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-   -   Urinary Tract Infections (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/202219-urinary-tract-infections.html)

yavenay 04-19-2010 02:56 PM
Urinary Tract Infections
 
Anyone have any experience with recurring urinary tract infections? This is Brandi's 3rd UTI in two years. I take her to the vet and they give her an anti-biotic and then it clears up. Based on her bloodwork and other tests, the vet couldn't find any underlying causes. Any info would be great.
The only symptons she has is blood in her urine. She is eating and drinking water normally, she's not lethargic. In fact she seems very happy go lucky.

I make sure she has clean water everyday and her food dishes get washed everyday. I don't know what else should I be doing?

kjc 04-22-2010 10:37 AM
Did they do a urinalysis? Are her food and water bowls plastic or Stainless steel or ceramic? SS is best. Has she had a Bile Acids Test?

TLC 04-22-2010 11:21 AM
Quote:
Originally Posted by kjc (Post 3096969)
Did they do a urinalysis? Are her food and water bowls plastic or Stainless steel or ceramic? SS is best. Has she had a Bile Acids Test?
Agreed :thumbup: You should have a BAT done.

...also, giving Azodyl in low doses may help.

dwerten 04-24-2010 07:42 AM
make sure to change water 3-4 times a day if you can to entice drinking as some dogs will not drink if water is not fresh - also i use spring bottled water as some times the taste of distilled or tap they will not drink as much

also you may want to use probiotics with her as that puts good bacteria in her system to help kill bad bacteria build up

dwerten 04-25-2010 08:09 AM
here is a video that may help explain things

ladyjane 04-25-2010 10:43 AM
While it is possible to have recurrent UTIs, I am not sure it is common. Is it possible this is the same infection that simply has not resolved?
Have they done a sterile urine culture and sensitivity? The only way I am aware to do one is with a needle aspiration of urine from the bladder.
Just a suggestion because the antibiotics being used may not be the right ones.

Also: it is important to finish the entire course of antibiotics prescribed. Just adding that since some people are not aware and stop when the symptoms cease.

Ellie May 04-25-2010 11:05 AM
The most likely answer is that nothing is wrong and it's fine to just treat them as they occur. But I agree with the others. There could be an underlying issue and it is not a bad idea to check it out.

In my opinion, any Yorkie with recurrent UTIs should be bile acids tested because they are very much connected to liver problems. Your vet can do a cystocentesis (most sterile way of taking urine and not nearly as bad as it sounds) and send it for culture. You can also do an xray and/or ultrasound.

dwerten 04-25-2010 11:09 AM
Quote:
Originally Posted by ladyjane (Post 3101138)
While it is possible to have recurrent UTIs, I am not sure it is common. Is it possible this is the same infection that simply has not resolved?
Have they done a sterile urine culture and sensitivity? The only way I am aware to do one is with a needle aspiration of urine from the bladder.
Just a suggestion because the antibiotics being used may not be the right ones.

Also: it is important to finish the entire course of antibiotics prescribed. Just adding that since some people are not aware and stop when the symptoms cease.
we did a culture with a free catch but needle cysto is more sterile i just prefer free catches even if a little contaminated and I always do first pee of the morning off back of the wee wee pad with sterile syringe and sterile bottle

make sure if doing cysto they use a ultrasound guided cysto

dwerten 04-25-2010 11:11 AM
Quote:
Originally Posted by Ellie May (Post 3101191)
The most likely answer is that nothing is wrong and it's fine to just treat them as they occur. But I agree with the others. There could be an underlying issue and it is not a bad idea to check it out.

In my opinion, any Yorkie with recurrent UTIs should be bile acids tested because they are very much connected to liver problems. Your vet can do a cystocentesis (most sterile way of taking urine and not nearly as bad as it sounds) and send it for culture. You can also do an xray and/or ultrasound.
i think the crystals in the urine is more of a concern with liver issue but never hurts to have bats on yorkie and maltese breeds to rule out liver issues

Ellie May 04-25-2010 11:19 AM
Quote:
Originally Posted by dwerten (Post 3101207)
i think the crystals in the urine is more of a concern with liver issue but never hurts to have bats on yorkie and maltese breeds to rule out liver issues
Actually, I think it's both. See Yahoo group... Apparently some dogs with MVD are prone to them. Urinary issues were one of the things that prompted us to BAT Ellie.

ladyjane 04-25-2010 11:26 AM
Quote:
Originally Posted by dwerten (Post 3101202)
we did a culture with a free catch but needle cysto is more sterile i just prefer free catches even if a little contaminated and I always do first pee of the morning off back of the wee wee pad with sterile syringe and sterile bottle

make sure if doing cysto they use a ultrasound guided cysto

They do not need to do a cysto for a sterile urine! Simple office procedure and as Ellie May said, it is not as bad as it sounds.

Ellie May 04-25-2010 11:31 AM
A cysto is just sticking a needle into the bladder through the abdominal wall to get urine. If the dog is small and/or the bladder is hard to find, doing it guided by u/s is a good option. I've actually watched it before and Ellie has had quite a few. No big deal... :)

Getting urine off of a pad isn't considered free catch. It's considered table top collection and is the least sterile way. Free catch would be following them with a dish, etc.

ladyjane 04-25-2010 11:33 AM
Quote:
Originally Posted by Ellie May (Post 3101237)
A cysto is just sticking a needle into the bladder through the abdominal wall to get urine. If the dog is small and/or the bladder is hard to find, doing it guided by u/s is a good option. I've actually watched it before and Ellie has had quite a few. No big deal... :)

Getting urine off of a pad isn't considered free catch. It's considered table top collection and is the least sterile way. Free catch would be following them with a dish, etc.

Oh duh. Well, I guess mine are always on the larger side, so never had to do that. and, I had cystoscope in my mind....
But..DUH

dwerten 04-25-2010 02:32 PM
Quote:
Originally Posted by Ellie May (Post 3101219)
Actually, I think it's both. See Yahoo group... Apparently some dogs with MVD are prone to them. Urinary issues were one of the things that prompted us to BAT Ellie.
interesting as always thought it was more crystal related good to know

dwerten 04-25-2010 02:37 PM
Quote:
Originally Posted by Ellie May (Post 3101237)
A cysto is just sticking a needle into the bladder through the abdominal wall to get urine. If the dog is small and/or the bladder is hard to find, doing it guided by u/s is a good option. I've actually watched it before and Ellie has had quite a few. No big deal... :)

Getting urine off of a pad isn't considered free catch. It's considered table top collection and is the least sterile way. Free catch would be following them with a dish, etc.
yeah have always done the back of wee wee pad no way could i get a catch from a pie tin lol that would be fun to watch though lolll The vet has tried to do the cysto telling me the more sterile etc and each time he has come back with results saying wow that was a good sample loll so it works. I just do not like them putting a needle in bladder - they do not put needles in our bladders to get a sample. I send in urine yearly for each of mine for almost 6 years now and dd had a culture and urinalysis done 2 times a few months ago and all came up negative for uti. I asked jean about them as i trust her alot and she does not like them either :( and why opted to go the back of wee wee pad. Just my preference but you are correct in most sterile way is cysto


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