My dog's kidney tests show different stages. What do the results mean?

This is best to discuss during a one-on-one consultation; however, the blood work results reveal that your pet has a high white blood cell count (indicates infection or inflammation), mild anemia (low red blood cells), a UTI with a low specific gravity (concentrating ability of the kidneys which should be rechecked once UTI resolved, as well as protein in the urine which should be rechecked after resolution of UTI. as well as high BUN, CREA, which suggests kidney damage or kidney failure. Because of the concurrent UTI, it is best to resolve the UTI with anti-biotics, perhaps consider a SDMA test (specific kidney disease test) to confirm suspected kidney disease/insufficiency, and then rechk Urinalysis in 2 weeks. I am not sure why your pet is on Lasix, unless there is also underlying heart diseasee, which could have caused the erroneous reading of low specific gravity on the test. If there is more to discuss, then pleasea don't hesitate to request a private consultation for this, because this is a complicated case that needs to be on a more personal level in order to get full clarity on the recommendations above. Best wishes and take care.

This is a bit of a confusing change in kidney values, but Creatinine is a little more specific for kidney disease, and is the value that is used for staging kidney disease (see link below). Some changes can happen based on hydration status. Elevations in alkaline phosphatase should affect creatinine. http://www.iris-kidney.com/pdf/IRIS_2017_Staging_of_CKD_09May18.pdf

Thank you for using Petco Pet Education Center, formerly Petcoach. I'm so sorry to hear Smudge was diagnosed with kidney issues. Unfortunately, a complete blood chemistry panel that includes a urinalysis is very accurate for kidney disease. If you have concerns about Smudge's diagnosis, I would recommend you reach out to Smudge's veterinarian to discuss what the findings were, and what steps may need to be taken. Good luck.

Thank you for submitting your question regarding Sundari. Her BUN and Cr are mildly elevated. This can indicate early kidney disease, but there are other causes as well. Simple dehydration will make these values increase. I would recommend that she has a urinalysis performed on a first morning urine sample. This sample will be the most concentrated and give you more information regarding how the kidneys are functioning. There is also a new blood parameter known as SDMA. This is much more sensitive indicator of kidney function than BUN/Cr. I would recheck her blood work in 1-3 months to monitor the liver value (ALT) that is slightly elevated to see if this is a consistent finding. Liver enzymes can fluctuate in the blood stream so this may not be significant. I hope this information helps!

Thank you for submitting your question regarding Tony. I agree that he is in the early stages of kidney failure based on the lab results you have provided. Kidney disease can cause low levels of potassium so it is good that you are supplementing him. Kidney values can fluctuate up and down a bit, but you want to assess trends over time to see how he is doing. SDMA and creatinine are more sensitive indicators than BUN. I would ask if his phosphorus level is in the target range for his degree of kidney disease (based on the IRIS staging) and make sure he has had his blood pressure measured recently. I hope this information helps!

Thank you for submitting your question regarding Linda. I would stop feeding any treats and keep her strictly on the kidney diet. She should have her blood pressure checked and a urinalysis done to look for extra protein in the urine. Both are common with kidney disease. There are medications that she can take that will help both conditions if necessary. This will slow further progression of her disease. Depending on her results, I will add a potassium supplement (if her potassium is low) or a phosphate binder (if her phosphorus is high). These things will help her to feel good for as long as possible. Always ensure she drinks plenty of water. I hope this information helps!

It doesn't look like Pitambar received a urinalysis. This test needs to be run to help stage the renal disease or if dehydration is present and causing the increase in the renal values. Talk with your veterinarian about having this test run asap: https://www.petcoach.co/article/urinalysis-testing-a-urine-sample/ There is another test called an SDMA which will help stage renal disease: https://www.idexx.com/en/veterinary/reference-laboratories/sdma/ Pitambar should also have a urine protein:creatine ratio run to check for protein loss and the need to medication to control that if it is present. This website discusses how renal disease is staged: https://www.idexx.com/en/veterinary/reference-laboratories/sdma/sdma-iris/ Kidney disease is serious and if caught early, many pets will respond to easy treatment and this will not only slow down disease process but will also increase the life expectancy. Often the first step is changing the diet to a prescription diet meant for pets who have kidney disease. These diets have lower protein, phosphorus and high amounts of omega 3 fatty acids, higher amounts of antioxidants and have a higher calorie amount. Supplementing with an additional omega 3 fatty acid can also help. Pitambar will need followup bloodwork and a urinalysis 4-6 weeks after starting treatment. As things progress, other treatments will be needed. https://www.petcoach.co/article/kidney-disease-causes-signs-diagnosis-and-treatment/ I hope this helps and please feel free to post any additional questions.