Experienced and professional animal trainer provide their insights in answering this question :
A. It depends completely on what stage and the quality of life at this point. It will get to the point that the decision needs to be made. With treatment some dogs can have some time after diagnosis. You know your dog and what her quality of life is like at this moment.

How to Identify Common Pet Problems ?

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

The life expectancy for a dog with kidney failure can vary depending on the severity of the condition and how quickly it was diagnosed and how your dog responds to the initial treatment. With proper management and treatment, some dogs can live for several months to a few years after diagnosis.
Other dogs may suddenly become unwell as their renal function very suddenly deteriorates. Although kidney disease is a condition I see commonly as a vet, every case is different and so there is no hard and fast rule as to when to have an affected dog put to sleep.
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.
Chronic kidney failure in dogs is typically caused by degeneration of the kidneys associated with aging. 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.
Once the patient reaches end stage renal disease (ESRD), death usually occurs within a few weeks. This can be longer or shorter depending on the patient`s overall health, and how much kidney function they have left.
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.
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.
In some cases, the kidneys are damaged beyond repair before diagnosis and medical treatment is ineffective. However, with early diagnosis and aggressive treatment, many dogs will live a normal lifestyle for many months or years.
Without treatment, acute kidney failure is fatal. Chronic kidney failure is treated primarily through changes in diet, fluid therapy, and various medications on an outpatient basis. Chronic kidney failure is terminal, but not immediately fatal. For dogs chronic kidney failure tends to progress over months to years.
There are a few different types of stones that can form in the kidney or in the bladder, and Yorkshire Terriers are more likely to develop them than other breeds. We`ll periodically test his urine for telltale signs indicating the presence of kidney and bladder stones; they are painful!
For dogs with renal health issues, feed them a diet of high-quality protein with low phosphorus and sodium, and added omega-3 fatty acids, such as a mix of good quality meat, veggies like bell peppers, and either a supplement of omega-3`s or fish, flax, sardines, or anchovies.
When a dog is dying, they often lose control over their bladder and bowels as their organs begin to shut down. This can lead to your dog peeing or experiencing a bowel movement wherever they are lying. Even if your dog is very well-trained, they may not have the energy to get up to relieve themselves.
Without life-sustaining dialysis or a kidney transplant, once a person with kidney disease reaches stage 5 (end stage renal disease or ESRD), toxins build up in the body and death usually comes within a few weeks.
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).
Bad breath – Breath that smells like an outhouse can be seen in the advanced stages of renal failure in dogs. This is a result of the toxins that build up in the blood.
Since the kidney cleans out the toxins, when it is not working properly, this causes digestive issue problems. It can be hard to push stool for your dog, causing bleeding. The same goes for your dog`s urine. If the kidneys are not working as they should, they can release blood or a `cloudiness` into your dog`s urine.
It is estimated that more than half of pets suffering from acute kidney failure either die from the condition or are euthanized to prevent suffering. That said, if caught early and treated aggressively some dogs are able to recover from acute kidney failure.
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.
In addition to feeding a lower protein diet, you also need to avoid giving high protein treats such as meat, jerky treats, cheese, rawhides, pig ears, etc. High salt (sodium) diets may increase blood pressure and may worsen kidney damage, so diets designed for pets with kidney disease are low in sodium.
Kidney disease can make dogs nauseated, and they can also develop ulcers in their mouth or stomach, which makes eating painful. A feeding tube may be necessary to get dogs with severe kidney disease the nutrition they need.
Heart failure is a leading cause of death among Yorkshire Terriers in their golden years. Most heart disease in dogs is caused by the weakening or slow deformity of heart valves such that they no longer close tightly; blood then leaks back around these weakened valves, straining the heart.
Common Causes of Kidney Disease in Dogs

One is acute, or sudden, which usually occurs after a pet ingests a toxin like antifreeze or certain prescription medications. Other causes of acute renal failure include severe urinary tract infections and decreased blood and oxygen flow to the kidneys.

Dogs with kidney disease don`t concentrate urine as well; to compensate, they will be more thirsty and need to urinate more to eliminate the same amount of waste. So hydration is key. Make sure your dog has constant access to fresh water. Food quality also plays a big role here.

Relevant Questions and Answers :

the most relevant questions and answers related to your specific issue

Q. My cocker spaniel is 9 years old. He has involuntary bowel movements (little drops) very frequently, especially when he is asleep.
ANSWER : A. Is your dog on a senior dog food? I would get your dog on a high quality high protien dog food. Ask a pet store assosicate or your regular vet for a food recommendation. When you buy a better food the dog will have to eat less to get the same amount of energy from the food. The dog has to eat more of the cheaper foods to get the energy it needs from it. Meaning more poop and buying more food. So the cost really evens out. So the lessen your dogs bowel movements get on a better senior dog food. Next talk to your vet they may have a recommendation. If you switch dogs do it slowly by mixing the foods. Start with 10% new 90% old mixed for at least a week until you have switched to 100% new 0% old. Senior foods have more fiber to help with bowel movements. Take the dog outside to go potty more frequently, right before bed time.

Read Full Q/A … : Symptoms Questions & Answers

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. 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. 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. How can I train my 4 month old puppy to sit?
ANSWER : A. Training basic commands such as sit is very easy using a positive reinforcement method and does not require any more materials than a place to sit and some very yummy treats! When beginning to teach your dog new tricks, starting off in a distraction free area (such as a quiet room in the house) is best. The training can then expand to more distracting places once your dog has the hang of things.

Start by showing your dog a tasty treat and placing it over his or her nose. When they begin to sniff at the treat, gently move the treat backward. Most dogs will follow the treat with their head, and the backward motion will cause their back ends to sit down! Once your dog sits, reward with the treat and some praise. If your dog tends to walk backwards instead of sit, doing this technique against a wall will prevent your dog from walking backward and encourage sitting.

Once your dog has done this a few times, begin to add the word “sit” every time you put the treat above your dog’s head. Only say the word once, and then continue with the luring motion. Your dog will begin to associate the word with the action after several tries! After this, you can begin to attempt to offer the word “sit” once, and if your dog does so, reward with a treat and praise! If your dog forgets, or appears bored, stop training and try again at a later time- most puppies only have an attention span of a few minutes at most!

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. How do I teach my dog to sit still enough and not move his head while I clip on the gentle leader?
ANSWER : A. Most dogs HATE the gentle leader, and it’s not at all surprising. Would you want something foreign on your face? It’s an uncomfortable training tool, and no dog enjoys wearing it. If you are looking to have your dog behave better on-leash, you should consider tossing out that gentle leader, and using a front hooking harness like the Sensible http://www.softouchconcepts.com/index.php/product-53/sense-ible-harness, or the Sensation http://www.softouchconcepts.com/index.php/product-53/sense-ation-harness harness. These harnesses will eliminate the pulling power of your dog, and put you in control in a positive, and gentle way. Any time your dog pulls, he is redirected until he is facing you. You can practically walk your dog with your pinky.

I dislike the gentle leader because it can cause neck injuries in an avid puller/lunger. You also can’t ever hook a long-lead to the gentle leader and allow your dog to run around because it would break his neck. Another thing I dislike about it, is it discourages sniffing the ground during walks. When your dog attempts to sniff, and the leash is short, his nose is redirected upwards. When you trip on the leash, the head is jerked around and the nose is directed upwards. Sniffing during walks is extremely important. Sniffing = mental stimulation, which will tire your dog out more during your walks. The more your dog lags, or forges, the less he can sniff the ground, and the more frustrated he becomes.

If you’re dead set on using the head halti.. you should be using treats to hold his attention. Place the head halti on the floor, reward him for sniffing it, pick it up, treat him, put it near his face, treat him, lure his nose through the loop, lots of treats, take the head halti off, more treats, lure his nose through again, more treats. Take baby steps going forwards AND backwards so the “game” of getting the halti on isn’t always getting more difficult.

Q. My 4 yr old male Catahoula Leopard Dog mix is a rescue. He’s become very possessive of me around larger dogs. How can I correct this behavior?
ANSWER : A. Sudden behavior changes can sometimes indicate an underlying health issue, so scheduling a checkup with your regular vet is always the first step. Once any health issues have been addressed, then you can address the behavioral ones. It is very common for dogs to become “possessive” of people or objects when around other dogs or people, and is called location guarding. Possession of objects or places can be a little easier to manage, however possession around other dogs can be treated as well. Working from a distance in a technique called BAT or Behavioral Adjustment Training may help. This technique involves your dog and another calm dog. Start off at a far distance and then move in until your dog becomes reactive or wary of the other dog. Move back a small amount and wait for your dog to become calm. If he shows calm behavior, reward with lots of praise, treats and love! If he becomes agitated or possessive, move back until he is calm, or stop the session completely and try again later. While this may take some time, it can help dogs learn that other dogs are not a threat to them or their people. Reading more information about BAT training or contacting a local trainer in your area can help with further advice and techniques!