Elevated urea
Why is this topic important? "BUN" stands for Blood Urea Nitrogen and describes the proportion of urea in the blood that is measured as nitrogen. Elevated urea levels in clinically healthy dogs worry many owners, especially if the dog appears healthy, eats and drinks normally, and all other clinical blood tests are within the reference range. From an internal medicine perspective, BUN is a helpful but nonspecific marker: it rises not only in cases of renal problems but also in prerenal and postrenal disorders, as well as under certain dietary and gastrointestinal conditions. This means that an elevated BUN level is a finding, not a diagnosis. This is precisely where my role as a treating veterinarian lies: to clarify the underlying causes, correctly assess their relevance, and establish a targeted, animal-friendly diagnostic and monitoring program. Professional societies and international guidelines have emphasized for years the clear distinction between prerenal, renal and postrenal azotemia – the BUN adds a facet to this picture, but never replaces the overall view.















