Kessy's kidney issues
Kessy has been having some issues this summer/fall. Forgive me if this is long but hopefully I won't leave anything out!
Kessy will be 8 in January - she is a herding dog. She usually gets to work 1-2x a week for an hour or two at a time. I noticed throughout the summer that she just was tiring more quickly than she used to. I was thinking maybe it was the summer heat (which she's always been a little sensitive to), in spite of the fact that we always went herding in the evening or early morning, before it got too hot. But then I noticed she started drinking WAY more than usual - 2 or 3 gallons a day and was tiring even more quickly. So I brought her into the vet in mid to late August.
He looked her over and said she looks great, and asked what I wanted to do. I wanted to at least run a tick panel and CBC to see how everything looked, so we drew blood for that.
She came back positive for anaplasmosis but everything else was okay. He didn't think we needed to do antibiotics since her CBC was okay - since doxy is so hard to find I decided to hold off. The vet basically had me convinced that it was in my head and that maybe she was just getting older.
Fast forward a week or so - Kessy started refusing food (which isn't like her - she's a PIG) and threw up a few times. I started her on doxy right away - I got some from a friend and had almost 2 weeks' worth of my own. Within a few days she was eating better.
After her (admittedly short) course of doxy ran out, she started to go downhill pretty badly. This was at the very end of September. She started drinking excessively again and she was very lethargic. I brought her into the vet, and she'd lost 7 lbs in just a few days. They did a CBC, abdominal x-rays, and a urinalysis.
The vet called me the next day with the results - Kessy's bloodwork was NOT good. Her kidney values were very high. BUN was 146 (normal is 6-31) and creatinine was at 3.8 (normal is 0.5-1.6). Her Na/K ratio was normal.
I have a copy of this bloodwork I can scan if that would help...
Her urine was also not concentrated in spite of the fact that she didn't have anything to drink for almost 24 hours, she was super thirsty, but I wanted them to see how she acted...
The vet wanted me to bring her back in for IV fluids, an ultrasound, and an Addison's disease test. So she went in about 2 weeks ago for that.
The Addison's test came back normal and they didn't see anything on the ultrasound. Her kidneys didn't look abnormal and I believe they looked at her heart, spleen, lungs, etc. Everything looked okay.
She was acting much better and had already gained the 7 lbs back. We put her back on antibiotics (minicycline) for the anaplasmosis and the vet wanted to redo the CBC in a week or two.
We had our HGH trial that weekend and Kessy did awesome although she did tire, she's just a workaholic and never quits.
She's been doing much better since, she's drinking about a gallon a day which is not too much more than she used to.
I took her back in for the bloodwork this past Saturday. I was expecting things to have improved. Unfortunately I got a call from the vet this afternoon that Kessy's BUN values are still 5x normal and her creatinine is still high. :confused: This was 2 weeks after the last bloodwork.
So that's where we're at right now. I would like to get a copy of the newest bloodwork to compare the last one to - I can try to do that tomorrow.
It blows my mind that she could run an HGH while her kidneys are failing! Other than some very subtle things she's acting fairly normal.
She's been raw fed (prey model) for the last 4-5 years. Earlier this year we did start feeding kibble and I worry that it may have triggered something. She was eating 4health grain free, mostly the salmon formula.
She's been back on raw for the last couple of weeks. She did start to refuse chicken quarters around the time of her herding trial, but gobbled down beef and pork with her usual appetite. She's never been the type to refuse any type of food, but I'm willing to indulge her, maybe she knows what her body needs??
I will be getting her some green tripe ASAP since I've heard it's great for kidney issues.
I don't know if we have any kidney experts here, but can anything think of anything we're missing? :help: The vet said the next step would be a kidney biopsy but she wants to give it another week or so.
I was wondering if it's just an effect of the anaplasmosis, but the vet said that usually causes protein in the urine and Kessy had none.
Hopefully I've covered everything we've done so far. I just want my wild girl to get better!!! :wub:
I'm sorry to hear this. These dogs amaze me how they will keep going even when not feeling well.
You may want to reach out to LisaT on the board:)
I'm sorry kessy isn't well:( I do agree about talking to Lisa..
Is she still on the antibiotic? I will fathom a guess here, it's the anaplasmosis, and it hasn't been treated long or aggressive enough..
I know Lisa will most likely have much better suggestions than I, but I would add milk thistle to her diet..
What dosage is she on with the antibiotic.?
My dogs are chronic for anaplasmosis, when Masi was 'clinical', her kidney / liver function/values were not good, don't have the paperwork in front of me, but I put her on liver aid and milk thistle, plus the doxy..I do 5mgs per body weight, twice a day for atleast 2 months...I then wait 3 months if all is looking good and redo my bloodwork/kidney/liver function, which was back within normal range..
This year, at our annual, she again came up postiive for anaplasmosis (the dog has NEVER been negative:( , she wasn't clinical, but I put her on doxy anyhow..I haven't retested, because there is no point, she's always going to be positive for it, and right now she is not clinical, so when I see something "off" I throw her back on the doxy , but it's rare I see her 'off...
Ok, done rambling, just some things to think about
Thank you - I sent LisaT a PM on the other forum with a link to the thread so hopefully she will check in here!'
Kessy is on 200mg of minicycline 2x a day. She was on doxy for 2 weeks, and just finished her 2nd week of minicycline. I picked up another 2 weeks' worth on Saturday. I can talk to the vet about increasing the dosage.
Should I try to get doxy? My vet doesn't carry it anymore and it's so hard to find (and expensive...).
I'll get some milk thistle, also got some salmon oil as I read somewhere it may help to slow the progression of kidney issues.
I just got the lab results uploaded but not sure the best way to link to them since i need to leave the images large enough to be read. I guess direct links might be best? These are all from 2 weeks ago - some of the bloodwork is a duplicate but I figured I'd post everything. Sorry if the quality isn't great, I scanned with an app on my phone, but I think everything is at least legible!
Doc-Oct120136-32PM-p1_zpsd4461ecd.jpg Photo by phgsd13 | Photobucket
Lisa can disect bloodwork better than I
Sometimes I refer to this link to get some more info on bloodwork results
Understanding Blood Work: The Biochemical Profile for Dogs - Page 1
I know some are replacing doxy with the minicycline, not really sure if it is comparable. Hope lisa chimes in I'd like to see what she thinks of this as well
Go to Dogaware - the kidneys are probably in need of a break and a 50/50 diet of the right kind of meat mixed with carbs will help to bring those numbers back down. Not saying low protein, it's moderate. DogAware.com Health: Kidney Disease in Dogs
After you read that site, join the K9 kidney group on Yahoo. You will get a ton of information that will be overwhelming I am sure. I set up a whole email just for that group because it's so much. Yahoo! Groups They tell you the information needed to post, then people respond. There is a diet group too - did not join that one.
I had 2 dogs who just had elevations in creatinine (now resolved, knock wood) so not the same as Kessy's. I've had 2 kidney cats and found the cat sites to be very, very helpful and good primers for the info. My kidney cats did very well in terms of longevity. One, who also had diabetes, lived til he was 16 I believe, the other without diabetes was 18.5. They were brother sister.
Tanya's Comprehensive Guide to Feline Chronic Kidney Disease - Everything You Need to Know to Help Your Cat
Finally, this site will give you excellent information - it's not really for us but whatever: Iris - IRIS (International Renal Interest Society)
I am hopeful that once some of the anaplasmosis is resolved, the kidney function will improve - I have no idea if that is possible, but I hope it is!
I would also see if it might be helpful to see someone in internal medicine, endocrinology or whatever at UPENN or Cornell. They may want to do a more involved tick panel, etc. They love to do testing at those places!
I wish you the very best with her.
sent you an email.... :( :( :(
Thanks for the links! I've been searching for diets but was not able to find specific recipes or many sites that had a lot of detail.
It is overwhelming :( But I'm going to tackle diet/supplements first and then will go from there.
Good glad they might help - I think (my interpretation) the concept is the higher/farther from normal the numbers are, the more you have to tweak that diet initially, until you get some results. So for a while, it may be a lot of cereal with some of the right meat mix. Also, if you are not doing subq fluids, that is what you probably want to discuss doing.
Here's what Kessy has been eating, I've been following the recipes and suggestions.
1 lb 10 oz boiled potatoes, 4 oz meat, some unsalted butter or coconut oil, and lots of pills 2x a day. She swallows the meat whole and then looks at me for more - she's not crazy about the potatoes but she will eat them.
I doubled the recipe I found online and she's getting fed 2x a day. I'll have to see if she maintains weight or if I will have to increase her food. So far she's looking ok but it's only been a few days. She has a fast metabolism so we're going through 10 lbs of potatoes every 2-3 days. Luckily we have a big industrial pot so I can boil all 10 lbs at once!
I will probably bring her back into the vet on Tuesday for another blood test and some of the other suggested tests.
|All times are GMT -4. The time now is 10:43 AM.|
Powered by vBulletin® Copyright ©2000 - 2013, Jelsoft Enterprises Ltd.
SEO by vBSEO 3.3.2