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Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 24428
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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My Bernese mountain dog, Heidi, has been diagnosed with sle.

Customer Question

My Bernese mountain dog, Heidi, has been diagnosed with sle. She has 75% approx loss of kidney function, protein in urine with high phosphorus content & high cretinan as well. Initially she had pancreatitis too but this has subsided mostly since changing diet and being on drip twice weekly. Her blood pressure is high also and apparently she's at risk of a stroke or heart attack too - so she's on aspirin & bexprin. And she's on pronefra for the glomureral nephritis. & on an antibiotic for 10 days. The diagnosis only came through today & I'm asking what might be her prognosis as I haven't got to speak with my vet yet to discuss long term possibilities.
Thanks in anticipation of a reply
Best regards
Finola Riordan
Co. cork , Ireland.
Submitted: 1 year ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 1 year ago.
Aloha! You're speaking with Dr. Michael Salkin
I'm sorry that I have to be discouraging, Finola. The glomerulonephritis that Heidi suffers from has a poorer prognosis than if she had not already been uremic/azotemic (the high creatinine). This disease is expected to progress over months to 1-2 years.
Bexprin is aspirin. Pronefra is a phosphorus binder. I don't see a drug designed to address hypertension such as enalapril or benazepril which also can reduce protein loss through the urine. Please clarify.
Expert:  Dr. Michael Salkin replied 1 year ago.
Hi Finola,

I'm just following up on our conversation about Heidi. How is everything going?

Dr. Michael Salkin