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Ask the Vet About Kidney Disease in Dogs and Cats

Dr. MichaelDym
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While efforts are made to answer all questions as quickly as possible, if an immediate answer is required or if your pet is in need of urgent or emergency care, contact your pet's veterinarian immediately.

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Showing 1 - 15 of 89
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01
DateJun 4, 2022
CategoryKidney Disease
Pet TypeDog
TopicMega Three Supplement and enalapril
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Question:

I have been informed by my vet I need the above items for my dog she is 10 and has renal issues

Answer:

Be sure about the Enalapril then: it is for heart problems and can CAUSE kidney (renal) problems. Here is a good Omega 3 supplement though: https://www.1800petmeds.com/Welactin+Omega+3+Canine-prod11837.html

02
DateMay 10, 2022
CategoryKidney Disease
Pet TypeCat
TopicQuestion for Well Experienced Veterinarian
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Question:

Hi, I made the very difficult decision of putting my beloved 18 year old cat to sleep on Saturday, May 7, 2022. I'm having a really tough time since putting her to sleep. She had suddenly really gone downhill. I took her to a Veterinarian ER as the Veterinary office I was taking her to couldn't see her for two days. The ER Veterinarian told me she was in critical condition, dehydrated. I had them do some labs. I took them lab results that I picked up from my Veterinary office on the way to the ER- they had been done along with a yearly senior wellness exam- just 1 month and 5 days before (April 2, 2022) My Veterinarian had texted me April 4, 2022 with her results but kept stating that she kidney function was normal. I trusted her and took her word for it so I hadn't seen her lab results myself. The ER Veterinarian reviewed her April 4, 2022 lab results and told me her BUN at 39 was Stage 2 Kidney disease. They did some lab work at the ER- her BUN was now 60. The Veterinarian told me she was now Stage 3 or 4 Kidney disease. How would you of handled her BUN being 39 in her lab results on April 4, 2022? Would you have seen that as a concern? Would you have suggested Sub Q fluids and a KD diet be started right away? Since her BUN was up to 60 on Saturday, Creatinine 3.61, in Critical Condition and Kidney's now at Stage 3 or 4- I made the decision to put her to sleep. I'm really struggling since I put her to sleep on Saturday, May 7 and I can't stop wondering if I made the wrong decision in putting her to sleep. I miss her terribly. I can't help but wonder if she still had a fighting chance and could of improved with Sub Q fluids and a KD diet.

Answer:

I'm so sorry you are going through this - I know it's hard. You did the right thing. Subcutaneous fluids and a KD diet only help them feel a little better by lowering their BUN temporarily - there is no actual treatment for the kidney failure. So I usually feel like I start fluids and KD more for the owner than the cat. The fluids can be painful (large bore needle) and the food is low in protein so they don't like it, so sometimes I feel like I'm making the cat miserable for their last few days for no real good reason. I hope this helps you feel a little better about your decision.

03
DateMay 5, 2022
CategoryKidney Disease
Pet TypeDog
Topicrecipe for dog food
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Question:

My dog has kidney disease and I want to make her food. Where can I get a healthy recipe for her?

Answer:

Honestly, I wouldn't advise trying to do that with kidney disease unless you work directly with a board certified veterinary nutritionist, often found at your local veterinary school.

04
DateApr 19, 2022
CategoryKidney Disease
Pet TypeDog
TopicDiet Supplements
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Question:

20 lb. Shih tzu mix, stage 2 kidney disease. He refused prescribed kd food would not eat any of it. Put him on a home cooked feeding plan(boiled chicken breast, white rice, green beans, carrots) I need to add supplements but have no idea what to use. Please advise/recommend. He is eating now on the home cooked plan.

Answer:

It is VERY hard to correctly balance their diets with people food, so I'm supposed to discourage you from trying it - especially if she has kidney disease. The nutritional experts recommend working directly with a board certified veterinary nutritionist, often found at your local veterinary school. If that isn't an option, the best site to use to balance her diet is balanceit.com. It will have you enter a bunch of information about her and exact ingredients you want to use, etc. and then it will tell you what you need to supplement.

05
DateMar 5, 2022
CategoryKidney Disease
Pet TypeDog
TopicSuplements for kidney (high creatinine) in dogs
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Question:

I cannot find any more Azodyl for my dog and just using Epakitin. Any other one that can be suggested ?

Answer:

I'm showing that Azodyl is available here: https://www.1800petmeds.com/Azodyl-prod10986.html - and/or consult your veterinarian who has access to your dog's bloodwork and entire history for the best advice about supplementation - it will depend on many factors (anemia?, low potassium, etc etc.)

06
DateMar 1, 2022
CategoryKidney Disease
Pet TypeCat
Topicbeing proactive
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Question:

Hi-my question is, I have a male cat; he will be 17 y/o this june. he is on methamazole and denamaran per his vet and doing very well. Knowing older cats are prone to kidney disease, I am wondering if i should feed him a k/d type wet food or dry from Hills or is there a good otc brand. He has not been DX with kidney disease. I was feeding him blue buffalo wet, but he had blood work and some liver enzyme ? issue so i switched him because i heard another cat owner state they heard other cats eating blue buffalo were dx with liver prob. I now feed him fancy feast grilled in gravy, mostly chicken and turkey, some beef too(senior cat option hard to get) For dry to supplement his wet food, I give him Petco brand, grain free for seniors chicken flavored. thank you

Answer:

Your questions are good ones because yes, older cats are prone to kidney disease - especially cats that take methimazole, BUT I would really need to see his actual bloodwork to make a recommendation. At the very first sign of any kidney issues, I would start mixing in a prescription food for kidney disease (like Science Diet K/D) but not really before that. There are more specific tests for kidney function called an SDMA test - ask for that with his next bloodwork to see if he needs to start one of the kidney diets.

07
DateMar 1, 2022
CategoryKidney Disease
Pet TypeCat
TopicProactive
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Question:

See what I already typed

Answer:

Whatever you already typed didn't come through - all I see is "See what I already typed" and the topic is "Proactive". Feel free to resubmit another question.

08
DateFeb 8, 2022
CategoryKidney Disease
Pet TypeDog
TopicCan’t find prescription on website
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Question:

I currently use a pharmacy that compounds Telmisartan for my small Yorkie and am living in Florida for winter. Wanted to use pet meds company while here since my NH based company can’t ship meds out of state.

Answer:

This is the Ask the Vet section for medical questions. Contact customer service about products that they carry or may be able to compound for you. Here is their contact information: Toll Free Number (Call or Text) 1-800-PetMeds® (1-800-738-6337) Email Address customerservice@1800petmeds.com and a Telmisartan product that they carry: https://www.1800petmeds.com/Semintra-prod12542.html

09
DateJan 12, 2022
CategoryKidney Disease
Pet TypeCat
TopicHomemade cat food for renal disease
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Question:

Do you have a good recipe for homemade cat food for renal disease?

Answer:

I really don't and I would need to see your cat's records (bloodwork, history, etc.) to determine the severity of renal disease to even start formulating one. It is too hard to balance homemade diets and get the percentage of protein correct for a cat with kidney issues so working with a veterinary nutritionist (often found at your local veterinary school) is ideal.

010
DateJan 1, 2022
CategoryKidney Disease
Pet TypeCat
TopicRenalK Plus
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Question:

Do I give my 10 lb. A: cat 1/2 scoop twice a day, or B: 1 full scoop twice a day?

Answer:

It depends on your cat's potassium level - your veterinarian will have that in the last bloodwork so consult them for the best advice. In general though, here are the instructions: "Give 1 level scoop per 10 lbs of body weight given orally twice daily. Powder may be sprinkled or mixed at mealtime. Adjust amount based on veterinary recommendations."

011
DateDec 10, 2021
CategoryKidney Disease
Pet TypeCat
TopicFluids
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Question:

Should a cat be receing fluids while she has fluids in her lungs.

Answer:

I would need to know a LOT more about your cat's case to really advise you about this, but if she is dehydrated, yes, fluids may still be indicated.

012
DateDec 1, 2021
CategoryKidney Disease
Pet TypeCat
TopicMeds for Cat CDK
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Question:

My 18-year-old cat, Triskit, has been diagnosed with kidney disease. I need help in getting her to eat more. Vet gave her B-12, Hills Science Diet CDK canned food plus subcutaneous fluids. What else can help her?

Answer:

This is always a problem with our kidney failure patients. There are other prescription foods, made by different companies (Royal Canin, Purina/ProPlan, Blue Buffalo) that your veterinarian may be able to order for you that she may like the taste better.

013
DateNov 17, 2021
CategoryKidney Disease
Pet TypeDog
TopicPain meds
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Question:

Hi Doctor, My 14 year old chihuahua has kidney disease. BUN 121. Creatinine 7.3. Phosphorus too high to read on VetScan machine. She’s on 150mL of subq fluids every other day and 4mg of Ondansetron every 12 hours. Is there anything she can have for pain even a supplement? I’ve asked her vet team and they said she’s on palliative care and didn’t have a direct answer but didn’t tell me she couldn’t have anything either. I’m just wondering if you’ve heard or experienced any pet in end stage renal disease have any luck with something for pain. Thank you.

Answer:

I'm sorry that you are going through this with her - I know it's hard. Since many pain meds are metabolized by the kidneys, it's hard to use them with our end stage kidney patients, but you don't want them to be uncomfortable either, so I usually stay away from NSAIDs and use opioids.

014
DateOct 14, 2021
CategoryKidney Disease
Pet TypeCat
TopicFood for kidney disease
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Question:

Im looking to adopt a cat with kidney disease. How often will he need to go in to get a prescription for his food?

Answer:

It really depends on the severity of the kidney disease and how often his veterinarian needs to recheck him, so consult his veterinarian for the most accurate advice. Annual (once-a-year) visits with bloodwork are usually a minimum, then that veterinarian can approve the prescription for a full year, but this varies by state and individual veterinarian.

015
DateOct 5, 2021
CategoryKidney Disease
Pet TypeCat
TopicKidney disease/Blood clots
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Question:

I have read that cats with kidney disease are vulnerable to blood clots that can cause massive strokes. Is there an anticoagulant that can be administered that can help deal with the clots without causing additional damage to the kidneys?

Answer:

No, we do not start kidney disease patients on anticoagulants. Keeping the kidney disease patients well hydrated (with things like fluid therapy, canned prescription kidney food, water fountains, etc.) is what decreases the risk of strokes in them.

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