s time

Experienced and professional animal trainer provide their insights in answering this question :
A. Persistent vomiting and inability to regulate fluid levels are a major issue in end stage kidney disease. You may be able to support him with fluid therapy but unfortunately it is likely that he will not recover to a normal quality of life for a young dog. It is important that you evaluate his comfort and there are ‘quality of life scales’ such as the one from Ohio State University which address a wide range of questions in order to help to assess such and can help in order to clarify his comfort levels. Remember that it is important to focus on his ability to enjoy life and just because treatments may be available and may prolong life, they are not always the best option for our pets

How to Identify Common Pet Problems ?

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

When a dog`s kidneys fail, toxins such as ammonia and nitrogen can build up in their bodies. This, in turn, can cause nausea, vomiting, and/or a decreased appetite. This condition is known as uremia, and it is directly related to kidney failure.
After approximately 2/3 of the kidney tissue is destroyed, there is a rapid rise in waste products in the bloodstream and an apparent sudden onset of severe disease. The clinical signs of more advanced kidney failure include loss of appetite, lethargy, vomiting, diarrhea, and very bad breath.
You need to be part of all decisions that are made after diagnosis and regarding treatment. If your dog is in pain constantly, stops eating and drinking, or experiences incontinence due to complete kidney failure, you may need to consider putting your dog to sleep.
Types of Kidney Failure in Dogs

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.

As chronic kidney disease progresses to end-stage renal disease, signs and symptoms might include: Nausea. Vomiting.
Dietary supplements, and phosphorus binders (to treat high phosphorus levels) may also be given for low potassium. Anti-nausea and anti-emetic (anti-vomiting) medications can also be prescribed for dogs with a poor appetite, vomiting, or nausea.
Signs and symptoms of acute kidney failure may include: Decreased urine output, although occasionally urine output remains normal. Fluid retention, causing swelling in your legs, ankles or feet. Shortness of breath.
The last few days before your dog passes you may notice: extreme weight loss, a distant look in their eyes, a lack of interest in anything, restlessness or unusual stillness, a change in the way that your dog smells, and a changed temperament.
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.
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.
Is Dog Kidney Failure Painful? Kidney failure usually comes with a lot of pain. Most times we can see the signs; from the tremors to the vomiting and the loss of appetite. It is important that you prioritize your dogs` comfort.
Dog Food For Kidney Disease

Recommended dog food for pups suffering from chronic kidney disease typically includes a therapeutic diet containing reduced amounts of sodium, protein and phosphorus, combined with increased levels of omega-3 fatty acids. In some cases, your vet may also recommend potassium.

Liberalize diet restrictions (salt, phosphorus, potassium) if safe to do so. Reduce or eliminate potentially nauseating stimuli (e.g., spicy, strong-smelling and high fat foods). Encourage a trial of cold, bland foods instead. Try using ginger products (e.g. tea, tablet, ginger ale, cookies, candied ginger).
Signs and symptoms

People usually develop kidney infections quickly, within a day or a few hours. Kidney infection symptoms include : diarrhea. nausea and vomiting.

A severe kidney infection can lead to dangerous complications. They may include blood poisoning, damage to the body`s tissues or death. Seek medical care right away if you have kidney infection symptoms and bloody urine or nausea and vomiting.
End-stage kidney disease (ESKD) is the last stage of long-term (chronic) kidney disease. This is when your kidneys can no longer support your body`s needs. End-stage kidney disease is also called end-stage renal disease (ESRD).
Some people suddenly lose their kidneys` function. All at once, the kidneys stop doing their important tasks: eliminating excess fluid and salts and removing waste material. When the kidneys go on strike, dangerous levels of fluid, salts and wastes build up in the body.
Sometimes a kidney problem called acute kidney injury (AKI) can also cause kidney failure. This type of kidney failure happens quickly, usually within two days, and is most common in people who are already hospitalized for other health problems. AKI is also known as acute kidney failure or acute renal failure.
Vestibular disease is the main reason why an older dog may experience a sudden loss of balance and an inability to stand or walk normally. How can you tell if a dog has a vestibular disease? A few of the signs include dizziness, stumbling or wobbly steps, and falling over.
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.
Diarrhea/Constipation – The accumulation of toxins/waste can affect bowel movements as well. Because the kidneys aren`t able to flush enough toxins into the urine, their body will try to rid itself of the toxins in their stool. This can create a gut imbalance that causes either diarrhea or constipation.
As kidney disease progresses in your dog, they can become very lethargic and prefer to sleep much of the day. When they are awake, their back legs may appear weak and cause them to shake while they walk or even stumble and fall.
Also, since proteins essential for breaking down blood clots are lost into the urine, the blood coagulates much more easily and blood clots can become lodged in blood vessels, causing paralysis or strokes.

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

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. 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. 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. My dog is in the last stages of CKD.. Vomiting yesterday and today. Can’t keep anything down a dis weak. He is only 3. How’d I tell when it’s time
ANSWER : A. Persistent vomiting and inability to regulate fluid levels are a major issue in end stage kidney disease. You may be able to support him with fluid therapy but unfortunately it is likely that he will not recover to a normal quality of life for a young dog. It is important that you evaluate his comfort and there are ‘quality of life scales’ such as the one from Ohio State University which address a wide range of questions in order to help to assess such and can help in order to clarify his comfort levels. Remember that it is important to focus on his ability to enjoy life and just because treatments may be available and may prolong life, they are not always the best option for our pets

Q. My Beagle listens to me, but cries & whines when I’m gone & doesn’t listen to my parents. I adopted him just a couple days ago. Any tips for my folks?
ANSWER : A. I really highly doubt that your Beagle listens to you and has formed a connection with you in just a couple of days. It takes months to build up any kind of serious connection with your dog. You need to work on communication with your dog through training them to understand different cues. For instance the Leave-It cue: https://www.youtube.com/watch?v=R1TS5nA7z5Q

You have to work on bonding with your dog through mental stimulation. Training is very important. Luring each new behavior from scratch, and training using treats is how you form a strong bond with your new dog. No scolding is ever necessary… work on being calm, and positive, all the time.

If your dog is crying/whining when you leave, this may be separation anxiety. You’re going to have to separation train this dog from scratch. This dog needs to learn that separation can be a good thing! Tell your “folks” to NOT scold the dog when he is crying/whining after you leave, because that will make your dog MORE anxious when you leave next time. Your dog will be dwelling on the negative if your parents fuel your dogs negative feelings towards you leaving. FUN things should happen when you leave. Your parents should pull out the treats and start doing some basic obedience training with your dog. Your parents should stuff a Kong filled with awesome treats (peanut butter) and give it to him so he feels happy when you leave.

I have some excellent separation anxiety exercises you can work on. If you’d like, you can purchase a consultation with me, and I will go over how to separation train from scratch. It will make your dog comfortable being alone, guaranteed.

Read Full Q/A … : I Don't Like My Mother

Q. My dog licks his feet and legs and they are turning brown. He is a white dog. Can you help?
ANSWER : A. Licking the feet and legs can be caused by a number of things in dogs including allergies, illness or even stress behaviors. Allergies are the most common in dogs, with yeast infections coming in second. Allergies can cause the area to become red and itching, making your dog want to lick and chew on them. Over time, the area may become stained from saliva, especially in lighter or white-coated dogs. Yeast infections are also common between the toes, and may cause a smelly “corn chip” smell to appear near your dog’s feet. Again, dogs will attempt to lick and chew to relieve the itch. Keeping the feet clean and dry can help relieve both allergies and infections and pet wipes or a baby wipe of all paws when your dog comes in from outdoors may also help. Keeping your dog from licking the space with either dog booties or an Elizabethan collar is also good as it will prevent secondary infection and staining of the paws and legs. If your dog is determined to keep licking and keeping the feet clean and dry do not help, then your vet can help by providing a medication to treat any infection or provide relief of allergies.

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!