What is renal failure in Shar Pei
Renal failure a pathological condition in which the kidneys partially or completely lose their functions. As a result, the biochemical composition of the internal environment of the body is disrupted. Non-volatile acids and nitrogenous metabolic products are retained in the body, an imbalance of water and salts occurs, vitamin deficiencies in water-soluble vitamins, conditions arise for the development of insufficiency of other organs. the heart, pancreas, liver, ulceration of the mucous membranes occurs, primarily the gastrointestinal tract, which leads to multiple stomach ulcers, bleeding gums, etc. A sustained decline in renal function of 70% or more leads to uremia. self-poisoning of the body with a fatal outcome.
Kidney Failure In Dogs | Everything You NEED To Know | Veterinarian Explains | Dogtor Pete
Distinguish between acute and chronic renal failure. Acute renal failure (ARF) is characterized by a violent onset, a relatively short cyclical course, and often complete regression. Severe ARF can be irreversible and then inevitably turns into chronic. Chronic renal failure (CRF) usually begins imperceptibly, develops gradually and has a progressive course; in the final stage of chronic renal failure, blood purification methods are used to prolong the patient’s life (and in humans, kidney transplantation is performed).
Unfortunately, in most cases, chronic renal failure in Shar-Pei is diagnosed at the last stage, when any manipulations are already pointless (veterinarians understand this very well, but rarely deny owners their request to “do at least something”).
“How could this have happened? A few days ago, my Shar Pei was running, jumping, enjoying life and was completely healthy. And suddenly. such a terrible diagnosis! ” I’ve lost count of how many times I’ve heard these words. Indeed, from the outside, everything looks like someone inside the dog has suddenly turned off the light. But this is a deceptive impression, behind which is our inability to catch small signals of great trouble.
Symptoms of latent renal failure in Shar Pei
As I already said, most often owners find CRF in dogs only when the dog is already in a severe or terminal stage. This happens because the dog does not know how to complain of bouts of malaise, discomfort in some part of the body, and we are often not attentive enough to notice changes in its behavior, habits, eating habits, and so on. The first rule of a good owner: do not wait for the dog to show clear signs of illness, then it may be too late to do something. If your dog is over 3-4 years old, watch for the slightest deviations from the usual behavior. Maybe your dog is sleeping more, lying more, less active? Or maybe she began to periodically arrange fasting days for herself, which was not there before? Maybe she’s gotten worse eating food that she liked? Or is she unreasonably sad? Any deviations from the usual matter, since dogs are slaves to habits, and as long as they are doing well, they live and act according to an algorithm developed in childhood. If there are changes in it, do not eat to take your pet to the laboratory and check the blood and urine for possible abnormalities in the work of the kidneys. Dr. Jeff Widt recommends paying attention to the values of creatinine and urea, even in those cases when they still do not exceed the norm, but are already very close to its upper limit. If, at the same time, the specific gravity of urine is not more than 1.020, then we can speak with a fair degree of confidence about the first signals of chronic renal failure. The same is true if protein is found in urine at normal urine density. In my practice, there was a case of the so-called “isolated proteinuria”. a significant amount of protein in the urine, and at the same time completely normal blood tests and ultrasounds. The dog in question died after 9 months from chronic renal failure.
The diagnosis was made
If this happens, the first thing to do is to pull yourself together. There is no need to feel illusions about the prospects of “treatment” of chronic renal failure, especially if it is caught in the last stages. If the creatinine level is already above 600 μmol / l, and urea has exceeded 60 mmol / l, any manipulations with the dog will only prolong the days of a painful illness. Unfortunately, few doctors and owners are stopped by the fact that a dog with similar analyzes and external symptoms can no longer help and prolong life in the form in which the dog needs it (bed rest and life on IVs and on dialysis for a dog is unnecessary and incomprehensible). At the same time, if you turned out to be sensitive and attentive enough to your dog, and you managed to catch chronic renal failure at an early stage, you need to develop an action plan to maintain the quality of life of your Shar Pei without panic and unnecessary emotions, with the help of a sensible veterinarian. How to deal with the progressive intoxication of the body, what drugs to take, what to feed, etc. Your entire future life with a dog should be subject to strict rules: diet, taking the necessary medications, regular checks of the state of blood and urine.
A dog with chronic renal failure needs fluid therapy. Any experienced veterinarian knows this and, after the diagnosis is made, prescribes a course of droppers with saline and nutrients (glucose, cocarboxylase, etc.), as well as additional drugs, depending on the severity of the disease and the depth of involvement of other internal organs in this process ( pancreas, liver, heart, gastrointestinal tract (gastrointestinal tract) suffer significantly with CRF). Intravenous infusions “feed” the body (especially if the dog hardly eats), supplying pure energy in the form of glucose, cocarboxylase, “washing” the blood, nourishing the tissues. Also, infusions (droppers) are a way to lower the level of urea and creatinine in the blood. However, if the level of these toxins in the blood is high, the result from IVs is likely to be negligible. In moderate and severe stages of chronic renal failure, plasmapheresis is the most effective way to cleanse the blood from toxins that are no longer excreted by the kidneys. In a severe stage of CRF, this is practically the only way to radically and quickly purify the blood of a sick dog and thereby give it a little more time to live a normal life (as much as possible). Unfortunately, even it is practiced in only one or two veterinary clinics.
Plasmapheresis (from the Greek “apheresis”. “Removal”). modern, often uncontested, method of treating diseases of various organs and systems. The procedure consists in dividing blood into cellular elements (erythrocytes, leukocytes, platelets, etc.) and plasma, i.e. the liquid part of the blood, in which pathological and metabolic components are dissolved. carriers of the causes of diseases. Plasma is separated from the cellular elements and removed together with toxins and pathological elements, in the body it is replaced with various sterile solutions, the cellular elements are returned to the patient.
The second effective method of blood purification after plasmapheresis is hemosorption. In the initial and middle stages of CRF, hemosorption sessions can help stabilize the condition of a dog with CRF at a more or less acceptable level, so that the dog can enjoy a normal life for some time.
Hemisorption (from hemo. And Latin sorbeo. I absorb), a method of extrarenal purification of blood from toxic substances by pumping it through a column with a sorbent (activated carbon, ion-exchange resins).
Hemodialysis is the most common method of blood purification in severe stages of chronic renal failure. It is also called “artificial kidney apparatus” and is widely used in humans. As for the use in dogs, in terms of effectiveness, I would give it the third place after plasmapheresis and hemosorption. It is curious that hemodialysis in humans is indicated in the terminal stages of chronic renal failure, when urea exceeds 30 mmol / l, and creatinine is 700 μmol / l. But many veterinarians believe that it makes no sense to do hemodialysis to a dog with such a high creatinine. At least I know of cases of refusal to carry out hemodialysis in dogs in which the level of creatinine and urea corresponded to the terminal stage of the disease.
Hemodialysis (haemodialysis; Greek haima blood dialysis decomposition, separation) is a method of extrarenal purification of blood from substances with low and medium molecular weight by diffusion and partially by convection (ultrafiltration). A procedure in which the patient’s blood and dialysis solution are pumped from opposite sides of a semi-permeable membrane towards each other. In this case, metabolic products pass through the membrane from the blood into the solution and are carried away by it. Excess fluid from the patient’s body also passes through the membrane due to the pressure difference created by the dialysis machine, which controls the procedure and ensures its safety.
Peritoneal dialysis is another way of cleansing the body of toxins that are not removed from the body by the kidneys. It is believed to be technically simpler and cheaper than hemodialysis. In terms of actual efficacy for dogs with CRF, based on the evidence collected, I would rate it in 4th place.
Peritoneal dialysis (anatomical peritoneum peritoneum: Greek dialysis decomposition, separation) is a method of cleansing the blood and the body from harmful substances, based on the high suction capacity of the peritoneum (serous membrane of the abdominal cavity), in which the abdominal cavity is washed through special holes with medicinal solutions in large quantities
A Shar Pei owner with chronic renal failure should remember that all these procedures do not provide one hundred percent guarantee of relief from the condition of the dog and may have side effects from the heart. However, in a serious stage of chronic renal failure without blood purification by one of these methods. the only chance to prolong the normal existence of the animal. over, you will have to cleanse the blood and monitor its chemical composition on a regular basis, otherwise it is better not even to start.
Clear signs of kidney failure
Most often, sadly, the owners catch on when the dog demonstrates one of the following (or all at once):
All these signs of malaise can mean chronic renal failure in moderate or severe (up to terminal) stage.
Dieting for Dogs with Renal Failure
A detailed article on how to properly organize the nutrition of a dog at different stages of renal failure.
The Myth of Healthy Lines
Shar-Pei owners should understand one important truth for themselves: there are no healthy lines from kidney problems. Whether your dog will live to old age or die at 3-5 years old depends only on your personal luck. For example, an 8.5-year-old dog lives and lives in my house, and his daughter died in my arms at 3.5 years old from kidney failure. And the point here is not how breeders conduct breeding work, but the fact that the genes that code for hereditary diseases are recessive and can hide for several generations in the genotype of healthy dogs. In addition, we do not have kennels operating independently, without the use of dogs from other kennels. It is extremely rare that breeders can boast of pedigrees in which only dogs of their own breeding several generations ago were listed. This means that no breeder can give a 100% health guarantee to any of his puppies. Saying “we use dogs of healthy lines” breeders are misleading, passing off wishful thinking, since in order to judge the health of lines, it is necessary to track the entire population, and not a few outstanding dogs from it. Not to mention, guaranteeing the health of strangers’ breeding lines is a brave but foolish thing to do. The level of breeding both in our country and abroad is not yet high enough for breeders to confide in each other about problems with their dogs.
How is renal failure diagnosed in Shar Pei?
CRF cannot be cured. But the sooner it is found, the more likely it is that the dog will live longer, despite having kidney problems. In order not to miss the onset of chronic renal failure, veterinarians, in particular Jeff Widt (who has been dealing with Shar-Pei problems at the National Club in the United States for more than 20 years), advise to conduct simple diagnostic tests for all Shar-Pei, starting from the age of two, at least, once a year, and starting from 5 years. twice a year. What kind of tests are we talking about??
BLOOD TESTS Creatinine and urea nitrogen are usually tested to diagnose kidney disease. Additionally, it is recommended to determine the following biochemical blood parameters: phosphorus, calcium and sodium / potassium ratio. A general blood test is also informative, in particular the composition of erythrocytes, platelets, leukocytes, lymphocytes and hematocrit.
Creatinine is the end product of protein metabolism. It is formed in the liver, then released into the bloodstream, participates in the energy metabolism of muscle and other tissues, and is excreted from the body by the kidneys in the urine, therefore creatinine is a very important indicator of kidney activity. High blood creatinine levels almost always mean kidney problems. This does not indicate the nature of the problem. chronic or acute. and does not indicate its cause and how to solve it, but indicates that the dog’s kidneys are not in order and that measures need to be taken.
Normal values of creatinine in the blood of a dog are 26-120 μmol / l (according to some laboratory reference books, the upper limit of the norm is 140 μmol / l). Please note that an increase in the level of creatinine in the blood can be facilitated by taking certain medications (which is usually written about in the instructions for them), as well as with dehydration and mechanical damage to the muscles. Creatinine is artificially underestimated when taking corticosteroids (in some cases, this property of hormonal drugs is used by veterinarians to temporarily alleviate the intoxication of a dog with chronic renal failure). Initial stage of renal failure: An increase in creatinine of 140 to 200 μmol / L or slightly higher is considered to indicate moderate or initial stage of renal failure. Moderate renal impairment: Creatinine values range from 200 to 398 μmol / L, but even at these values, your dog may still not show any symptoms (other than increased water intake and urination). Severe renal failure: creatinine above 398 μmol / l. These creatinine levels are usually associated with clinical symptoms such as vomiting and loss of appetite. Terminal stage: creatinine above 600 μmol / l. This level suggests that the kidneys have practically lost their functions, there is a strong irreversible poisoning of the body with nitrogenous compounds and other “waste”, which normally filter and remove from the body of the kidney. Death is inevitable and close.
UREA (sometimes “urea nitrogen”). an active substance, the main product of the breakdown of proteins, is produced by the liver from ammonia and participates in the process of urine concentration. In the process of urea synthesis, ammonia, a very toxic substance, is rendered harmless. Urea is excreted from the body by the kidneys. Accordingly, if urea is poorly excreted from the blood, this means a violation of the excretory function of the kidneys.
Normal blood urea levels are 3.5-9.2 mmol / L. Raising it to 12.5 mmol / L, if the dog has not starved for 12 hours before the analysis, is not a cause for concern if other parameters (creatinine in the blood and specific gravity of urine) are normal. Dehydration and stress can also increase urea levels. The initial stage of chronic renal failure: urea level up to 18 mmol / l. At the same time, the dog can behave as quite healthy. Moderate stage: urea up to 28 mmol / l. At this stage, the dog may refuse to eat, it has a specific smell of “urine” from the mouth. Severe stage: the urea level is above 28 mmol / L. This is evidence of uremia and is usually accompanied by clinical symptoms such as vomiting and loss of appetite. Terminal stage: urea above 50 mmol / l.
PHOSPHORUS and CALCIUM: As a rule, with progressive CRF, the calcium-phosphorus balance is disturbed. phosphorus in the blood rises, and calcium falls. Elevated phosphorus levels are dangerous and must be controlled. Since calcium is a “building material” of bone tissue, poor healing of cracks and fractures in a dog may indicate hidden renal problems.
SODIUM TO POTASSIUM RATIO: If the sodium / potassium ratio (sodium divided by potassium) in your dog’s blood is below normal (27 or lower), then Addison’s disease (hypoadrenocorticism) may be causing kidney failure. Addison’s disease can be fatal if left untreated, but it is treatable. It is often misdiagnosed as a kidney disease, so it is worth doing additional testing in this regard, even if the sodium / potassium ratio is normal, especially for young bitches.
HEMATOCRITIS (HCT): an indicator that reflects the proportion of red blood cells in the total blood volume. It determines whether the blood is renewed in the body. The lower the hematocrit value, the smaller the volume of red blood cells in the blood and the more plasma in it. In simple terms, this means that the blood is “aging”, and the internal organs do not have time to create new red blood cells to replace the dying ones. This indicator is associated with renal problems in this way: the kidneys are the main producer of erythropoietin, a hormone that stimulates the formation of red blood cells. Therefore, with renal failure, the production of erythropoietin sharply decreases, therefore, less erythrocytes are produced, and their share in the total blood volume decreases, as indicated by such an indicator as hematocrit.
DENSITY. Urinalysis may be important to diagnose kidney disease. Often the first sign of a dog’s kidney function is a low urine specific gravity (1.020 or lower). over, this symptom appears much earlier than the first deviations in blood tests. The greatest accuracy of the analysis is achieved if the “first daily urine” is taken for analysis, that is, when your dog urinates for the first time after the night. If, with severe azotemia (high levels of urea and creatinine in the blood), the specific gravity of urine remains normal (1.030 and higher), then this is a signal of prerenal (prerenal) problems, such as Addison’s disease, or postrenal problems, such as urolithiasis (or kidney stones).
PROTEIN. Other signs of kidney disease can be protein in the urine, but a small amount, provided the specific gravity is high (1.035 and higher), is considered normal. Be aware that if urine is drawn through a catheter or manual bladder stimulation, there may be some blood in the urine, which shows up as traces of protein on the test. For this reason, it is best to examine urine obtained naturally. just use a scoop or small bowl to collect the urine while the dog is peeing. If you do this at home, immediately put the urine in the refrigerator, and then deliver it to the veterinarian as soon as possible. It is best to let the dog urinate before collecting urine to avoid bacteria entering the test portion. The appearance of protein in the urine with normal blood counts may be the first signal for the onset of kidney problems. However, there can be many reasons for the appearance of protein in urine. “When diagnosing kidney disease associated with protein loss, some of the most likely infections should be kept in mind: brucellosis, piroplasmosis, leptospirosis, boreliasis (Lyme disease), leishmaniasis, chronic bacterial infections and heartworms. Non-infectious causes include, but are not limited to, inflammation in intestines, systemic lupus and hyperadrenocorticism (Cushing’s disease) “(from Protein Losing Nephropathy: An Overview; by Bayer). There is a urine test called electrophoresis. This diagnostic tool allows you to understand the cause of the appearance of protein in the urine.
BACTERIA. Kidney disease (pyelonephritis) is often caused by urinary tract infections. Bacterial culture. the only way to exclude a urinary tract infection, as well as find out what antibiotics should be used to treat it, if found. It is important that urine sampling for bacterial culture was done according to all the rules in order to avoid “dirt” in the analysis. In some cases, the use of a catheter for these purposes is justified (this manipulation is carried out in the clinic, and not at home).
ULTRASONIC DIAGNOSTICS (US)
Despite the fact that many veterinarians recommend ultrasound to monitor the condition of the kidneys, the value of ultrasound as a diagnostic method in dogs is questionable. In all honesty, a diagnostic method in which you can confuse puppies with pyometra, not see 8 puppies at the end of pregnancy, see puppies where they are not (and all this is not a mistake of one specialist, but the results of ultrasound in different clinics, different dogs, at different times), causes distrust. I personally know several dogs that died as a result of chronic renal failure, which had ideal or slightly different ultrasound results. Therefore, if we are not talking about the diagnosis of kidney stones, I consider it pointless to spend time and money on ultrasound.
Raw meat bones (BARF)
Those who feed the dog on the basis of raw meat bones can continue this diet, but the number of specifically seeds should be reduced, replacing them with raw meat as the disease progresses (increased blood urea and creatinine) or if the dog has elevated blood levels. mineral components such as magnesium. Bones are rich in phosphorus and other minerals that can be difficult for kidney patients. If you significantly reduce the number of seeds in the diet, you should add 1/2 to 3/4 teaspoon of ground eggshell to each portion of meat weighing 450 g to equalize the calcium / phosphorus ratio. If your dog’s calcium levels are too high, aluminum should be used instead of shells as a phosphorus binder.
Dogs with kidney disease should always have access to water, even if this leads to incidents in the house. The best choice. distilled water or filtered. Regular tap water, as it can be too mineralized, is best avoided, use bottled water instead, or find a filter to get rid of excess minerals. If you use tap water softeners in your home, your water will contain a lot of sodium, which is not a great idea for a dog with high blood pressure. Again, switch to bottled water (filters don’t remove sodium from water). It is important that your dog does not experience dehydration because it is very harmful to the kidneys. In this sense, it is good to add water to food, especially if you are feeding your dog dry food. If your dog drinks a LOT of water, it means that he is losing this water quickly, and in such cases, you should consider subcutaneous infusions in order to prevent dehydration.
Green tripe can be a great food for dogs with kidney failure, as it is low in phosphorus and they love it. Look for a green tripe, as the bleached tripe that is sold for human consumption does not have the same nutritional value. In most cases, a green scar will whet the appetite, even in an anorexic dog. To avoid getting an upset stomach, don’t give your dog too much scar. If you have never come across this product, please be aware that it has a very specific odor.
Some homemade recipes for dogs with CRF include:
Recipe for a low protein meal (approximately 6.9%) for dogs with severe CRF: Ingredients: 120 g of ground raw beef (but do not use the lean dietary part) 2 cups of cooked white rice (better fine-grained, do not salt!) 1 boiled chicken egg (thoroughly knead beforehand) 3 slices of a white loaf (crumble beforehand) 1 teaspoon ground eggshell (from a raw egg, dry and grind in a coffee grinder; this is the best source of calcium, but if necessary, can be replaced with 5 mg of calcium carbonate from a pharmacy).
If you are afraid to give raw meat, you can lightly boil it (do not boil it too much) in a steamer or non-stick saucepan. Mix all ingredients. Since the resulting mix is slightly dry, you can usually add a little warm water to it. You can also add a little melted butter (this stimulates the dog’s appetite and practically does not add protein to the diet).
Stage Adjustable Prescription for Dogs with CRF: Ingredients: Steamed or raw beef, pork or chicken Boiled potatoes or pumpkin Chicken fat or butter 1 teaspoon ground eggshell (or the equivalent of 600 mg calcium carbonate)
Grind the meat in a meat grinder. Make mashed potatoes (pumpkin) in water. Add calcium source. Mix in proportions, depending on the degree of chronic renal failure (with uremia, the amount of meat is greatly reduced). In the initial stages. 1 part of meat for 4 parts of potatoes (that is, for 75 g of meat. 300 g of potatoes. In the heavy stage. 1:12 (for 25 g of meat 300 g of potatoes). Season with pre-melted chicken fat or butter.
Recipe for dogs with advanced CRF who refuse to eat: Ingredients: A few boiled potatoes A little raw milk 1 hard-boiled egg 1 can of baby meat puree (no salt or other additives) 2-3 slices of a white loaf Butter 1 teaspoon of ground eggshell
Make mashed potatoes and milk. Add eggshell powder, baby meat food, finely chopped (crushed with a fork) boiled egg there and chop the loaf. Season with melted butter. This dish is suitable for dogs who need to reduce their protein intake and who have anorexia.
Sandwiches for a dog with severe anorexia with chronic renal failure: Ingredients: White Loaf Prepared Meat Dog Sauces or Baby Meat Puree
cut the loaf into slices. Spread some mashed potatoes or sauce on a slice for smell and taste, and give it to the dog as a treat. As a rule, even very sick dogs like these sandwiches, the main nutrition of which is through intravenous or subcutaneous infusions, and it is important for them that the stomach is not completely empty.
Green apples are very beneficial for dogs with CRF and quite often dogs seem to understand this themselves, since many owners of dogs with CRF have stated that their pets showed an unexpected interest in apples, even at advanced stages of the disease. Probably, the need for apples is the same instinctive “wisdom” of animals as eating certain medicinal herbs in the wild. The apple is rich in iron, vitamin C, at the same time it contains very little phosphorus. Apples relieve enterocolitis, gastritis, gout, cholelithiasis and kidney stones, so it is not surprising that dogs are ready to eat them. The only advice is to peel them when giving to a dog with severe CRF.
Renal failure (CRF) in Shar Pei
An extensive article describing the symptoms, diagnosis, and supportive care of a dog with renal failure. How to recognize CRF in the early stages. What to do if the disease progresses.
What to do if the dog pisses
Your dog. a deeply beloved and affectionate creature, a full member of your family. She receives your kindness and warmth, and you regularly take her outside so that she can take a walk and relieve herself. So why, every evening, meeting you from work, she sits down in front of you and makes puddles right in the hallway?
How long do dogs with kidney failure live?
When developing a diet for a dog with kidney failure, the goal is to find a reasonable balance between healthy food and a well-fed dog that will almost certainly refuse any kind of pre-made renal diet (commercial medicated line foods). The author of this article. Mary straus.
Many owners report the fact that their dogs are more likely to remain hungry than to eat ready-made renal food. In addition, do not be fooled into believing that commercial food will best meet the sick dog’s needs for quality and easily digestible food. Therefore, many owners, and with them experienced veterinarians, are leaning towards homemade foods for the kidneys.
Here are some basic guidelines for designing a diet for a dog with chronic renal failure:
Vitamins and other supplements for kidney problems
The following supplements are recommended for dogs with kidney disease:
Tips and Complete Guide “ dog kidney failure. canine kidney disease. dog kidney disease ”
Salmon oil (fat from the body of fish, not from the liver) has been shown to be beneficial in kidney disease. Use up to 1000mg (maximum) per 4.5kg of dog’s body weight.
Vitamin E is an excellent remedy for dogs with kidney problems and is recommended in combination with fats (such as salmon oil). Give approximately 50 IU daily to small dogs (2.25-11.3 kg), 100 IU. medium dogs (11.3. 22.5 kg), 200 IU. giant breed dogs.
Coenzyme Q 10. Recent research has shown that Q.10 may be beneficial for people with kidney disease. It is an antioxidant and should be perfectly safe. The gel form is absorbed in the best way. It is given three times a day, every day. Single dosage for small dogs. 15 mg, for medium-sized dogs 30 mg, and very large dogs can receive a full human dose of 60 mg.
Vitamin C. Ascorbic acid is generally recommended to avoid adding extra calcium, sodium and magnesium, which are found in ascorbates. Give about 100 mg twice daily for small dogs (2.25-11.3 kg), 250 mg for medium dogs (11.3 kg. 22.5 kg), 500 mg for large dogs (22.5. 34 kg) and 1000 mg for larger dogs. Vitamin C can sometimes lead to stomach upset and diarrhea, in which case you should reduce the dose and in some cases stop taking it. Vitamin C has no direct effect on the kidneys. Being soluble in water, it is flushed out of a dog with kidney disease more quickly because he drinks more and urinates more often.
B Complex. Like vitamin C, B vitamins are water-soluble and dogs with chronic renal failure are usually deficient in the body. Therefore, this group of vitamins is mandatory for dogs with kidney problems. In the advanced stage of chronic renal failure, it makes sense to inject the main vitamins of this group, since their absorption in the form of pills will not be great. Usually prescribed for taking B1, B6 and B12, diluting them in time (B6 and B12 reduce the effectiveness of each other when administered simultaneously).
Iron. It is recommended to add iron in case of anemia in dogs (which is not uncommon in the advanced stage of the disease). It should be remembered that iron is better absorbed when taken together with vitamin C, which is given with a small amount of food in order to avoid nausea in a sick dog, and that vitamin E cannot be given simultaneously with iron, since it interferes with the absorption of iron. And you should not give iron along with drugs that bind phosphorus, since they also interfere with its absorption in the body. It is optimal to give iron three times a day with a small amount of food (or treats) rich in vitamin C.
Note that vitamin D is contraindicated in dogs with kidney disease (unless your veterinarian prescribes a specific form of vitamin D called Calcitriol). Vitamin A should be used with caution, which can accumulate in the body in case of chronic renal failure. The safest form of vitamin A. beta-carotene, which is converted by the body only in case of physiological need. Because cod liver oil is high in both vitamin A and vitamin D, it should not be given to dogs with kidney problems.
Be very careful with human multivitamins (as well as some for dogs) as they may contain phosphorus.
According to Gregory Tilford, author of Herbs for Pets, hawthorn is good for dogs with kidney failure. He says that “in combination with ginkgo biloba (for microcirculation) and herbs that improve urinary function, hawthorn can be used to increase the delivery of blood and oxygen to the renal arteries and the smaller vessels of the kidneys. This is theoretically believed to slow down the degeneration of the remaining healthy tissue in diseased organs. ” For herbal supplements, it is preferable to use infusions made specifically for dogs and not containing alcohol to maintain the correct dosage.
What are the goals of nutritional therapy for renal failure??
It should be noted that in case of renal failure, it is extremely important to maintain a normal water-salt balance of the body, since the animal urinates a lot and often, and also to monitor the level of protein. In addition, feeding dogs with renal failure should have the following goals:
- Sodium bicarbonate is added to food, which allows you to relieve acidosis.
- It is necessary to give food containing a reduced amount of phosphorus. Research by Peter J. Markwell BSc, BVetMed, MRCVS from Great Britain proved that in this case it is possible to significantly slow down the development of the pathological process.
- It is extremely important to observe the correct protein level: if there is a lot of it, the animal’s condition will only worsen due to the rapid development of azotemia, if not enough, a state of protein starvation will come, which is fraught with cachexual edema.
So, what kind of dog food with kidney failure should you use??
In general, “renal failure” is not called any specific disease, but a syndrome caused by a wide variety of pathologies: from benign kidney tumors to infectious diseases and poisoning with heavy metal salts. So the approach to choosing the optimal nutrition should take these nuances into account without fail. It should also be remembered that with this disease there are two main negative points: azotemia and uremia. If not to complicate, then both of these conditions are characterized by a sharp increase in the content of nitrogenous bases in the blood, which causes severe intoxication of the body. However, about everything in order.
How to feed a dog with kidney failure: choosing the right diet
Kidney failure is one of the most difficult and frightening diagnoses that a dog can be diagnosed with. But the breeder should not give up on hearing him: today there are quite effective methods of treatment that can seriously lengthen the life of a dog suffering from this pathology. A huge role in the treatment of the disease belongs to a properly selected diet. Veterinarians believe that good food is 70% the key to improving the quality of life of a sick dog, and in some cases, good feeding can contribute to the onset of remission. So what to feed your dog with kidney failure? Let’s find out!
Types of food used
First, you should turn your attention to specialized medicated foods, which are produced by almost all major dog food manufacturers around the world. For this, it would be best to consult with an experienced veterinarian. Of course, not all dog owners have the opportunity to spend money on the purchase of such food, and therefore we give a list of those products that can and cannot be included in the diet of a sick dog:
- Shown in small quantities: rabbit, chicken, beef. It is quite possible to give waste of meat production, but only in the case of their sane quality. This is especially important if the dog has lost weight. By-products are allowed (good liver, heart and kidneys). It is important to remember that in the early stages of the disease, the amount of protein may be almost normal, but it should come from quality foods. For old dogs, it is advisable to cut the amount of meat and offal to a minimum.
- Cereals. to limit as much as possible, since they contain a lethal dose of carbohydrates, and they are extremely contraindicated in chronic renal failure.
- Bones. only in the early stages. In all other cases, they are completely excluded from the diet.!
- But the dog should get a lot of fat. You can give directly pressed vegetable oil, chicken or rabbit fat. Vegetable oils are especially important as they are high in vitamin E, which is a powerful antioxidant.
- Vegetables will be useful to the dog. In order for him to eat them, the food is passed through a blender and chicken or rabbit broth is added. It is important to remember that the diet for dogs with kidney failure should eliminate stress, so you should not force raw carrots into the dog.
- Do not forget to add complexes of water-soluble and fat-soluble vitamins to food. But! Vitamin A is strictly contraindicated! The veterinarian treating your animal should tell you more about this.
Important! Never give your dog fish oil if you have kidney failure! Yes, it contains many vitamins and trace elements, but fish oil contains a lot of vitamin A, and we have already said that it is contraindicated for sick kidneys (especially in such doses).
Oddly enough, garlic is very useful (no more than a clove per kilogram of feed), which contains a lot of folic acid. Since bones are contraindicated in the diet of a sick dog, it is useful to add ground sesame seeds, which are very rich in calcium, to food. Remember that vegetables are poorly digestible food for canines, and therefore veterinarians prescribe digestive enzymes that must be given at every feed! Here’s what to feed a sick pet.