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My dog is 13. He’s excessively drinking and peeing. And has

My dog is 13....
My dog is 13. He’s excessively drinking and peeing. And has just started shivering. He’s a black lab mix. Last week he got blood work. No love for kidney failure, glucose level fine, but low potassium
JA: I'm sorry to hear that. Problems with drinking can be serious. I'm glad you noticed it. The Expert will know what to do. What is the dog's name?
Customer: Danny
JA: Is there anything else important you think the Veterinarian should know about Danny?
Customer: No
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Answered in 4 minutes by:
11/17/2017
PitRottMommy
PitRottMommy, Veterinary Nurse
Category: Dog
Satisfied Customers: 9,673
Experience: 15 yrs experience in vet med, 8 in emergency med. Founder of a non-profit animal rescue
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Hello, JACustomer. I have been a Veterinary Nurse for over 15 years and would be happy to help you today. I'm reviewing your question right now.

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Can you share results of the bloodwork?

Was a urinalysis performed?

Did I understand correctly that they did not see signs of kidney failure?

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Customer reply replied 30 days ago
Correct. Let me see if I have the results here. Give me one minute.But yes, a urinalysis was performed. And just showed signs of a dog that drank too much (docs words)
Customer reply replied 30 days ago
I have them
Customer reply replied 30 days ago
What would you like from the test results?
Customer reply replied 30 days ago
Nevermind. I am mistaken. This isnt them. I do not have them.
Customer reply replied 30 days ago
I just have what they told me. That kidney and liver values were normal. And that he had low potassium.

Seeing a copy would help as I would know what they ran. Do you have a copy of your receipt, by chance? And detailed line items?

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Customer reply replied 30 days ago
Nevermind! It’s on this app they set us up with. Here are the values:
ALP 93
ALT 56
AST 34
CREATINE KINASE 10
GGT 5
ALBUMIN 3.2
TOTAL PROTEIN 6.6
GLOBULIN 3.4
TOTAL BILIRUBIN .2
BILIRUBIN CONJUGATED .1
BUN 7
CREATIBE .7
CHOLESTEROL 217
GLUCOSE 86
CALCIUM 8.7
PHOSPHORUS 3.8
TCO2 23
CHLORIDE 112
POTASSIUM 3
SODIUM 151
ALB/CREATININE RATION 10
BILIRUBIN UNCONJUGATED .1
NA/K RATIO 50
HEMOLYSIS INDEX N
LIPEMIA INDEX N
ANION GAP 19
SDMA 12
Customer reply replied 30 days ago
T4 1.6And there’s more. Bare with me

No worries, no rush.

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Customer reply replied 30 days ago
WBC 11.4
RBC 7.83
HGB 16.7
HCT 48
MCV 63
MCH 21.9
MCHC 34.8
% RETICULOCYTE .8
RETICULOCYTE 61
%NEUTROPHIL 71.9
% LYMPHOCYTE 13.T
%MONOCYTE 8.5
% EOSINOPHIL 6.1
%BASOPHIL 0.0
PLATELET 383
NEUTROPHIL 8197
LYMPHOCYTE 1539
MONOCYTE 969
EOSINOPHIL 695
BASOPHIL 0
Customer reply replied 30 days ago
Comments: slide reviewed microscopically. No parasites seem. Neutrophils appear slightly toxic. Platelets are clumped on the blood film. Platelets appear adequate on the blood film
Customer reply replied 30 days ago
UrinalysisCOLOR. YELLOW
CLARITY. CLEAR
SPECIFIC GRAVITY 1.002
GLUCOSE. NEG
BILIRUBIN NEG
KETONES NEG
BLOOD NEG
PH 7.5
PROTEIN NEG
Customer reply replied 30 days ago
Urinalysis contWBC 0-2
RBC - NONE SEEN
BACTERIA - NONE SEEN
EPI CELL RARE (0-1)
MUCUS - NONE SEEN
CASTS - NONE SEEN
CRYSTALS - NONE SEEN
UROBILINOGEN - NORMAL

Thank you for this information. Does this conclude the results you have on hand?

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Customer reply replied 30 days ago
That’s all the results done on 11/9/2017

Thank you. Did your vet discuss running any additional tests such as Dex suppression tests? ACTH stim test? ultrasound of the abdomen?

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Customer reply replied 30 days ago
She put him on 550mg of potassium 2 times a day for a week. We bring him back Monday to have the potassium checked. Otherwise, she didn’t say any other tests. And was concerned it might be hyperaldosteronism
Customer reply replied 30 days ago
She wasn’t sure what was going on. Was consider8mg talking to an internist. So I’m up for giving her ideas
Customer reply replied 30 days ago
She said she doesn’t think it’s Cushings based on the tests. I was thinking Addison’s?

An internist would be wise. If your vet suspects hyperaldonsteronism, additional testing such as aldosterone and renin levels, abdominal ultrasound, ACTH stim test and such may be very useful in diagnosing what is going on. Honestly, Danny doesn't fit Cushing's, Addison's or hyperaldonsteronism well. He fits the criteria of all three ailments in a few different departments but no one of these ailments stands out more than the other. I believe additional diagnostics are going to be needed. This may take place now or in the near future based on how your companion responds to the potassium supplementation.

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Customer reply replied 30 days ago
Ok. Seems like you’re at the same loss she is :(

That's correct and primarily because the bloodwork is "normal" where it should be abnormal and vise versa for the conditions we've discussed. It's not uncommon for additional diagnostics to be needed for this conditions, in fact, especially when baseline chemistry, CBC, electrolytes and thyroid panel are all relatively normal despite the pet not behaving normally at all. Sometimes we do see owners picking up on subtle changes in a dog's behavior before the bloodwork becomes abnormal and that could certainly be the case here if you're close with Danny.

PitRottMommy
PitRottMommy, Veterinary Nurse
Category: Dog
Satisfied Customers: 9,673
Experience: 15 yrs experience in vet med, 8 in emergency med. Founder of a non-profit animal rescue
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Customer reply replied 30 days ago
I am. I notice the little things in him. Thank you so much. I’ll se did she can do an ultrasound on him

You're welcome. Good luck! I hope all goes well.

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Customer reply replied 30 days ago
Thanks!
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PitRottMommy
PitRottMommy, Veterinary Nurse
Category: Dog
Satisfied Customers: 9,673
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Experience: 15 yrs experience in vet med, 8 in emergency med. Founder of a non-profit animal rescue

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