A simple home-prepared meal that incorporates healthy ingredients that not only improves our animals’ health but is also easier on our budgets.
Combine all ingredients, mix well. Serve.
Hint: Powdered calcium sticks to wet ingredients, sprinkle evenly over wet food.
Protein: 36 grams Fat: 28 grams Calories: 436
Daily serving for a 30 lb dog, can be divided into 2 feedings.
Culture: Readers Write
Every day pets are exposed to various temperature levels from heat to cold, and while it is easy to forget, you really need to consider just how much your pets can be affected in extreme conditions. That’s where we come into play.
We are Pause4Paws, the voice for pets who cannot speak up for themselves. Pause4Paws is a group of sophomore Community Problem Solvers from Flagler Palm Coast High School, Florida. Community Problem Solvers (CmPS), is one of the four competitive components of Future Problem Solving Program, International (FPSPI). FPSPI is meant to stimulate critical and creative thinking skills, encourage students to develop a vision for the future, and to prepare students for leadership skills. In CmPS specifically, we identify real problems in the community, then create and implement real solutions. We all share a strong passion for pets. As Pause4Paws, our mission is to increase familiarity of the dangers associated with climate for household animals so that a healthy lifestyle for them isn’t compromised.
Because we live in Florida, our group knows all too well about how hot it can get. We are called the Sunshine State for a reason—our sunny weather and high temperatures. Occasionally, the heat can be too much for us, and it’s just too hot to stay outside. This does not just apply to humans, but also to our furry friends.
Regardless of where you live and what your weather conditions may be like, a pet still has the possibility of overheating in a matter of minutes. When left in extreme heat, a pet’s body temperature can reach 109 degrees, to the point where it can no longer cool itself to accommodate the heat, a term called hyperthermia. A heat stroke commonly follows elevated body temperatures. Upon reaching these conditions, the pet’s health may begin to take a dramatic turn towards organ failure, damage to the pet’s brain, heart, liver, nervous system, and in extreme cases, death.
By taking a few precautions before spending the day with your pet in the sun, you can decrease the likelihood of your pet from getting injured.
With winter approaching quickly, we can’t forget our friends in states that aren’t as sunny as Florida! While it may be enjoyable to play with your pet in the snow and cold, you need to know what actions to take to keep your pets warm.
As you can see, pets are at risk of danger during the hot and cold seasons. Considering that pets are a part of your family, you need to make sure they stay as happy and healthy as possible. It’s up to you as an individual to take a stand for your pets. After all, they rely on you heavily. You feed them, wash them, love them, and care for them. It’s all up to you! They deserve the best care available to them, just like Pause4Paws’ slogan says, “Best friends need best care.”
Wellness: Food & Nutrition
Q&A with Susan Thixton, authors of Dinner PAWsible.
Whole food, real food, clean eating: however it’s described, many of us are turning—or returning—to minimally processed, additive-free food made by nature rather than machines. In their newly revised cookbook, Dinner PAWsible, holistic veterinarian Cathy Alinovi and pet food safety advocate Susan Thixton apply that concept to the world of companion animals. They suggest that home-prepared meals incorporating healthy ingredients are eminently do-able alternatives that not only improve our animals’ health but also, are easier on our budgets. Bark recently spoke with the authors.
For years, we’ve been told that variety in a dog’s diet is a bad thing, yet in your cookbook, you encourage it. Why?
We promote variety for pets for the same reason it’s recommended for humans: to provide a balance of vitamins and minerals. Eating different foods from meal to meal helps achieve this.
How should we go about switching our dogs from commercial foods to a diet that incorporates the recipes from your book?
Changing brands of commercial pet food quickly (from one meal to the next) can cause some dogs to have “tummy issues,” aka diarrhea. So, to be safe when making the transition, we recommend switching slowly: for example, one-quarter new (home-prepared) food to three-quarters old (commercial) food for two or three days, half-and-half for another two or three days, and so on. Dogs who’ve been eating real food all along can be switched right over to the recipes we provide.
When preparing meals for our dogs, how can we be sure that the nutrients are bio-available? And, related to this, why is “lightly cooked” better than “thoroughly cooked”?
Remember when commercial cat food was introduced and researchers discovered that taurine had to be added, even though it was made with meat? Taurine, an amino acid [protein’s building blocks] cats require, occurs naturally in meat; however, in the manufacturing process, the meat was overcooked to the point that the taurine broke down and was no longer available as a nutrient.
It’s the same thing with cooking for dogs—if you cook the ever-living daylights out of meat, the nutrients will be degraded, while cooking it lightly leaves more nutrients accessible to the body. Feeding raw meat is also acceptable, but we recommend that people avoid feeding their dogs raw ground meat from the grocery store, as it is often contaminated with bacteria that can be harmful. Vegetables are a bit harder for a dog to digest, which is why we recommend lightly cooking them; if you feel you need to boil veggies, add the cooking water to your dog’s food, as boiling tends to leach the vitamins into the water.
You advise boiling a whole chicken and then using the bones to make a broth that incorporates apple cider vinegar. What’s the advantage of adding vinegar?
Chicken can really be prepared by any method; broiling or baking works great too, and still leaves you with bones you can use to make broth. (Regardless of how you prep your chicken, don’t overcook it. We recommend using a meat thermometer to make certain the meat is cooked to the proper temperature of 165 degrees.) Apple cider vinegar helps leach the minerals from the bones, which gives you bone broth, a powerhouse food source.
Most of your recipes have around 10 to 15 percent fat. Why is fat important for dogs, and do highly active dogs need more?
For dogs—for all mammals, actually—fat is an energy source and provides nutrients necessary for an efficiently functioning nervous system. Some, like working sled dogs, need an amazing number of calories, on the order of 10,000 kcal a day when they’re running at top speed (10 times the amount comparably sized pet dogs require), and fat helps them meet these requirements. While our recipes are designed for pet dogs who are moderately active, they can be modified for higher energetic needs, which also come into play during pregnancy, puppyhood and agility work. We discuss these modifications at the beginning of the book, and we’re available to help individuals with specialized requirements.
Is there such a thing as too much of a good thing when it comes to some ingredients, for example, nuts and seeds? I use a NutriBullet to make drinks for myself and my dogs that include ground hemp, goji, flax and other seeds and nuts. It seems our dogs would also benefit from high-value “smoothies” made with raw leafy veggies, fruits and seeds, moistened with broth or whey. What do you think?
Just like humans, dogs can get too much of a good thing, although it takes repeated daily overeating of one item to cause a problem. Fresh grinding makes rich foods like seeds and nuts—wonderful sources of protein and trace nutrients—more digestible, as well as helps the body access their wonderful omega fatty-acid oils. You can make great pet food add-ins by using a NutriBullet, Vitamix or even a coffee grinder.
Why don’t you advocate a raw diet?
We promote minimally processed food, raw or cooked. Our original concept was to help pet owners new to real food get started, and some are grossed out by the idea of raw meat. We’ve found that as people become more experienced, many do switch to raw foods. On the other hand, some dogs—those who are older or who have particular health problems—cannot comfortably digest raw meat, so cooking it lightly makes sense for them.
You point out that not every meal needs to be complete and balanced. In the overall scheme of things, how important is balance, and how can we be assured that our dogs get all the nutrients they require?
Consider human diets: every meal, every bite, is not 100 percent balanced and complete. But over the course of a few meals with a variety of ingredients, balance is achieved. The same thing works for our dogs: variety fills in any “holes” that may exist in individual recipes. We like the concept of providing balanced nutrition through whole-food ingredients instead of via synthetic supplements (which is what most commercial pet foods use).
Wellness: Food & Nutrition
Home cooking helps you feed ’em well for less.
When suppertime rolls around, there’s nothing like a healthy home-cooked meal. This is true not only for the human members of your family, but for your dog as well. Cooking for your canine companion has many benefits, including fewer preservatives and additives, more varied and potentially better ingredients and, of course, more interest for the canine palate.
Homemade meals may even make it possible to feed your dog well for less. A 15- pound bag of high-end dry dog food costs approximately $42, and a 5.5 oz. can of high-end wet food runs approximately $2. Feeding a medium-sized dog two cans of wet mixed with two cups of dry food costs about $5 per day. That doesn’t include the treats, bones and tidbits that inevitably make their way into her tummy! Compare that with four cups of Puppy Stew (recipe here) at $2.25 per day. Add the cost of a vitamin/ mineral supplement and calcium, and it is still less than the cost of feeding high-end commercial food.* (You can also combine homemade meals with commercially available dry dog food. This will, of course, change the nutritional calculations as well as the price, but your pup will still be pleased.)
As both able hunters and scavengers, dogs ate from a diverse menu when they began accompanying humans. An omnivorous diet of protein, carbohydrate and fat sources suits them; dogs in good health can also handle the fat in their diet more effectively than you can— their bodies use it for energy and then efficiently clear it from the bloodstream.
The caveats? Dogs have different nutrient requirements than people. For example, they need high-quality protein, more calcium and more minerals for their proportional body size. Calcium is particularly critical. In The Complete Holistic Dog Book, co-author Katy Sommers, DVM, notes that “calcium is perhaps the single most important supplement for a successful home-cooked diet. Even if you’re feeding a variety of foods, you’ll need to supply an extra source of calcium.” She recommends giving one 600 mg calcium carbonate tablet (or 1⁄2 teaspoon of the powder form) for each 10 to 15 pounds of body weight daily for most adult dogs. (She also points out that, if you’re mixing homemade and commercial foods, you don’t need to supplement as heavily, as commercial foods contain adequate or possibly even excessive amounts of calcium and phosphorus.) More good advice on this subject can be found in Dr. Pitcairn’s Complete Guide to Natural Health for Dogs and Cats by Richard H. Pitcairn, DVM, PhD, and Susan Hubble Pitcairn.
There are some human foods that dogs should never be given, including macadamia nuts, chocolate, tea, coffee, raisins, grapes, onions or excessive amounts of garlic. And, of course, check with your veterinarian before making big changes to your dog’s diet, particularly if she has any preexisting health conditions. Once you get the green light, make the changes gradually to avoid digestive upsets; introduce new foods slowly, substituting a small proportion of the new food for the old over time. Finally, be careful not to provide too many overall calories (energy), as obesity is just as unhealthy for dogs as it is for humans; your vet can help you determine how much your dog should be eating.
Food safety is also an issue. While dogs have many defenses against bacteria, parasites and other food-borne pathogens, they are not immune to them. Be sure to keep utensils clean, perishables refrigerated and ingredients cooked to appropriate internal temperatures to kill off any unwanted bugs. This is particularly important for puppies, old dogs or those with a health condition that makes them vulnerable.
In general, your homemade recipes should contain a high-value protein source (muscle meat, eggs, fish, liver), a fat source (safflower, olive, canola or fish oil; the best and most easily available fish oils are salmon and cod), a fiber-containing carbohydrate (brown rice, sweet potato, oats, barley), and a phytochemical source (fruits, vegetables, herbs). Substitutions can be made; for example, if you know your dog likes whole-grain pasta, substitute pasta for barley as a carbohydrate source. Some dogs, like some kids, hate veggies but will eat fruit, so use fruit instead; fruit can complement meats just as readily as vegetables can. Yogurt, cottage cheese, beans and tofu can occasionally be used as protein sources, but keep in mind that not all dogs can tolerate dairy products, beans or soy and may become flatulent or experience other gastrointestinal “issues”; test tolerance with small quantities.
When you cook a batch of homemade food, let it cool, and—if you make more than your dog can eat within a couple of days—portion it into reusable, washable containers, then freeze and defrost as needed. You can safely keep cooked food in the refrigerator for three days; after that, spoilage becomes a concern.
By adhering to the basic guidelines, you can be creative, provide great homemade meals and know that the ingredients are wholesome. You might even try serving some of these recipes to your human family so they can feel special too.
These recipes are calculated for a healthy adult medium-sized dog (approximately 35 to 40 pounds) who’s moderately active. The ingredients listed are standard (not organic) and can be purchased at any supermarket. Dogs of this general description require approximately 1,800 mg of calcium daily, according to Sommers, et al. If your dog is smaller or larger, her total calcium requirements can be calculated using 600 mg for every 12.5 pounds. (If your dog is a senior, still growing or has health issues, please consult your veterinarian— we really can’t say this often enough!) For a veterinary nutritionist– developed canine vitamin/mineral (calcium- inclusive) supplement, check out BalanceIT® powder.
Important: Many veterinarians, while acknowledging that pet food recalls and the poor quality of some pet foods are causes for concern, still feel that homemade diets, when fed exclusively, may result in nutritional imbalances and vitamin/mineral deficiencies that may pose threats to canine health. Therefore, if you choose to feed your dog a homemade diet, it is important that you understand and provide what your dog needs to stay healthy; veterinary nutritionists can assist in developing suitable homemade diets. While caution was taken to give safe recommendations and accurate instructions in this article, it is impossible to predict an individual dog’s reaction to any food or ingredient. Readers should consult their vets and use personal judgment when applying this information to their own dogs’ diets.
*The cost of feeding homemade will vary according to the size, activity level and health of your dog. Dogs who are pregnant or lactating, growing pups and those who perform endurance activities require much more nutrition (calories, protein, fatty acids) and have other special nutritional needs.
Wellness: Food & Nutrition
Some things to know about "low-cal" pet food
There’s no denying obesity is a major canine health issue. Obesity contributes to arthritis, heart and liver disease, diabetes, respiratory difficulties, heat stroke, some cancers and more. And somewhere between 40 and 50 percent of domestic cats and dogs in the United States are overweight, according to several estimates. As we do in our personal battles of the bulge, we turn to reduced calorie diets for help. Unfortunately, these may not be the straightforward solution they appear to be.
A study of so-called light or low-calorie pet foods performed at the Cummings School of Veterinary Medicine at Tufts University revealed a confusing variation in calorie density and feeding recommendations among brands. Researchers found dry dog foods making weight management claims ranged in calorie density from 217 to 440 kilocalories per cup (kcal/cup), and that the recommended intake ranged from 0.73 to 1.47 times the dog’s resting energy requirement.
What this means is that well-meaning dog owners following manufacturer guidelines might not see promised weight loss in their chubby pups—in fact, they might see weigh gain—leading to frustration for people and ill health for dogs.
Knowing and counting calories is a priority for weight management, according to veterinary nutritionist Edward Moser, MS, VMD, DACVN, with whom we talked about the Tufts study and canine weight management. Dr. Moser is an adjunct assistant professor of nutrition at the University of Pennsylvania School of Veterinary Medicine. In addition, he serves on the National Organic Standards Board Pet Food Task Force.
“It’s incumbent on the pet owner to know what calories are in the food and the energy their dog needs,” Dr. Moser says. While weight and age are a good starting point for calculating what your dog requires maintain or lose weight, there are other important multipliers to take into consideration, such as whether your dog is spayed or neutered, and the intensity and duration of their daily activity. Also, pregnant or nursing dogs and puppies need more energy (aka calories).
A good way to set a calorie baseline is with a visit to your veterinarian. Since only about 17 percent of owners think their dogs are overweight, according to one study, the first step is breaking through denial. Your vet can help. There are several ways to set a daily calorie count, such as aiming for a one percent of total weight loss each week, or 75 percent of the calories required to maintain a goal weight, etc., Dr. Moser says.
The important thing is to be consistent and engaged. Once you cut back on calories, weigh your dog about every ten days, Dr. Moser says, to see when they plateau. Also, he recommends something called “body condition scoring.” The Ohio State University College of Veterinary Medicine website provides an illustrated chart that shows dogs and cats from emaciated to obese. Look at the pictures and ask: Where does my dog fit? You should be able to feel your dog’s ribs but your fingers shouldn’t fit between them.
Why diet food? Why not just feed your dog less of his or her regular food? “What makes a diet food different is we’re essentially diluting calories,” Dr. Moser says. There are only a couple ways you can do that including reducing fat content, which decreases calorie density and palatability, or adding fiber or even air, in the case of kibble. The calories in canned food can be diluted with water. “We are making dogs think they are full when they’ve really only eaten 75 percent of the calories,” Dr. Moser says. “The other stuff is just helping you feed more so the dog doesn’t beg.”
One reason Dr. Moser says people aren’t successful with low calorie food is because they leave it out for free-choice feeding. (Imagine a sort of bottomless bowl." “Because even low calorie foods have calories,” he says. He agrees with the study recommendation that free-choice feeding is not a good option—in part because food today is extremely palatable and so it’s easy for dogs to overeat. The better option is a measured quantity of food a couple times a day, he says.
If you don’t see calories listed on your label that’s because calorie counts are only required on dog food that claims to be lite, light, less calorie or low calorie. (The Academy of Canine Veterinary Nutrition, to which study co-author Dr. Lisa Freeman and Dr. Moser belong, is advocating for requiring calorie information on all pet food labels.) Foods with a light, lite, or low-calorie designation must also adhere to a maximum kilocalorie per kilogram restriction. However, Dr. Freeman pointed out that more than half of the foods evaluated in her study exceeded this maximum.
Why does it matter if your pup’s a little plump? Dr. Moser points to research that shows keeping dogs thin can extend their lives by as much as one and half years—that should motivate us to study labels and get out our measuring cups.
For years, I kept a supply of phenobarbital on hand, prescribed by my vet for my mixed-breed dog's seizure. It turned out to be a one-time thing, and eventually, I disposed of the drug. But I can testify that watching her in the grip of it was both scary and confusing.
As dog-lovers, most of us hope we're never faced with a number of canine health conditions. Seizures fall into that category. When they happen, however, it's helpful to understand what we're looking at and what we need to do next.
Seizures, which are caused by abnormal electrical activity in the brain, can indicate a variety of conditions, some transitory, some longer-lasting. Our old friend "idiopathic" --or, of unknown origin--also comes into play more than either we or our vets would like.
As explained on the Texas A&M newswire, "For some dogs, a seizure is a one-time experience, but in most cases seizures reoccur. An underlying problem in the brain could be responsible for reoccurring seizures, often resulting in a diagnosis of epilepsy. Between the many causes of seizures in dogs and the often normal lab results, idiopathic epilepsy proves to be a frequent diagnosis." Other causes include toxin ingestion, tumors, stroke, or another of several related neurological disorders.
Dr. Joseph Mankin, clinical assistant professor at the Texas A&M College of Veterinary Medicine & Biomedical Sciences, describes a typical seizure. “The dog may become agitated or disoriented, and then may collapse on its side. It may exhibit signs of paddling, vocalization, and may lose bladder control. The seizure may last for a few seconds up to a few minutes, and often the dog will be disoriented or anxious afterward. Occasionally, a dog may be blind for a short period of time.”
When a dog is in the grip of a seizure, there's little we can do, other than to keep our hands away from his or her mouth. Afterward, the most important thing we can do is take the pup to the vet for investigation into the cause. Fortunately, a number of treatments, ranging from allopathic (Western medicine) to complementary (including acupunture) exist.
Like most things, especially those related to health, knowing what we're dealing with is half the battle.
For more on this topic, read Dr. Sophia Yin's excellent overview.
Wellness: Health Care
Aging pets benefit from close attention to their health
Most parents complain about how quickly their kids grow up. Within the blink of an eye, it seems, children go from diapers to diplomas. Now, imagine squeezing an entire life span into just 13 years, which is, on average, about how long dogs live. (People, on the other hand, have an average span of 77.6 years. ) Because dogs age nonlinearly, one human year can be equivalent to seven to 10 dog years. This means not only that puppies grow both physically and socially at a blazing speed, they also become senior citizens at an accelerated rate. And like their human counterparts, diseases such as diabetes, kidney failure, arthritis, dental disease and cancer become more prevalent with increasing age. While we cannot stop the aging process, there are measures we can take to ensure that our pets live long, healthy lives.
No one likes going to the doctor, and dogs are no exception. Nonetheless, geriatric dogs—defined as those seven years or older—should have routine veterinary examinations every six months. This may seem excessive, but it isn’t when you consider that six months is the equivalent of three dog-years. A yearly exam for a dog is equivalent to an exam every seven to 10 years for a human, and no medical doctor would advise seeing elderly human patients so infrequently. These routine exams are important, as they make it more likely that problems can be diagnosed and treated before they become more difficult to manage.
During these visits, the veterinarian will perform a complete physical and oral exam, and will also ask you about any changes you may have observed in your dog’s behavior or activity. Since dogs cannot tell us their symptoms, it is important that we observe them as we go about our daily routines, because changes in appetite, thirst, behavior and weight may signal the onset of disease.
Diagnostics Make a Difference
While dental disease is not unique to older dogs, it is usually more advanced in seniors due to years of neglect. Just imagine what your teeth would look like if you never brushed them. And it’s not just cosmetic—untreated dental disease can lead to more than just bad breath, but can result in difficulty eating, pain, tooth loss and the spread of infection throughout the body. A proper dental cleaning requires general anesthesia. While anesthesia in older animals may sound scary, age alone is not a risk factor. Here again, screening tests are important, since older animals are more likely to have conditions that require special care when using anesthesia. Your veterinarian will determine if your senior dog needs a dental cleaning and is healthy enough to undergo this procedure safely.
Lumps and Bumps
The shape, appearance, size and location of the mass can give your veterinarian clues as to whether the mass is benign or malignant. However, only a pathologist (who examines the tumor cells with a microscope) can make a definitive diagnosis. Your veterinarian will want to get a specimen, which can be obtained with fine needle aspiration or incisional or excisional biopsy, and send it to pathology. Once the mass is diagnosed, your veterinarian can discuss what treatment—if any—is needed.
The subject of cancer is as scary in pets as it is in humans, but fortunately, there have been significant advances in cancer treatment for our canine companions. Like us, our dogs can benefit from better imaging, such as MRIs and CT scans, and advanced treatment options, which include surgery, chemotherapy and radiation. Ultimately, the key to fighting cancer is early detection. Monitor your furry companion carefully.
Getting old is a normal and inevitable part of life. Though we cannot stop aging, we can take measures to ensure that our dogs’ senior years are truly their “Golden Years.”
News: Guest Posts
Tools to Groom
For those of us with dogs, summer is a season to be outdoors—early morning walks, afternoons at the lake or beach, weekend camping trips. Life outdoors is great but it has a tendency to follow you home as it attaches to your dog’s coat and paws … burrs, sand, mud and plain old dirt. Having our own pack’s three coats and dozen paws to clean and maintain, we’ve searched out a small arsenal of canine grooming products to help combat the inevitable summer soiling. Here are some of our favorite tools to keep ready in your mudroom, porch or garage … wherever your dog grooming takes place.
The Groom Genie
Messy Mutts Gloves and Chenille Grooming Mitt
News: Guest Posts
Be sure where it comes from
There’s a new concern about fish, and once again, labels won’t clear it up. The hidden ingredient in some pet food is slave labor used to harvest small forage fish like mackerel. A New York Times expose of brutal conditions on Thai fishing ships describes the link to several top brand U.S. pet food companies.
Why not just skip Thai fish? Many would if that information was on the label, as it is with seafood meant for humans. But country of origin doesn’t apply to pet food rules. So where the fish or fishmeal is from isn’t likely to be announced on labels or packages. The difficulty tracking each link in the global seafood supply chain can even leave manufacturers in doubt. The article says bar codes on pet food in some European countries let consumers track Thai seafood to the packaging facilities. But prior to processing, the global supply chain for forage fish, much of which is used for pet and animal feed, is “invisible.”
Given the unsavory news, not to mention the topic of fishing the oceans to extinction, any amount of Thai fish is likely to be too much for many shoppers.
AAFCO, the governing (though not regulatory) body for the pet food industry notes that FDA pet food regulations “focus on product labeling and the ingredients which may be used.” Where those ingredients originate is left out.
That’s why some shoppers look for “alternative” certification labels from organic to Fair Trade, and put their faith in U.S. companies that aim to exceed regulatory standards. For example, Honest Kitchen, which sells human food-grade products, states on its website that suppliers guarantee their statement of country of origin. (Another promise is that no ingredient is from China.) The company is a member of Green America that promotes companies that operate in ways that support workers, communities and the environment.
As for buying dog food with fish sourced from non-Thai waters, some pet food companies do state where the fish is sourced. But many manufacturers have a long way to go to make the process transparent and easy enough for consumers to find their ingredient sourcing. (We highly recommend calling pet food companies and asking for this information to be more readily available!)
Advertising terms like “holistic” (meaning the whole is greater than the sum of the parts) and “biologically appropriate” (referring to meat-content for carnivores) say nothing about origin.
Even pet food regulators admit that pet caretakers “have a right to know what they are feeding their animals.”
So if in doubt where the fish is from, ask the company behind the bag or can. That much—the manufacturer’s name and address—is required on labels.
And some say, why should pet food buyers beware the global supply chain? With some research on a dog’s protein, calcium and other basic needs, it’s more possible than ever to get it right with a home-made diet rich in “human food” or even home-cooked table scraps. In fact, local food waste is a problem with plenty of solutions.
Wellness: Health Care
It can’t be cured but it can be managed—partnering with your vet is the key.
Failure is a harsh word. It signifies loss of hope, or defeat. So when your vet diagnoses your dog with chronic kidney failure, how can your heart not sink? That’s why some DVMs call it chronic renal insufficiency (CRI) or chronic kidney disease (CRD) instead.
Maybe you made a vet appointment because your dog spends more time at the water bowl, seems overly thin and shies away from previously loved food. Some pets with kidney disease may also have urinary incontinence, vomiting, diarrhea, bad breath, blindness, depression or lethargy—all of which may be signs that the kidneys’ multitasking capacity is impaired.
These two bean-shaped organs are responsible for water conservation, blood pressure control, salt balance, phosphorus and calcium regulation, and the initial step in red blood cell production. When their performance of these jobs begins to falter, many of the body’s functions start to tumble too. Blood levels of BUN (blood urea nitrogen), creatinine, calcium and phosphate escalate; protein spills into the urine; potassium levels fall; red blood cell counts drop; and blood pressure rises. Your dog starts to feel very unwell, indeed.
Where to Start
CRD affects one in ten dogs (compared to one in three cats), and the initial medical goals are to investigate and address an inciting cause in an effort to halt the disease. The origins of CRD are many: chronic bacterial infections, kidney stones, immune-mediated diseases, high blood pressure, congenital kidney malformations, leptospirosis, Lyme disease, grape/raisin or antifreeze poisoning, cancer. Often, we don’t find the specific reason. We also want to attend to the dog’s clinical signs—dehydration, nausea, weight loss, fatigue—with treatments fine-tuned by test results. If the dog’s getting nephrotoxic drugs like NSAIDs and certain antibiotics, we’ll take him off them too.
CRD is managed, not cured, and your vet will refine her treatment plan by regular monitoring of your dog’s health. Tests recommended every three months might involve a renal panel (CBC and chemistries), urinalysis, urine culture, urine protein/creatinine ratio and blood pressure.
The first signs of CRD—elevations in BUN and creatinine levels—typically occur when the kidneys have lost 75 percent of their function, which has made its treatment challenging. However, Idexx Laboratories now offers a blood test, SDMA (symmetric dimethylarginine), which catches CRD at the 40 percent mark and allows earlier intervention.
Treatment goals for CRD are life-long and supportive, aimed at improving quality of life and slowing disease progression. Since the kidneys perform numerous functions, various medications are used to address specific disorders. ACE (angiotensin-converting-enzyme)–inhibitors are prescribed for hypertension and/or urine protein loss, antacids like famotidine or omeprazole for GI ulcers and overly acidic stomach, maropitant and metoclopramide for nausea. When indicated, phosphate binders reduce nausea, and potassium supplements boost low levels.
Your veterinary team can teach you how to give subcutaneous fluids at home, if needed, to hydrate your dog and flush out toxins. You can also encourage your canine friend to increase his water intake by providing a pet water fountain, adding wet food to his diet, and placing clean bowls with fresh water in multiple rooms. Your vet will also likely suggest a diet change. Prescription diets like Hill’s K/D, Royal Canin Renal MP and LP, Iams Renal Plus, and Purina N/F restrict phosphorus and sodium, reduce protein and add omega-3 fatty acids with B and C vitamins, a combination that has been tested to increase lifespan and overall quality of life. Restricting protein too early, however, can lead to muscle wasting. IRIS, the International Renal Interest Society, endorses a kidney-specific diet when a dog’s creatinine level rises to 2.1 to 5 mg/dl (Stage III). You can also find online support for home-cooked CRD diets via veterinary prescription (see info box). To make it more likely that your dog will accept a new diet, make the switch slowly.
The body does not store water-soluble B-complex and C vitamins, so we need to replace them every day. When dogs have CRD, these essential nutrients wash out too easily with the dilute urine. Prescription foods compensate for these expected losses, and Renal Essentials by Vetriscience, a highly palatable and balanced supplement with vitamins, potassium, fish oil and herbs, can be given twice daily as well.
Studies document that high daily doses of oral omega-3 fatty acids enhance the function of joints, heart, skin, brain and kidneys. In one study, fish oils decreased mortality, improved renal function and diminished protein loss. The recommended dose of marine fish oil, omega-3 EPA and DHA, is 300 mg per 10 pounds of dog weight. Do not use cod liver oil, as it may have excessive A and D vitamins.
In the Manual of Natural Veterinary Medicine, Drs. Wynn and Marsden advocate traditional Chinese herbs for CRD, based on clinical experience. Studies in rats showed that Liu Wei Di Huang/Rehmannia 6 enhanced renal blood flow. Wynn and Marsden have also seen cats thrive for years when started in early-stage CRD on Shen Qi Wan/Rehmannia 8, another important formula. Rehmannia 8, with cinnamon and aconite, is warming, and this combination, when consistently used, can lower BUN and creatinine levels, reduce vomiting and thirst, boost appetite and weight, decrease urine volume, and increase urine concentration. Consultation with a TCVM vet is highly recommended for beginning and monitoring pets on Chinese herbs.
Rounding out a holistic kidney care plan, consider chiropractic to release spinal fixations and improve hind-end weakness that are common with CRD, and acupuncture to enhance the TCVM herbs’ effectiveness.
We who love dogs want our companions to live long and happy lives. If your canine has CRD, you can approach the disease from an integrative approach, maintaining quality of life and slowing kidney degeneration. Optimizing our dogs’ health may involve monitoring and close management, but they repay us with their company and more days of infinite joy.
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