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Old 10-23-2008, 02:58 PM   #1 (permalink)
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Question Dog with kidney and liver failure, heart worms, and lime disease

My dog Lucy was diagnosed with all of those. We have been feeding her potatoes, sweet potatoes, green beans, raw fish, and milk thissle all mash together with a scoop of wet dog food to get her to eat it. And I also gave her a 1000 mg Vitamin C tablet wrapped in a small piece of salami.

Do you think that is good? Do you have any other suggestions?
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Old 10-26-2008, 09:28 AM   #2 (permalink)
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Re: Dog with kidney and liver failure, heart worms, and lime disease

You should be following a well balanced diet given by your vet for these conditions.

If you did not get one, please call your vet and ask for one
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Old 10-26-2008, 10:10 AM   #3 (permalink)
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Re: Dog with kidney and liver failure, heart worms, and lime disease

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Originally Posted by CarolsCritterCare View Post
You should be following a well balanced diet given by your vet for these conditions.

If you did not get one, please call your vet and ask for one
Great answer, Carol!

Though I think of you as an expert, always good to refer a question like this to a licensed vet.

Any other recommendations - or points of discussion with the vet - that you would suggest?

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Old 10-26-2008, 10:56 AM   #4 (permalink)
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Re: Dog with kidney and liver failure, heart worms, and lime disease

Feeding potatoes is not recommended due to their high starch content, which is not very digestible to dogs and may cause problems....besides the problems already noted on this particular dog.

I'd stop feeding potato immediatly.
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Old 10-26-2008, 11:03 AM   #5 (permalink)
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Re: Dog with kidney and liver failure, heart worms, and lime disease

Green Beans are a "Filler"

Not a lot of calorie intake, but makes the dog feel full.

This is actually a common weight loss plan for dogs. Dogs are technically omnivores, unlike cats which are strictly carnivores. Grains should be fed at an absolute minimum, however some veggies are ok. My dogs also love carrots, peas (pull them right off the vine), and brocolli.
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Old 10-26-2008, 11:07 AM   #6 (permalink)
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Re: Dog with kidney and liver failure, heart worms, and lime disease

raw fish, especially wild caught, have a high risk for passing on parasites. You can also get the thiamine deficiency which can lead to loss of appetite, seizures, and death.


You should also never feed salmon. Recent studies and California especially just had several cases, show that salmon can cause what has been named "Salmon Poisoning Disease".

Common symptoms of salmon poisoning include ~~
vomiting
lack of appetite
fever
diarrhea
weakness
swollen lymph nodes
dehydration

If untreated, death usually occurs within fourteen days of eating the infected fish. Ninety percent of dogs showing symptoms die if they are not treated.

Another danger of feeding raw fish is the obstruction of fish bones.

The fishe's exposure to chemicals and other toxins in the water..... That might not be a problem if thoroughly washed, but it could be a health factor if you aren't going to cook the fish.
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Old 10-26-2008, 11:09 AM   #7 (permalink)
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Re: Dog with kidney and liver failure, heart worms, and lime disease

Liver disease (including cirrhosis) is one of the most common health problems in older dogs. It can damage all functions of the dog’s liver, with very harmful effects on his health.

Canine Milk Thistle is a highly effective herbal tonic, a well-known treatment for liver disease in both humans and dogs. Interestingly, Milk Thistle is one of the few herbal remedies that has no equivalent in conventional medicine. It effectively treats a wide variety of dog liver diseases, and is also helpful for digestive disorders.

Milk thistle is excellent for use any time your dog is ill, to support his liver and help his recovery. As an anti-oxidant, silymarin is even more effective than vitamin E. It also stimulates the production of new liver cells in dogs, replacing damaged cells.
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Old 10-26-2008, 11:12 AM   #8 (permalink)
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Re: Dog with kidney and liver failure, heart worms, and lime disease

Dogs with liver disease often have a decreased appetite or are anorexic. How can they be stimulated to eat?

The diet must be highly palatable and high in energy, and provide adequate protein, fat, and all essential micronutrients. Feeding small amounts frequently and slightly warming canned food can increase palatability
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Old 10-26-2008, 11:13 AM   #9 (permalink)
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Re: Dog with kidney and liver failure, heart worms, and lime disease

Are antioxidants important in managing liver disease?

Yes. There is mounting evidence that free radical production is increased in many liver diseases and it can play an important role in initiating and perpetuating liver injury. Furthermore, endogenous antioxidant systems become depleted during liver disease, which aggravates the problem.

Supplementation with antioxidants such as vitamins E, C, and S-adenosylmethionine (SAMe) helps to minimize oxidative injury. A combination of dietary antioxidants is better than a single one, since they appear to act synergistically
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Old 10-26-2008, 11:32 AM   #10 (permalink)
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Re: Dog with kidney and liver failure, heart worms, and lime disease

Should dogs with liver disease be fed a protein-restricted diet?

Not necessarily. Protein levels are often inappropriately restricted in order to manage possible hyperammonemia. In fact, protein requirements are at least normal or even increased, and many dogs with liver disease do not have hyperammonemia. Provision of adequate high-quality proteins as well as calories is essential to ensure a positive protein balance and enable hepatic regeneration. The aim is to keep the protein intake as close to normal as can be tolerated without precipitating signs of hepatic encephalopathy (HE).

Protein restriction should only be instituted when there are signs of HE, and additional treatments such as lactulose and oral antibiotics can help to avoid excessive restriction of dietary protein.
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Old 10-26-2008, 11:33 AM   #11 (permalink)
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Re: Dog with kidney and liver failure, heart worms, and lime disease

How should I feed a dog with acute liver disease?

A dog with acute liver disease needs an ample supply of energy and protein to allow for hepatic regeneration. Protein should never be restricted; protein tolerance can be enhanced if necessary by increasing caloric content and/or using drugs (lactulose, oral antibiotics). The dog should be fed small frequent meals in order not to overload the liver’s metabolic capacity. Tube feeding should be considered if the dog remains anorexic for more than 72 hours.
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Old 10-26-2008, 11:40 AM   #12 (permalink)
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Re: Dog with kidney and liver failure, heart worms, and lime disease

Kidney Failure / Diet Therapy

Dietary therapy is probably the most commonly prescribed therapy for dogs with CKD. Renal patients often have selective appetites. Vets are often challenged by the decision as to whether to recommend switching to a renal diet or to continue the current diet with the view that eating any food is better than risking reduced food intake by attempting a potentially unwanted diet change.

It seems to be that feeding a manufactured renal diet results in a better quality of life and a substantially longer life in dogs with stage 3 CKD. Compared to dogs fed the maintenance diet, feeding the renal diet reduced incidences of uremic crises and renal-related mortality. Feeding the renal diet reduced the relative risk of a dog having a uremic crisis by over 70%. In fact, dogs fed the renal diet remained free of uremic signs almost 2.5 times longer than dogs fed the maintenance diet. In addition, dogs fed the renal diet had a median survival time over three times longer than dogs fed the maintenance diet. Renal-related death was the primary cause for the higher rate of premature mortality among dogs fed the maintenance diet. An important reason for the longer survival times observed among dogs fed the renal diet appeared to be that renal function declined more slowly in dogs fed the renal diet.
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