Thursday, December 5, 2013

1243. A Schnauzer pass blood in the urine for the 3rd year. Owner does not want surgery

Dec 6, 2013

The Schnauzer dripped bloody urine on the consultation room floor for the 3rd year.
"Some antibiotics, no more blood in the urine," the owner in his 40s said.
"Since no X-rays were done in 2011 and 2012, it is best to take X-rays to confirm how many stones are in the bladder or in the kidneys as well," I advised. "I can palpate some small stones. The bladder is swollen like a small fishball."

The owner agreed to the X-rays. Last year, urine test results showed pH 6.0 and no crystals in the urine. The owner fed 12 cans of S/D diet and then went on to feed home-cooked and canned food. No "urinary problem" till today Dec 5, 2013.

"The dog's hind limbs tremble in the past 3 days," he said. "Maybe he has pain."
"Give the X-rays to the owner," I said to Dr Daniel. "So he knows what is happening to his dog although he does not want surgery!"  Education of the owner is important.

"X-rays shows intestinal stone too," Dr Daniel said to me.
There were two radio-opaque bladder stones. I suspect they are calcium oxalate stones as last year's urine test showed pH 6.0. It is not possible to diagnose the chemical composition of bladder stones based on X-rays.


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