How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Dan Your Own Question

Dr. Dan
Dr. Dan, Dog Veterinarian
Category: Dog
Satisfied Customers: 8755
Experience:  12 years of experience with domestic and exotic dogs, PLEASE rate my service when satisfied.
17018043
Type Your Dog Question Here...
Dr. Dan is online now

, our 8 year old Labrador has been unwell a month.

Customer Question

Hi, our 8 year old Labrador has been unwell for nearly a month. On 9th Feb, she had pains in her back and trouble walking. The vet gave painkillers. On 15th Feb, she was in a bad way, breathly quickly, drinking lots of water and pretty lifeless. Her back legs collapsed when she walked. The vet took her in and said she had kidney disease. If it is acute kidney disease, then we are pretty sure it is from an infection. It doesn't appear to be chronic kidney disease. The vet has considered and ruled out Addison's disease. A consideration today was pyelonephritis. She has had regular blood and urine tests and several ultrasounds. The ultrasounds didn't show any lumps or anything of concern. The blood tests have shown that her levels were badly out (sodium and potassium, as well as creatinine) but they have gradually improved. On 16th Feb, her creatinine hit a high of 350. Today it was down to 250, but it seems to have plateaued. The vet was concerned today about her white blood cell levels (I forget whether they are high or low - he said it appeared that she was still fighting an infection). Her red blood cells are reproducing, so it looks as though her kidneys are working. Where we live, there is no option to have MRI scans or x-rays, so neither have been done. Please could you help us by letting me know if you have any other ideas? Thank you very much in advance. Andrew Pinel
Submitted: 1 year ago.
Category: Dog
Expert:  Dr. Dan replied 1 year ago.
Hello!
Thank you for your question, I'm Dr. Dan and I'll try to help you.
I'm sorry that Piper is feeling so bad. In our area of the country this would sound very much like a tick associated disease like lyme, anaplasma, ehrlichia, or Rocky Mountain Spotted fever. Ticks that carry these have stages that are the size of a pin head so they will not always be seen. They can certainly cause the symptoms you are describing. Another disease that should be considered is leptospirosis. This is a bacteria that is spread in urine of wildlife and other dogs and can affect the liver and kidneys. I would consider sending out tests (blood) for these particular infections. If they come back up negative then I think it is time to travel where there is the possibility of xrays and ultrasound.
I hope this helps, if not please feel free to ask followup quesitons.
Dr. Dan
Customer: replied 1 year ago.

We live in Jersey, UK, a small island, so we don't have many of those problems. An infection is possible. All the blood tests have come back clear, showing no particular infections. She was pretty good today - bouncy, lively - but her white blood cells and creatinine are a problem, Our vet is struggling to work it out and he is a very good vet. Piper had parvovirus when she was 10 weeks old and survived it.

Expert:  Dr. Dan replied 1 year ago.
Unfortunately the statement you just made ( we don't have many of those problems) is exactly why those diseases get missed. If you don't have ticks and you can't do xrays then sending out a Leptospirosis test an easy thing to do. The other alternative is a full exploratory and taking biopsies of the liver and kidneys.
Dr. Dan
Customer: replied 1 year ago.

Yes, you might be right. We will mention it to our vet. The biopsy is the next option - either that or get to the UK for an MRI or x-ray. Vets in Jersey all seem to agree that ticks are not dangerous. Being an Island in the UK, many of those diseases don't reach us. We are trying to avoid the biopsy, as her kidneys are still weak and the anaesthetic could be dangerous.

Expert:  Dr. Dan replied 1 year ago.
Sounds like a good plan, if your vet doesn't feel lepto is in the area then biopsy or finding a way to get some imaging done is really important.
Dr. Dan

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
< Previous | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Rebecca

    Rebecca

    Dog Veterinarian

    Satisfied Customers:

    293
    Veterinarian for more than 30 years
< Last | Next >
  • http://ww2.justanswer.com/uploads/TO/tomasicvet/2011-3-15_20483_RTI.64x64.jpg Rebecca's Avatar

    Rebecca

    Dog Veterinarian

    Satisfied Customers:

    293
    Veterinarian for more than 30 years
  • http://ww2.justanswer.com/uploads/MS/msb13sm/2011-3-7_52612_Dr.B.64x64.JPG Dr. Matt's Avatar

    Dr. Matt

    Veterinarian

    Satisfied Customers:

    2354
    DVM - 13 years experience in canine medicine and surgery.
  • http://ww2.justanswer.com/uploads/DR/Dr. Gene/2012-6-29_2247_20120223174645649.64x64.jpg Dr. Gene's Avatar

    Dr. Gene

    Veterinarian

    Satisfied Customers:

    1048
    DVM degree from Ontario Veterinary College
  • http://ww2.justanswer.com/uploads/VE/Vet help/2012-11-3_20182_Avatar2.64x64.png Vet help's Avatar

    Vet help

    Veterinarian

    Satisfied Customers:

    963
    12 yrs experience as a small animal veterinarian; 21 yrs exp. in the animal care field
  • http://ww2.justanswer.com/uploads/DE/debkatreyn/2011-11-28_33650_682e.64x64.jpg Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
  • http://ww2.justanswer.com/uploads/KR/kritrdr/2014-3-26_152042_Dr.Gray1.64x64.jpg Dr. Dan's Avatar

    Dr. Dan

    Dog Veterinarian

    Satisfied Customers:

    2143
    12 years of experience with domestic and exotic dogs, PLEASE rate my service when satisfied.
  • http://ww2.justanswer.com/uploads/DJ/djan2000/djan2000_avatar.64x64.jpg Dr. Dave's Avatar

    Dr. Dave

    Veterinarian

    Satisfied Customers:

    2053
    21 years small animal general and emergency practice