Hi,
I'm so sorry to hear about Casey. I have been through renal disease with 3 elderly cats and I am currently managing Piper's (my 2 year old Sheltie) renal disease. Piper was born with a congenital kidney defect and was diagnosed just after her 1st birthday.
Fist off - I am not a vet. Here is Piper's medical regime:
100 ml sub-Q fluid every day
Azodyl (kidney supplement) 2 in the morning and 1 in the evening
1/4 teaspoon of Pet Tinic (replaces vitamins washed out with Sub-Q - particularly B vitamins). Twice a day mixed in with her food
Cranindin (urinary tract supplement - apparently something in the cranberries makes it difficult of bacteria to stick to the urinary tract). 1 table a day - Piper thinks these are the BEST cookies ever!
Food: Canned Royal Canine LP - she loves it thank goodness
Most importantly - dogs with kidney disease have upset stomachs. When I treated my cats vets were recommending famitodine. It turns out that animals don't absorb this the way humans do and it was found (U Penn) to be not as effective as was hoped. However, Omaprazole is absorbed by cats and dogs in a manner similar to humans and has been very effective at calming stomach issues so that their appetite does not wane. Piper takes 10 mg as soon as we get up. Wait 1 hour then feed breakfast. (you have to order from a pharmacist b/c they only sell 20 mg OTC).
We take 1 day at a time and monitor her blood work every 3 months. Piper is currently stable and a very happy little girl.
Again, not a vet but perhaps some of Piper's medications might be helpful for Casey.
Wishing you and Casey all the best!
Kimberly & Piper
