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Hello, this is Dr. Jess. I am so sorry to hear about Prince! Do you think you could either scan the copy of his lab work in or just write in the values of his test results here so I can look at them and see how badly things appear? The ones from last year would be helpful as well!
I am so sorry to hear about your dog! I am sorry as well that your vet didn't say anything to you about the bloodwork last year? Did someone else take himt o the vet for you that could have forgotten to mention it? Did the vet give any explanation for this? It appears that your dog has been in Stage 3 Kidney disease since last year (creatinine above 2.0 is considered stage to by the IRIS guidelines which is the International Renal Interest Society and sets the standards for staging and treating kidney disease). ,
Have they tested his blood pressure? What medications is he on now? Stage 3 is considered moderate renal disease, where systemic signs of illness can begin to show up. But oftentimes these dogs are still manageable if owners are able to medicate them and afford the food and medications.
Gosh, what an awful frustrating situation for you!!! I think what you have to decide is how aggressive you want to try, knowing that this isn't a problem that is going to go away. Sometimes with medications such as antacids, appetite stimulants, phosphorus binders, and fluid therapy, we can help them perk up and have more energy and start eating again, but we are faced with the fact that these issues will likely return. At some point we will get to a moment when no matter what we do, it isn't going to help. That could be in a month, it could be in two years. I cannot tell you that for sure. But, he is not going to be a low maintenance pet. If you get him through this episode, he is going to require regular fluids, medications, and bloodwork and blood pressure and urine monitoring, none of which is cheap! I am going to attach a link here to the IRIS website, which will give you information about the staging of kidney disease as well as the treatment guidelines. Since you are familiar with medical terminology, you may find it helpful! http://iris-kidney.com/guidelines/index.aspx
Please let me know if you have any other questions or I can elaborate on anything for you. If you do not, please take a moment to CLICK AND RATE our conversation so we can know if you were satisfied with your service and I can get credit for helping to answer your question. Thank you and good luck with your dog!