咨询描述：7月龄喜乐蒂体检发现肾功能异常3周。
8月初绝育时发现肾功能异常，未特殊处理，3周后复查肌酐降至正常、血磷尿素氮异常（未空腹）。其他化验检查未查。
平素正常饮食，狗粮喂养，一般情况无殊。狗狗购于正规犬舍，3月龄时到家，到家后无传染病史，无药物服用史。
目前应如何处理，需要服用保肾排毒药物吗
问题大致一样，细节不同？
孙厚福
执业兽医师
您好，我已收到您的咨询，为了更好诊治，我需要近一步了解宝贝情况。
1.吃的什么牌子狗粮？狗粮是否有问题？
2.是否接触过毒物？
3.建议吃调理肾脏药物调理一下
4.尿液检查是否做过？彩超是否做过？
5.排尿颜色是否正常？
除此之外，宝贝目前的症状来讲，您提供给我的信息有限，暂时我还无法给您一些保守的治疗建议，所以另外我需要和主人您再了解一些宝贝的情况。是否有其它异常行为或情况补充？希望主人您仔细提供给我。方便我更好的分析宝贝的病情，并给出更准确的诊断和保守的治疗建议。感谢您的配合。（若您需要离开本诊室，稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。）
1.到家后吃了两个月冠能赛级犬粮，后换成渴望小型犬粮，正规渠道购入，储存无问题。
2.未接触过毒物。
3.胺肾目前可以吃吗
4.暂时没有完善其他检查
5.排尿颜色正常，黄色至淡黄色
孙厚福
执业兽医师
肾胺可以配合口服的建议配合口服肾倍健同时配合***调理肾脏。
我给它开个处方。处方里面的1. ***一天一粒
2***一天两次每次2ml
您可以根据需求自行选择购买。
我看到有人说幼犬在生长发育期血磷可能会生理性偏高，有这种可能吗
孙厚福
执业兽医师
磷可能生长期偏高,但是其他指标正常的，建议还是配合保肾药物调理一下，目前比较小恢复能力比较好
好的，有恢复和停药的可能吗，在我印象中一旦确诊ckd就是不断进展的过程了，所以目前对它不明原因的出现这个情况还是很悲观的
孙厚福
执业兽医师
正常恢复正常就可以停药了，可能急性损伤可能性比较大，CKD是慢性肾损伤
好的，吃药后复查时需要完善的化验检查还有哪些呢，比较全面的话
孙厚福
执业兽医师
对于狗狗SDMA不是很敏感，但是也可以做一下，正常检查肾功能，尿检，UPC，肾彩超，SDMA检查综合评估肾功能
孙厚福
执业兽医师
记得好评支持一下🤝🤝🤝
感谢您对蘑菇宠医的信任，如果我的回答能够帮助到您，请您在咨询结束后留下5星评论。
后续宠物有其它问题，您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢您的支持和鼓励，祝您的爱宠早日康复！🙂🙂🙂
医生建议及处方根据当前病情给出，仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具，此处方暂不展示
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