Vet unavailable. What do my dog's elevated kidney lab results mean?

This is best to discuss during a one-on-one consultation; however, the blood work results reveal that your pet has a high white blood cell count (indicates infection or inflammation), mild anemia (low red blood cells), a UTI with a low specific gravity (concentrating ability of the kidneys which should be rechecked once UTI resolved, as well as protein in the urine which should be rechecked after resolution of UTI. as well as high BUN, CREA, which suggests kidney damage or kidney failure. Because of the concurrent UTI, it is best to resolve the UTI with anti-biotics, perhaps consider a SDMA test (specific kidney disease test) to confirm suspected kidney disease/insufficiency, and then rechk Urinalysis in 2 weeks. I am not sure why your pet is on Lasix, unless there is also underlying heart diseasee, which could have caused the erroneous reading of low specific gravity on the test. If there is more to discuss, then pleasea don't hesitate to request a private consultation for this, because this is a complicated case that needs to be on a more personal level in order to get full clarity on the recommendations above. Best wishes and take care.

Hi there! After looking at the lab results, I see that all of these are extremely minor changes - they usually don't mean anything at all, in a dog that's clinically healthy and acting normal. The one possible exception would be the elevated BUN, as this can sometimes be a sign of early kidney disease - but it can also be caused by mild dehydration (common in anxious dogs who are panting at the vet's office!), a high-protein diet, or other things that don't have any clinical significance. If you wanted to be sure that his kidneys are fine, your veterinarian could do a urinalysis to make sure that his urine is appropriately concentrated and doesn't contain protein or any other abnormalities. The other values will often be slightly variable from one patient to another, and should not be any cause for concern.

You have a right to find out lab results and your vet cannot withhold information from you regarding the diagnostics of your dog. I suggest you call your vet again and ask him to explain the results to you and also ask about treatment options. If your vet refuses to give you that information you may want to think about changing your vet and transfer all the medical records.

I can see the results, but I'm unable to see the reference ranges for each value which can vary based on the machine so it's a little difficult to say for certain what these changes could mean. It looks to me like the monocytes and lymphocytes (specific types of white blood cells) are a little low - this could be a stress response which is very normal for a dog having it's blood drawn in the hospital. Some dogs simply lie on the lower end of the reference range as well. I can't think of any disease where low lymphocytes and monocytes in the absence of other changes would be significant, and this would not raise a flag for possible cancer in my mind. Red cell distribution width (RDW) gives an idea of the average size of a red blood cell and mean cell hemoglobin concentration (MCH) tells how much hemoglobin is present in each cell - these parameters are really only significant when there is also anemia or low hematocrit. If you have other concerns you should definitely follow up with your vet - it's always easiest for the doctor who has examined the animal and is familiar with the case to interpret lab results!

The elevated creatinine on it's own does not indicate kidney disease. Remember, this blood was taken at one second in time, he may have recently eaten or been a bit dehydrated at the time which caused the CREA to be a bit elevated. You can not determine kidney disease with just this one test. If you are concerned this should be repeated when he is fasted and a urine test should be done at the same time. If you want to give him a kidney supplement that will help to support kidney function you can use this: https://worldtails.securevetsource.com/itemView/view/198944_HomeDelivery.pml?productId=132504

Blood results always have to be interpreted with the results of a hands-on exam and medical history in mind. Numbers alone cannot give a diagnosis. Your veterinarian should have explained those results to you as he also did a clinical exam and knows why you went to the vet with your dog. That said I can give you a general idea: The lab was looking for blod parasites, but did not find any. This can mean that your dog is blood parasite free or just that in the sample they had, there were no parasites visible. This is not proof that your dog is parasite free, it just means they did not find any. The PCV is high, that means your dog is likely somewhat dehydrated. He also has too many neutrophils and too few lymphocytes which is most often a sign of infection. Your veterinarian should explain to you what he suspects your dog is suffering from. The blood parameters alone are just a small part of diagnosis and in your dog's case not very specific.

Thank you for submitting your question regarding Sundari. Her BUN and Cr are mildly elevated. This can indicate early kidney disease, but there are other causes as well. Simple dehydration will make these values increase. I would recommend that she has a urinalysis performed on a first morning urine sample. This sample will be the most concentrated and give you more information regarding how the kidneys are functioning. There is also a new blood parameter known as SDMA. This is much more sensitive indicator of kidney function than BUN/Cr. I would recheck her blood work in 1-3 months to monitor the liver value (ALT) that is slightly elevated to see if this is a consistent finding. Liver enzymes can fluctuate in the blood stream so this may not be significant. I hope this information helps!