Sensitive Stomachs With Salmon For The Past 4 Years. He Is Still Very Active And Loves To Go Out As Much As Possible But I Want To Give Him The Best Quality Of Life As Well. What Should I Feed Him? I Currently Give Him Filtered Water, Omega 3 Fatty Acids Fish Pills (1 Capsule A Day Over His Food). I Really Want To Know What I Can Give Him That Won't Progress His Crd.
Answer:I Would Personally Recommend A Home Prepared Low Protein Diet, As That Is Best For Him, And Is Much Better Than The Prescription Junk. See The Kidney Diet Recipe In The Book Dr Pitcairn's Guide To Natural Health For Dogs And Cats By Richard Pitcairn, Dvm, Phd. Also Consider Consulting Individually With A Holistic Practitioner As Well, As Many Of Us Do Offer Phone Consultations Nationwide. See Www.doctordym.com To Learn More
Question:My Dog Has Been Diagnosed With Cvd And Chf. He Was Given Lasix And Pimebentan. When He Got The Meds Administered At The Vet Hospital, He Was Like A New Dog, But Now, I'm Having Trouble Giving Him The Meds At Home. He Won't Eat And Won't Open His Mouth When I Try To Give Him The Meds. He Also Wants To Sit, Instead Of Lay Down. Is There Anything I Can Do?
Answer:I Would Check With 1800petmeds And/or Your Vet And/or Local Compounding Pharmacy In Your Area, To See Who Can Make Them Into Easy To Administer Flavored Liquids. Some Pharmacies Can Even Make Them Into Transdermal Formulation To Be Absorbed Through The Skin. Vet Recheck Recommended To Make Sure No Secondary Kidney Or Other Issues From Lasix Therapy Or Heart Disease
Question:My 16 Yr Old Cat May Have The Beginning Signs Of Kidney Disease When Blood Tests Showed Creatinine Levels Slightly Elevated Above The Norm. She Doesn't Show Outward Signs Of The Disease And Isn't Anemic. The Vet Recommended Hill's Prescription K/d Food. She Will Only Eat Dry Food, But Likes To Lick Juices From Some Canned Food. I'm Confused About The Food And What Is Best:? Low Protein Or Normal Protein; Low Phosphorous; Etc. Holistic Recommendations Suggest Normal Protein From High Quality Foods. I Don't Know What To Do.
Answer:Excellent Questions. As Also A Holistic Oriented Veterinarian, I Do Stress Better Quality Protein, Preferably Home Made Meat Based Diets If Possible. I Work With A Feline Nutritionist, Anitra Frazier, Who Wrote An Excellent Book On How To Do This, Called "the Natural Cat". She Consults With People Nationwide 212-663-0122. There Are Also Excellent Nutritional Supplements And/or Other Holistic Measures That Can Help As Well. To Learn More See Www.doctordym.com Many Holistic Vets Offer Phone Consultations Nationwide
Question:Had My Dog To The Vet Yesterday, Said She Might Have Pulled A Muscle. Can I Give Her Any Over The Counter Meds For Pain. She Has Chronic Kidney Disease But Is Doing Well With That. She Is Hardly Putting Any Weight On Her Hind Leg, Also Panting. Our Vets Office Is Closed Now
Answer:You Can Try The Homeopathic Combination Remedy Traumeel, Which Is Available From 1800petmeds Or Local Health Food Store. I Would Only Use It, Though For A Few Days Until Your Vet Check. You Could Also Try The Supplement Tumeric, Which Has Wonderful Anti Inflammatory Pain Relief. Dose For Dogs Is 10-20 Mg Per Pound Twice Daily.
Question:My Very Strong, Muscular, Healthy, Very Active 8 Yr Old Male Cat Began Losing Weight A Couple Months Ago And Has Become Skinny And Weak. He Still Has A Good Appetite And Does Not Throw Up. My Vet Wants $200 For Blood Test And Cultures. She Also Said That It Might Be His Thyroid. I Haven't Seen Worms In His Stool, So What Could It Be? Thank You!!
Answer:Many Possibilities From Thyroid To Diabetes, To Liver/kidney Issues, As Well As Thyroid. If You Are Strapped For Cash, Ask Vet To Run Urine Dipstick In Their Office To Rule Out Diabetes And Kidney Disease, As Well As Have Vet Run T4 And Blood Creatinine To Assess Kidneys. This Is Short Cutting But Often Adequate To Get At Diagnosis. Also With This Cat Possibly To Have Inflammatory Bowel Disease Or Less Likely Cancer. Monitor Closely
Question:Hi There..i Have A 75lb Male Dog Who Is Mixed (sharpei, Shepherd, Great Dane), And He Had A Seizure W/ Convulsions This Morning And Yesterday Morning. Yesterday Was The First Time, And He Both Pooped And Peed On His Bed While Also Drooling. I Did Not See The Seizure Yesterday, But Caught Him Right After. After, He Was Disoriented, Listing To The Left, Bumping Into Things. He Walked Around The House And Backyard For A Few Hours Without Lying Down. But He Seemed To Get Better After Several Hours. This Morning, He Had Another Seizure W/ Drooling. Same Symptoms As Yesterday Without The Body Function Issues. It Seems To Have Affected His Left Eye As Well As He Seems To Not Be Able To See Very Well With It (his Eye Does Not Move When I Move My Fingers In Front Of It). He Is 13 1/2 Years Old And Has Some Arthritis In His Back Legs. I Started Giving Him 2 Baby Aspiring Twice A Day About 12 Days Ago. I Also Started Him On A Different Fish Oil W/ Higher Epa Levels About 4 Days Ago. I Wanted To Get Him Used To The Fish Oil Before Discontinuing The Baby Aspirin In The Next Few Days. Could The Baby Aspirin Have Caused The Seizures? I'm Not Giving Any More To Him, And Am Hoping That He Will Not Have Any More Seizures. Could You Give Me Some Advice As To What I Can Do For My Dog In The Meantime? Thank You!
Answer:I Doubt Aspirins Involved, But Lots Of Potential Causes In Pet This Age, From Liver Disease, Kidney Disease To Brain Tumors. Needs Full Vet Exam And Evaluation To Sort This Out And Best Treatment Plan.
Question:Is It Okay To Break Open An Azodyl Capsule, Dilute With A Little Water, Put It In A Syringe Then Squeeze It Directly Into My Cat's Mouth? I Have Not Been Able To Give The Capsule By Mouth Or Having Her Eat It In Her Food.
Answer:Trying This Way Is Fine. Also Consider The Supplement Renavast Which You Can Learn About On Line For Kidney Disease In Cats.
Question:My Dog Wonyboy, A Male Lab, Is Only 6 Years Old. He Was Very Playful As A Puppy, Up To Around 3yrs Old. Over The Years, He Changed From Lively To Placid. Now, He's Just Not As Playful As Before. He Used To Pant A Lot When He Was Younger, But Along With His Behavioral Change, He Does Not Pant Nor Open His Mouth/ Stick Out His Tongue Anymore. He Would Not Greet Us Home As Lively As He Used To, And Would Not Bark As Often. For As Long As I Can Remember, He Never Made Eye Contact, Like He Never Learned How, I Guess. But Lately I Noticed It's Different, Like He's Spacing Out Or Something. He's Still Attentive, And Would Respond When His Name Is Called But At Times, Especially When His Body Is Lying On The Floor But His Head Is Above It, He Would Stare Blankly As If Being Pensive, Before Finally Laying His Head. My Mom Always Jokes He's Autistic. It Used To Be Funny 'til I Realized My Dog Looks So Sad And Mysterious, And Is Now Very Sick. It May Not Show Because He Never Lost His Big Appetite. That's One Thing I'm Thankful For. His Appetite Never Changed. One More Thing That Might Be Important, He's Always Had This Severe Kind Of Skin Allergy. He'd Always Scratch, And It Seemed His Whole Body Was Itchy. We've Given Him Steroids And His Condition Improved But We Tapered The Administration Until We Stopped Giving It Entirely Bec Steroids Could Be Harmful Esp To The Stomach. He's Been Off Of It For Several Months Now. His Itch Is Back. He Was Neutered About 2years Ago. Just Days Ago, His Feces Were Filled With A Lot Of Blood. The Vet Told Us To Give Him Yakult Milk (yogurt Milk). The Next Day And The Days That Followed, Blood Was Gone. And Then 2 Days After That, I Took Him Out For A Short Walk And Then He Collapsed! We Thought It Was Just Because Of Fatigue And/or Heat. But He Was Too Young To Tire So Easily. The Vet Told Us To Make Him Drink Cold Water With Sugar Solution, And We Complied. It Took A Little While But He Got A Better After That, Almost Back To His Old Self Prior To The Collapse. We Had Him Tested And The Results Showed That He Has Low Blood Count, And His Creatinine Level Is High. The Vet Said He Might Be Anemic, So A Blood Transfusion Is Needed. He Also Said That My Dog Might Have A Particular Kind Of Worm Or Heartworm. How Can He Be Treated With A Poor Kidney Due To The High Level Of Creatinine? As To What I Understand, A High Level Of Creatinine Leads To Kidney Failure. Could The High Creatinine Level Be The Cause Of His Bloody Defecation? Or Was It Due To The Prolonged Steroid Intake? What Causes The Creatinine Level To Shoot Up? I've Had Other Dogs Who Died Bec Of High Creatinine. We've Been Feeding Our Dogs Table Food Except Fish And Chicken Per Our Vet's Advice, But This Is, What I Believe, Causes It. I Really Think He's Not Good Enough. But He's The Best If Not The Only One Around In Town. Please Help.
Answer:This Is Tough One For Me To Truly Help In Forum Like This. I Would Strongly Recommend Making List Of Questions You Have Above, And Go Back To Vet For Recheck. Ask Vet If Your Pet Has Been Diagnosed With Heart Worms Or Not, As That Will Determine Treatment And Prognosis. I Usually Put Dogs On Iv Fluids With Kidney Disease To Try And Flush Their Systems Out, As Well As Look For Underlying Causes Like Infections, Etc Which Can Be Treated, So That Hopefully Kidney Issues Ail Resolve.