My dog has Lyme and kidney failure. Is euthanasia the only choice?

Hello, While we know that Lyme disease can cause kidney disease, we cannot assume that the Lyme disease is causing kidney injury in this case. Many pets will test positive for Lyme disease on a screening test if they have been exposed to the disease. However, exposure does not equate to clinical infection in every case. In order to determine if Lyme disease is causing kidney injury, we need to measure antibody levels in the blood, ultrasound kidneys, and obtain a kidney biopsy. Without this information, it will be difficult to give a prognosis. I would advise you to follow up with your veterinarian to discuss recheck kidney values, abdominal ultrasound and urinalysis.

Although it's not common, lyme disease can progress to severe kidney disease, which can be difficult to treat and may lead to the death of the dog. Other symptoms of lyme disease include fever, lameness, swollen joints, swollen lymph nodes, lethargy, and anorexia. It can be successfully treated with doxycycline.

I'm very sorry to hear about this situation. Sadly, even if Kody would tolerate fluid therapy at home, it would not reverse the renal failure. When we are giving subcutaneous fluids at home, we are trying to keep our pets comfortable and give them more time. In patients that do tolerate it well, it still only helps for a while. Making the decision to euthanize is never easy. What I never want to see is a patient that ends up resenting the care their family is trying to provide, and making their last days miserable for everyone involved. If you absolutely wanted to keep going and keep trying, you could hospitalize with IV fluids, or take him to the veterinarian for daily subcutaneous fluids, but if he hates the treatment, I'm not sure that is what most people would want their pet's last days to be like. I can only access how Kody is doing based on the information provided, but it sounds like you are at a point when it would not be wrong to consider euthanasia. Even knowing it is the right thing does not make it easy. I wish I had better answers for you.

I am so sorry Toby is not feeling well. Ehrlichia is a tick born disease that can cause a lot of secondary issues from the infection. Kidney disease acute (suddenly) or chronic(over a long period of time) can be hard to detect. The Ehrlichia can cause dehydration, anemia, acute kidney disease and even low platelets. The kidney disease usually resolves when the Ehrlichia is treated. However with a 14 year old dog I would be concerned that Toby had kidney disease that was undetectable until now. That would make it hard to predict if the kidney values will ever go back to normal. There are no specific drugs to lower the kidney values. The best options are intravenous fluids and antibiotics for the Ehrlichia and close monitoring. I hope Toby makes a full recocery

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your questions. After the treatment of 4 weeks with Doxycycline, you can test Dash for Lymes by sending out a test called a PCR. This particular test is usually expensive but will tell you if Dash has a current active infection of Lymes. Unfortunately, with Lymes disease, it is never eradicated from the body, treatment gets it down to a very low bacterial burden to the point where no symptoms are evident. The snap ELISA test that is done in the veterinary hospital, will likely always show positive, but this is because it tests for antibodies to Lymes, which Dash will likely have for years (if not forever). His creatinine being elevated could indicate early kidney disease. I would recommend having the veterinarian assess his urine to see if it is adequately concentrating and also check an SDMA test to help establish whether or not he has early renal disease and what stage it is. I hope this helps guide you in the right direction. Please let me know if you have any other questions or concerns and I would be more than happy to help you further.

I don't really have any insight into his lab work without being able to see the results, but it sounds like you're not ready to consider euthanasia. You may want to ask your vet if there's anything else that can be done for Baxter - depending on the cause of the kidney failure he might benefit from more intensive 24 hour care at a specialty hospital. Since he is still eating and drinking you could also ask about hospice care - he may be comfortable for a little while longer with fluids at home. At some point it sounds like you will need to make a decision regarding euthanasia - these links might help: https://www.petcoach.co/article/the-decision-of-euthanizing-your-pet/ https://www.ahelpproject.org/ https://www.iaahpc.org/images/BarkArticleSpring2014Goldberg

Poor baby. Kidney failure is usually pretty bad news in dogs. The usual treatment is hospitalization for IV fluids to lower kidney values (since high kidney values make animals feel crappy) and treatment for whatever associated complications an animal has (such as nausea or anemia). Early in the disease, food changes and at home fluids can help. You mentioned that Priscilla has already been hospitalized for two days, so I'm going to assume she has two days of aggressive fluids and her kidney values haven't gone down. If you don't believe in euthanasia than I'd say you need to find a veterinarian who practices hospice in your area. A Google search should turn up an opinion or two. In your own, there isn't much you can do. I will warn you that kidney disease often ends in euthanasia because at the end stages it causes severe nausea, vomiting, severe weight loss, ulcers in the mouth, severe dehydration (even though they are drinking a lot, it just goes right through them). So it's not a good way to go without really really aggressive support from a local hospice vet. I'm so sorry and you are Priscilla are going through this. You'll be in my thoughts.