I am a bit like Scallywag, not very good on what bloods mean! I often use Mr Google to help me decipher blood results If the vet is happy that is always a good thing On the face of it with the Phos and Urea decreasing looks like bloods are heading in right direction
Is vet concerned that Crea has increased?
As many of the results seem to have held steady I did notice that the AMYL has gone up very slightly (though firmly in the normal range). On next bloods might be worth noting if it keeps creeping up?
Sounds like with diet change and the medication that there is an explanation for increased urine PH!
Thanks scallywag and caz2golden all in all, I am happy with the results. The nutritionist who planned his diet was super happy with the change
The kidney disease Facebook group have been great and their general opinion is that the results are positive too. caz2golden my vet didn't say any possibility as to why the CREA is up but a couple of people on the fb group have said it can actually be caused by the Benazecare tablets - it can cause it to rise and then fall, so next tests in four weeks will tell us more.
In other news, I am 25 years old and this is the most exciting thing to happen on my Friday night
I do not understand them much - but can see the UREA and Phosphorous are down. The CREA is raised from last time though. His BUN/CREA has changed from 21 to 10 but I don't know if this is a good thing or not (it was 21 back in December too).
Unfortunately I only got a copy emailed to me this morning, I didn't think to ask for one at the vets yesterday, so am just going through it myself now.
Overall, I think the news is positive. Vet was happy. He said we cannot expect miracles, but a happy Alfie and improvement on bloods is good. Naturally I just want more of an improvement, and for urine to be good too.
The BUN (Blood urea nitrogen) level is good. Definitely better than 21. Ideally it should be about 7, however elevated BUN levels are common in dogs with renal failure (and also dogs on high protein diets). Basically, its a waste product made in the liver and excreted by the kidneys so a higher BUN isn't unusual in dogs with kidney disease. Low protein diet will definitely continue to help with this.
Creatinine (CREA) is high. It's supposed to be filtered by the kidneys but if kidneys are damaged it can't do this. Typically, quite a lot of kidney tissue can be damaged by the time high creatinine levels are seen in the blood. There isn't really much you can do diet wise as creatinine diffuses out of muscle cells. Although some drugs can effect crea levels (the group name escapes me though) so it might be worth looking at any medications he's on for some of the less common side effects.
The rest is good though. The other kidney markers are much better even if the crea is high.
As for the dipstick test. They're not always that reliable (and it can vary from one brand to another) so the urinalysis might not be as bad as you think. Even stress and excitement can cause glucose levels to increase. Protein is not unusual for a dog with kidney disease so I wouldn't be too worried there. Blood and pH would indicate UTI however it could also be drug related, unlikey but there is that possibility.
And as for feeding a lot more fruit, personally it's not something I'm keen on (regardless of the dogs health). As humans, we grow our fruit to be sweet and much higher in sugar than it would normally be. And given that most people feed high carb diets too, which will be converted in to glucose as well, I just think that it all adds up. I'd sooner use veg as treats as oppose to fruit but that's up for you to decide. If you're happy with what you're doing now then stick to it if it's working.
I've been using fruit as treats as it's low in phosphorus whereas all veggies have moderate-high levels and need cooking before feeding to dogs with kidney disease. What you say about it being unnaturally high in sugar does make sense though, I'll bear that in mind
Alfie's UREA levels have continued to decrease, and his creatinine levels has decreased too, despite rising last time They're now lower than the first blood test when we were given the KD diagnosis. We didn't test phosphorous levels today as vet said there was no need since they were totally normal last time and diet has stayed the same since then.
I was hoping to get his blood pressure checked on advice of the KD facebook group but Alfie was very stressed/shaky at vets so we wouldn't have got a true reading.
Urine dipstick showed pH was back down to where it should be and only a very small trace of blood. Glucose still present though, and the vet is thinking maybe a urine/kidney infection despite all previous cultures being clear - so she's sent urine sample away for culturing again and today started him on Noroclav antibiotics just incase. I never usually see this vet, I don't know why as she's been there for years, but I was so pleased with how thorough she was - seemed to approach things from a different angle and was surprised Alfie hadn't have a precautionary course of antibiotics before. I'll definitely keep seeing her for the kidney issue.
These were today's results.
And for reference, these were the results from last check-up at end of March, and from first diagnosis at the end of Feb.
Alfie has had a very rare treat of a tiny piece of cheese and is waiting (fairly) patiently for alfiemummy & Alfie to get here in a couple of hours for a walk