[C4D]

Hi Shawna,

Yes, you did give me some food for thought and more research! 🙂

I did go back and read that portion of the article again. She did say that it didn’t work for her dog. I did find articles stating that famotidine can cause inappetance in some. In my case it seemed to help and I used it on an “as needed” basis. We are going back over 4+ years when I was doing the initial research. My vet recommended the famotidine (when we were in the later stage) and I found it on many sites as well the dogaware site. I was using almost every natural supplement recommended on the dogaware site as well as both mirtazapine and b complex vitamins, alternately, to help increase appetite in the later stage. They did seem to work. This is another one of the dogaware links that include the use of famotidine:

http://dogaware.com/health/kidneynattie.html

I understand your point that it might only be masking the sypmtoms, but in the case of CKD in an older dog, I think it might be helpful, particularly if there would be nothing done otherwise. I’m aware of the peppermint oil and ginger extracts and agree that this is quite helpful. I did find that apple cider vinegar can be used, but it seems to have mixed results, depending on the problem, on some sites such as livestrong. I found that sodium bicarbonate could be added to the Sub-Q fluids to combat the acidosis, but this was on a more traditional kidney site (the merck manual).

http://www.merckvetmanual.com/mvm/urinary_system/noninfectious_diseases_of_the_urinary_system_in_small_animals/renal_dysfunction_in_small_animals.html

Since in the traditional sites they are mentioning the metabolic acidosis as part of the kidney problem, are they the holistic vets disagreeing with this? I understand your point that indigestion, not necessarily related to kidney disease, can be related to insufficient acid production.

On another note, what do you think of the OP’s recent question regarding giving liver and kidney a few times a week?