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05-13-2010, 06:06 PM | #1 |
Senior Yorkie Talker Join Date: Jan 2010 Location: Virginia Beach, VA, USA
Posts: 86
| finished antibiotics & still blood in urine My Oscar has finished his Cephalexin for what was thought to have been a UTI, but there is still blood in his urine. It seems to be at the end of his urination. He is playful and acting normally but I am concerned. The vet gave me the option to get a sterile urine sample or to do blood work. Any recommendations as to which I should do first? Oscar is 5 months old, 2.4 lbs, and on the skinny side.
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05-13-2010, 06:30 PM | #2 |
I♥PeekTinkySaph&Finny Donating Member Join Date: May 2009 Location: Baltimore, Maryland
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| Not much help here, I'd get both done and a Culture and Sensitivity on the urine, and then schedule him for a Bile Acid Test, as many dogs that tend to be small, thin, picky eaters, UTI could have Liver Shunt/MVD. All Yorkies and mixes should be BAT tested, as liver issues run in the breed, and the symptoms you described fit the profile. Best to find out early, anyway.
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05-14-2010, 06:58 AM | #3 |
And Rylee Finnegan Donating Member Join Date: Apr 2007 Location: Metro Detroit, MI
Posts: 17,928
| Urine culture with sterile urine and then you will probably need to do xray and/or ultrasound. Blood work never hurts and any persistent urinary issues in Yorkies is a sign to bile acids test.
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05-14-2010, 07:23 AM | #4 |
BANNED! Join Date: May 2007 Location: USA
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| How long was he on the ceph? usually they use clavamox for uti so not sure why ceph. At this point i would do blood work and bats if this were mine as the antibiotic should have killed the infection so something else is going on. If blood work comes back normal on those tests then i would do ultrasound to see if stones but dog is too young usually for stones i think My guess is this little one might have liver issues since so young and blood in urine so stones may be present what percentage of protein are you feeding as puppy foods have high protein i am guessing crystals because the blood is at the end of the urination cycle so sounds like when bladder is emptied something in the tract is causing it to bleed. Those crystals can be very sharp Did vet not do urinalysis first time around before doing antibiotics ? If not why not? Why treat for something you do not know is going on? Last edited by dwerten; 05-14-2010 at 07:28 AM. |
05-14-2010, 07:30 AM | #5 |
BANNED! Join Date: May 2007 Location: USA
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| In future i recommend taking urine sample in if you see something like this and have them run urinalysis as they tried to treat my dd with an antibiotic before the urinalysis and culture came back and i said NO. I want to know if this is an infection before i treat with antibiotics so sometimes they treat with antibiotics before they know what is causing the prob. Turns out my dd did not have a uti she just had excessive rubbing and licking due to allergies so glad i did not do antibiotics as there was no reason to do so but vet wanted me to give it to her before results were back. My gut is that is what may have happened here. Is your vet familiar with mvd/liver shunt in this breed? Please ask the vet Last edited by dwerten; 05-14-2010 at 07:31 AM. |
05-14-2010, 07:33 AM | #6 |
BANNED! Join Date: May 2007 Location: USA
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| If the vet did not run urinalysis as i would think should have been done before antibiotics then that is the first step but not sure if he did it or not from post so please advise |
05-14-2010, 08:23 AM | #7 |
Senior Yorkie Talker Join Date: Jan 2010 Location: Virginia Beach, VA, USA
Posts: 86
| He was on the antibiotics for 2 weeks. They did do a urinalysis with a sample I brought in. They want to get a sterile sample now. I feel like the sterile sample seems so invasive though (needle through his belly). I'm going in today @ 2:00 to do it. They said that the next step will be blood work.
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05-14-2010, 08:28 AM | #8 | |
And Rylee Finnegan Donating Member Join Date: Apr 2007 Location: Metro Detroit, MI
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05-14-2010, 08:29 AM | #9 | |
BANNED! Join Date: May 2007 Location: USA
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so if they did the urinalysis were there any crystals in the urine ? ask what they are looking for on cysto and make sure they do ultrasound guided one if you choose to go forward with it like c said Last edited by dwerten; 05-14-2010 at 08:32 AM. | |
05-14-2010, 08:32 AM | #10 | |
Senior Yorkie Talker Join Date: Jan 2010 Location: Virginia Beach, VA, USA
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| Quote:
As far as food goes: I give him Blue Buffalo kibble for puppies & alternate with Stella & Chewy's freeze dried beef dinner. Those were the two that he seemed to like best. Should I change the food?
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05-14-2010, 08:32 AM | #11 | |
Senior Yorkie Talker Join Date: Jan 2010 Location: Virginia Beach, VA, USA
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05-14-2010, 08:33 AM | #12 | |
BANNED! Join Date: May 2007 Location: USA
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did they find any crystals on first urinalysis? Ask why the cysto and what will it give them that they do not already have as if they are looking for crystals then i would just do the blood work and bats as they are trying to rule out liver disease. Last edited by dwerten; 05-14-2010 at 08:35 AM. | |
05-14-2010, 08:38 AM | #13 |
And Rylee Finnegan Donating Member Join Date: Apr 2007 Location: Metro Detroit, MI
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| You should do what your vet is suggesting as long as they are moving ahead and trying to find an answer. If they want to send urine for culture, then yes, it should be a sterile sample. Not sure why they would rerun a u/a at this point. A cysto does not need to be u/s guided if your vet is fine doing it another way. With Ellie, it usually is because her bladder is hard to find. There is a slight risk, but there is even a slight risk for drawing blood, esp. from the jugular, so just trust that your vet has done this many times before and will do fine. I've even watched the procedure before. The pups really do not care what is being done to them in most cases.
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05-14-2010, 08:39 AM | #14 |
BANNED! Join Date: May 2007 Location: USA
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| that much time on antibiotic should be ok to kill that infection and keflex is a strong antibiotic stronger than clavamox in my opinion. It is skin infections usually that require 25 days on antibiotics as it has to go from inside body to outside so takes longer to kill infections i think is why they do for longer The crystals would not be contaminated in a free catch only the bacteria as a free catch can have more bacteria from the back of a wee wee pad contamination but i do not think you will pick up crystals from the back of a wee wee pad so if they are trying to narrow down for that then cysto may be a waste of money and i would go straight to blood work. was there crystals in urinalysis? This is a young dog so stones I think would be unlikely maybe ask some questions as to what they are looking for so you feel more comfortable Last edited by dwerten; 05-14-2010 at 08:44 AM. |
05-14-2010, 08:46 AM | #15 |
And Rylee Finnegan Donating Member Join Date: Apr 2007 Location: Metro Detroit, MI
Posts: 17,928
| And I didn't see that this doggie was so young. I would definitely be doing some bloodwork in addition to more urine testing.
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