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Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16467
Experience:  Over 20 years of experience as a veterinarian.
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My dog has ckd and hates the fiid, she' s hungry, but

Customer Question

my dog has ckd and hates the fiid, she' s hungry, but totally on to the masking, eats around the weird mystry meat in hills kd
JA: I'll do all I can to help. What is wrong with your dog?
Customer: i need a solution, i literally have four different types of precription food she wont eat
JA: What is the dog's name and age?
Customer: pearl, 12vyear old lab, that kniws good food:)
JA: How old is pearl?
Customer: 12
JA: Is there anything else the Veterinarian should be aware of about pearl?
Customer: ?
Submitted: 11 months ago.
Category: Dog Veterinary
Expert:  Dr. Kara replied 11 months ago.

Hello, I'm Dr. Kara. I have over 20 years of experience as a veterinarian and I'd like to help. Please give me a moment to review your concerns.

Expert:  Dr. Kara replied 11 months ago.

Ideally Pearl would eat a diet balanced for kidney failure such as Hills k/d, Hills g/d or Purina Veterinary Diets n/f. I understand that she isn't eating well for you thus you are looking for homemade alternatives.

Animals with kidney failure need high quality but limited levels of protein. The kidney is responsible for filtering and keeping proteins in the bloodstream. If we overload them on lots of low quality proteins then we over-work already damaged kidneys. We also need to stay away from foods high in phosphorus as the kidneys are responsible for getting rid of excess phosphorus.

I understand she may not be eating well at this point. Things you can feed to perk her appetite are green beans, peas, squash, mashed potatoes, sweet potatoes, rice, noodles, and carrots. Small amounts of cantaloupe or watermelon are fine too. If she won't eat her dog food small amounts of white chicken, cottage cheese and boiled or scrambled eggs can be added to boiled rice, noodles or mashed white or sweet potatoes. It is very important that she eat but we do want to move her towards eating dog food balanced for her condition if we can. So mixing some things in with her dog food initially if she won't eat it is fine. Just try and limit the amount of protein and make it very high quality.

Stay away from fatty meats, lunchmeats, organ meats and salted meats. Organ meats in general are high in phosphorus. Phosphorus is an electrolyte that failing kidneys have difficulty removing. If the blood levels of phosphorus are too high calcium is leached from the bones leading to weak bones and calcification of the kidneys.

As far as beneficial treatments fluid therapy to keep kidney waste products at a low level by flushing them out is often beneficial. Usually we start with intravenous therapy at the veterinary clinic then use subcutaneous fluids long term to manage the levels. You can learn to do this at home.

I also recommend a phosphate binder if her blood levels of phosphorus are too high.

If she isn't eating well sucralfate, a coating medication, can help heal gastrointestinal ulcers which will improve her appetite.

Acid reducers to try and settle her stomach and improve her appetite are also useful. Either:

1) Pepcid-ac (famotidine) at a dose of one 10mg tablet per 20 to 40 pounds of body weight every 12 hours.


2) Prilosec (omeprazole) at a dose of one 20mg tablet per 40 to 80 pounds of body weight every 24 hours.

These medications are quite safe and can be used for several days if necessary or for as long as necessary.

I also recommend an omega 3 fatty acid. These are natural anti-inflammatories and have been proven helpful in dogs with kidney disease. Reputable brands are 3V Caps and Derm Caps.

Finally if bringing down her waste product levels and controlling stomach upset and hypertension isn't enough to keep her appetite up we can use appetite stimulants. Dogs that eat and maintain body weight are proven to do better in the long run. Mirtazapine or cyproheptadine are both worth trying. They have different mechanisms of action so if one doesn't work try the other.

If you find that she will not eat the kidney diets and you need to feed a homemade diet all of the time I recommend consulting with a veterinary nutritionist to design a diet for her. There are recipes available but a recent study found that none were balanced appropriately.

Here is a link to help you find one in your area:

Another option is a company called BalanceIt. They sell trace mineral and vitamin supplements to add to homemade diets to make them balanced and will help you formulate a diet for her. Here's a link to their website:

Best of luck with your pup. Please let me know if you have any further questions.

Expert:  Dr. Kara replied 11 months ago.

Hello, I wanted to make sure that you didn't have any further questions for me, and I'd like to know how your pup is eating with my suggestions. If you could give me an update that would be great, thank you, ***** *****

Expert:  Dr. Kara replied 11 months ago.
Hi Rae,

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

Dr. Kara