My 30 lb mixed breed dog, turning 14 next month, otherwise very healthy until her annual exam’s lab work led to a Dx w/kidney insufficiency (also called renal failure, kidney disease, renal insufficiency) and put on Hill’s Prescription Diet R/D. She was eating it mixed with a small amt of canned R/D because she didn’t seem to like the kibble by itself, but otherwise seemed to be doing okay. Until she wasn’t. She began to reject the dry kibble and eat only the wet food from it, licking it off the dry food, which she put on the floor outside her bowl. And then she stopped eating the canned food. And then the vomiting started. A trip to the vet and lab work showed she got pancreatitis from the high fat level in Rx kidney diet. The labs also showed her kidneys values, of course still showing kidney disease, had improved a little because of the diet, which was great news. She has lost weight because of the not eating much because of the pancreatitis.
She was sent home with fluids for us to inject under her skin and a medication to inject for nausea. She is currently only eating boiled chicken breast and rejecting rice, canned food, kibble, and egg whites, but she likes the Pill Pocket I put her Pepcid in. We were instructed to feed her a lowfat diet, whether it is a prescription diet (Hills or Royal Canin) or a mass market brand.
In preparation for when she is eating normally again, I have been researching the dog foods low in fat. The problem I am finding is that all of the low fat foods are high in protein. That means that in adjusting her diet to prevent a relapse of pancreatitis, as directed by her vet, I will be burdening her kidneys with higher protein, thereby assuring a faster decline. It is the worst catch-22 to be caught between two diseases like this!
Does anyone know of any dog food or diet or anything at all that would be a happy medium of low fat AND low protein, that I could present to my vet? And, be able to provide a dog all the nutrients it needs? I feel so helpless and I love my girl so much!
I thank you in advance for your help!Joyce BMember
Try Canine Caviar Special Needs Dry.
Depending on the degree of the medical concerns you may need to home cook to manage both concerns. Any “over the counter” food will have a phos level higher then recommended for kidney insufficiency. Has your vet looked at the other companies kidney diets to see if they are appropriate? Hills G/D could be an option. It is geared for early kidney insufficiency but has a lower fat level than the K/D formula. (I’ assuming your dog was on K/D and not RD as R/D is a food with low fat high protein for weight loss.) Iams’ renal is higher protein than G/D but also lower fat. Good LuckAntonio AParticipant
i have similar issue for my 9 years old JRT. she was rushed to the vet as she was feeling very ill, the pancreas levels were very high and the kidney levels too (CRE and BUM) first we started giving low fat diet and the pancreas seems to be ok now, but now the kidneys are not good, CRE level is 3.8 and BUM is 78. i have been Hills K/d and Hills K/d dry food mixed together for a week now and just also saw that this is high in fats that might damange the pancreas again!!
Please help in recommending best diet for the dog for both the kidneys and the pancreas and thank you very much
I’m sorry that your dog isn’t well. If your dog needs both controlled protein and fat then a homemade diet from a veterinary nutritionist may be the best option.
Did your dog have an ultrasound to diagnose pancreatitis? The reason I ask is because decreased kidney function can make the pancrease tests increased in the blood due to the decreased filtration. In that case the dog doesn’t actually have pancreatitis. However, , if your dog was dehydrated the pancreas could have been inflamed secondary to dehydration and may be more fat tolerant then a dog sensitive to dietary fat.
Alternatively, if your dog had pancreatitis dehydration from that will increase the kidney values, but once rehydrated those should have come back down if kidneys were OK. Or your dog could have underlying kidney disease and then got pancreatitis .
It can be tough to get it all figured out as one influences the other. Have you discussed your concern regarding the fat content with your vet?? G/D, may be a compromise in managing the two situations. Your vet is the best to guide you .Antonio AParticipant
Hi again, thanks lot for you kind answer. i truely think it all started with a high fat thing, the dog attacked unoticely a plate that had fats and the second day she felt so ill and i rushed her to the vet, but still, all other options you mentioned might still be the reason,
yes the vet content as per the vet should be minimized so we dont go back to pancreas issues, tomorrow she has ultrasound and i will redo the blood test and see where we are
for her diet, her vet is same as me trying to figure out what to feed so i almost gave up, i just fed her a spoon of renal Hills can and a spoon of can food that is low in fat and protein with 0.61 phosphorus, white rice and minced low fat beef with a sprinkle of Ipakitin and some shreds of chicken breast boiled just to pass today until i figure out what diet to stick to
i forgot to mention that she is very very active and very playfull and doesnt seem to be bothered, just that she lost a lot of weight and a bit dehydrated. will put her on IV fluids tomorrow to have her better hydrated, my only concern now is her diet!
we dont have Hills where i live i was buying online from here and there, i highly appreciate if you can share with me a recipe i can cook or prepare or anything i can do to manage her feeding, i will also share here her results tomorrow, i also saw that Royal Canine 8+ has low proteins and low fats but the protein is really very low (2.5-5.55%) that i think is too low!
Hopefully you have some more information to guide you.
I’m guessing the Royal Canin is canned diet which is why the protein looks so low.. To Copare diets you need to compare on a calorie basis… what percent of calories comes from protein… fat … etc.
Here is a tool to do that https://secure.balanceit.com/tools/_gaconverter/
Your vet may be able to create a recipe for you from the site Balanceit.com. It is run by a vet nutritionist and has appropriate supplements to balance the diet.
What food was your dog eating before she became ill? Know what she was on in the past can help you decide how to modify going forward.Susan LParticipant
My 14 year old Norwich terrier was on Hills brain food bc I saw he was getting some cognitive issues. Then 5 months later he stopped eating, bloated and diagnosed first w cancer then hospitalized for pancreatitis and all blood and ultrasound tests showed this. Sadly his organs started to shut down and he developed vasculitis and SIRs. He had to put him down which shocked me and broke my heart to this day.
I wonder if the Hills diet was too high fat for him and I should have given him something else? My vet didn’t really say. I also gave him Dosequin advanced hip and joint and fish oil. Yes, he also had too many treats.
Thanks everyone!!Frenky CParticipant
Can’t help you out on this one but hope your dog gets better soon! Cheers 🙂
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