[Shawna]

Hmmmmm? Creatinine is only a little high… Something doesn’t jive here. I’m sure there are exceptions to the rules but creatinine is a better indication of how well the kidneys are actually functioning (from everything I’ve ever read). Maybe newer data is suggesting different but data on this site, veterinary medicine dvm360, published in 2011 still agrees “A serum creatinine concentration is the most commonly used measure of severity of renal dysfunction and is the basis for staging chronic kidney disease (CKD) (Table 1). To optimize accurate staging of CKD, serum creatinine concentrations should be evaluated on two or more occasions when the patient is well-hydrated.” http://veterinarymedicine.dvm360.com/laboratory-evaluation-kidney-disease?rel=canonical

Based on a BUN of 77 and a creatinine of 1.6, I personally wouldn’t do low protein but rather moderate amounts of “high quality” protein.

Does your girl have large amounts of very dilute urine? Was there any protein in the urine? Was any other tests done? Is there any other medical conditions? Did you get a second opinion? She doesn’t want to eat often but you said this is just her normal. Does she have any other symptoms such as vomiting, depression etc?

This may help… My Audrey was diagnosed when she was just 13 months old but had symptoms when she was just 6 weeks old. Within the first year of diagnosis I made dietary changes and then had her blood work done every three months. On December 18, 2007 (the second blood work done after the dietary changes) her BUN was 77 (6 to 25 normal) and her creatinine was 1.9 (0.5 to 1.6 are normal ranges for this lab). Audrey didn’t eat a lower protein diet for another almost 7 years.

They also now know that senior dogs actually require MORE protein than adult dogs because they are less efficient at digesting it. Even toy breed dogs – I had a 4 pound Chihuahua live to age 19 eating a HIGH protein diet.

Please take some time to read the articles on this website. http://www.dogaware.com/health/kidneyprotein.html

Okay……..YES – I would highly recommend starting her on Standard Process Canine Renal Support. It’s pricey up front but will last a long time for a four pound little girl. I’ve never used Five Leaf but others I’ve directly talked to felt it helped. The Primal Defense and Acacia Fiber will help lower BUN. I personally would look at feeding foods with higher quality and amounts of protein and getting rid of the cream of wheat and gravy. See if you can find canned tripe — a brand that is just tripe. There is one out with quinoa but I’m not sure how much phosphorus is in quinoa so not sure it is suitable? It may be, I just don’t know. Tripe itself is higher in protein with moderate amounts of phosphorus. Most dogs really really like it too. You can continue the goat milk (best if it’s raw in my opinion). Eggs are a good option but the yolk is higher in phosphorus so, recommendations vary depending on stage of the disease, you might want to feed more cooked whites then whole eggs (maybe a one to one ratio – one whole egg with one white only). I would also suggest against feeding homemade as it is really important to get the phosphorus to calcium ratios correct and to limit phosphorus to appropriate amounts for the stage of the disease (which is early stage based on the numbers you mentioned—unless your lab normals are way different than mine?). There are recipes online if you want to home prepare. Dr. Meg Smart has a recipe – you would want the one for “early to moderate stage” http://petnutritionbysmart.blogspot.com/2013/02/home-made-diets-and-renal-disese-in.html

There’s lots more you can do but you mentioned you have a budget so start with these and then if there’s more for other things you can add on as able–such as herbs that can be helpful.

• This reply was modified 10 years ago by Shawna.
• This reply was modified 10 years ago by Shawna.