Guest kar Posted January 30, 2013 Share Posted January 30, 2013 10/11 protein 3 plus protein/creatine 0.7 8/11 protein/creatine 0.5 1/12 protein 2 plus ratio 0.5 3/12 protein 2 plus ratio 0.5 4/16 protein 2 plus ratio 0.5 9/14 protein 3 plus ratio 0.4 1/13 protein 3 plus ration 0.9 bloodwork 8/11 creatine 1.3 bun/creatine ratio 10 11/11 creatine 1.1 bun/creatine 8 1/13 creatine 1.1 bun/creatine 10 can anyone explain this to me Quote Link to comment Share on other sites More sharing options...
Guest kar Posted January 30, 2013 Share Posted January 30, 2013 she also recomended 1/5 of a baby aspirin in addition to the enapril she is on Quote Link to comment Share on other sites More sharing options...
tbhounds Posted January 31, 2013 Share Posted January 31, 2013 At a quick glance those don't seem like bad numbers too me. While I don't think the aspirin & enalapril will hurt I don't think they are entirely necessary with the numbers you provided. Keep in mind I don't know your entire dogs history. Your vet knows if there was a previous uti, blood in the urine, the specific gravity etc... Quick question-how in the world are you expected to give a 1/5 of an aspirin (I'm assuming a 81mg tab)?? Quote Link to comment Share on other sites More sharing options...
JohnF Posted January 31, 2013 Share Posted January 31, 2013 How to explain it simply is not easy: The BUN (Blood Urea Nitrogen) to Creatinine (protien) ratio is now 10:1.1 which is not far off normal given the low figures. Even better than it was 8/11. The ratio of those two things together with the heights of the numbers recorded, allows veternarians to make differential diagnoses as to the cause of any kidney dysfunction be it within the kidney or outside of it. They can then do a FENa test to refine the diagnosis further should they think it neccesary. eg. If the BUN was 50 (v. high) and the Creatinine was 5.0 ( v. high). although it's still 10:1 it could suggest, diabetes, hypertension, infection or drugs being involved. A very useful and sophisticated test. The Enalapril is to treat heart disease/hypertension. The Aspirin, if indeed you can give that tiny amount, will help against inflammation and also thin the blood. Refer to your vet for explanation - write down some notes and hand it to them... it makes it so much easier to listen. Quote Link to comment Share on other sites More sharing options...
Guest kar Posted January 31, 2013 Share Posted January 31, 2013 specific gravity was on 10/11 1.037 1/12 1.026 3/12 1036 4/12 1.025 9/12 1.030 1/13 1.026 and yes 1/5 of a baby aspirin dont know quite how i'll split that Quote Link to comment Share on other sites More sharing options...
JJNg Posted January 31, 2013 Share Posted January 31, 2013 The bloodwork values posted all look normal, and while there is protein in the urine, the UPC elevations are very mild and do not show significant progression. I also agree with tbhounds that the meds won't hurt, but I'm not convinced that she really needs them based on the info that we have. Are you considering consulting with the specialist? Regarding the aspirin dose, are you sure your vet didn't mean 1/4 tablet? I can't imagine your vet would expect you to cut a tablet into 1/5. Are the specific gravity numbers from first morning urine samples? They are borderline concentrated, and have stayed consistent over the past year. Quote Jennifer & Willow (Wilma Waggle), Wiki (Wiki Hard Ten), Carter (Let's Get It On), Ollie (whippet), Gracie (whippet x), & Terra (whippet) + Just Saying + Just Alice Link to comment Share on other sites More sharing options...
Guest kar Posted January 31, 2013 Share Posted January 31, 2013 yes all samples are first morning what does borderline concentrated mean and she did say 1/5 of a baby asprin - i did ask her how she expected me to do that but she said that is what the specialist said. she is consulting with a specialsit. all of her tick borne bloodwork was negative the lyme just showed she was vaccinated for lyme. i do not think i will do the ultrasound right now. they both said it was not entirely necessary. Quote Link to comment Share on other sites More sharing options...
JJNg Posted January 31, 2013 Share Posted January 31, 2013 Here's a detailed article with more information about urine concentration and what it can mean. I'd have your vet ask the specialist how she expects you to give 1/5 of a tablet. I'm still wondering if that's a miscommunication. I can't imagine giving a client of mine that recommendation without further instructions on how it should be done. IMO, it's not a realistic recommendation. If they are that concerned about her getting 16 mg (1/5) of aspirin vs 20 mg (1/4), you should be getting it compounded by a pharmacy so that you can dose her accurately. Quote Jennifer & Willow (Wilma Waggle), Wiki (Wiki Hard Ten), Carter (Let's Get It On), Ollie (whippet), Gracie (whippet x), & Terra (whippet) + Just Saying + Just Alice Link to comment Share on other sites More sharing options...
Guest kar Posted January 31, 2013 Share Posted January 31, 2013 thanks i will ask her again but i asked her 3 times Quote Link to comment Share on other sites More sharing options...
duncan41 Posted January 31, 2013 Share Posted January 31, 2013 #1. Get everything in writing; test results, office visit notes and instructions. As far as the aspirin dose: how many milligrams per dose? #2. Has her blood pressure been checked? Not sure I would want to give enalapril if her blood pressure is not elevated. Beware of "white coat syndrome". Is she relaxed at the Vet? Mine appears to be a cool cucumber but her BP goes thru the roof. These results may be her "normal", although protein in the urine would be of concern. If she were mine, I would have someone come to the house and check her blood pressure before giving the enalapril - that's what I did. Quote Linda, Mom to Fuzz, Barkley, and the felines Miss Kitty, Simon and Joseph.Waiting at The Bridge: Alex, Josh, Harley, Nikki, Beemer, Anna, Frank, Rachel, my heart & soul, Suze and the best boy ever, Dalton.<p> ....for all those hounds that are sick, hurt, lost or waiting for their forever homes. SENIORS ROCK Link to comment Share on other sites More sharing options...
carronstar Posted January 31, 2013 Share Posted January 31, 2013 #1. Get everything in writing; test results, office visit notes and instructions. As far as the aspirin dose: how many milligrams per dose? #2. Has her blood pressure been checked? Not sure I would want to give enalapril if her blood pressure is not elevated. Beware of "white coat syndrome". Is she relaxed at the Vet? Mine appears to be a cool cucumber but her BP goes thru the roof. These results may be her "normal", although protein in the urine would be of concern. If she were mine, I would have someone come to the house and check her blood pressure before giving the enalapril - that's what I did. Agree with everything here. While my girl was flirting and working the room, her BP at the hospital was 280 on two different visits!!!! When they told me that I was quite clear that when my own vet took her BP at home, it ranged in the 110-140 range. Even OSU told me to go by what the BP read at home. My homecare vet uses both Doppler and a cuff that goes around her tail. While she doesn't particularly like either method, they both get the same reading. Quote Link to comment Share on other sites More sharing options...
Guest kar Posted January 31, 2013 Share Posted January 31, 2013 her bp in the room was in the 160 range - she was excited and they realized that - she was on the enalpril since the first protein reading of 0.5 in her urine. even the specialist agrees with this -i thought that was for the protein in the urine my vet seems very concerned - even called today and wants to run another tick related bloodwork - this is just a question but do you think giving the lyme vaccine is advisable - could this have started the whole thing or is it just hereditary and do i just accept that - asked heragain today about the baby asprin she did say 1/5 of one said it does not have to be exact but just a little piece how concerned should i be about the protein in the urine Quote Link to comment Share on other sites More sharing options...
tbhounds Posted February 1, 2013 Share Posted February 1, 2013 IMHO-I would not worry but, monitor at this point. I don't believe the enalapril and aspirin will do harm but, I'm not convinced they are necessary at this point. I think I mentioned to you before that my own girl's last UPC was 1.2--it's been as high as 1.5 and Dr Couto just has me monitoring it. Quote Link to comment Share on other sites More sharing options...
carronstar Posted February 1, 2013 Share Posted February 1, 2013 I agree with the monitoring. Her BP was likely a white coat reaction so the meds, while not harmful, wouldn't be needed. Quote Link to comment Share on other sites More sharing options...
Guest kar Posted February 1, 2013 Share Posted February 1, 2013 thanks does anyone know if a lyme vaccine coulld cause this Quote Link to comment Share on other sites More sharing options...
Batmom Posted February 1, 2013 Share Posted February 1, 2013 Anything is possible but it would be more likely that Lyme *disease* would cause it. Quote Star aka Starz Ovation (Ronco x Oneco Maggie*, litter #48538), Coco aka Low Key (Kiowa Mon Manny x Party Hardy, litter # 59881), and mom in IllinoisWe miss Reko Batman (Trouper Zeke x Marque Louisiana), 11/15/95-6/29/06, Rocco the thistledown whippet, 04/29/93-10/14/08, Reko Zema (Mo Kick x Reko Princess), 8/16/98-4/18/10, the most beautiful girl in the whole USA, my good egg Joseph aka Won by a Nose (Oneco Cufflink x Buy Back), 09/22/2003-03/01/2013, and our gentle sweet Gidget (Digitizer, Dodgem by Design x Sobe Mulberry), 1/29/2006-11/22/2014, gone much too soon. Never forgetting CJC's Buckshot, 1/2/07-10/25/10. Link to comment Share on other sites More sharing options...
Guest kar Posted February 2, 2013 Share Posted February 2, 2013 thanks Quote Link to comment Share on other sites More sharing options...
tbhounds Posted February 2, 2013 Share Posted February 2, 2013 Anything is possible but it would be more likely that Lyme *disease* would cause it. Agree-its become common practice here to check for proteinuria in any of our positive Lyme cases (Lyme nephritis). Quote Link to comment Share on other sites More sharing options...
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