do?

Experienced and professional animal trainer provide their insights in answering this question :
A. Take him to a local veterinary ER if you are able. Give them his history and they should be able to treat your pet until your vet’s office reopens.

How to Identify Common Pet Problems ?

Our sources include academic articles, blog posts, and personal essays from experienced pet care professionals :

Most commonly, home fluid therapy is recommended for dogs with kidney disease or chronic kidney disease (also known as chronic renal failure). If your dog is diagnosed with a condition that will benefit from fluid therapy, your veterinarian can teach you to perform this simple procedure.
In severe cases, you may have to hospitalize your dog. The veterinarian will then administer intravenous fluids. In such situations, the dog can spend 48-72 hours not eating. The vet will determine when to restart regular feeding with moist food formulated for convalescent animals.
Chronic kidney failure in dogs cannot be cured or reversed, so early detection is vital. There are treatments available for dogs with kidney disease or long-term kidney failure. Your veterinarian will run tests to determine exactly what your dog is facing and the best treatment options.
As the disease progresses prognosis worsens and survival time decreases with each stage. Median survival time for Stage 4 kidney disease ranges from 14 to 80 days, according to IRIS.
Fluid overload is a major complication of fluid therapy and can lead to pulmonary edema, ascites, and peripheral edema with the potential for development of compartment syndrome.
H2O helps prevent kidney stones and UTIs.

Kidney stones and urinary tract infections (UTIs) are two common medical conditions that can hurt the kidneys, and for which good hydration is essential.

A high dose of IV fluids are given to flush out the kidneys and bloodstream. This process is called diuresis and helps mildly damaged kidney cells to function again and create a healthier environment for healing. Fluid therapy includes replacement of various electrolytes, especially potassium.
Patients who received conservative fluid administration and vasopressors tend to have favorable kidney outcome and decreased odds for the development of AKI [65].
Although most dog are unable to fully recover from chronic kidney failure, this condition can often be successfully managed, allowing pets to enjoy a good quality of life for a number of months or years.
Yes, kidney failure in dogs can be painful. Kidney failure in dogs can be painful because the kidneys are responsible for filtering body waste and toxins. When they fail, these toxins build up in the bloodstream and can cause discomfort and pain.
The clinical signs of more advanced kidney failure include loss of appetite, lethargy, vomiting, diarrhea, and very bad breath. Occasionally, ulcers will be found in the mouth.
The end stages of kidney disease occur when the kidneys no longer work, and the body is not responding to treatment. Your dog may become very lethargic, or sleepy, and have a hard time rising. They likely have lost a great deal of weight and their appetite is usually diminished.
The more common complications include phlebitis, catheter sepsis, fluid overload, and the inadvertent flow of fluid into the surrounding perivascular subcutaneous tissue. Intravenous catheters should be changed and rotated to another site every 72 hours in order to avoid most of these iatrogenic complications.
IV fluids often remain in the body for a few hours after absorption. However, the nutrients, minerals, and medication in the fluids may stay in your body for days, weeks, or even months. This is very dependent on your body`s requirements and the sort of IV infusion you receive.
There is a risk of water intoxication, or hyponatremia, from Japanese water therapy. Additionally, excessively restricting calories while practicing the therapy may lead to rebound weight gain once you finish the practice.
It is believed that although this could help with initial shedding of kilos, it won`t really be effective in the long run. But all in all, water does help to clear the digestive system, improve gut health, prevent constipation, and lowers your risk of type 2 diabetes, cancer, and high BP.
IV therapy can cause blood clots to form. Clots can block important veins and cause health concerns such as tissue damage or even death. Deep vein thrombosis is one type of dangerous blood clot that IV treatment can cause.
For most people with only hours or days to live their body systems shuts down and thirst is not a problem. Strange as it may sound there are definite advantages to taking less food and drink at this time. The loss of appetite and thirst is nature`s way of helping the body prepare for a peaceful death.
Try canned

Wet foods are especially beneficial for dogs with kidney disease or urinary issues, and for dogs with a tendency to become constipated on dry food. “The downside to canned food is that the increased water content makes it less calorie-dense, meaning that large dogs need a lot of it,” says Basedow.

Recent findings: Administration of intravenous fluids may contribute to the development and sustention of acute kidney injury. In excess, fluids cause kidney interstitial edema and venous congestion, which prevents renal blood flow and glomerular filtration rate.
Water: Water is simply the best drink you can have! Water is a zero-calorie, perfectly hydrating, cheap drink. If you are in the earlier stages of kidney disease, choosing water most of the time to quench your thirst will keep your body and kidneys functioning well.
Unfortunately, CKD is usually a progressive disease. However, progression is relatively slow, and pets with CKD often survive for many months to years with a good quality of life. It is important to recognize that in pets with advanced CKD, treatment will not reverse or stop the disease but will slow it down.
Dogs in acute kidney failure develop severe symptoms, very quickly- usually in less than a week of the kidney injury, although it can occur within minutes to hours of the injury for toxins like antifreeze.
Chronic kidney failure can lead to tremors. So can neurological problems that may include inflammatory brain diseases. An Addisonian crisis, a condition related to an underactive adrenal gland, and demyelinating disorders may also lead to shaking in dogs. Dogs may shake when their anal sacs are full.

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

Q. Which common foods are poisonous to pets?
ANSWER : A. That’s a great question. As responsible pet owners we need to be aware of food items that can be harmful to our canine or feline companions. Here are some of the most common foods proven to cause illness in our animals at home:

Chocolate: A favorite and irresistible treat amongst most humans, chocolate is considered toxic to dogs. In very small amounts it is usually not a huge issue, but with larger volumes and with darker chocolates pet owners should be concerned. Chocolate contains methylxanthine theobromine, which is similar to caffeine. Chocolate ingestion can cause vomiting, diarrhea, hyperactivity, issues with normal heartbeats, seizures, and in some severe cases, death. It is best to keep your favorite chocolate treats in a good hiding spot and out of reach of your dog or cat.

Grapes and raisins: Dogs should not consume grapes and raisins because of the risk of acute kidney failure. Most dogs experiencing grape or raisin toxicity will begin to have vomiting and/or diarrhea within 6-12 hours of ingestion. Other abnormal clinical signs include lethargy, abdominal pain, dehydration, and tremors. Kidney failure develops within 24-72 hours of the initial ingestion. There are some dogs that do not experience these devastating side effects. It is best to contact your veterinarian or veterinary emergency facility if you believe your pet has ingested grapes or raisins.

Garlic and onions: We often forget that our meals contain these two popular ingredients and will allow our furry companions a few bites or licks. Onion and garlic both can cause a type of poisoning that results in damage to red blood cells, making them more likely to rupture. They can also cause stomach upset and mouth irritation. Look for pale gums, increased breathing or drooling or any vomiting or diarrhea.

Bread dough: Unbaked bread dough is considered poisonous to our pets. The bread dough, when ingested, expands in the stomach because of the warm and moist environment. This can lead to a bloated or even twisted stomach. In addition yeast is often added to our baking products to help get bread to rise, and when this yeast is fermented it produces both carbon dioxide and alcohol. The alcohol produced can be absorbed into the bloodstream and causes dangerous drops in blood sugar, blood pressure and body temperature. Common clinical signs include vomiting or retching, distension of the stomach, weakness and collapse.

Macadamia nuts: Ingestion of these nuts are not proven to be fatal in dogs but can cause them to experience uncomfortable clinical sings, including fever, joint stiffness, vomiting, tremors and difficulty walking, especially in their hind legs. Often your pet will start to feel better after about 48 hours, but supportive veterinary care (such as pain medication) may help ease their discomfort.

Xylitol: The most common ingredient used in sugar-free gum is xylitol, which is a non-caloric sweetener. It is also found in some oral rinses, toothpastes and vitamins. Xylitol and dogs do not mix – it can cause a dangerous drop in blood sugars levels. Dogs will often display signs of disorientation, black tarry stool, tremors and seizures. If severe enough some dogs have developed liver failure. Keep your gum away from your canine companion.

Avocados: Avocados are not actually poisonous to dogs or cats but as many veterinarians can tell you the avocado pits can cause a foreign body obstruction. Avocados contain persin, which is actually toxic to the majority of pet birds. The abnormal clinical signs associated with avocado ingestion in birds include, respiratory distress, inability to perch, liver and kidney failure and sudden death.

Go forth and enjoy your favorite foods, but keep in mind which foods you should avoid sharing with your furry family members. Whenever in doubt, contact your veterinarian for healthy and safe food suggestions.

Q. How do I determine how much my overweight pet should weigh?
ANSWER : A. There are many tools to determine overweight and obesity levels in pets. A new tool, morphometric measurements and body fat index, are available to accurately determine a pet’s ideal weight; this will allow an accurate determination of the amount of food a pet should receive to achieve weight loss. Feeding the correct amount will lead to greater weight loss success.

There are many weight loss food options to help pets reach their ideal weight. Your veterinarian can help make a ideal weight recommendation. Here are some tips to help your dog lose weight in a healthy and safe way:

1. Diet: Providing a healthy and well balanced diet is essential to your pet’s overall health. Finding the right food for your dog can be a challenging process. For those overweight animals many commercial dog companies offer weight loss diets, but it is important to evaluate food labels for adequate nutritional content.

You want to ensure you are not missing other essential vitamin or mineral content. Volume of food is also important and the amount of food that works for one breed of dog may not be the same for another breed of dog. Portion control as opposed to free-choice feeding can help your dog to drop a few unnecessary pounds.

There are also prescription weight loss foods designed by veterinary nutritionists, such as Hill’s r/d (http://bit.ly/1AoENSd). Some pet owners find that home cooking is the best option for helping to provide a well-balanced and realistic diet plan. There are websites such as balanceit.com that offers recipes to fit your dog’s specific needs. Consulting with your veterinarian or a veterinary nutritionist to find the appropriate diet is a great way to help your dog be as healthy as possible.

2. Exercise: Another great tactic for weight loss for your dog is exercise. Whether this is through running, walking or playing with a favorite toy all of these are wonderful types of exercise to help keep your dog at a lean and healthy weight.

For those pet owners with busy schedules utilizing professional dog walking services or playtime through dog daycare services is another option. It has been shown that those pet owners that exercise regularly with their pets generally live a healthier lifestyle.

3. Physical therapy: As animals age pet owners offer encounter their favorite canine having more difficulty walking and have a dwindling desire to play with toys. Physical therapy, specifically hydrotherapy is a wonderful way to help older and arthritic animals gain more mobility and lose weight. Hydrotherapy has been proven to have several therapeutic effects on the body including, muscle strengthening, relief of swelling, decreased joint pain, less stiffness in limbs, improved circulation, weight loss, and increased tissue healing to name a few. For more information on the benefits of hydrotherapy:
http://bit.ly/1w1qqoy

4. Veterinary visit and blood work: Weight gain can also be related to underlying health concerns such as hypothyroidism or other endocrine disorders. Scheduling a veterinary evaluation and routine blood work can be another important component in increasing the longevity of your dog’s life. Conditions such as hypothyroidism that predispose dogs to gain weight can be treated with a daily medication to improve hormonal balance. If feel that your dog is unnecessarily overweight there can be an underlying health condition that needs to be addressed.

5. Healthy treats: Pet owners love the chance to reward their favorite canine companion with treats and most dogs jump at the chance to consume these delicious products. The problem is many treats, which can include commercial dog treats or table scrapes can add many unnecessary calories to your dog’s daily intake. Reading labels and making note of the calories in these treats is an important component of understanding your dog’s overall health. Treats should not exceed more than 10 percent of your pet’s daily calories. There are healthier treats that can be offered to your pet to keep calories lower yet provide a fuller sensation. A pet owner can add steamed or pureed vegetables, such as carrots, green beans or sweet potato to add more fiber and thus a fuller feeling for your dog.

Q. Treatment & diet recommendation for Fanconi disease with stage 3-4 kidney failure
ANSWER : A. I’m sorry you’ve gotten this challenging diagnosis on your dog. The treatment for kidney failure in its acute phase usually centers around what we call “diuresis”, which means hospitalization with fairly aggressive IV fluid therapy in order to help the kidneys “rest” while the extra fluid load flushes toxins from the body, which is the kidneys’ job. Some specialty centers have actual dialysis, which is the mainstay of therapy for human kidney failure but isn’t widely available in veterinary medicine.

Also we try to control and treat the symptoms of the failing kidneys. This usually involves anti-nausea drugs and drugs to control the excess acid in the GI tract.

Sometimes with Fanconi’s syndrome we have to add bicarbonate to the fluids in order to control the blood pH. Potassium supplementation may also have to be given; like pH this depends on the current blood level of potassium. We also sometimes provide amino acid supplementation as well. Basically we are trying to replace what the kidneys are losing.

As far as diet goes we typically feed the standard prescription renal diets, which are low in protein and phosphorus. And as these dogs are susceptible to urinary tract infections it’s recommended to monitor the urine with a urine culture every 6 months, to look for infection.

Q. Whenever I take my dog on walks he always barks at people and others dogs in my neighborhood. What should I do to resolve the problem
ANSWER : A. The very first thing to do is to make sure your dog is getting sufficient physical and mental exercise every day. A tired dog is a good, happy dog and one who is less likely to bark from boredom or frustration. Depending on his breed, age, and health, your dog may require several long walks as well as a good game of chasing the ball and playing with some interactive toys.

Figure out what he gets out of barking and remove it. Don’t give your dog the opportunity to continue the barking behavior.

Ignore your dog’s barking for as long as it takes him to stop. That means don’t give him attention at all while he’s barking. Your attention only rewards him for being noisy. Don’t talk to, don’t touch, or even look at him. When he finally quiets, even to take a breath, reward him with a treat. To be successful with this method, you must wait as long as it takes for him to stop barking. Yelling at him is the equivalent of barking with him.

Get your dog accustomed to whatever causes him to bark. Start with whatever makes him bark at a distance. It must be far enough away that he doesn’t bark when he sees it. Feed him lots of good treats. Move the stimulus a little closer (perhaps as little as a few inches or a few feet to start) and feed treats. If the stimulus moves out of sight, stop giving your dog treats. You want your dog to learn that the appearance of the stimulus leads to good things.

Teach your dog the ‘quiet’ command. Oddly, the first step is to teach your dog to bark on command. Give your dog the command to “speak,” wait for him to bark two or three times, and then stick a tasty treat in front of his nose. When he stops barking to sniff the treat, praise him and give him the treat. Repeat until he starts barking as soon as you say “speak.” Once your dog can reliably bark on command, teach him the “quiet” command. In a calm environment with no distractions, tell him to “speak.” When he starts barking, say “quiet” and stick a treat in front of his nose. Praise him for being quiet and give him the treat.

As in all training, always end training on a good note, even if it is just for obeying something very simple, like the ‘sit’ command. If you dog regresses in training, go back to the last thing he did successfully and reinforce that before moving on again. Keep sessions short, 15-20 minutes max, and do this several times a day.

Q. Why does my dog eat grass?
ANSWER : A. As another user mentioned, dogs can eat grass when they want to vomit. Sometimes, when a dog has an upset tummy, they will eat grass. If you notice your dog eating grass frantically, you can assume vomiting will shortly follow. Grass does not digest and pass normally. If your dog eats too much grass, it can cause serious issues with pooping. Your dogs poop can end up all tangled inside of her, and it can need veterinary assistance to remove it. The same goes for celery, so avoid feeding celery to your dog.

The other day my boyfriend accidentally left the laundry room door open where we were keeping the trash that was filled with cooked chicken bones. She ate one of the chicken bones lightning fast. We had to induce vomiting by feeding her some hydrogen peroxide. After we had fed her the peroxide, she immediately began frantically eating grass because her tummy was upset.

If there is something lacking in your dogs diet, it could be that your dog is eating grass to make up for it. I am sure that my dogs diet is extremely well balanced (I do not only feed her an air-dried raw food-type diet (Ziwipeak), but a wide variety of safe, healthy foods), so when she eats grass, I know that it is because she has an upset tummy.

That is why I think it is important making sure your dog has a very well balanced diet. If your dog is on a low quality kibble, your dog may be trying to let you know by eating grass (or eating poop).

Q. Rescued a dog almost two weeks ago, and now that her kennel cough is gone her personality shines!! No previous training, how should I start?
ANSWER : A. POST FOUR:

After your dog is familiar with the behavior you lured from scratch, and taught to your dog, you can start to use the “no-reward marker” I talked about. What you do is ask the dog to perform the behavior, and if the dog does not perform the behavior, you simply say your no-reward marker (choose one: eh-eh, hey, uh-oh, oops) show them the treat, put it behind your back, and BRIEFLY ignore your dog. Just turn your back for a second or two, before turning back to your dog and saying, “let’s try that again.” When you’re ready to start over with your dog, make sure you move around. If you are repeating the same cue while in the same position, while your dog is in the same position, you are likely to receive the same results. The more you move around, and start fresh, the better your chances are of having your dog listen to your cue the second time around. BIG rewards when they dog it successfully! Lots of praise and treats.

My no-reward marker is “hey.” When my dog does something wrong I say, “hey” and she immediately understands that she needs to offer a different behavior. This is clear to her. I don’t have to say it in a mean way, I simply say, “hey” in a normal tone of voice and she understands what the word means.

Once you’ve built up that connection and communication with your new dog, you can work on all kinds of fun behaviors! I personally enjoy the more zen-like behaviors: https://www.youtube.com/watch?v=ruy9UMcuGh8

I like to teach my dog fun tricks that offer her a “job” to do of sorts like object retrieval: https://www.youtube.com/watch?v=I4iertZSva8

(object retrieval training completed; what it looks like: https://www.youtube.com/watch?v=jx0Dml28FGY)

Scent-games are fun too! Very confidence building. Hide a REALLY smelly treat in a box, and place that box in a line of boxes. Let your dog go in the room while saying something like “search!” or “find it!” and watch them hunt for that smelly treat! Lots of rewards when they find it!

Q. Why do dogs eat grass?
ANSWER : A. Some pet parents get concerned when they see their favorite canine nibbling on grass in the yard. They wonder whether it is because hunger, boredom or an indication of an underlying illness. Often the consumption of grass will result in vomiting because it irritates the stomach and gastrointestinal tract. This is an extremely common problem for dog parents. There is no one reason for why dogs exhibit these behaviors and it is very much dependent on each dog. Here are some of the reasons why our dogs choose to eat grass:

1. Nutritional Issues

Historically speaking, dogs are considered omnivores, which mean they consume a variety of both meat and plant-based food. There is some indication that dogs with a low fiber diet may choose to scavenge in the grass to fulfill this nutritional deficiency. These dogs may also find that grass has an appealing flavor and consistency. If you feel that this may be the reason for your beloved canine consuming grass then consider discussing with your veterinarian on how to incorporate more fiber into your dog’s diet.

2. Boredom

Many dogs who are not receiving adequate exercise will be become bored and search out activities to occupy their time, including eating grass. Evaluate how much exercise your dog is getting on a daily basis and consider more walks or other fun activities, such as playing fetch or tug of war.

3. Upset Stomach

There is a belief that dogs with an upset or gassy stomach will self-medicate by consuming grass. Vomiting often follows this grass eating activity eliminating the contents of the stomach or changing the gas distension within the gastrointestinal tract. However, there is not much scientific evidence to back up this theory. If you are concerned about too much gastric acid in your dog’s stomach or any other underlying medical issue that could be the reason for their grass eating, consult with your veterinarian.

Overall, grass eating is usually not toxic to your dogs unless your lawn contains chemicals, including pesticides or herbicides. Monitor your dog’s behavior along with his diet and exercise to determine if there is a reason for the inappropriate grass snacking.

Q. My dog has kidney failure. We’re doing fluid therapy, meds, and diet. Last night he started vomiting blood clots. Vets closed. What should I do?
ANSWER : A. Take him to a local veterinary ER if you are able. Give them his history and they should be able to treat your pet until your vet’s office reopens.