Molly kidney values

Hey! This is for my girl Molly (curly teacup poodle in the pic). About a month ago, we tested molly for a UTI, came back that all of her kidney values were elevated. They re-tested her and everything came back like things weren’t elevated which they said is an indicator for pyelonephritis. So they started treating her for Pyelonephritis. For that, shes been on 125mg of Amoxicillin for the past 2 weeks. We’ve also been giving her 100ml of IV fluid daily at home. We just retested her blood/urine this past Wednesday and her results came back today that things were still elevating….mind you, molly has no other symptoms asides from this blood work. She eats fine (she’s now on Hills K/D), she potty’s fine, eats and plays, overall so happy and full of life, so these results are so confusing. It literally is like they’re testing her wrong or something, it just doesn’t make any sense, she has no symptoms. I’m sure that sounds stupid and I know animals are so good at hiding things but she acts like a puppy. There’s 3 Vets at our clinic she rotates between and they’ve just been telling us how wild her case is every time we’re in there or on the phone, because she’s in such good spirits and has no symptoms. Her first round of vitals/urinalysis is in the photos below- Her most recent vitals/urinalysis, since the 125mg of Amoxicillin and 100Ml of fluid daily came back today and I haven’t received a copy of them yet. Once I do, I’ll share them. Over the phone they told me her calcium levels were elevated and everything else was pretty much the same as her original test and nothing had changed. They also said “she’s an odd case” “it could be something like genetics or cancer”. They want to do an ultrasound, and now we’re waiting for a “freelance ultrasound tech to become available”. This is a vet office I’ve been going to for the past 5 years so for them to call me and tell me they don’t know and to tell me she MIGHT have cancer….over the phone…has broken my heart. I lost my girl, Miller, to Osteosarcoma cancer in 2021, which they helped treat, the vet I went to when I had to put her to sleep…they are very familiar with. To have that thrown around with no testing, nothing to back that up, is so painful. Over the phone of all things makes that hit harder. Hoping and praying that’s not what we’re dealing with. Any response with possible ideas, would be more than appreciated. Molly is such a happy girl and has had, I mean, 100% no symptoms through this whole thing. We’re praying there’s something underlying we just might not be considering. If any of y’all have any thoughts, please please let me know. I can’t go through this again.   *I’m going to upclose to “Molly Kidney Values Pt. 2” her other labs. It only lets me post 3 at a time!

Hello again.  Thank you for taking your time to share Molly's complicated history.  Diagnosing an animal is a like a logic problem; there us a lot of progressive reasoning and ruling-out and ruling-in involved.  Vets are trained to approach cases in a certain, very logical way and I find that if owners can train themselves to follow this, it can help to make sense of what is going on and therefore help a little to control the sense of overwhelm that anyone might feel when a loved one is ill.  With this in mind, I feel that you need to book a consultation with your vet (possibly even without Molly at your vets' discretion) to establish the answers to the following quesitons. 1) What are the current problems showing up a) on the bloods b) on the history c) at home d) on examination?  It sounds as though there were previously various symptoms that were attributed to pyelonephritis, but what is the situaiton now? 2) What is the list of possibilities that could be causing each of these things? 3) Will any tests clarify this further? Some of the possibilities I know that cause hypercalcaemia in some animals, include lab machine errors (your vet will know their machine), cancer (eg lymphoma), Addisons (this can usually be ruled in or out by looking at the sodium / potassium rations on bloods), Kidney failure (this can be explored further by testing urine samples and kidney-specific lab tests) and Vitamin B poisoning.  Your vet will have a list better targetted to your dog (we call it the differentials list) and will have been busy crossing possibilities off it.  This is what I was referring to in stage 2) of my questioning above. Not all dogs with a raised urea and creatinine have kidney failure, but if that is seen then vets may have done other tests including specific gravity and / or other machine lab tests, to investigate the kidneys further.  Could this still be kidney disease? - is a good question. One you have a possiblities list, there is a decision to be made with a vet as to whether it is important to find out more information.  If sounds as though your vet has suggested an ultrasound in order to try to rule out obvious cancers. I'm so sorry to hear that you have already had awful experiences with that disease.  The fact is that there is no scan that can be done that says 'that individual does not have cancer.'  However, if your vet has a genuine concern that there may be a tumour in a particular place and feels that ultrasound scanning to rule it out may be a good idea, this avenue is always open to you. -How strong is your concern that this could be cancer? and - How likely is it that this ultrasound will be useful? Are also excellent quesitons.   I'm sorry that we do not offer second opinions, even assuming that we can read the bloods, but I hope that something here will help a little.  

Please note that this reaads exactly the same as my first answer, but with some wording, spelling, punctuation and grammatical changes to make it easier to read!   Thank you for taking your time to share Molly's complicated history.  Diagnosing an animal is a like a logic problem; it involves progressive reasoning.  Vets are trained to approach cases in a very systematic  way.  I find that if owners can train themselves to follow this, it can help to make sense of what is going on and therefore help a little to control the sense of overwhelm that we feel when a loved one is ill.  With this in mind, I feel that you may benefit from a consultation with your vet (possibly even without Molly at your vets' discretion) in order that you are they are both on the same page with the answers to the following questions. 1) What are the current problems showing up a) on the bloods b) on the history c) at home d) on examination?  It sounds as though there were previously symptoms that were attributed to pyelonephritis, but what is the situaiton now? 2) What is the list of possibilities that could be causing each of these things?  3) Will any tests clarify this further? Some of the possibilities I know that can cause hypercalcaemia in animals, include lab machine errors (your vet will know their machine), cancer (eg lymphoma), Addisons (this can usually be ruled in or out by looking at the sodium / potassium rations on bloods), Kidney failure (this can be explored further by testing urine samples and kidney-specific lab tests) and Vitamin B poisoning.  Your vet will have a list better targetted to your dog (we call it the differentials list) and will have been busy crossing possibilities off it.  This is what I was referring to in stage 2) of my questioning above. Not all dogs with a raised urea and creatinine have kidney failure, but if that is seen then vets may have done other tests including specific gravity and / or other machine lab tests, to investigate the kidneys further.  Could this still be kidney disease? - is a good question. One you have a possiblities list, there is a decision to be made with a vet as to whether it is important to find out more information.  If sounds as though your vet has suggested an ultrasound in order to try to rule out obvious cancers. I'm so sorry to hear that you have already had awful experiences with that disease.  The fact is that there is no single scan that can be done that says 'that individual does not have any form of cancer.'  However, if your vet has a genuine concern that there may be a tumour in a particular place and feels that ultrasound scanning to rule it out may be a good idea, this avenue is always open to you. -How strong is their concern that this could be cancer? and - How likely is it that this ultrasound will be useful? Are also excellent quesitons.   I'm sorry that we do not offer second opinions, even assuming that we could read the bloods, but I hope that something here will help a little.