cushing and chronic kidney failure/my princess has passed

[cocoawan]

Hi,

My dog (Jack Russell) was diagnosed of cushing disease two years ago. In Oct 2014, she has Hematemesis and I have been seeing the vet and went for blood count, ultrasound and X ray. The vet thought the condition is uclers. So we give on feeding her medicine but her blood diarrhea is on and off. Only 4 days ago, the vet find out that she has chronic kidney failure. She is in the clinic now doing drips.

Her medicine for cushing is vetoryl and she is suppose to take 15mg per day. The medicine work well for her for the past two years.

Her bun is 150, phos is 7.1 and cre is 5.9. She is not eating the past 3 days so the vet has to force feed her. Have asked the vet whether we should continue the vetoryl and she said yes.

need advise on whether we should continue with the vetoryl and how can I prepare home cooked food for her to entice her to eat.

also want to know that does cushing disease affect the kidney and if I lower the dosage, will the kidney function better? Her red blood cell count is fine, white blood cells just a a bit high.

Thanks

[Squirt's Mom]

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[mytil]

Hi and welcome. I am so very sorry your girl is having such troubles.

Firstly, I would not give any more Vetoryl. Given that she is vomiting blood, has no appetite and her kidney function numbers are elevated. She is certainly in distress. Her receiving fluids at this point is important and instead of force feeding her they should include some of the nutrients in the fluids.

Please keep us posted.
Terry

[labblab]

Dechra, the manufacturer of Vetoryl, publishes a specific warning against giving the medication to dogs suffering from impaired kidney function. So I, too, would be very worried about continuing to give it in this situation. To confirm this warning, probably the best thing to do would be to ask your vet to please contact Dechra directly in order to discuss your dog's kidney problems. Depending upon where you live, here is Dechra's contact information.

Dechra's U.K./Euopean office: http://www.dechra.eu/contact-us.aspx

Dechra's U.S. office: http://www.dechra-us.com/Default.aspx?ID=365

I am surely sorry your dog is feeling so poorly. Here's a website that may help you with some dietary tips:

http://dogaware.com/health/kidneydiet.html

Marianne

[cocoawan]

Dear all,

Tq for the advise. I have met the vet this evening and they agree to stop the vetoryl.

She is still not eating and her cre went up to 7.1 so hopefully her cre will go down once she stop the vetoryl.

I am still curious whether her kidney failure is due to Vetoryl. I have written to them and waiting for them to revert.

Thanks

[Harley PoMMom]

Hi and welcome from me as well,

I have had two beautiful furbabies that had kidney disease and I am sorry that your sweet girl is having kidney issues. One important thing that I noticed is that her phosphorus is elevated, and when this is high it causes a dog to lose their appetite so she needs to be on a phosphorus binder.

I too, would recommend in stopping the Vetoryl as of right now. Letting her cortisol rise a bit high may make her appetite perk up and it also could increase her drinking, which fluids are needed when a dog has kidney disease.

Has the vet mentioned feeding her a low phosphorus diet? Are you going to be giving her subcutaneous fluid treatments at home?

I see that you mentioned that her white blood count is high, this may mean some kind of infection such as an UTI (urinary tract infection) has an urine sample been collected and analyzed recently?

I'm including in my post a link to the dogaware webpage that has a information regarding canine kidney disease (diets, tests. etc), I strongly urge you to read it as it did help me, here's that link: http://www.dogaware.com/health/kidney.html

Please know that we are here to help in any way we can so do not hesitate to ask all the questions you want. ;)

Hugs, Lori

[cocoawan]

Hi,

We are stopping the Vetoryl now to treat the chronic kidney disease.

Anyone know how long we can stop the vetoryl and if her kidney cur is stable, should I continue the vetoryl or not? If I don't continue, will her system clash again?

Anyone has a dog that has cushing and chronic kidney disease?

Thanks

[Squirt's Mom]

Can you answer the questions Lori (Harley PoMMom) asked yesterday about the phosphorus binder, etc? It is really hard to give feedback without info to build on. ;)

I don't think she will ever go back on the Trilo with kidney disease. As Marianne (labblab) posted yesterday also -
Dechra, the manufacturer of Vetoryl, publishes a specific warning against giving the medication to dogs suffering from impaired kidney function. Kidney or liver disease sort trumps Cushing's anyway. ;) The kidney's are the priority now.

What is her BUN? What is the BUN:CREAT ratio?

Is she eating any better today?

[cocoawan]

Hi everyone,

Just want to inform you that my princess passed away yesterday night.

Thank you for the advise and concern.

[flynnandian]

i am sorry that your princess passed away.
i had a dog with chronic kidney failure too. in the end she got sick very fast. once they stop eating there is nothing you can do but let them go.
lots of strenght from us.

[judymaggie]

My condolences to you--it sounded like your girl had a lot to deal with. Take care of yourself during this difficult time.

[Harley PoMMom]

Oh, I am so sorry to read this news, and my heart goes out to you at this most difficult time. But thank you so much for coming back to tell us so that we can join you in honoring your sweet girl.

Please know we will always be here for you, and we welcome you back at any time, to share stories about your girl or just to talk about how you're doing.

With Heartfelt Sympathy,
Lori

[Dixie'sMom]

I am so terribly sorry to hear that you lost your baby girl last nite. I, too, have lost a furbaby to kidney failure and it is gut wrenching. My heart goes out to you. I will keep you in my prayers in the coming days and please know that we grieve with you. I hope you can take some comfort in knowing that your baby is now free from pain and is whole once again.

Hugs,

[Robert]

So sorry for your loss.

[Spiceysmum]

So sorry for your loss.

Linda

[molly muffin]

I am so very sorry to hear of your sweet girls passing.

My sincere condolences.

[mytil]

I am so very sorry!!! I know you tried so hard for her. My heart is with you as my girl had these same issues. She is pain free now and will be watching over you until you meet again.

Please do stay with us during this very rough time -- we are all here to help you through this.

((((hugs))))
Terry

[Squirt's Mom]

I am sad to hear that your sweet girl has flown. We just got to meet her and now she is already gone. :( You did all you could to help her feel her best every day and I know she is grateful to you for all you have done for her. Today she is pain free and watching over you with all the love and devotion you gave to her.

We are here should you want to talk, anytime.
Our deepest sympathies,
Leslie and the gang

[cocoawan]

Hi All,

Thank you for the kind words. I know it is a tough and sad journey but with family, friend's support and god my comforter, I will pull thru it.

The only thing that it is still bothering me is that it happen so fast. What causes her kidney failure so fast? Cushing or old age, I really don't know. The vet said it is cushing, dogs that have cushing can only live from 2 to 5 years. I don't know whether it is true or not. However, when I google, it seem to me with proper medicine, dogs can live long and we'll.

Now, I realise that in Singapore that is no vet that specializes in treating cushing.. so sad..when this is such a complicated disease..

thanks

[doxiesrock912]

My condolences.

[Robert]

Hi fully understand what you are saying re how fast it can all happen. My little mate tommy had cushings and it was being managed. I was walking him on a Sunday morning and he had that happiest dog in the world look. He seemed a bit sick that night took him to vets Monday and they thought he was ok but he got sicker through the week. Thursday they did ultrasound and he had kidney disease. They weren't sure what hi chances were but Friday lunchtime they rechecked his results and I made the desicion to let him go. In the space of 5 days he went form seeming healthy to dead. They hide pain and illness too well… the vet Also told me kidney problem he had and cushings weren't connected.