Hi stranger! Signing up for MypetMD is easy, free and puts the most relevant content at your fingertips.

Get Instant Access To

  • 24/7 alerts for pet-related recalls

  • Your own library of articles, blogs, and favorite pet names

  • Tools designed to keep your pets happy and healthy



or Connect with Facebook

By joining petMD, you agree to the Privacy Policy.


Q. Treatment & diet recommendation for Fanconi disease with stage 3-4 kidney failure

Answered By
DR. CHRISTIE LONG, D.V.M., C.V.A.

A. I'm sorry you've gotten this challenging diagnosis on your dog. The treatment for kidney failure in its acute phase usually centers around what we call "diuresis", which means hospitalization with fairly aggressive IV fluid therapy in order to help the kidneys "rest" while the extra fluid load flushes toxins from the body, which is the kidneys' job. Some specialty centers have actual dialysis, which is the mainstay of therapy for human kidney failure but isn't widely available in veterinary medicine.

Also we try to control and treat the symptoms of the failing kidneys. This usually involves anti-nausea drugs and drugs to control the excess acid in the GI tract.

Sometimes with Fanconi's syndrome we have to add bicarbonate to the fluids in order to control the blood pH. Potassium supplementation may also have to be given; like pH this depends on the current blood level of potassium. We also sometimes provide amino acid supplementation as well. Basically we are trying to replace what the kidneys are losing.

As far as diet goes we typically feed the standard prescription renal diets, which are low in protein and phosphorus. And as these dogs are susceptible to urinary tract infections it's recommended to monitor the urine with a urine culture every 6 months, to look for infection.


DISCLAIMER: The answers in Ask petMD are meant to provide entertainment and education. They should not take the place of a vet visit. Please see our Terms and Conditions.

CAN'T FIND WHAT YOU'RE LOOKING FOR?

Ask an expert about your unique situation now FOR FREE!

IMPORTANT: The opinions expressed in Ask petMD content area are solely those of the User, who may or may not have medical or scientific training. Our Ask petMD experts include veterinarians, vet techs, veterinary students, pet trainers, pet behaviorists and pet nutritionists. These opinions do not represent the opinions of petMD. User-generated content areas are not reviewed by a petMD veterinarian or any member of the petMD editorial staff for accuracy, balance, objectivity, timeliness, or any other reason except for compliance with our Terms and Conditions. petMD does not endorse any specific product, service, or treatment. Do not consider petMD user-generated content as medical advice. Never delay or disregard seeking professional medical advice from your veterinarian or other qualified healthcare provider because of something you have read on petMD.