Treatment of kidney disease in dogs
tn pas cherA diagnosis of

kidney disease does not have to mean the end. If caught early

enough, treatment can mean that your dog can have many months or

even years more. This article takes a look at how to recognise the

early signs of kidney disease and how it is treated.

Unfortunately, as dogs get older their organs may start to fail.

One of the first organs that will start to go is often the

kidneys. A gradual failure of the kidneys is known as chronic

kidney failure. Here the kidneys can no longer perform their

crucial functions of excreting waste products, regulating the

chemical composition of body fluids, and producing hormones. This

is very different from acute kidney failure where the kidneys fail

suddenly leading to changes in the body chemistry, fluid and

mineral balance which in turn affects most of the body's systems.
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If left untreated kidney disease will lead to the eventual death

of a dog, however early treatment can mean a much prolonged life.

There are a number of ways in which dogs are treated when

diagnosed with kidney disease.

The causes of kidney disease have been covered in another article

but basically it is the shutting down of the body's filtration

system. As the filtration becomes more ineffective, the body

increases the blood flow to the kidneys which in turn means the

dog urinates more. To compensate for this the dog drinks more and

so on. More advanced signs of kidney disease include loss of

appetite, depression, vomiting, diarrhoea and bad breath.

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Treatment comes in two phases. The first phase ‘kick starts' the

kidneys by giving large amounts of fluids to flush them out- this

is usually intraveneously. This process is called diuresis and

helps to stimulate the kidneys to work again. There are three main

outcomes from this treatment. The kidneys may resume functioning

and stay working for days, months or even years to come; the

kidneys may resume functioning whilst the treatment takes place

but stop as soon as the treatment stops; finally it is possible

that no function will return at all.
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Providing that some function has been restored, the treatment then

progresses to the second phase which is aimed at keeping the

kidneys functioning for as long as possible. The first most

important aspect is that dog's diet is adjusted and they are given

a specialist dog food prescribed that is low in sodium and

phosphate given in combination with access to plenty of clean

water. It used to be thought that dogs with kidney disease should

be kept on a low protein diet but it has since been shown that

this is only the case once the disease is very advanced. It is now

thought that a diet with a high quality protein is far more

important. It is important however, that you consult your vet

about the diet as you may need to get the food on prescription

rather than from your local pet supplies store.
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Your dog will then be put on ACE inhibitors. These act by lowering

the blood pressure in the kidneys thus reducing the pressure in

them. These are often used in combination with drugs to treat

hypertension as dogs with kidney disease often suffer with high

blood pressure.

Your dog may be given phosphate binders. As the kidneys start to

fail, their ability to remove phosphorus from the blood starts to

decrease. An increase of phosphorus in the blood is associated

with lethargy and poor appetite: phosphate binders help the body

to bind phosphates in the intestinal tract so that they are not

absorbed.


Finally there are a series of other drugs that may be given in

combination with these treatments including medication to improve

kidney function, stabilise blood pressure and increase potassium

blood levels as well as treating anaemia and reducing nausea and

vomiting.


Your dog will need to go back to the vet for regular check-ups to

ensure that the treatment is working , but the combination of

these treatments can often mean that your dog may live for many

months or even years more.

Article Source: nike

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