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Nadir- The Decision I Made...


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or not. For the past month Nadir's water consumption and peeing episodes have increased, which would indicate the beginnings of kidney failure. I finally was able to take him in Tuesday for bloodwork and urinalysis. The results are a little conflicting, but very concerning. His USpG was 1.026, which is on the low side, but from what my vet explained, not where you really start to get concerned. However, his creatinine was 2.4 and BUN was 36, which by IRIS guidelines would put him at Stage 3. He's also been experiencing a lot of weakness in his legs. Turns out his Potassium level is low, which could account for the weakness. I'm not sure if he is going into kidney failure, but I'm going to treat it as if he was. I'm taking him in Monday for diuresis to help flush the toxins out of his system and give his kidneys a chance to heal. Because of the danger of the thrombus he has becoming dislodged during this otherwise safe procedure he could use any good thoughts and white light you could send his way.

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Potassium typically runs high with CKD. I agree that the creat in particular is concerning, but I wonder about other explanations? :dunno

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Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart

"The great thing about science is that you're free to disagree with it, but you'll be wrong."

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:candle Sending good thoughts for Nadir.

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Are you thinking phosphorous??

Yup, sure was, thanks. I even second guessed myself and did a quick Google search to confirm. Total brainfart.

 

Having cleared that up, what's Nadir's phosphorus level like? ;)

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Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart

"The great thing about science is that you're free to disagree with it, but you'll be wrong."

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Tracy, his potassium level was 3.8, which is within levels found in greyhounds. However, with the muscle weakness he has shown lately we are wondering if this could be a contributing factor. Any thoughts to other factors would be appreciated.

Jen, his phosphorus level was 3.6, which along with the USgP of 1.026 compared with the high creatinine and BUN levels makes this all very confusing as to diagnosis.

Does anyone explain what they Bilirubin-conjugated level is about. According to the reference range it should be between 0.0-0.1, his was at 0.2.

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The bili is usually higher with ghs-esp males. It can indicate hepatic, gall bladder changes but, as I just mentioned 95% of all ghs will see bili elevation. Can believe I'm going to say this (I'm in the camp that hypoT is over diagnosed in ghs) but, have you run a thyroid panel yet?

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Can believe I'm going to say this (I'm in the camp that hypoT is over diagnosed in ghs) but, have you run a thyroid panel yet?

My vet and I actually discussed this Friday. I too am in the camp that it is overly diagnosed, but Nadir has presented with some unusual things. So maybe a low thyroid, his T4 was 0.6, that is normal for most greyhounds isn't normal for him. So a full thyroid panel has been ordered.

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Nadir isn't really normal! ;) So you might really consider thyroid as an issue. Even if the panel comes back fine.

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Tracy, his potassium level was 3.8, which is within levels found in greyhounds. However, with the muscle weakness he has shown lately we are wondering if this could be a contributing factor. Any thoughts to other factors would be appreciated.

Jen, his phosphorus level was 3.6, which along with the USgP of 1.026 compared with the high creatinine and BUN levels makes this all very confusing as to diagnosis.

Does anyone explain what they Bilirubin-conjugated level is about. According to the reference range it should be between 0.0-0.1, his was at 0.2.

Hmm, well I was thinking if his phosphorous was high that might be further indication that there is a kidney issue, but the lack of elevation doesn't really rule it out. So basically I'm no help. :P

 

I hope you are able to get it sorted out quickly though. A thyroid issue wouldn't be the worst thing - managed pretty easily with meds, so I'll hope for that. :P:goodluck

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Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart

"The great thing about science is that you're free to disagree with it, but you'll be wrong."

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I'm so incredibly sorry.

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:grouphug I am soo sorry.

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I am so very, very sorry. You didn't cost him his life, though. You gave him more life and the most love he could have wanted. I do understand how you feel and have walked in your shoes. I wasn't as aggressive with tooth brushing as I could have been and my girl arrested after a dental. I still beat myself up over that even though I was just trying to do what I felt was in her best interests.

 

Big hugs.

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