[Iva R]

Hello guys,

My dog (7 years old Yorkshire terrier) was diagnosed with PLE couple of weeks ago. Until August 2017, Ralf was a very healthy, happy dog without any indication that he could get so sick. In mid-August he suddenly got diarrhea and vomiting. We have visited several veterinarians, taken various lab examinations, many different antibiotics but nothing helped. We visited then Vet Clinic beginning of October and the diagnosed PLE (without endoscopy, as this was not possible). He got his therapy: Atopica, Cortison, Omep, Semintra and Tylan, sometimes complemented with some additional meds against nausea and vomiting. After 3 weeks ups and downs, his vet called me and said that his Albumin / Total protein got better. However, his kidneys seem not to work properly as large amounts of protein escape through his urine. Looking at him, I have a feeling he’s got a lot better – he has energy, wants to walk/ play, has appetite, not much water in abdomen, etc. However, his vet results are not great. Does anyone has experience with this or something similar? PLE and PNE together.
Concerning food, he has been on Hills Z/D. However, he hates canned food and does not even want to eat it if mixed with something he normally likes. Hills Z/D kibble is still acceptable for him. He is used to home cooking. He used to eat organic chicken or turkey breast with rice and other veggies (carrots, pumpkin, zucchini etc), sometimes white fish and kibble. As he got this awful disease, we have tried with novel protein, such as horse, rabbit and venison meat. He prefers venison meat cooked with veggies (sweet potato, pumpkin, zucchini, carrots) and tapioca. We add also every second day cooked egg white and a little bit of kefir or cottage cheese with very low fat. From time to time he likes white fish, or tuna & salmon. He still has not gained his normal weight, but seems he can digest it well (at least)? I think we are on the right way when it comes to PLE, but I am really worried about PLN as his kidneys are not working properly. So, I need to come up with a proper diet, to satisfy his daily protein needs but on the other hand I need to protect & make his kidneys work better.
Concerning fat, we try to keep it on a very low level.
Any tips, ideas or suggestions are very much welcome as I have a feeling we are fighting for life!

Balance it – looks really great. However, I need approval from my vet. My dog is at vet clinic, based in Vienna, Austria. I am not sure they have balance it accounts and/or have time to create one. Any other ideas how I can approach the recipes?

Thanks a lot for your feedback(s)!

Best,
Iva & Ralf