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 A Somebody to Everybody
Posts: 41354
              Location: Under The Big Sky Of Texas | Thecowgirlinme - 2013-10-07 2:25 PM They just called :'( No improvements in blood work, creatine levels still high. The kidneys are not working on their own. We are going to ultra sound this afternoon. Then I'm bringing him home. He said the results will be unfavorable outcome more than likely. I hate this.
I wish I could say its going to be all right, but only time will tell but heres a hug for you and I will keep sending him prayers     |
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Extreme Veteran
Posts: 413
   
| I wish too.
Thank you.
I truly appreciate the thoughts & prayers. |
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 BHW Resident Surgeon
Posts: 25352
          Location: Bastrop, Texas | I wouldn't give up yet. Just keep supporting him and see what happens. I don't see how anyone can be absolutely sure gentamycin wasn't playing some role, especally when combined with sepsis and NSAIDS. All these things in combination can cause "acute renal failure" and the natural history of ARF is one where the kidneys recover....provided there isn't some ongoing insult to the kidneys. You can have people (and I presume horses as well) with ARF who platueau and show no improvement...then all of a sudden they start peeing like crazy and the creatinine drops. I'd quite checking lab work and just keep supporting the horse. He might bounce back! |
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Extreme Veteran
Posts: 413
   
| He has never quit urinating?
How many days of fluids should one do, before making the prediction he won't bounce back? I've heard 72 hours.
I'm still going, on ~120+ hours now. |
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 BHW Resident Surgeon
Posts: 25352
          Location: Bastrop, Texas | Acute renal failure that is associated with good urine output has a better than average prognosis. Much easier to manage than if the kidneys have shut down completely. I'd keep going with supportive treatment. Gentamycin is a common cause of this...plus NSAIDS. If he is drinking, maybe you can get by without IV fluids. If cost is becoming a major concern, then just let him drink. He still might bounce back. |
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Extreme Veteran
Posts: 413
   
| Cost is becoming a HUGE limiting factor. Vet bills is at thousands now.
Ok. Thanks for the input, really thank you.
He is drinking on his own too.
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 BHW Resident Surgeon
Posts: 25352
          Location: Bastrop, Texas | Well, if you stop the IV fluids because of cost, he still might be able to keep up. He could open up and drop his creatinine any time now, especially since you aren't giving him any more bute, gent, banamine,....no more banamine! Don't give any meds if you can help it, in fact. Just be patient and watch. If you let him have access to salt, grass hay and lots of fresh water, that might be all he needs. |
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 Expert
Posts: 1218
   Location: Great NW | Prayers  |
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 Stinky Cat Owner
Posts: 4097
     Location: Oregon |    |
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Extreme Veteran
Posts: 413
   
| Oh yes. No more, drugs, ever.
And ok. No problem. Salt. What's the best kind to get?
I have acculytes electrolytes, he loves them. Eats them free choice.
I wish I could give you a hug, lol.
I have got nothing but bad news from everyone.
I just need a sliver of hope.
They ultra sounded his kidneys Wednesday and today.
No change. Still enlarged.
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Extreme Veteran
Posts: 413
   
| His BUN levels in his blood are improving.
Creatine staying high. |
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 Hog Tie My Mojo
Posts: 4847
       Location: Opelousas, LA | If he is eating and drinking then the colt hasn't given up yet, keep the faith he may pull thru just fine.  |
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  Warmblood with Wings
Posts: 27846
           Location: Florida.. | its a catch 22 with Salt. you want him to drink but when my one kidney was failing before they removed it..I could NOT have salt.. and to this day salt is hard on my other kidney ..prayers and I will say its so good scott chimed in. I know that must make you feel alot better.. dont give up!!!   |
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  Extreme Veteran
Posts: 403
    Location: Armuchee, GA, NW section of Ga | Unfortunately I've had a beloved colt with renal failure. He was 3 years old. About three years ago, just after Christmas, Patrick started refusing to eat. He wouldn't eat his normal feed and I tried anything and everything to get some food in him. He even refused apples, carrots, expensive feed, cheap feed, plain feed, mixed sweet feed, everything. Weight just fell off him. He looked like a horse with cushiings, heavy coat but very very thin. I could feel his bones. My vet came out several times, pulled blood, ran tests, made suggestions, and finally told me he was in sever renal failure. He wasn't drinking either. He looked at me one morning and I knew he was ready to go. I called my vet and he came out. Patrick normally didn't even attempt to move out of his stall, like he was in too much pain to even try. But this morning he stood at the door, looked out, lifted his head, breathed deeply of the crisp morning air and walked slowly to the rise in his small pasture. My vet administered the shots as I stood with my Patrick, stroking his head and talking to him. Telling him I love him so much. I was the first person to hold him as he was born, I helped him into this world, he was a rejected foal, a bucket baby, he was mine. I was the last person he saw as he crossed over. So sad. I hope you have better luck with yours.
Jan |
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  Warmblood with Wings
Posts: 27846
           Location: Florida.. | janjan1 - 2013-10-07 9:58 PM Unfortunately I've had a beloved colt with renal failure. He was 3 years old. About three years ago, just after Christmas, Patrick started refusing to eat. He wouldn't eat his normal feed and I tried anything and everything to get some food in him. He even refused apples, carrots, expensive feed, cheap feed, plain feed, mixed sweet feed, everything. Weight just fell off him. He looked like a horse with cushiings, heavy coat but very very thin. I could feel his bones. My vet came out several times, pulled blood, ran tests, made suggestions, and finally told me he was in sever renal failure. He wasn't drinking either. He looked at me one morning and I knew he was ready to go. I called my vet and he came out. Patrick normally didn't even attempt to move out of his stall, like he was in too much pain to even try. But this morning he stood at the door, looked out, lifted his head, breathed deeply of the crisp morning air and walked slowly to the rise in his small pasture. My vet administered the shots as I stood with my Patrick, stroking his head and talking to him. Telling him I love him so much. I was the first person to hold him as he was born, I helped him into this world, he was a rejected foal, a bucket baby, he was mine. I was the last person he saw as he crossed over. So sad. I hope you have better luck with yours. Jan
Im sorry for your loss.. I think hers is differant .. hers is acute I would think being from the infection or meds.. and he is eating etc..so she has hope to flush his system and get his kidneys working..
again sorry for your loss |
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Member
Posts: 38

| If he is drinking and eating good , then if he was mine I would try to get him to drink 2 gallons of warm water with a little equine sr melted down in it ( horses love warm water , the sr really makes them drink . It only takes a double handful and they drink it right up!) every 2 hours . This has saved us many vet bills ! We are wishing you best of luck as we know how hard it is ! |
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 BHW Resident Surgeon
Posts: 25352
          Location: Bastrop, Texas | Thecowgirlinme - 2013-10-07 6:20 PM
His BUN levels in his blood are improving.
Creatine staying high.
The falling BUN is a good sign. Also, it's a sign of improved hydration.
Give her an apple and walk her by hand......maybe it will elevate her mood, that is if she likes them.
A falling BUN is often the first sign that she's turning the corner. If she starts peeing like crazy, that means she's in the "diuretic phase" and I'd bet money she'll be out of the woods after that. The creat will start to drop and normalize.
ETA, I thought he was a mare, for some reason.
Edited by HotbearLVR 2013-10-07 9:25 PM
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 A Somebody to Everybody
Posts: 41354
              Location: Under The Big Sky Of Texas | I still think about your colt so I keep coming back for a good update , hes still in my prayers      |
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 Undercover Amish Mafia Member
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           Location: Kansas |      |
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 Voice of Reason
     Location: NOT at Wal Mart | Thecowgirlinme - 2013-10-07 4:20 PM His BUN levels in his blood are improving. Creatine staying high.
This is a good thing!!!! Please keep that horse on fluids! |
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