How Is Chronic Kidney Failure Diagnosed
There are two basic tests for kidney function: a complete urinalysis and a blood chemistry analysis.
A urinalysis is needed to evaluate kidney function. A low urine specific gravity is the earliest indication of kidney failure. An increase in protein in the urine also indicates decreased kidney function.
A blood biochemistry analysis assesses the function of various internal organs. Measuring the level of two waste products in the blood, namely blood urea nitrogen and blood creatinine , indicates decreased kidney function. Tests to measure the blood levels of other substances such as albumin, globulin, potassium, sodium, phosphorus, and calcium, as well as the red and white blood cell counts are important in order to determine the extent of failure and the best course of treatment.
A recently developed blood test to assess levels of SDMA has been used to determine if early renal failure is occurring. SDMA concentrations increase above the normal reference interval well before serum creatinine becomes elevated. This will help your veterinarian provide treatment for your dog at a much earlier stage in the disease.
“SDMA concentrations increase above the normal reference interval well before serum creatinine becomes elevated.”
A dog diagnosed with low urine specific gravity as well as elevated BUN and CREA is said to be azotemic.
Why Is Determining The Speed Of Ckd Progression Important
As the above studies show, there is a myriad of factors that can contribute to how fast chronic kidney disease progresses. This is complicated by the influence that genetics, related medical conditions, age, sex, lifestyle, and other various health aspects can have on a studys findings. As a result, our knowledge of the disease and our ability to make accurate predictions about its trajectory remains imperfect, despite continued progress.
What Happens During Euthanasia
It usually consists of two shots: the sedative and the one that has the euthanasia drug in it. Euthanasia drug might sound scary, but its just medication that puts your pet to sleep very quickly. Vets usually use pentobarbital, which is a seizure medication. It shuts down the heart and the brain functions within 2-3 minutes.
Regardless of what you may think, your pet wont be in pain. You may notice that they twitch or not close their eyes fully, but those are normal things that happen during the procedure.
Also Check: Can Carbonated Water Cause Kidney Stones
What Treatments Are Available For Kidney Failure
There are two treatments for kidney failure dialysis and kidney transplant. The dialysis treatments or transplanted kidney will take over some of the work of your damaged kidneys and remove wastes and extra fluid from your body. This will make many of your symptoms better.
- Two different types of dialysis can be done hemodialysis or peritoneal dialysis. Both remove waste products and extra fluid from your blood.
- A kidney transplant is an operation that places a healthy kidney in your body.
How Good Will My Life Be With Ckd
How good your life can be with CKD depends on YOU! In the early stages, CKD may have symptoms that are so subtle you may not even notice them. In later stages, fatigue, itching, loss of appetite, and other symptoms can reduce your quality of lifeif you don’t act. How? All of these symptoms can be treated.
Learn what to watch for and tell your doctor, so you can get the help you need. You can also keep a good quality of life by following your treatment plan. For example, taking your medications in the right doses at the right times may help slow your kidney disease. Your quality of life with CKD depends on your attitude, and how you accept the changes and take control of your health and your life.
Recommended Reading: Is Almond Milk Bad For Your Kidneys
Where Can I Find Out More Information About Chronic Kidney Disease
Asking questions and getting them answeredby a healthcare professional or in a book or other reliable sourceis a key part of doing well with any chronic disease. Here are some thoughts:
Ask your care team to teach you about your condition and to give you any information they have. Never feel shy about coming to a clinic visit with a list of questionsand write down the answers.
Visit the Medical Education Institute’s FREE Kidney School16 modules of self-paced learning on kidney topics from nutrition to anemia to lab tests and much more.
Your local library is another option.
What Do The Kidneys Do
When blood flows to the kidney, sensors within specialized kidney cells regulate how much water to excrete as urine, along with what concentration of electrolytes. For example, if a person is dehydrated from exercise or from an illness, the kidneys will hold onto as much water as possible and the urine becomes very concentrated. When adequate water is present in the body, the urine is much more dilute, and the urine becomes clear. This system is controlled by renin, a hormone produced in the kidney that is part of the fluid and blood pressure regulation systems of the body.
Kidneys are also the source of erythropoietin in the body, a hormone that stimulates the bone marrow to make red blood cells. Special cells in the kidney monitor the oxygen concentration in blood. If oxygen levels fall, erythropoietin levels rise and the body starts to manufacture more red blood cells.
Urine that is made by each kidney flows through the ureter, a tube that connects the kidney to the bladder. Urine is stored within the bladder, and when urination occurs, the bladder empties urine through a tube called the urethra.
Recommended Reading: What Causes Kidney Problems In Humans
What If I Decide To Do It
Consult with professionals for advice and talk to your family and friends, not for the advice, but the comfort and consolation. Losing a pet is losing a loved one, so its expected that youll be sad and need someone to be there to walk through it with you.
Also consider looking into available literature online, there are a number of great books regarding dealing with the loss of a pet.
Support groups can also be found on social media channels like Facebook, discussions about everything from deciding to euthanize your dog to more first-hand experience regarding the best time to euthanize your dog when they are experiencing renal failure.
What Is The Best Treatment For Me
You should consider many things when choosing a treatment for kidney failure, including your lifestyle, your age, any other health problems you may have, and whether you have a friend or relative to help you. Your decision should be based on more than your medical history and your doctor’s opinion. It should also be based on what you and your family wants. Learning about your treatment choices will help you decide which one is best for you.
Don’t Miss: Is Red Wine Good For Kidney Stones
I Do Not Want Dialysis: How Long Can I Expect To Live And How Would I Feel
- Get link
- How would I feel if I refuse dialysis?
- Would my life span be shortened if I refuse dialysis?
non-dialytic managementfor the right patientwithhold dialysisfor the right patient.doon dialysis
|Image courtesy of bejim/ FreeDigitalPhotos.net|
SURVIVAL AND LIFE SPAN WITH AND WITHOUT DIALYSIS “co-morbidities”whether they chose dialysis or notFUNCTIONAL STATUS AND QUALITY OF LIFE WITHOUT DIALYSISoccasional assistance till about the last monthTO DIALYZE OR NOT TO DIALYZE: A NOTE OF CAUTION
How Long Can You Live On Dialysis
If your kidneys have failed, you will need to have dialysis treatments for your whole life unless you are able to get a kidney transplant. Life expectancy on dialysis can vary depending on your other medical conditions and how well you follow your treatment plan. Average life expectancy on dialysis is 5-10 years, however, many patients have lived well on dialysis for 20 or even 30 years. Talk to your healthcare team about how to take care of yourself and stay healthy on dialysis.
Don’t Miss: How Much Does A Human Kidney Weigh
Treatment For Kidney Failure
The treatment choices for kidney failure include:
- kidney transplantation
- non-dialysis supportive care.
Dialysis or kidney transplantation is needed when there is less than 10 per cent of kidney function left. These options are also known as renal replacement therapy . Some people choose non-dialysis supportive care rather than dialysis or kidney transplantation.
Will Kidney Failure Affect My Sex Life
Kidney failure will affect your emotions, nerves, hormones, and energy levels, all of which may change your sexual relationships. Taking good care of yourself by managing your kidney disease and controlling your blood pressure and blood glucose levels can help prevent some sexual problems, such as erectile dysfunction. Getting counseling may help with some emotional problems, such as anxiety and depression, which can get in the way of having satisfying sex.
You may feel shy asking questions about your sex life, but your health care team has heard the same questions from other people. Your provider is trained to help you address concerns about your sex life.
You May Like: Can Soda Pop Cause Kidney Stones
Will I Need To Take Medicines Or Follow A Special Diet
Most likely. Your healthcare team will work with you to develop a treatment plan that’s right for you. Your treatment plan may include taking medicines, restricting salt, limiting certain foods, getting exercise, and more. You will also need treatment for any other health problems you may have, including high blood pressure or diabetes.
What Should I Eat When I Have Kidney Failure
Dialysis helps to do some of the work that your kidneys did when they were healthy, but it cannot do everything that healthy kidneys do. Therefore, even when you are on dialysis, you will need to limit what and how much you eat and drink. Your diet needs may depend on the type of dialysis you are on and your treatment schedule. Learn more about the diet for living with kidney failure.
Learn what healthy eating means for people in every stage of kidney disease, including those on dialysis or living with a kidney transplant. Find recipes on Kidney Kitchen.
You May Like: Is Cranberry Juice Good For Your Liver And Kidneys
Limit Your Alcohol Consumption
You may still be able to drink alcohol if you have kidney disease, but it’s advisable not to exceed the recommended limits of more than 14 alcohol units a week.
Speak to your GP or care team if you find it difficult to cut down the amount of alcohol you drink.
Find out more about cutting down on alcohol.
Caring For Someone With Kidney Failure Towards The End Of Life
Please be aware – this information is for healthcare professionals. We also have information for the public.
You can use our My Learning form to reflect on how this page has helped with your continuing professional development.
Kidney failure is when the kidneys stop working properly which can cause many difficult symptoms. Understanding the needs of people with kidney failure at the end of their lives will help you to provide the best care for them.
Read Also: Do Multivitamins Cause Kidney Stones
What Is Kidney Transplantation
Kidney transplantation involves placing a healthy kidney into your body where it can perform all of the functions that a failing kidney cant. Kidneys for transplantation come from two sources: living donors and deceased donors. Living donors are usually immediate family members or sometimes spouses. This is possible because a person can live well with one healthy kidney.
What Are The Signs Of Kidney Failure Before Death
Kidney failure can increase blood toxins and contribute to a peaceful coma before death. Add a bed pad when placing fresh sheets. 8. Swelling in the feet and ankles As the kidneys are less able to process bodily fluids, they can accumulate and get deposited in areas of the body away from the heart, in the feet and ankles especially.
Don’t Miss: Is Grape Juice Good For Kidney Stones
How Long Does A Dog Have To Life With Kidney Disease
The good news is that depending on how advanced the disease is upon diagnosis some dogs are able to live months or even years with kidney disease.
However, it is equally as important to remember that whilst canine kidney disease prognosis is in some cases variable, it is still ultimately classed as a terminal as it leads to kidney failure. This means that you need to prepare for the possible outcome of needing to euthanise your dog.
The good news is that you wont need to go through this alone. You will be able to trust your vet to give you consistent advice and guidance about the right course of action as and when the disease progresses.
As mentioned, a lot of vets point to euthanasia once they have exhausted all possible treatment options with your dog. Other signs that your dog might be ready to be put to sleep include the following:
- Theyre getting worse rather than getting better or staying the same.
- They are no longer eating or drinking.
- They are no longer able to go to the toilet by themselves .
- Your touch no longer soothes them/causes them pain.
- They spend a lot of their time asleep.
Please bear in mind that this list is by no means exhaustive. Its usually a combination of things that will lead you/your vet to make a subjective assessment about whether your dogs quality of life is now too poor.
Although it is usual for euthanasia to be performed in a veterinary hospital, some vets offer to perform the procedure at your own home.
How Long Can I Expect My Dog To Live
The prognosis is quite variable depending on the dog’s response to the initial stage of treatment and your ability to perform the follow-up care. Veterinarians encourage treatment in most situations because many dogs will respond well and maintain a good quality of life.
“Treatment and follow-up care is relatively easy and inexpensive…”
Treatment and follow-up care is relatively easy and inexpensive and extending the length and quality of life for their faithful companion represents the ultimate reward for many clients.
Read Also: Is Pomegranate Juice Good For Your Kidneys
What Else Can Be The Sign That My Dog Is Suffering
Suffering isnt only physical. Your furry companion may experience depression during their illness. Signs of that will be obvious: theyll spend a lot of time sleeping and stop eating and drinking, your touch wont be enough to soothe them, and theyll no longer be able to go to the toilet by themselves. Depression is as real as kidney failure, and it might affect their life negatively just like the physical illness itself, or even worse.
What Is Hemodialysis
In hemodialysis, an artificial kidney is used to remove waste and extra chemicals and fluid from your blood. To get your blood into the artificial kidney, the doctor needs to make an access into your blood vessels. This is done by minor surgery to your arm or leg.
Sometimes, an access is made by joining an artery to a vein under your skin to make a bigger blood vessel called a fistula.
However, if your blood vessels are not adequate for a fistula, the doctor may use a soft plastic tube to join an artery and a vein under your skin. This is called a graft.
Occasionally, an access is made by means of a narrow plastic tube, called a catheter, which is inserted into a large vein in your neck. This type of access may be temporary, but is sometimes used for long-term treatment.
Recommended Reading: Ginger Tea Dissolves Kidney Stones
Why Does It Happen
Aging is the main culprit responsible for renal failure in dogs. As the body ages, things just dont work as well as they used to, and eventually fail.
According to Washington State University, chronic kidney failure in dogs can also be caused by birth defects, bacterial infections, and poisoning from consuming harmful chemicals such as antifreeze. They do state that often the cause of CKD is unknown but age plays an important role.
Your dogs renal tissue wears out over time and isnt able to serve its function properly anymore. This depends on the dogs size since smaller dogs have a longer life span, kidney failure will occur later in life, and with bigger ones, it might show around the 7th-8th year of life.
The First Signs Of Kidney Disease In Dogs
It will probably be excessive water consumption , but there are also dry gums, weight loss, and trembling, seizures, anemia, due to mineral loss through urine.
The signs will start showing after at least two-thirds of the kidney tissue has been destroyed, so if you see the signs, most likely, the dog has already been ill for some time. To avoid this and keep on top of your dogs health, take your dog to the vet for a checkup at least once every 6-7 months.
Don’t Miss: Is Mulberry Good For Kidneys
What Are The Symptoms Of Kidney Failure
Symptoms of kidney failure may begin so slowly that you dont notice them right away.
Healthy kidneys prevent the buildup of wastes and extra fluid in your body and balance the salts and minerals in your bloodsuch as calcium, phosphorus, sodium, and potassium. Your kidneys also make hormones that help control blood pressure, make red blood cells, and keep your bones strong.
Kidney failure means your kidneys no longer work well enough to do these jobs and, as a result, other health problems develop. As your kidney function goes down, you may
- have swelling, usually in your legs, feet, or ankles
- get headaches
- feel itchy
- feel tired during the day and have sleep problems at night
- feel sick to your stomach, lose your sense of taste, not feel hungry, or lose weight
- make little or no urine
- have muscle cramps, weakness, or numbness
- have pain, stiffness, or fluid in your joints
- feel confused, have trouble focusing, or have memory problems
Following your treatment plan can help you avoid or address most of these symptoms. Your treatment plan may include regular dialysis treatments or a kidney transplant, a special eating plan, physical activity, and medicines.