Cushing's Disease and Renal Failure

RE: Cushing's Disease and Renal Failure

Edward Jones — Thu, 23 Nov 2017 09:46:49 GMT

Update: this dog is drinking less and doing very well in himself on a renal diet. I've not done anything further on the cushings front, it's probably/possibly a false positive. The owner is content so I'll carry on like this for now.

A little embarrassing doing the stimulation test in the first place, if I was only going to ignore the result anyway!

RE: Cushing's Disease and Renal Failure

Bill Nolan — Fri, 20 Oct 2017 22:26:58 GMT

I'm sure I'm probably missing something, but isn't there a chance that renal failure would precipitate a false positive ACTH stim result?

RE: Cushing's Disease and Renal Failure

Edward Jones — Sun, 15 Oct 2017 10:35:42 GMT

Thank you for your thoughts - much appreciated. The Cushing's seems relatively benign at the moment so I'm concentrating on the RF at the moment.

The dog is at the 'end-of-life management' stage due to a number of other factors, so events may well overtake any potential progression of the Cushing's. Nonetheless, if the pu/pd continues to be entirely unmanageable for the owner I might try Vetoryl.

RE: Cushing's Disease and Renal Failure

Martin Atkinson — Fri, 22 Sep 2017 15:51:57 GMT

The renal disease could be being exacerbated by the increased cortisol floating around. But you're in between a rock and hard place. I won't die from HAC but it might from renal disease and will that get worse if you treat it or leave it? Discuss the dilemma with the owner and let them decide, toss a coin or refer it.