Treatment Options
If your pup’s CRF is caused by some factor other than damaged kidneys -- for example a disease that decreases blood flow to the kidneys or a urinary tract obstruction -- it’s possible the problem with the kidneys can be reversed with appropriate treatment of the underlying cause. That’s why it’s important for your vet to determine the source of the CRF.
If the disease is the result of irreversible kidney tissue damage, in many cases renal function will stabilize for weeks or even months at a time. And while the disease will progress and kidney function will continue to deteriorate, your pet’s symptoms can be minimized with supportive treatment.
Fluid therapy is a cornerstone of treatment for dogs with kidney failure, primarily to prevent dehydration due to the large amount of water that is passed out of the body.
Subcutaneous (under the skin) fluid delivery may be necessary, and many pet owners can do this at home after some instruction by their veterinarian. Potassium is often added to the fluids or the animal’s diet to safeguard against muscle weakness and heart rhythm disturbances that result from low electrolyte levels. In some cases, IV fluids may also be required.
Your dog should have round-the-clock access to fresh, clean water. Withholding water, for example overnight, will not solve your pet’s need to urinate in the middle of the night and could cause a real health crisis.
You’ll need to keep careful track of the amount of food and water your pet consumes each day. If consumption decreases, additional fluids must be administered to prevent dehydration. You should also weigh your pet at least weekly to insure she’s getting enough calories to maintain her weight and proper hydration.
The food you feed your dog with CRF is also critically important for disease management and overall well-being. A reduced amount of high-quality protein and high moisture content are essential, but phosphorus intake must be restricted. Since phosphorus is found primarily in high protein food sources, you can quickly see the need for expert guidance on how to best nourish your pet.
Your integrative/holistic vet is your best resource for advice on the right diet for your pet’s condition, and also what supplements, medications if necessary, and other therapies will help sustain your dog’s health and quality of life