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Question:

What stage kidney disease is my dog? What else can I do for her? Prognosis?

I'm really hoping to get some advice here because I'm at a loss and feeling so overwhelmed. My sweet dog, Bella, has been diagnosed with kidney disease, and the vet mentioned something about various stages, but in my panicked state, I forgot to ask which stage she’s in specifically. She's been more lethargic than usual, drinking tons of water, and hardly eating, which just breaks my heart. The vet gave us some prescription food, but I'm wondering if there's anything else I should be doing to improve her comfort and quality of life. Has anyone else dealt with this? I'm so worried about what this all means for her future, and any guidance or similar experiences would be really appreciated.

Answer:

Hello there! I'm glad you're reaching out about your dog's kidney health. Determining the stage of kidney disease requires specific tests, such as blood work to check creatinine and BUN levels and a urinalysis. Your veterinarian will usually categorize it into stages 1 through 4, with stage 4 being the most severe.



At home, focus on providing your dog with a balanced diet, which is very important. A diet low in phosphorus and protein can help manage the kidneys' workload. Also, ensure she has fresh water available all day to stay well-hydrated. Incorporating gentle exercise can be beneficial but always pay attention to her comfort levels.



Watch for warning signs that might indicate her condition is worsening, like increased vomiting, loss of appetite, excessive thirst and urination, or lethargy. These might suggest the need for more immediate veterinary care.



Prognosis can vary widely based on the disease's stage and your dog’s response to treatment, but many dogs live happy and fulfilling lives even with kidney disease by managing it well.



If you'd like tailored advice or need to discuss her symptoms and test results further, I encourage you to book a video consult with us at Dial A Vet. We're here to help guide you and ensure your furry friend gets the best possible care.

Answered by

Louise - Senior Veterinary Nurse, Dial A Vet

June 21, 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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