[Anonymous]

I have had old dogs that needed surgery, dental and otherwise. I usually make a quick decision, based on the amount of discomfort they are in.
Regarding the dementia and periods of agitation, ask your vet if a low dose of melatonin would help? But keep in mind the main symptoms of liver and kidney disease is nausea….so the more stuff you give, the harder the liver and kidneys have to work to detoxify. Best of luck