Kidney Problems. The following are real life cases of Kidney Problems in Dogs that have been treated by Dr. Mike Richards, DVM. Chronic Kidney Failure Kidney Transplant for Dogs. Medications that are Linked to Kidney Failure in Dogs. Serum (or Blood) Urea Nitrogen Levels and Serum Creatinine Levels. Kidney Disease - When to Put on Calcitrol. Kidney Failure and High Calcium Levels. ![]() Causes and Treatment of Kidney Failure in Dogs. Kidney Failure and Heart Murmur Kidney Disease or Kidney Failure? Kidney Disease Family History. Cystic Kidneys. Causes of Canine Kidney Failure Leptospirosis (zoonotic) Question: Thanks for your quick reply and help. Hamish's excessive drinking has stopped after six days of Marbocyl and he appears much more himself although a little lazy. He doesn't appear to have lost anymore weight and is eager for his meals. I took a urine sample in for testing today and the test showed his specific gravity is still 1. You say that can happen for a lot of reasons, what are these? A Collection of Free Responsive Blogger Templates, Blogger/CSS3 Website Templates. Download High Quality and Latest Free Blogger Templates. Het Kaaps viooltje (Saintpaulia) is weer helemaal terug! Iedereen kent het plantje waarschijnlijk wel. Vaak wordt gezegd dat het Kaaps viooltje traditioneel is, maar. If it were a bladder infection as our vet suspected and the anti- biotics worked would the S. G by now be normal? I read up on Cushings from your site but he doesn't have any of the signs and now the excessive drinking has stopped I don't know what to think his coat is excellent and he has no pot belly. He is now on his normal food, should I get more blood tests done or leave him as he seems OK now? The Vet has suggested another urine test in two weeks. Also the update. Our Vet has now given him a diagnoses of early chronic kidney failure. All his urine samples are all in the region of 1. The vet even remarked that he thought his dipsticks were faulty but this has been confirmed by lab tests. His creatine is in the normal range 9. I think. One question I have is; as his S. G is so low will that mean his creatine levels will start to rise very shortly indicating a worsening of kidney functions or will he continue just with the low SG and no worsening for months or years? ![]() Heart failure is a cardiac condition in which an underlying heart disease of one type or another has made the heart unable to keep up with the body's needs. Since not all office chairs are created equal, look to heavy duty office chairs for supporting you during those long hours at the office. Regardless if you have. When patients with Barrett's esophagus are assessed as a group, the risk of cancer has been found to be as low as one in 300 patients yearly. This means that if we. Sumber : http:// Rebiu Peribadi: 1-2 hari pengambilan chia seeds ni, aku memang lawas buang angin je. About Heart Failure (HF) Heart failure occurs when the heart muscle is weakened and cannot pump enough blood to meet the body's needs for blood and oxygen. Berikut beberapa aplikasi memasak yang bisa kamu jadikan rujukan untuk membuat menu sahur dan buka puasa. Kalium (Potassium) Kalium adalah sejenis mineral dalam badan manusia yang memainkan peranan penting dalam fungsi jantung and pengecutan otot Apabila ginjal gagal. Best article EVAAAA!!!!! JayJitsu310 Says: Wed, 08/29/12 - 04:33. I guess they don't test ring girls for the drug. ![]() I haven't been able to find an answer to this question despite checking your site and other information on line. Hope you can give us some indication of his lifespan as he is only 6 years old and we previously lost a Great Dane at the age of 2. I am not sure why this range isn't called hyerthenuric but it doesn't seem to be. Isothenuric urine is not concentrated or dilute and urine that stays consistently in this range can indicate kidney failure or hormonal diseases. However, your dog has hyposthenuric urine and there are some specific causes for this. These are the causes of hyposthenuria in a single urine sample: 1) Excessive drinking for behavioral reasons (any cause) 2) central diabetes insipidus (lack of production of anti- diuretic hormone, or ADH, by the brain) 3) nephrogenic diabetes insipidus, or resistance to the effect of ADH at the kidney level: a) hyperadrenocorticism can cause this b) hypercalcemia (too high calcium levels - - hyperparathyroidism, metastatic cancer, poison) c) low serum potassium levels d) kidney failure due to amyloidosis e) pyelonephritis (infection of the kidney itself) f) some forms of drug therapy g) very rarely as a congenital defect. Of the things mentioned above, behavioral excessive drinking is probably the most common cause of dilute urine. However, this should not be a constant finding in a series of urine samples, in most cases. So the first step is usually just to test several samples, trying to get at least one at a time when the urine should be concentrated, like the first urine sample in the morning for a dog that doesn't have access to water during the night. Per the specialist instructions we have begun changing him over to a new low protein diet (Eukanuba) specially formulated for dogs with kidney disease. Answer: It is possible to pursue a kidney transplant for dogs at this time. The University of Minnesota and the University of California at Davis (UCD) are the only places I know of where this surgery is being done in the U. S., but it is an available option. I do think that it might be best to continue with medical treatment for the current problem until the presence of chronic kidney failure is well established, though. ![]() The urine specific gravity below 1. The general rule of thumb is that about 7. It might be a good idea to check several urine samples, especially ones from early in the morning, to see if the kidneys can concentrate urine at times, though. There some medications that you might consider using to attempt to slow the progress of the kidney failure or to make your rottie feel better. Enalapril (Enacard Rx) can help decrease protein loss and possibly slow the progression of kidney failure in dogs. It is important to monitor its effects in the first week of use, though. In a few dogs it can make the kidney failure worse. We have used enalapril now in several patients and our subjective opinion is that it is helpful. Even moderate protein elevation in unconcentrated urine samples is indicative of protein loss in the urine. Calcitriol is recommended by some veterinary kidney specialists and avoided by others. It is an active form of Vitamin D which may help to prevent secondary renal hyperparathyroidism. I am not sure who will turn out to be right in the long term, the people for or against the use of calcitriol. We use this and we think it is helpful but we are not sure. An alternative approach is to use phosphate binders (aluminum hydroxide gel, others) to try to keep phosphorous levels from rising. This is the approach favored by the kidney disease specialists that avoid calcitriol use. It is very important to maintain hydration in patients who have kidney insufficiency. If you can not encourage adequate drinking, it may be necessary to consider using occasional fluid therapy. This is harder to do in dogs than in cats and is utilized less frequently due to this. It is critically important to use fluid therapy if your dog stops drinking or cuts down on drinking significantly, no matter what the cause. It is important to try to maintain a patient's appetite, so if there is a time when it decreases, appetite stimulants are appropriate. A lot of patients with kidney failure have gastrointestinal irritation and using cimetidine (Tagamet tm), famotidine (Pepcid AC tm) or ranitidine (Zantac tm) can be helpful, as well. Monitoring the progress of the kidney disease through repeated urinalysis and periodic blood tests is a good idea. Sometimes clinical signs do not occur until after there are significant changes in laboratory values and early recognition of a change in the status of the kidneys can be very helpful. Question: You said in an earlier post than antibiotics and non- steroidal anti- inflammatory medications used for arthiritis probably cause kidney failure. Of these,the two aminoglycosides (amikacin and gentamicin) are the most toxic to the kidneys but are only available as injections so are rarely dispensed, although they are used in severe infections in hospitalized animals not too infrequently. The entire class of non- steroidal anti- inflammatory medications can cause kidney damage due to constriction of blood vessels in the kidney. This would include aspirin, carprofen (Rimadyl Rx), etodolac (Etogesic Rx), phenylbutazone (Butazolidin Rx) and others. I don't think that any of these medications are highly likely to cause a problem in any individual patient, with the possible exception of the aminoglycosides, which must be used very carefully whenever they are used. However, when kidney failure signs occur and any of these medications are being used it is prudent to evaluate the necessity of the use and to consider adjusting the dosage or changing medications, if possible. There are other medications that are linked to kidney damage to some degree. These include thiatarsamide (old heartworm treatment medication), chemotherapy agents such as cisplatin, amphotercin- B (antifungal agent), enalapril (Enacard, Rx; used for heart failure and sometimes to treat kidney disease because of beneficial effects it has in most patients), methoxyflurane (anesthetic) and iodinated contrast dyes used to help improve the ability to see problems on X- rays. Both of these values tend to rise when the kidneys are not functioning efficiently. The urea nitrogen level is less specific to kidney damage than the creatinine level. Rises in BUN can occur after a high protein meal, in response to muscle damage, when corticosteroids are being used and when dehydration or urinary obstruction is present when there is no kidney damage. Usually these rises are not severe, though. It can rise when dogs are fed diets high in cooked meat but these rises tend to be small. It can rise when there is dehydration or a urinary obstruction even though the kidneys are not damaged yet. However, for the most part rises in creatinine do indicate damage to the kidneys. Over time, the rise in creatinine levels is a little better indicator for how glomerular damage is progressing than the BUN. A chronic slow rise in the creatinine is an indication of ongoing damage. For both creatinine and BUN, it is important to look at other indicators of how the body is doing to be sure that there isn't a problem like dehydration or urinary blockage leading to the rises in the BUN and creatinine, instead of kidney damage. If the urine is concentrated, kidney damage is less likely. If the patient is normally hydrated but has protein in large quantities in the urine, then glomerular disease might be present even if the BUN and creatinine are not very high. So the BUN and creatinine are important indicators of kidney function but they have to be considered based on the patient's overall condition and the potential for diseases other than kidney disease to be present. Simptom selepas bersalin yang tidak boleh anda abaikan. Selepas bersalin, sedikit pendarahan, ketidakselesaan dan keletihan adalah perkara biasa. Masa, berehat dan menjaga diri lazimnya mencukupi untuk diri anda sembuh. Walau bagaimanapun, kadang kala situasi kecemasan boleh berlaku dalam beberapa hari atau minggu selepas bersalin. Rawatan segera mungkin boleh mengelakkan penyakit menjadi teruk dan mempercepatkan pemulihan anda. Selepas bersalin, tanyalah doktor anda bagaimana anda boleh dapatkan rawatan perubatan kecemasan sekiranya anda memerlukannya. Pastikan butiran itu ditulis di tempat yang selamat dan ahli keluarga anda tahu tempatnya. Ini dapat membantu kakitangan ambulan memberi rawatan yang sepatutnya dengan segera. Simptom selepas bersalin apa yang memerlukan rawatan kecemasan segera? Pergi ke hospital dengan segera jika anda mengalami mana- mana simptom yang tertera di bawah: Kehilangan banyak darah dengan tiba- tiba atau berterusan, termasuk darah beku (pendarahan postpartum)Ini mungkin diikuti dengan tanda- tanda kejutan, seperti denyutan jantung yang pantas, pening kepala, berpeluh dan rasa seperti hendak pitam. Jika pendarahan semakin banyak, dan tuala wanita anda lencun dalam sejam, atau darah beku lebih besar dari saiz syiling 5. Sakit kepala yang teruk atau berpanjangan. Ini mungkin kesan sampingan suntikan epidura atau anestesia spina, dan anda mungkin mengalami sakit kepala yang teruk bila anda duduk atau berdiri. Anda patut menghubungi doktor anda secepat mungkin, agar dinilai melalui telefon atau secara berhadapan, jika perlu. Dalam 7. 2 jam pertama selepas bersalin, sakit kepala yang teruk juga mungkin tanda pra- eklampsia, bersama dengan penglihatan kabur dan/atau berasa loya. Jika anda mengalami tanda- tanda tersebut bersama sakit kepala, hubungi 9. Tekanan darah tinggi. Tekanan darah anda patut diambil dalam masa enam jam pertama selepas bersalin. Jika angka di bawah (diastolik) melebihi 9. Tekanan darah anda perlu diambil sekali lagi dalam masa empat jam jika anda tiada tanda- tanda lain. Jika anda mengalami tanda- tanda lain pra- eklampsia seperti sakit kepala, penglihatan kabur atau berasa loya, anda harus menghubungi 9. Sakit di bahagian atas abdomen. Anda mungkin mempunyai keadaan yang jarang berlaku dipanggil sindrom HELLP jika anda melahirkan kira- kira 4. HELLP menjejaskan fungsi hati anda dan bagaimana darah anda membeku. Anda juga mungkin merasa seperti anda mendapat selesema. Gejala- gejala ini perlu diperiksa segera, jadi anda perlu hubungi doktor anda atau pergi ke jabatan kecemasan hospital yang terdekat (A & E). Nafas pendek. Nafas pendek biasa berlaku jika anda melakukan sesuatu yang aktif seperti mendaki bukit. Tetapi jika anda berasa sesak nafas dan ianya tidak pulih walaupun selepas anda berehat, anda perlukan bantuan segera. Ia mungkin tanda darah beku tersekat pada salah satu saluran darah di paru- paru (embolisme pulmonari). Hubungi doktor anda dengan segera. Sakit dada. Jika anda mengalami kesakitan pada dada, ia mungkin disebabkan oleh jangkitan dada atau ketegangan otot akibat meneran semasa bersalin. Namun begitu, ia juga mungkin tanda embolisme pulmonari dan tidak harus diabaikan. Jika anda mengalami kesakitan, sesak nafas atau batuk berdarah, hubungi doktor anda atau segera pergi ke hospital. Sakit betis. Kesakitan pada betis mungkin trombosis vena dalam (deep vein thrombosis – DVT). Ini adalah pembekuan darah pada vena dalam otot dan ia boleh membawa maut. Kadang- kala anda juga mungkin nampak tanda merah di pelipat, dan rasa berat atau panas di tempat darah beku. Kekacauan pemikiran, terlalu mudah rasa gelisah, kekeliruan dan delusi boleh jadi permulaan sejenis keadaan kesihatan yang jarang berlaku, dikenali sebagai psikosis pospartum. Tanda- tanda kecil boleh berubah menjadi sakit mental yang serius dalam beberapa jam, jadi penting mendapatkan rawatan segera. Hubungi doktor anda dengan segera. Demam yang sangat panas (3. C)Demam panas boleh disertai menggigil dan ia adalah satu tanda jangkitan. Selepas bersalin, anda boleh jatuh sakit dengan teruk dalam masa yang singkat jika anda mengalami jangkitan yang tidak dirawat segera. Tempat yang mudah terkena jangkitan ialah pada ruang antara vagina dah rektum anda (perineum), luka pembedahan caesar, saluran kencing atau di uterus (rahim) anda. Jika anda ada jangkitan di dalam rahim, anda akan sakit di bahagian perut dan/ atau rembesan/ discaj faraj yang busuk (lokia). Hubungi doktor anda dengan segera. Tidak dapat membuang air kecil dalam enam jam pertama selepas bersalin. Jika anda tidak membuang sejumlah air kencing yang memuaskan dalam masa ini, anda mungkin mengalami masalah air kencing bertakung. Semasa anda di hospital, jururawat akan memerhatikan jumlah air kencing yang keluar. Jika anda di rumah, mandi air panas boleh membantu. Jika anda masih gagal membuang air kecil, hubungi doktor anda segera. Apakah keadaan yang cemas, tetapi boleh ditangguh sehingga pagi? Beritahu doktor anda secepat mungkin jika anda mengalami mana- mana simptom berikut: Rembesan faraj yang berbau busuk. Ini boleh jadi tanda jangkitan pada rahim atau faraj. Sakit perut. Ini juga mungkin satu tanda jangkitan. Anda mungkin berasa sakit pada luar perut di sekeliling jahitan jika anda menjalani pembedahan caesarean. Ia juga mungkin di dalam rahim, kerana tempat plasenta tertanggal adalah suatu luka yang perlu sembuh. Jika jangkitan dalam rahim tidak dirawat, ia boleh meningkatkan risiko anda mengalami pendarahan postpartum. Buasir yang teruk atau bengkak. Walaupun buasir adalah perkara biasa, kadang- kadang ia bengkak terlalu besar dan sakit selepas anda bersalin. Buasir adalan urat darah di dalam dubur yang bengkak, tetapi ia boleh terunjur keluar. Ini dikenali sebagai rembung. Jika anda mengalami buasir yang teruk atau pendarahan dari dubur, mintalah bantuan doktor. Kemurungan yang kekal selepas beberapa hari. Adalah normal untuk merasa muram, sedih, letih atau bimbang dalam masa tiga hingga lima hari selepas melahirkan anak. Kemurungan ini biasanya hilang dalam beberapa jam atau hari. Tetapi jika anda terus berasa murung, dan tidak menikmati pengalaman menjadi seorang ibu, anda mungkin mengalami kemurungan selepas bersalin (meroyan). Bercakap dengan doktor dan keluarga anda, supaya mereka boleh membantu mencari bantuan dan sokongan yang anda perlukan. Berfikir hendak membunuh diri. Jika anda dapati diri anda memikirkan tentang kematian atau membunuh diri, dapatkan bantuan dengan segera. Berfikiran sebegini tidak bermakna anda ibu yang tidak baik atau bayi anda akan diambil dari anda jika anda memberitahu perasaan anda pada orang lain. Hubungilah doktor, teman atau ahli keluarga supaya mereka boleh menbantu anda. Anda akan diberi sokongan untuk menjaga anda dan bayi anda Sakit yang teruk pada perineum, mungkin bersama air kencing yang memedihkan dan/atau berbau busuk. Ini mungkin jangkitan pada jahitan atau jangkitan saluran kencing. Penting bagi doktor memeriksanya untuk memastikan sama ada perineum anda sembuh dengan elok. Ia juga mungkin haematoma, atau lebam besar, pada tisu faraj anda. Peninjaan tidak terkawal. Keperluan untuk meluru ke tandas adalah biasa selepas bersalin, tetapi jika anda terbuang air besar sebelum berjaya sampai ke tandas, itu mungkin tanda peninjaan tak terkawal (keadaan di mana seseorang itu tidak dapat mengawal membuang air besar). Beritahulah doktor anda dengan segera. Sembelit. Ia mungkin mengambil masa beberapa hari selepas bersalin sebelum anda rasa perlu buang air besar. Jika anda belum membuang air besar dalam tiga hari, dan mengalami rasa sembelit dan tidak selesa, beritahu doktor anda agar ia tidak menjadi lebih teruk. Read in English: Postnatal symptoms you should never ignore. Last reviewed: November 2. References. Lloyd C. Hypertensive disorders of pregnancy. In: Fraser DM, Cooper MA. Myles Textbook for Midwives. Edinburgh: Churchill Livingstone, 3. Marchant S. Physical problems and complications in the puerperium. In: Fraser DM, Cooper MA. Myles Textbook for Midwives. Edinburgh: Churchill Livingstone, 6. MIND. Understanding postnatal depression. National Association for Mental Health. Feeling depressed after childbirth. NHS Choices, Health A- Z. Deep vein thrombosis. NHS Choices, Health A- Z. Routine postnatal care of women and their babies. National Institute for Health and Clinical Excellence, Clinical guideline, 3. London: NICE. Postnatal care. National Institute for Health and Care Excellence, Quality standard 3. Headache after an epidural or spinal injection: what you need to know. Obstetric Anaesthetist's Association. The Royal College of Midwives. Management of perinatal mood disorders: a national clinical guideline. Scottish Intercollegiate Guidelines Network.
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