Mabel (aged 4) developed laboured breathing a week ago but when we visited the vet her lungs sounded totally clear. After trialling a couple of different medications in case the cause was pain from her recent spay (for polycystic ovaries) or being caused by fluid retention on her heart or lungs we had to rush her back to the vet yesterday when her breathing became worse and she started to become more and more withdrawn. The vets scanned her and did blood tests, which showed severe pneumonia and mid - stage kidney failure. I had a long chat with the vet about whether it was ethical to attempt to treat her or if it would be fairer to let her go. He was clear that he felt it was appropriate to try to treat her and that if we can quickly get on top of the pneumonia he can hopefully control her kidney failure with medication. She's a satin pig, and had issues with her growth as a baby. She's also always been a big drinker. We now think that this may be an indication that her kidneys may have been struggling for a long time. The vet she is seeing is an exotic vet and is one of the forum recommended vets - Iain Cope. He and his team have been fantastic with her and I would definitely recommend him to anyone else who lives nearby. Mabel is now on the following meds - salbutamol and F10 via nebuliser; gabapentin for pain; baytril and doxycycline; vivitonin for her kidneys. I am interested hearing from anyone who has experience with a pig with kidney problems, particularly if they have been on vivitonin. I am also hoping for advice on any extra care that I can put in place for her. Are there any foods that are best avoided or good to give to a pig with renal problems? I am aware that the long term prognosis for her probably isn't great, but hoping to get her to a point where she is happy and comfortable. The vet and I are monitoring her closely and if things start to go in the wrong direction or she just doesn't improve then we have agreed she would have to be pts.