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Renal Failure Due To NSAID

by rmtran - August 6, 2009

Hi All,

I was consulted about this case, and may be get to see him.

A 8 years MC Boxer with hx of CCLR and sx was done 2 months ago. Placed on Previcox and started PU/PD.
Post-op complication involves: swelling of surgical site and hock, pronounced pain, swelling of the other hock.

After a couple of recheck, it was found that he tore the other cruciate as well.

Then, he became anorexic and was found that he was in renal failure. BUN-101, Crea-3.6, PCV-32%, Phos-7.5.

Pre-op blood work 2 months ago was completely normal, so it appears to be NSAID induced.

He also was diagnosed with UTI with resistant bacteria and placed on Timentin. While he was hospitalized, he became progressively ataxic. A neurologist diagnosed him with disk disease of T3-L3.

The client believes that the patient is very paiful despite of pain medications.

My Question is:
Can this type of renal failure be reversed with TCVM approach?

The client used to feed some raw diet, but they were told to avoid it by specialists, and the patient is on k/d only. I know that diet is very important for this patient. Is there good articles supporting non-protein restricted diet being helpful for renal disease?

I appreciate any imput.

Thank you,

Rieko

by naturevet

August 7, 2009

Hi Rieko,

Presumably you've seen this dog by now, but here's my initial response.

Chiropractic should be performed, given the pain and ataxia.

When NSAIDs damage the kidney, it is by impairing renal blood flow, thereby causing ischemia. So the formulas needed for the dog would be those that bring blood to the kidney, including particularly the Rehmannia series. While not particularly effective in extreme pain, they do address hind end weakness and swelling of the hock (usually bilateral). If they are indicated, you should have found BL 23 and KI 3 to be active, and effective at improving the pulse, which would feel deep, perhaps tight or wiry, and perhaps weak or forceless. The tongue (for Kidney Qi deficiency) would have been purplish.

Improving renal blood flow improves the immune response to urinary tract infections, by bringing the immune system with it.

I'd be interested to know how this compares with what you saw. If my suspicions are corroborated, my personal opinion is that a low protein diet like K/D will be detrimental.

Hope that proves useful,

Steve

by marneemadsen

August 7, 2009

Hey Rieko,
I have been treating a cat with a metacam overdose-induced renal failure and he has responded very well to herbs/acp. I started with improving perfusion and he did ok, but client reported he felt worse after hydration and I subsequently found a shaoyang pattern. We treated that and now he is on a rehmannia formula plus SRT (based on pts and findings). He has been doing great! Only getting SQ fluids every 10 days or so now, so probably not even necessary.

Just FYI
Marnee

by rmtran

August 7, 2009

Hi Steve and Marnee,

I have yet to see the patient; they were to schedule the appt, so I do not know what happened.

Thank you for all the imput. I am worried about this patient, since the damage may be extensive; NSAID was continued well over 4 weeks from the initial sign of renal failure.

I know the consept of protein for kidney, but it is always difficult for me to go against the specialist's recommendation.

I will try my best.

Thanks again,

Rieko

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