5.2 DIETARY MANAGEMENT 5.2 DIETARY MANAGEMENT

Dietary management is very important in the management of renal disease in older animals due to the effect that diet has on:

When considering the most appropriate dietary regimen for an individual case it is important to perform a full and detailed clinical examination, because renal disease may be associated with concomitant disease in other organ systems, e.g. pyometra (Stone et al. 1988) and heart failure (Ralston & Fox 1988) which may influence dietary choice.

Renal disease increases in incidence with increasing age (Muller-Peddinghaus & Trautwein 1977) and so it frequently occurs in individuals that also have compromised cardiac, hepatic or other organ function. The most serious disorder will usually be managed first.

Complications may even occur within the urinary tract itself. For example, renal failure precipitated by urinary tract obstruction due to a struvite urolith, presents the clinician with a dilemma, because the diet of choice for renal failure is not ideal for the management of struvite urolithiasis. In such circumstances the clinician needs to use his/her clinical judgement to manage the case most effectively.



See also

Summary of dietary management