Hello, I am new to the forum and I have a 10yr old Shih Tzu named Leo my little bubba. He has been on the uphill climb towards Cushings for about a year now. Long story short I was going to bring Leo in for a routine dental and my vet wanted to do a routine blood panel to make sure everything was okay for the anesthesia, and his blood work came back with elevated ALT the usual story. So we proceeded to do more tests the urine cortisol test fasting bloodwork etc. All came back not too bad but not normal either the problem came with his ultrasound, the results were not good he has nodules on both adrenal glands and his kidney's were starting to deteriorate. So we have put off any treatment that would do any damage to his kidneys and at his 6mth blood recheck he is now starting to show some symptoms of Cushing's but his kidney function is showing as normal so far. I have not done the low dose dexamethasone test yet that is the next step. He is just now starting to show some symptoms like a little more water drinking a little agitation weakness in the hind end.
Has anyone else had this dual problem ? I am terrified to start him on medication that could potentially push him into kidney failure. Should I be looking at herbal remedies ? He is on a kidney diet now canned food etc. But I know the Cushing's is going to start doing a real number on his body. Any advice will be welcome I am going to set up the dexa test for this week just to confirm the diagnosis and determine whether its the nodules on the adrenals or if its pituitary. I don't have his blood work numbers now but I am going to get copies this week Thanks in advance Susan and Leo