Volume: 48 Issue: 1
Year: 2017, Page: 70-76,
Received: June 26, 2016 Accepted: July 12, 2016 Published: June 30, 2017
A total of 105 geriatric dogs presented to the University Veterinary Hospitals were screened for Chronic Kidney Disease (CKD) based on serum creatinine, urine protein creatinine ratio (UPC) and urinalysis. Ninetyone dogs were diagnosed with CKD, out of which thirty-nine dogs were in stage 1, twentysix in stage 2, six in stage 3 and twenty in stage 4. Twenty-two dogs were studied in detail and were further sub-staged on the basis of proteinuria and blood pressure. Stage 1 and 2 dogs were the ones having asymptomatic CKD. The symptoms of CKD were evident in two out of four dogs in stage 3 and all dogs in stage 4. Diseases like pyometra and microfilariosis existed concurrently with CKD in some dogs. Body condition score, serum creatinine, UPC, serum phosphorous and systemic blood pressure were monitored in all dogs. Dietary modifications, proton pump inhibitors, intestinal phosphate binders, gastric protectants, omega 3 and omega 6 fatty acid supplementation, treatment of specific diseases, treatment of urinary tract infections, treatment of proteinuria and hypertension, supportive therapy with fluids as and when necessary and anti-emetics were the line of treatments adopted. The patients were managed and observed for a period of three months. Intermittent haemodialysis was performed in two dogs, one each in stage 3 and 4 for temporary stabilization. Chronic kidney disease progression was effectively slowed down in all dogs of stage 1, five out of six dogs of stage 2, two out of four dogs of stage 3 and two out of six dogs of stage 4 CKD. The study revealed the importance of timely intervention and management to slow down the progression of CKD among dogs
Keywords: Geriatric dogs, chronic kidney, disease(CKD), stages of CKD
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