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. B. Your Own Question

Dr. B.
Dr. B., Board Certified Veterinarian
Category: Vet
Satisfied Customers: 16277
Experience:  General practice veterinary surgeon with extensive experience in a wide range of species.
60269376
Type Your Vet Question Here...
Dr. B. is online now

hi i have a 11yr westie bonnie she always been a healthy dog

Customer Question

hi i have a 11yr westie bonnie she always been a healthy dog but last sunday started being sick and over the next two days got worse vomiting every half hour and dirrorea i took her to the vets tuesday evening they took bloods next day which the vet said were off the scale in ten min and she had chronic kidney failure they had her on fluids since and repeated the bloods which are still off the scale in ten min they dont know what caused the kidneys to fail they did a scan to check for cancerous tumours which there arent ant they say there nothing more they can do i really want to save her is there any treatment available
Submitted: 2 years ago.
Category: Vet
Expert:  Dr. B. replied 2 years ago.

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.


Poor Bonnie!

In elderly dogs, kidney disease is often a chronic issue that lingers undetected (perhaps only giving hints via their being progressively more thirsty or urinating more dilute urine the before) until it gets to a critical point. If no tumor was found and Bonnie didn't eat something kidney toxic (ie plants, raisins, grapes, antifreeze, etc); then a slow chronic progressive dysfunction of her aging kidneys is likely our culprit here.

Now the key at the moment isn't so much the numbers on her blood test (since she should have been high well before she showed signs of being unwell) but how does Bonnie feel after a few days of flushing out the building kidney toxins (which is likely what was inducing nausea). If she is still vomiting and feeling poorly, then her overall prognosis will be poor here (especially as kidney dialysis is not an option in the UK). But if she is feeling better, then there may be some supportive care you can use to keep her kidneys working the best they can and keep her comfortable at home.

In regards ***** ***** support, since kidney disease can only be supported and not cured, we tend to first focus on keeping their diet low in protein, phosphorus, and sodium to reduce the work load on the kidneys. There are a range of diets on the market to help with this (ie Hill's K/D, Royal Canin Renal diet (LINK) or Purina NF (LINK), etc).

Further to reducing the kidneys' workload via diet, we often will use ACE inhibitors (ie Fortekor) to support the kidney's ability to function and we can use phosphate binders to remove any phosphorus that might be building up in the blood. As well, if she has severe kidney issues, then your vet may be able to instruct you on how to give sterile fluids under the skin to help continually flush toxins and support her kidneys in that way. To read more about giving fluids you can read a good outline HERE and watch a video of how to administer fluids at home HERE.

Overall, kidney disease in the elderly dog is not something we can cure. Instead, it is a case of managing them to help the kidneys filter the best they can while using supplemental treatments to reduce those problem metabolites that will build up. In regards ***** ***** usefulness of treatment here with your lass, it will depend not so much on her blood values but instead how well she has responded to the IV fluids. If flushing out has stopped her vomiting and she is feeling better, then she may be a candidate for the above treatments. But if she still feels very poorly despite those kidney toxins being at an all time low in her blood, then we would have to appreciate that her prognosis may be poor and she wouldn't respond to these treatments.

I hope this information is helpful.

If you need any additional information, do not hesitate to ask!

All the best,

Dr. B.

-----------------------------------------------------------------------------------------------------------------

If you have any other questions, please ask me – I’ll be happy to respond. Please remember to rate my service once you have all the information you need. Thank you and hope to see you again soon! : )

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:

 
 
 
  • Dr Scott Nimmo

    Dr Scott Nimmo

    Small Animal Veterinary Surgeon.

    Satisfied Customers:

    133
    BVMS, MRCVS. { Glasgow UK }
< Last | Next >
  • http://ww2.justanswer.com/uploads/VE/VetAnswers/2013-4-5_8257_prof10.64x64.jpg Dr Scott Nimmo's Avatar

    Dr Scott Nimmo

    Small Animal Veterinary Surgeon.

    Satisfied Customers:

    133
    BVMS, MRCVS. { Glasgow UK }
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    2570
    2003 Graduate
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Veterinarian

    Satisfied Customers:

    1840
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    865
    15 years of small animal, equine and pocket pet experience in medicine and surgery.
  • http://ww2.justanswer.com/uploads/DR/DrRalston/2011-10-18_1611_Vet.64x64.JPG DrRalston's Avatar

    DrRalston

    Veterinarian

    Satisfied Customers:

    169
    Over twelve years of internal medicine, surgery, and preventive care.
  • http://ww2.justanswer.com/uploads/VE/vetdeb/Debbie Headshot 500.64x64.jpg Dr. Deb's Avatar

    Dr. Deb

    Veterinarian

    Satisfied Customers:

    96
    I have been a practicing veterinarian for over 30 years.
  • http://ww2.justanswer.com/uploads/PE/petdoctor09/2011-12-14_51529_Picture1.64x64.jpg petdoctor09's Avatar

    petdoctor09

    Board Certified Veterinarian

    Satisfied Customers:

    72
    Veterinarian, General Practitioner
 
 
 

Related Vet Questions