Yorkie with kidney failure & heart murmur: Are home fluids helping?

I'm very sorry to hear about the loss of your dog. Unfortunately, chronic renal failure is a common problem in elderly dogs, and is often in the late stages already by time it's diagnosed. The situation was likely complicated by the fact that your girl also had CHF, because the treatment for renal failure (lots of fluids) is essentially the opposite of what dogs with heart disease need to control their symptoms. So we are often stuck between a rock and a hard place, when it comes to trying to treat dogs who have both of these problems. It sounds like your girl had a wonderful life, to have made it to 17 years old. It doesn't sound like there's anything at all you could have done differently - these are both just bad diseases, that are unfortunately common in older pets. Again, I'm very sorry for your loss.

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.

Those are a lot of issues to manage at once. Kidney disease can make many painful conditions harder to manage since some pain medications can’t be used. Gallstones can cause issues that may require surgery. There isn’t a good treatment for tracheal collapse other than to keep them calm, manage coughing and inflammation, and weight loss if they are overweight. Your question may be better suited to the vet that has all of the lab results. If you can get a copy, you can use a Petco Pet Education Center, formerly Petcoach consult so we can evaluate them and help you decide where to go next.

I am sorry to hear that Memi is so sick. You may want to discuss doing subcutaneous fluids at home with your veterinarian. Also anti nausea medication such as cerenia can also be helpful and appetite stimulants if needed as well. I hope you have some good quality time left with him. Best of luck and thank you for using Pet Coach.

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.

I'm really sorry to hear about poor Memi. The combination of these two conditions are often difficult to treat and can be very disheartening. I would first recommend asking your veterinarian about any more potential treatment options and how long they think he may survive given his current condition. The decision to euthanize is extremely difficult and there is no right or wrong answer. I advise my clients to consider euthanasia when they feel like their pet is suffering so much that they don't seem themselves anymore; or just don't seem to enjoy life anymore. You will be the best judge of this. I hope that helps. Again, I'm very sorry for this unfortunate circumstance and wish the best.

Poor girl. I would certainly consider at least getting her checked again and fluid therapy (IV or subcutaneously). If her values are not too bad, she may be able to be managed at home with subcutaneous fluids that you yourself give. That is if you are up to the task. Also I am not sure if she is on a prescription kidney diet. If not, then she needs to be transitioned right away. The vet can also prescribe some anti-nausea medication for her to help with her condition. And lastly, I would highly recommend a supplement called Azodyl, which is a natural way to help lower your pets kidney enzymes. Their toxic levels in the bloodstream are directly correlated with how sick your pet will feel, so focusing on lowering these values can improve your pets condition greatly. Here is a website link with more kidney therapy options --> https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4952670 I hope that these additional treatment suggestions help Chloe stabilize and perhaps hold off the euthanasia talks for a while. Best of luck moving fowrard and take care. : )