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Old 02.04.2017, 12:15
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Blood in my old dogs urine.

Hi,

My 13 year old street girl had blood in her urine a few weeks ago. Nearly had a heart attack there was quite a bit of blood and we were 20 minutes from home.. walked back slowly and took her to the vet immediately.

Vet did some tests, asked lots of questions, gave her an antibiotic shot, gave her 1 weeks worth of amoxycillin, test results came back, vet prescribed a second week of amoxycillin and said to take a pee sample 3 days after the end of the course of antibiotics.

2 days after the end of the antibiotics the blood is back

Anyone had any experience with UTI's or worse with old dogs.

I read on the internet ACV is a popular 'cure' but as a human this just makes me very uncomfortable, I would not take it myself for cystitis, I would have thought it would make it worse.

Turmeric, I have some organic on hand because I thought it would help her in general given her age but don't want to make things worse if its irritating.

?

Seeing the vet again in an hour. (they have a local hospital with sunday opening hours thank the angels)
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Old 02.04.2017, 12:30
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Re: Blood in my old dogs urine.

Do not attempt to self-diagnose or self treat!

Do not give your dog anything without first discussing it with your vet!

I cannot stress this enough. You and your vet need to work together to find a diagnosis and decide on a treatment plan.

It may well be that you need to go the 'exclusion diagnosis' route, testing for and ruling out the usual suspects first, then proceeding down the list of other possibilities. Yes, this can be an expensive and frustrating process, but sometimes it is the only way to figure out what is going on.

Blood in the urine can point to several different things, all of which require veterinary treatment.

Glad you are seeing the vet soon - and of course, bring a sample. They might want to take a sterile sample direct from the bladder... but I always bring a sample, preferably first morning urine, in order to avoid that when possible.

All paws here crossed for your old friend - please let us know how the appointment goes.
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Old 02.04.2017, 13:15
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Re: Blood in my old dogs urine.

My old girl had similar, sudden onset and coming back after initial antibiotics.

We ended up with a specialist who took a sample direct from the bladder under ultrasound control, from which they then identified the bug and what antibiotic would deal with it.

Luckily there was one and after a long course of said antibiotics she recovered to fight another day. Still miss her every day.
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Old 02.04.2017, 14:09
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Re: Blood in my old dogs urine.

There could also be a case of "crystals" in the bladder that might not show up in a bacteria test (sorry for non technical term). If you can, I suggest you do an ultrasound or x-ray to see if there is something like that at the origin of the bleeding.
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Old 02.04.2017, 15:52
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Re: Blood in my old dogs urine.

Please keep us up to date with your girl's treatment. Thinking of you both!
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Old 02.04.2017, 16:52
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Re: Blood in my old dogs urine.

Thanks everyone,

She had some blood taken

blood-my-old-dogs-urine-tarps1.jpg

and another week of the same antibiotics. (this seemed a bit odd to me and I questioned it if this one wasn't fully effective isn't it better to try another?)

She kept looking at the vet for her treat, after not getting one the whole examination she looked a little like 'what is wrong with this woman, doesnt she know I get a treat?'

Monday an appointment for ultrasound depending on what the blood tests reveal.

150GBP for blood test + 1 week antibiotics + consultation.
300GBP+ for the ultrasound (she will get sedated and probably no treat afterwards as she is not allowed to eat before and I suspect shortly after too so she will wonder what sort of outfit this award winning animal hospital is running )
(might be useful for other if they have experience with this to post swiss prices so people know what to expect.

It was a lovely sunny day so the cycle with the trailer had some enjoyable bits.

blood-my-old-dogs-urine-tarps2.jpg

Last edited by CathHarmony; 02.04.2017 at 17:08.
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Old 02.04.2017, 17:21
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Re: Blood in my old dogs urine.

Glad she has been to see the vet.

Sometimes vets (and docs too) will first want to try a prolonged AB trial - but if you are not comfortable with this track, do probe the vet's reasoning a bit, or ask if something else might be worth considering.


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(might be useful for other if they have experience with this to post swiss prices so people know what to expect.
The Belltie had a bladder and full abdominal ultrasound, without sedation, last month at our normal clinic. Cost was ca. CHF 150-200. Closer to the lower end, IIRC.

Heffalump had a bladder ultrasound also without sedation done a year ago, again at the vet's practice, IIRC the cost was similar, ca CHF 150-200, maybe closer to the 200 mark.

Haifisch, the Belltie, Melon, and St Swimbo have had abdominal ultrasounds done at the AOIC and the Tierspital, those were more expensive (we were looking at more complicated conditions), those ran something like 300-400, can't remember exactly but not shockingly expensive. All those were without sedation.

Routine veterinary care in Switzerland tends to be a good value.


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(she will get sedated and probably no treat afterwards as she is not allowed to eat before and I suspect shortly after too so she will wonder what sort of outfit this vet is running )
One of the longest days of my life: Haifisch had a procedure requiring sedation scheduled for first thing in the AM, so he was not allowed to eat from 18:00 the previous night. I steeled myself to those pleading eyes... but just as I was about to set off, the phone rang: Procedure delayed until last appointment of the day, and yes, please keep your dog nüchtern*..

A whole day without food, the horror! Those pleading eyes soon turned accusative, then desperate. If Haifisch had had opposable thumbs to dial Tierschutz he would have reported me for extreme cruelty.

*Which reminds me - my vet, whose English is usually flawless, translates nüchtern as 'sober'. Somehow the reminder to 'keep your dog sober' always makes me giggle.

But no treat afterwards? Outrage!

---

But enough of these digressions. Still keeping our thumbs pressed and paws crossed for useful info arising out of the blood test and ultrasound... and of course that your lovely lady gets over this, whatever it is, soon.

Your pup will be in our thoughts.

(She is beautiful, by the way.)

Last edited by meloncollie; 02.04.2017 at 17:35.
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Old 02.04.2017, 18:01
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Re: Blood in my old dogs urine.

January 2014 I paid 233chufs for consultation, bladder ultrasound and biopsy.

This was all done without sedation, even the needle biopsy into the bladder. The vet trusted that I knew my dog and that I could keep her calm and still enough for the procedure.
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Old 03.04.2017, 03:29
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Re: Blood in my old dogs urine.

Our vet recommended Cystopro for our 14 year old dog as she is prone to bladder infections.




http://www.protexin.com/products/cystopro/6203


"CystoPro contains an active ingredient derived from cranberries. This active ingredient is a class of antioxidants called Proanthocyanidins (PACs). CystoPro also contains probiotics, prebiotics and N-acetyl D-glucosamine."




Our dog recently had an ultrasound with direct needle aspiration of urine to check for bacteria. Fortunately the test was negative.
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Old 03.04.2017, 21:05
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Re: Blood in my old dogs urine.

Well here were her results

haematology (white blood cell count and red blood cell count) are normal.

However, her biochemistry shows a moderate increase in two of her liver enzymes called ALT and ALP. Both are approximately three times higher than the top end of normal.

Her kidney figures are within normal range, although one of these (urea) is at the top end of normal.

There are some other mild changes in her total protein level and cholesterol although it is the increase in liver figures which is potentially most significant.

Additionally there is a mild increase in amylase, which is sometimes associated with pancreatic inflammation, although this increase is mild and therefore may not be clinically significant at this level.

I agree with Isabel’s recommendation to scan her urinary tract (and also her liver). I would also recommend repeat urine culture, a blood pressure check and as a matter of priority testing her for leptospirosis because blood in the urine and increased liver enzymes can both be symptoms of leptospirosis infection. In total the estimate for all of these tests would be £700-750

Ugh the price and her liver seems to be complaining as well as her bladder but otherwise things look normal (looking on the bright side)

When I took her the first time (two weeks ago) or the latest visit I did not take her pet passport I could kick myself, twice. so couldn't confirm if she had a leptospirosis vaccine, hers actually lasts to 2018 and I sent this to the vet today (her advice is based on thinking she didn't have a lepto vaccine)

I have had one negative experience with vaccines, I wanted to leave the dogs at at the zurich pension (the one by the zoo) and they said they couldn't take them because they had a kennel cough outbreak even though all the dogs had valid vaccines. Is it possible that she had a dodgy vacs?

There was a scandal re human antibiotics not working in india because of fraud (someone in legit companies finagling something so they were selling pills as antibiotics when they were just nothing pills), it made me think there is probably a bit of fraud around meds because the margins are so high.
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Old 05.04.2017, 03:26
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Re: Blood in my old dogs urine.

Thanks for the update, Cath.

Here's hoping your vet can get to the bottom of this.

It's frustrating when diagnosis is not simple or straightforward, I know. But it sounds like you are in good hands.

Thumbs pressed for your gorgeous girl.
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Old 13.04.2017, 10:50
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Re: Blood in my old dogs urine.

Well it looks like she'll live to pee another day.

Her bladder shows no abnormalities but there is some indication the infection might have got to one of her kidneys so we have to wait and see if the new antibiotics work.

I love her shaved wibbly wobbly tum I just want to kiss it

blood-my-old-dogs-urine-img_0145.jpg

It was an early cold start to the vets (I underestimated how cold an english spring morning is) so I had to put my barbour around her while we were waiting for the surgery to open. She looks pleased to be there doesnt she.

blood-my-old-dogs-urine-img_0142.jpg
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