How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. B. Your Own Question
Dr. B.
Dr. B., Veterinarian
Category: Dog Veterinary
Satisfied Customers: 21268
Experience:  Hello, I am a small animal veterinarian and am happy to discuss any concerns & questions you have on any species.
Type Your Dog Veterinary Question Here...
Dr. B. is online now
A new question is answered every 9 seconds

I have a 12 yr. old pit/mastiff.She has had acid reflux for

Customer Question

I have a 12 yr. old pit/mastiff.She has had acid reflux for 5 or 6 years, after she drinks a LOT of water. Now she started with diahreah andcoughing up foam after she drinks water. The vet keeps doing bloodwork and showing me a slip of paper and says her kidneys are shutting down. Now shes been home 4 days and willnot eat or drink, she is dehydrated! Shes not whining,but REAL weak. He gave me epakitin 180 to give her 1 time a day.Should I get a avet to use a camera down her throat. I just don't know what to do! Only other option I know of is to put her down! SAD! Any suggestions? Thanks, ***** ***** Macon, Ga.
Submitted: 2 years ago.
Category: Dog Veterinary
Expert:  Dr. B. replied 2 years ago.

Hello & welcome, Glen. I am Dr. B, a licensed veterinarian and I would like to help you today. I do apologize that your question was not answered before. Different experts come online at various times; I just came online, read about your wee one’s situation, and wanted to help.

Again I do apologize that my colleagues could not aid you sooner. If you would still like assistance, can you tell me:

Did her bloodwork improve after the IV fluids?

Has she had any vomiting?

Does she retch, lick her lips excessively, gag, or gulp?

Is she on any treatment for the acid reflux?
Customer: replied 2 years ago.

shegags when she drinks water and its like foam. she will not even try to eat or drink now she just lays flat and almost to weak to even move. no signs of any pain, jus dehydrated

Customer: replied 2 years ago.

All they do is bloodwork. she is dehydrated and if she drinks water she vomits like a foam[small amount]

Expert:  Dr. B. replied 2 years ago.
Thank you,

First, if they didn't recheck her bloods after IV fluids, then we don't really know how well she responded to those fluids. That said, if she is still feeling terrible, I would be worried that her situation is quite advanced and her prognosis may be guarded.

That aside, there are some treatments and support we can try for her. Now you noted that she has always had acid reflux but I do have to note that kidney disease can cause GI upset and vomiting due to a secondary condition called uremic gastritis. So, this could be making her worse. As well, her high blood urea can also cause ulcers of the mouth and throat; and that could also be causing her gagging. And while scoping could let us see these issues, we may want to instead try to tackle them for her. Therefore, with these concerns in mind and her nausea, I would advise considering treating her with an antacid at this stage. There are a number of antacids that are available over the counter and pet friendly. I would advise only treating with one, but the two I tend to recommend are Pepcid (More Info/Dose Here ), Tagamet (More Info/Dose Here), or Zantac (More Info/Dose Here). As well or alternatively, you can request that your vet dispense further stomach settling/anti-vomiting medication like Metoclopramide, Zofran, or Cerenia. These can further reduce her nausea and settle her stomach signs.

Otherwise, I would note that when we have dogs with kidney disease, we often will put them on a kidney diet (be it Hill's K/D (here), Royal Canin Renal (here), or Purina NF (here)) to reduce strain on the kidneys' daily work by keeping dietary intake of protein, sodium, and phosphorus as low as possible. I have listed a few diets for you there, just in case you wanted to research these further.

As well, there are some medications that can be used to support patients with kidney disease. One that may be of use here is an ACE inhibitors like Benazepril. This medication just helps the kidneys function as best they can and can reduce protein loss via the urine (often the reason they lose weight).

Finally, if her kidney parameters even after IV fluids are still high, then we may also find routine use of subcutaneous (SQ) fluids helpful in supporting her kidneys. Now the use of this treatment would depend on your keenness to do this at home (not all owners are able) and her being amenable to treatment. If you are interested in this, it is worth a discussion with her vet, as SQ fluids can be quite helpful to just support the kidney on a daily/weekly basis to keep the metabolite levels from reaching a level where she feels poorly with them. Just in case you are interested, I do want to leave a good guide (HERE) and a very good video on giving SQ fluids HERE.

Overall, I am quite concerned with how poorly she is despite IV fluids. So, instead of scoping, you may want to instead use the above to try and soothe her GI signs and help her manage with her struggling kidneys.

I hope this information is helpful.

If you need any additional information, do not hesitate to ask!

All the best,

Dr. B.