- by Dr Md Shiyad K K
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- Nov 25 2017
Kidney Problems in Dogs
Kidney diseases are more common as dog's age. It is estimated that more than 1 in 10 dogs will develop kidney diseases over a lifetime. When healthy, the two kidneys efficiently filter the blood, process protein wastes and excrete them into the urine, conserve and balance body water, salts and acids and help to maintain normal red blood cells. Kidney disease occurs when one or more of these functions are comprised or reduced.
Dogs with moderate to severe chronic kidney disease (CKD) are prone to dehydration, a dog may feel lethargic and has a poor appetite.
There are several risk factors that make pets more susceptible to kidney diseases, such as age or breed. There are some factors that initiate or accelerate kidney damage. Such factors include:
- Ureteral obstruction & hydronephrosis (stones causing a blockage)
- Tubulointerstitial disease (involving the kidney tubules)
- Amyloidosis (protein problem)
- Hereditary nephropathies (genetic problem)
Signs and Symptoms
- Urinating and drinking more
- Urine leakage
- Weight loss
- Bad breath with a chemical odor
- Oral ulcers
- Pale appearance
The doctor will perform the physical examination to check enlarged, painful kidneys, back or flank pain, and changes in the prostate or urinary bladder. A rectal examination gives more detail about the possibility of urethral, bladder or prostatic disease that might relate to kidney disease.
Several tests are done. Such as:
- Complete blood count (CBC)
- Chemistry profile with electrolytes
- Urinalysis with sediment exam
- Urine culture with susceptibility
- Infectious disease testing
- Diagnostic imaging
- Blood pressure measurement
- Kidney sampling
Management and monitoring of kidney disease
- Providing adequate and appropriate nutrition with a kidney-friendly pet.
- Ensure excellent hydration
- Balancing salts and acid-base levels
- Keeping plenty of fresh water available.
- Frequently treating any protein problems or high blood pressure.
- Taking them out frequently for bathroom breaks.
Treatment depends upon the condition of kidneys whether the renal failure is acute or chronic.
In acute kidney failure, the pet is hospitalized so the kidneys can be stabilized. Intravenous therapy is done to remove all the toxic and waste from the body. Pain relievers, gastrointestinal protectants, and anti-nausea medications will be given.
The chronic kidney failure is addressed similarly to acute failure. A change in diet will be part of the treatment. Blood pressure medication may be a part of the long-term treatment, as well as other drugs required to maintain calcium levels and stomach acid.
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