Quote:
Originally Posted by ladyjane  Has a urine culture been done to rule out infection? That is usually the first step with protein in the urine.
I have honestly never heard of doing a renal biopsy on a dog.
I have had pups with PLN (protein losing nephropathy) and they all were on meds and the blood pressure needs to be monitored.
The fact he has cushings may weigh in on all of this......I would definitely see an internal med specialist. |
Yes, Thumper had a culture done about a month ago with his 2nd or 3rd UA (at this point I am losing track of all the ones he has gotten recently). This was the next step in diagnosis. I have been working with my vet on this issue for the past few months as blood work was coming back normal or only slightly elevated. Nothing was indicating to a true diagnosis.
My vet said none of her patients have ever opted for the biopsy but it is always an option she said.
If the change in meds lowers the UPC ratio than I will just contine to montior him. However, if there is no change next month than she would like him to see a specialists or in the alternative she would consult with one about other treatment options.
There is BluePearl Veterniary Specialists done the road from me but they are not allowing owners in with their pets at the moment due to Covid. I don't feel 100% comfortable leaving Thumper to be evaluated without me there. I also would feel better if I could consult with the vet face to face than over the phone as I feel I sometimes miss something over the phone.
I trust my vet as she is not agressive or a pill pusher. This is the first time she told me we have to change his diet and meds. Usually it is let's repeat this test or try something else.
For the next month the plan is to have in on the following
K/D Diet
Fish oils
2.5 mg of Enaparil 2x a day
15 mg Clopidogrel (plavix) 1x a day
1/2 tablet of Amlodipine 1x a day