kidney failure in dogs treatment options
Kidney Disease in Dogs: Signs, Symptoms, and Treatment
Your dogs kidneys are essential organs that filter waste products from the bloodstream. When the kidneys are weakened, either by acute or chronic kidney disease, your dogs health could suffer. Because kidney disease progresses over time, its important to learn the common symptoms so tha you can recognize them. If you catch kidney disease in dogs early on, treatment can slow down the progression and allow your dog to live longer.
What Is Kidney Disease in Dogs?
Kidney disease in dogs is sometimes called renal or kidney insufficiency because it occurs when a dogs kidneys stop doing their job as efficiently as they should. The main job of the kidneys is to help clear and excrete waste products from the blood and convert them to urine, says Dr. Jerry Klein, Chief Veterinary Officer for the AKC. If the kidneys are not working properly, these waste products can build up in the blood, causing detrimental effects.
Dogs can get either acute kidney disease, which develops suddenly, or chronic kidney disease (CKD), which develops slowly and worsens over an extended period. Both involve loss of kidney function, but they result from different circumstances. Acute kidney disease is a sudden attack or injury to the kidney, whereas chronic kidney disease is a slow, degenerative loss of kidney function, Dr. Klein explains.
What Causes Kidney Disease in Dogs?
Dr. Klein warns that kidney disease could be caused by a lot of things, including infection (such as with the bacteria that causes leptospirosis), trauma, genetics, drugs, toxins, cancer, mechanical obstructions (like kidney stones), and degenerative diseases (where the job and form of the affected body part get worse over time). Anything that decreases blood flow to the kidneys, such as dehydration or heatstroke, can cause the kidneys to fail.
Acute kidney disease in dogs can be caused by exposure to hazardous materials, including toxic plants such as lilies, certain drugs, harmful foods such as grapes or raisins, or antifreeze. Puppy-proofing your home and yard can keep your dog away from potentially harmful items or foods that could be toxic.
Chronic kidney disease in dogs is also associated with growing older. Because kidney tissue cant regenerate once its damaged, the kidneys can wear out over time. As small-breed dogs often live longer than large-breed dogs, they tend to show early signs of kidney disease at an older age10 years old or more, compared to as young as 7 for the large breeds.
What Are the Symptoms of Kidney Disease in Dogs?
The earliest signs of kidney disease in dogs are increased urination and therefore increased thirst. Other symptoms dont usually become apparent until about two-thirds of the kidney tissue is destroyed. So, in the case of CKD, the damage may have begun months or even years before the owner notices. Because of this, its common for the signs of kidney disease in dogs to seem like they came out of the blue when in fact, the kidneys have been struggling for a long time.
Other signs of chronic kidney disease in dogs to watch for include:
Dr. Klein says there are some rarer symptoms of kidney disease in dogs to be aware of, as well. On occasion, there can be abdominal painurinary obstructions or stonesand in certain instances, one can see ulcers in the oral or gastric cavity. In extreme cases, little or no urine is produced at all.
What Are the Stages of Chronic Kidney Disease in Dogs?
Kidney disease in dogs is measured in stages. Many veterinarians use the IRIS scale, which has four stages. Blood work measurements like creatinine and SDMA (biomarkers for kidney function) allow your vet to assign your dog to a particular stage which will determine the exact treatment.
Dr. Klein explains, The stages determine how well the kidneys can filter waste and extra fluid from the blood. As the stages go up, the kidney function worsens. In the early stages of CKD, the kidneys are still able to filter out waste from the blood. In the latter stages, the kidneys must work harder to filter the blood and in late stages may stop working altogether.
How Is Kidney Disease in Dogs Treated?
Dialysis (a medical procedure that removes waste products and extra fluid from the blood) is far more common in humans than in dogs, although peritoneal (kidney) dialysis can be performed in some cases. On rare occasions, surgical kidney transplant is possible in dogs.
But Dr. Klein specifies that depending on the type and stage of kidney disease, the main treatments for CKD are diet changes and administration of fluids, either directly into the veins (intravenous) or under the skin (subcutaneous). The balancing and correction of electrolytes are extremely important in the management of kidney patients, he explains.
Proper nutrition is needed, and there are many available diets formulated for cats and dogs with kidney issues, some by prescription only. Your veterinarian can help guide you to the most appropriate diet for your pet.
Because kidney disease, particularly in the late stages, can cause a dog to lose their appetite, it can be difficult to encourage your dog to eat enough. Dr. Klein advises, There are medications used as appetite stimulators available, such as the prescription drug mirtazapine. Capromorelin has recently been FDA-approved for dogs to address appetite in chronic kidney disease.
When Do You Need to Call Your Vet?
The prognosis and expected life span for a dog with kidney disease depend on the type of disease, the speed of progression, and underlying conditions present in the dog. However, the more serious the disease, the poorer the outcome. Thats why its so crucial to catch the illness early on.
According to Dr. Klein, In chronic kidney disease, there are methods, such as diets and medications, that can be used to lessen the burden of work the kidneys need to do and may help slow down the progression from one stage to the next. In acute kidney disease, there is less time and fewer choices available to prevent further damage to the kidneys and to try to jump-start the kidneys to get them to function normally.
Regular veterinary exams, including bloodwork, are an excellent way to spot kidney problems before the outward symptoms become apparent. And if you notice any of the above signs, dont hesitate to get your dog to the vet for further testing. It can make a huge difference in preserving kidney function and your dogs well-being for as long as possible.
Treatment Guidelines for Chronic Kidney Disease in Dogs and Cats
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Kidney Failure in Dogs: Causes, Symptoms & Treatment
In this post, well dive into the causes of kidney failure in dogs, common symptoms you should look out for, available treatment options, and more.
Table of Contents
Pro Tip: Not all pet insurance will cover your vet bills if your dog develops a long-term illness. Thats why its very important to have the right pet insurance plan in place.
Types of kidney failure in dogs
Just like in humans, healthy kidneys in dogs control blood pressure, regulate hydration, remove toxins, release hormones needed to produce red blood cells, and maintain a normal electrolyte balance. If the kidney function is impaired, kidney failure occurs. When the kidneys dont work properly, a number of other organs can be affected, including the brain and heart.
Kidney failure (also called renal failure) in dogs can be chronic or acute:
Chronic kidney failure
This occurs when the kidneys lose function gradually and is typically caused by degeneration related to old age. Chronic kidney failure is the most common type of kidney disease in dogs, occurring in 0.5% to 1% of dogs.
Acute kidney failure
This occurs when a canine's kidney function suddenly decreases, usually within hours or a few days. Its typically caused by a severe kidney infection or the consumption of toxins.
The main difference between these two types of kidney failure is that acute kidney failure can be reversed with timely and aggressive treatment. Chronic kidney failure, on the other hand, cant be reversed or cured and it can only be managed. In most cases, the damage to the kidneys has been happening for more than three months and the kidneys will continue to worsen.
What causes kidney failure in dogs?
Chronic kidney failure in dogs
The exact cause of chronic kidney failure is often difficult to pinpoint because of its slow onset. Early symptoms are usually mild and can be easily overlooked or dismissed.
Dental disease is a leading cause of chronic renal failure in senior dogs. Bacteria build up in the animals teeth and enter the digestive system through eating and drinking, affecting the kidneys ability to filter waste over time.
Chronic kidney failure can also be caused by:
- Congenital diseases or birth defects (such as agenesis, when the dog is born missing one or both kidneys)
- Kidney cancer (renal neoplasia)
- Polycystic kidney disease
- Kidney infections
- Fanconi syndrome
- Elevated calcium (hypercalcemia)
- Kidney stones
- Renal dysplasia
- Immune system dysfunction
- Poor blood flow to the kidneys
- Blocked urine movement or flow
- Certain medications (such as NSAIDs and some antibiotics)
Acute renal failure can also lead to chronic renal failure.
Acute kidney failure in dogs
Acute renal failure is most often a result of a dog ingesting poison. It might be antifreeze, household cleaners, or certain drugs. Some human foods like grapes and raisins have also been known to cause kidney failure if eaten frequently and in larger quantities.
Severe bacterial infections can also cause acute kidney failure. Even though kidney infections can occur spontaneously, theres usually a reason why the dog has trouble fighting off the infection, such as urine blockage or kidney stones.
Leptospirosis is one example of a bacterial infection that can cause sudden renal failure in pups. Our canine companions can get leptospirosis by coming into contact with infected urine, water, soil, water, food or bedding, or through a bite from an infected animal. Be sure to talk to your vet about vaccinating against this disease.
Kidney issues can also result from decreased blood flow through the kidneys. This can be caused by severe dehydration (usually from severe diarrhea or vomiting), heatstroke, or snake bites, and bee stings.
Signs of kidney failure in dogs
The most common symptoms in dogs with kidney failure include:
- Excessive thirst and urination
- Lethargy
- Decreased appetite
- Weight loss
- Bad breath
- Pale gums
- Vomiting
- Blood in urine
- Ulcers in the mouth
- Uncoordinated movement such as stumbling
- Intestinal seizures
Dogs with chronic renal failure might not show any clinical signs at first, or the signs might be very subtle.
In severe renal failure, the amount of urine might actually decrease, or the dog might stop making urine altogether. As the condition worsens, other symptoms may include blood in the stool, black or tarry stool, or vomiting blood.
Diagnosing kidney failure in dogs
Blood and urine tests are commonly performed to diagnose kidney failure. Other tests, such as ultrasound, X-rays, and special blood tests might be needed in order to assess the severity of the disease and determine the cause for the failure. In some cases, a biopsy of the kidney might be recommended.
How to treat kidney failure in dogs
Treatment for kidney failure in dogs will depend on the severity of the condition and the underlying reason that caused their kidney to fail.
Dogs with acute renal failure can get very ill and might need to be hospitalized. Milder cases can be treated with antibiotics and fluids on an outpatient basis.
In some cases, dialysis might be necessary. Signs that indicate dialysis should be considered include very high potassium levels, lack of improvement in lab results while the pet receives intravenous fluids, and fluid in the lungs. Both hemodialysis and peritoneal dialysis can be effective but are generally quite expensive.
While damage from acute renal failure is more easily treated, chronic renal failure will cause irreversible damage to your dogs kidneys unless caught early. For that reason, veterinarians generally focus on slowing down the progression of the disease and finding ways to improve the dogs quality of life, usually with medication and diet changes.
Your pups treatment plan might also include:
- Electrolytes to balance out blood levels
- Medications that encourage the production of urine
- Medications to ease gastrointestinal problems
- Medications to reduce vomiting
- Medications for anemia
- Blood pressure management
If kidney disease is left untreated, end-stage renal failure might occur, leading to death. If you suspect your pet has kidney failure, contact your veterinarian or take your dog to an emergency clinic for a diagnosis and treatment.
Cost to treat dogs kidney failure
The cost of diagnosis and treatment will also depend on the cause, as well as on how the dog responds. Initial diagnostic tests usually range between $200 and $750, whereas long-term management of chronic kidney failure can cost between $100 and $500 per month, depending on the prescribed medications and how often IV fluid therapy is required.
Pro Tip: Every dog owner should consider pet insurance. Even if you believe you have enough money to cover veterinary costs, pet insurance could still save you thousands of dollars if your dog gets sick or injured.
Whats the prognosis?
Kidney failure is a very serious disease and about 60% of pets suffering from it will either die or be euthanized because of it. In cases when medical treatment has failed, the chance of survival without dialysis is extremely low. About half of the patients that receive dialysis will recover, depending on what caused the failure. Many of them will recover only partially and end up with permanent kidney damage.
However, some pups manage to recover completely and have a good quality of life for years after being diagnosed with the disease.
Talk to your vet about what you should expect after your dog has been diagnosed and treated for kidney failure. The vet might recommend nutritional supplements and/or a therapeutic diet to manage your pups condition.
Preventing kidney failure in dogs
Considering the fact that acute renal failure is usually caused by ingesting toxins or foods like raisins, preventing it is fairly easy. Make sure to get any poisons, medications, and dog-unsafe foods out of your pups reach. You can also get your dog vaccinated for Leptospirosis.
Chronic renal failure is usually age-related and genetically predetermined, so theres not much you can do to prevent it. However, taking your pet for annual wellness checkups and physical exams can increase the chances of catching the disease early and start treatment before it progresses and becomes more serious.
