The stomach lining becomes inflamed and ulcerated due to the increase in urea nitrogen in the blood stream. H2 blockers, such as cimetidine, assist in reducing the stomach irritation. To help keep levels of phosphorus under control, phosphate binders are given orally. These include aluminum hydroxide, aluminum carbonate, calcium carbonate, and calcium acetate. One produce we use is Alternagel, available at most pharmacies located where the antacids are kept.
Renal failure can also cause hypertension or high blood pressure.
Sodium restriction is the initial step in the management of this disease. Drugs may be incorporated if hypertension is not controlled by dietary management. We also recommend B-complex and vitamin C to help the well being of your dog and also replenish the vitamins lost due to the inability of the kidneys to recycle and retain the nutrients in the body properly. Sodium bicarbonate may also be of use to aid in controlling the changes in the acidity of the blood. If hypertension or heart failure are present, we avoid the use of this medication.