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Question:

What should I expect from stage 4 Canine CKD? And does my dog have something else?

I really need some advice and support right now. My sweet golden retriever, Max, was just diagnosed with stage 4 chronic kidney disease, and I’m absolutely devastated. The vet explained the prognosis, but everything feels like a blur. I’m trying to wrap my head around what to expect in the coming weeks and months, and if there’s anything I can do to keep him comfortable. Lately, he’s been so lethargic, barely eating his favorite foods, and drinking way more water than usual. I’ve also noticed he seems to be losing weight. Is this normal for CKD, or should I be worried that there might be something else going on? Any advice or stories from those who have been through this would mean the world to me right now. Thank you in advance for your help!

Answer:

Hello and thank you for reaching out. I’m so sorry to hear that your dog is dealing with stage 4 Chronic Kidney Disease (CKD), as I know this can be a difficult time for both of you.



In stage 4 CKD, your dog’s kidneys are significantly impaired, which means they aren't effectively filtering waste from the blood. You might notice symptoms like increased thirst and urination, nausea, vomiting, loss of appetite, weight loss, and lethargy. There could also be a urine-like odor on their breath due to toxin buildup.



At home, ensure your dog stays hydrated by offering fresh water at all times, and provide a comfortable resting space. You might also consider a diet low in phosphorus and protein, which can help manage the condition, but please consult with a vet to tailor this to your pet’s needs.



Keep a close eye on any changes in behavior, such as excessive vomiting, diarrhea, or if your dog seems in pain, as these could indicate the need for immediate medical attention.



While CKD is often identifiable by the symptoms I mentioned, other issues like urinary tract infections or diabetes could present similarly. It's crucial to have ongoing consultations to rule out or manage any concurrent health issues.



I recommend scheduling a video consult with Dial A Vet so we can discuss your dog’s specific needs in detail and provide personalized advice geared towards their wellbeing.

Answered by

Louise - Senior Veterinary Nurse, Dial A Vet

June 20, 2025

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The "Ask a Vet" forum on Dial A Vet offers general information and helpful tips on pet health, but it's not a substitute for professional veterinary care. The advice here doesn't create a veterinarian-client-patient relationship, and our vets can't diagnose or treat your pet remotely. For emergencies or specific medical concerns, always contact your local veterinarian immediately. Your pet's health is unique, and decisions should only be made after consulting with a qualified professional. By using this forum, you acknowledge these limitations and agree to seek in-person veterinary advice for all your pet's health needs. View our content guidelines.
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