Grape/Raisin Ingestion
Posted: Wednesday, September 13th, 2023 | Updated: Wednesday, September 13th, 2023
Posted: Wednesday, September 13th, 2023 | Updated: Wednesday, September 13th, 2023
General Information:
Patients who ingest grapes or raisins may experience kidney injury. Research is still being done on this subject, but some dogs are severely affected while others show no signs of toxicity at all. Patients who are affected generally develop acute kidney injury within 72 hours or 3 days of ingestion. Some patients will experience nausea or vomiting, abdominal pain, lethargy, elevated kidney values, and/or tremors even after eating a single grape or raisin. Induction of vomiting is typically performed. Fluids are generally administered and a bland diet for 2-3 days may be provided should the patient experience any gastrointestinal upset. Occasionally, activated charcoal is administered on a case by case basis
Patients who ingest grapes or raisins may experience kidney injury. Research is still being done on this subject, but some dogs are severely affected while others show no signs of toxicity at all. Patients who are affected generally develop acute kidney injury within 72 hours or 3 days of ingestion. Some patients will experience nausea or vomiting, abdominal pain, lethargy, elevated kidney values, and/or tremors even after eating a single grape or raisin. Induction of vomiting is typically performed. Fluids are generally administered and a bland diet for 2-3 days may be provided should the patient experience any gastrointestinal upset. Occasionally, activated charcoal is administered on a case by case basis
Cases of Grape or Raisin Ingestion
Patient #1: Adult Female Canine
Presentation: No clinical signs, ate raisins 5-7 hours prior to presentation
Diagnostics: Raisins found in vomitus; likely raisin ingestion, bloodwork to check renal values
Diagnosis: Raisin ingestion
Treatment Included: Induction of vomiting (apomorphine), along with supportive care and monitoring at home. The patient received anti-nausea (cerenia) and subcutaneous fluid therapy. It was recommended to recheck kidney values after 72 hours has passed to ensure that the patient is continuing to do well or sooner if clinical signs of acute kidney injury appear
Presentation: No clinical signs, ate raisins 5-7 hours prior to presentation
Diagnostics: Raisins found in vomitus; likely raisin ingestion, bloodwork to check renal values
Diagnosis: Raisin ingestion
Treatment Included: Induction of vomiting (apomorphine), along with supportive care and monitoring at home. The patient received anti-nausea (cerenia) and subcutaneous fluid therapy. It was recommended to recheck kidney values after 72 hours has passed to ensure that the patient is continuing to do well or sooner if clinical signs of acute kidney injury appear
Patient #2: Young Female Canine
Presentation: No clinical signs, ate grapes 2-3 hours prior to presentation, Creatinine high normal
Diagnostics: Grapes found in vomitus; likely grape ingestion, bloodwork to check renal values
Treatment Included: Induction of vomiting (apomorphine), along with supportive care and monitoring in hospital. The patient received anti-nausea (cerenia), intravenous fluid therapy at 120 ml/kg/day to start, and a single dose of activated charcoal. The patient stayed hospitalized for 3 days eventually weaning IVF therapy and going home for continued monitoring. Bloodwork was checked daily to monitor kidney values
Presentation: No clinical signs, ate grapes 2-3 hours prior to presentation, Creatinine high normal
Diagnostics: Grapes found in vomitus; likely grape ingestion, bloodwork to check renal values
Treatment Included: Induction of vomiting (apomorphine), along with supportive care and monitoring in hospital. The patient received anti-nausea (cerenia), intravenous fluid therapy at 120 ml/kg/day to start, and a single dose of activated charcoal. The patient stayed hospitalized for 3 days eventually weaning IVF therapy and going home for continued monitoring. Bloodwork was checked daily to monitor kidney values