Ask the Vet About Kidney Disease in Dogs and Cats
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:I try to feed my cat renal food, I have tried them all in order to get him to eat it, I have to mix a little bit of regular cat food in with it. What should I purchase? Is cat food for cats with urinary health issues ok? Most foods say high protein and I’m not sure he should be eating that. Any recommendations? Thank you.
Answer:He needs lower protein. The foods "for cats with urinary issues" are for cats that have crystals, not for kidney failure cats. There are many companies that make good, prescription diets for kidney failure: Hills Science Diet, Purina, Royal Canin and Blue Buffalo. They are all more expensive than regular food because a lot of research has gone into them so they really help cats with kidney failure.
Question:My 15 yr old ShiTzu has elevated kidney levels (34SDMA) She is currently taking Enapril and Levothoroid. Is there a an over the counter supplement that you recommend?
Answer:Your veterinarian, who has access to all of her blood results and x-rays, is definitely the best one to ask. Enalapril is hard on the kidneys but she may need it for her heart. In general though, this is a good supplement for geriatric dogs: https://www.1800petmeds.com/Senilife-prod11874.html
Question:My dog Bailey who is almost 8 was recently diagnosed with kidney failure. creat 2.6 to 2.8. We changed to kidney diet. Are any of her meds dangerous for her now. Anything else we can do to help her?
Answer:I need to know the exact medications (and strength) and her weight - some medications are hard on the kidneys and some are not. Here is a link to an article about treating kidney disease: https://www.1800petmeds.com/education/kidney-disease-treatment-dog-cat-31.html
Question:I am trying to find a wet food that my dog will like. He has kidney disease and does not like the food my vet has. Also looking for treats for him.
Answer:Multiple companies make prescription kidney diets - have your veterinarian either order or approve prescriptions for them: Hills makes one, Purina makes one and Royal Canin makes one. Try canned if you haven't already. Try warming the canned just a little.
Question:I am currently feeding one of my two cats a prescription KD dry food recommended by my vet. Can I feed the same food to my other cat who is about the same age (16) but who has not been diagnosed with kidney disease? It’s much easier for me to feed them both the same food. Thank you.
Answer:Yes, it should be fine to do that, especially because of their ages. Check with your veterinarian, who has access to their last blood work, to say for sure though.
Question:Hi, My Kitten is 6 months old. He has stopped eating. We went to vet and then took blood report. The Creatinine is 10.9 and Urea > 130. We are very disturb. Can you suggest any medicine.
Answer:This is very unusual in a 6 month old kitten. More tests are ideally needed to determine why the kidneys are failing at that age. A referral to a kidney specialist is an option - often found at your nearest veterinary school.
Question:Hi, I really hope you can help me, I believe my female cat has a urine infection, she is peeing in front of litter box ( which is very clean) and she never did this before! Also she is drinking a lot of water all the time, she is cleaning her privates very often. But the problem is she is deathly afraid of people and of even going near the door never mind leaving the house! She is too terrified for me to bring her to a vet , I am afraid she will have a heart attack literally, so I am hoping there is a way I can see a vet online and get her antibiotics if that is what she needs! Or if there is a vet that can come to my place? Please help me! I am so happy you guys are free questions Because every one else charges just to ask a question, so thank you, Nicole
Answer:It really would be ideal for a veterinarian to check her out, run some blood work and a urinalysis. The symptoms you are mentioning can have many underlying causes (urinary tract infection, crystal, diabetes, kidney disease, etc.) and all of these are treated entirely differently, so you really need a diagnosis. As far as a mobile veterinarian, you will have to look in your area - usually just googling "mobile veterinarian in city, state" for example will make them pop right up.
Question:Hi, my 1 year 7 month old male cat has started peeing everywhere other than the litter box , he's also taking too much time for peeing and is excessively licking his private part, I consulted a vet and he prescribes a antibiotic incase its caused due to bacteria and Cytosone tablet for kidney stone ,im really confused ,what should i do please help me (english is not my first language ,sorry if any mistakes are there)
Answer:When male cats start to urinate inappropriately, I always like to do a urinalysis on them to make sure there is no underlying medical problem because male cats have a problem with getting plugged up where they cannot urinate and this becomes an expensive life-threatening situation. If it is caught early, it is cheap and easy to fix with prescription food (usually canned food to increase his water intake) that is formulated for urinary tract problems. If it is behavioral, start by getting more litter boxes that are different shapes and sizes and contain different types of litter. Here is a good article, written by another veterinarian, from a site that I trust with more pointers and advice about "inappropriate urination in cats": https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951508
Question:Hello my 8 month old saint bernard puppy has had PU/PD since we brought her home. I took a urine sample to my vet and he saw a ton of bacteria and gave us meds to treat a UTI but the PU/PD still continued after that. We tried desmopressin thinking it could be diabetes insipidus with no such luck. The doctor said that maybe she's just a dog that drinks a lot therefore pees a lot. Well about a week ago I brought another urine sample in because she was peeing even more than normal (normal is already a lot) and my doctor spun her urine and looked at the sediment and said he saw granular casts but her specific gravity was 1.050. He said he wanted to recheck her urine in a week so a week later I brought him another urine sample. He looked at the urine sample and again said he saw granular casts as well as renal epithelial cells so he said he wanted to do a blood chemistry. Did the blood chemistry and BUN and creatinine were in normal range but phosphorus was high at 8.8. Doctor said no kidney failure but there is likely kidney damage. Should I be concerned? Will this turn into kidney failure? Will she have kidney issues her whole life? Is there anything I can do to reverse kidney damage?
Answer:With kidney damage, it is impossible to guess how they will progress - there is a lot of individual variation depending on the severity. Her age at diagnosis is defintiely not good but her rechecks will tell you how quickly it is either progressing or plateauing and give you the best idea of how she will do long term.
Question:Gideon is 14 yrs old blind and deaf. Has mild renal disease and eats food I prepare.lately he is restless Whimpers, seems to get lost In the house. He walks in circles continuously. I had him vetted 9/20 his specific gravity was great they said. How can I help him? Is he in pain? Currently treating him for ear infection with quadruple. Brown yeast in ears. Responding well. He seems miserable and my once close companion acts like he does not know me.
Answer:I would really need to examine him and see his blood work to make good recommendations. Definitely give the vet that examined him on 9/20 a call and ask what they recommend based on his exam, age and blood work - pain medication may help a little but you will need to use one that is not metabolized heavily by his kidneys.
Question:I have a 17 year old that has chronic kidney disease. What supplements/meds do you recommend?
Answer:Here is a link to our article about kidney disease - it recommends many things & tells you a little about each one: https://www.1800petmeds.com/education/kidney-disease-treatment-dog-cat-31.html
Question:Took my 10 year old beagle (blind by SARDS) to have dental cleaning and extractions if needed. Blood profile shows ALP-1225, ALT-1710,BUN-104, CRE-5.6. Have an appt. with vet tomorrow, what should I expect? No dental was done because of elevations.
Answer:They will need to run some more tests for sure to see if the 2 things (liver and kidney problems) are related (leptospirosis, cancer, etc.) or separate (liver disease and kidney disease) and to see how severely affected both organs might be.
Question:I need to put my recently diagnosed dachshund on a new diet of low phosphorus foods and im wondering what type of multi vitamins/ what brand ect... i should look at please, help i want her to he more energized asap
Answer:That will depend on her blood work (severity, specific parameteres that are low or high, etc.) so contact your veterinarian that has access to her blood work for the best advice.
Question:Everything I have been reading about CKD and food is that the cats generally eat less, drink and urinate more water. Drinking and urinating more has been routine for my cat, but he has no issue eating, in fact is eating more. He was tested for diabetes and hyperthyroidism which I'm told are negative. Is this normal (the appetite) for CKD? Thank you!
Answer:Stage 2 CKD cats still eat fine (usually) - when the disease progresses, it adversely effects their appetites more, so yes, this is probably normal for your cat.
Question:What brand do you recommend when it comes to dog food?
Answer:The big 4 food companies police each other so carefully, I lean toward their food because I know it has been heavily scrutinized: Royal Canin, Science Diet, Purina, and Blue Buffalo. If you are looking specifically for prescription kidney diets, all of these companies carry one & I like them equally as well.