PET Plus And Kidney Disease In Dogs
Hi Susanna - I asked yesterday in a comment on this website, if PET Plus would be OK for my dog with kidney disease. You replied that it would so I have ordered and I am hoping the PET Plus will arrive today. However I was wondering if you have any advice in terms of diet as my vet is of no help.
My dog Darla who is 15 years old, and was diagnosed at Christmas with stage 4 kidney disease. I was told she only had a few weeks to live so that I should feed her whatever. However I didn’t listen. I started giving her bottled water with cranberry juice and home cooked food. I fed her low protein food with veg and pasta, raw goat's milk, Kidney Support Gold, and as recommended by a support group a phosphorus binder.
I took her to another vet beginning of February and they did another blood test. The vet said the results were bad and that if I could feed her Hills Science Diet, or Royal Canin, she may last a few more months. My dog is also anaemic but the vet wouldn’t prescribe anything for it because the urea is killing red blood cells, (whatever that means). I returned home so upset that I didn’t know what to do. I started giving her raw paleo ridge special kidney diet which she was eating.
But I was scared because the support group were saying it’s not good to give that to her at her stage so I moved her on to Royal Canin these past couple of weeks, She has been eating that like she couldn’t get enough, but then stopped and throughout it all she is losing weight and muscle. I started her on Nutriment Raw Low Purine and Phosphorus yesterday which she is eating but I am so scared I’m going to make her worse and what if she stops eating this as well?
The first vet at Christmas did do urinalysis and said it’s so diluted so her kidneys aren’t doing much. Also I said previously the vet said she’s anaemic as well but won’t prescribe anything, only that if my dog starts panting and pacing and her gums go white to bring her straight in. I have been told that only a particular iron injection can help this and nothing from food can help - is this true? When I originally took her to see the vet at Christmas she was really unwell, drinking like she couldn’t get enough then weeing it straight out, not wanting to eat and having seizures. She's not doing this now. Apart from low appetite sometimes and low energy, she is a lot better.
Dr Susanna's Response
Thanks for your enquiry both on the comments section of the website and here. You've given some more details, so I'm able to give some more suggestions.
I'm so glad she has the sense to refuse the Royal Canin! Crafty advertising, branding and pricing leads one to believe it's good! It's the same rubbish as all the other processed foods. Raw is the way to go. Raw protein is unlikely to give her kidneys any problem. Can she deal with fats OK? If she can, then raw fatty meat would be excellent, like chicken with the skin and lamb.
That's the quickest way to gain weight. 50:50 with blended greens and PET Plus. About 400g raw meat should be fine, but if she wants more, give her more, divided between 2 or more meals. Each meal with blended greens and PET Plus.
Between meals, like an hour before her meaty meals, give her lots of dried fruit, like dates, cranberries, non-sulphured apricots, and prunes ... but NOT any of the grape family (raisins, sultanas, currants) as they have been associated with renal failure, exactly not what you want.
As with everything, introduce the dried fruits gently. I find dates to be the best, especially medjool dates. Then give her a stalk of broccoli or a carrot or something veggie and tough and fibrous to alkalize her mouth and saliva and clean her teeth. Or you could brush her teeth.
Try To Relax
First, relax. You've done exceptionally well - she is amazing to have reached 15, nearly 16. That shows you've been giving her all the best things in every aspect. Enjoy every moment, because we have to face the fact that they don't usually outlive us humans. It's sad but true, so don't feel that you could have done more than you have.
You have given her a fantastic life. Give yourself a pat on the back for that! And have a cup of tea and a chocolate biscuit! And some dried fruit you can share with her (see below).
Raw Is Best
Definitely raw is best. It is the most easily digested protein, hasn't been damaged by heating and processing, so is the easiest form of protein for digestion and absorption, and for the liver and kidneys to deal with. Raw goat milk is an excellent idea. Raw egg also is really easy to digest and the yolk is full of nutrients. So give her the yolk specifically. Maybe you have friends who like meringues (you could use the egg whites that way!)
Specifically For Anaemia
For the anaemia specifically, there is an amazing superfood plant called Moringa. You can buy Moringa powder online. It is incredibly green! You might have to disguise it in a blob of jam or something as it is not often the favourite flavour for our four legged friends. If you can get it as tablets that state they have not been heated, that would be easier. My cat loves chlorella! He pesters me for them! You could use Chlorella as well. There's chlorella in Pet Plus, but there is absolutely no risk at all of overdosing it.
Keep going with Nutriment Low Purine raw. Raw bone is also great! Don't cook anything. Egg yolk is great, also blended greens too and PET Plus. Also for the anemia add moringa. You can get everything from food if taken with enzymes. That is the point. Give her PET Plus. Iron injections are inorganic and close to useless.
Moringa is a natural plant, so the body will deal with all the ingredients in a gentle, natural way. I used to give my 30 kg son a couple of teaspoonfuls 3 times a day and that reversed his anaemia in a few weeks. I was amazed!
I'd suggest start with 1/2 tsp a day for a few days and watch what happens, then increase it to 1 tsp a day. I'd spread it out too. She might find it delicious, so you could try just making it into a paste for her to lick up. Don't assume she's going to hate it! They say there's no increase in serum calcium using Ipakitine so maybe there's no need to reduce that. How often do you get her blood tested? It's probably a stressful event for her, so best avoided as stress is very detrimental. Hope that's helpful.