1143. A 2-year-old male Shih Tzu cannot pee at all - spiked urinary stone

The owner had the Shih Tzu x-rayed at another practice. 3 X-rays were taken. One of them showed the spikes.  However, the images needed imagination.

It is not usual for vets to drain the bladder of urine via a catheter and pump in 20 ml of air to provide a good contrast.

During surgery by Dr Daniel, the large beautiful stone looks so much like a lady's precious stone.

FOLLOW UP ON NOV 3, 2013 9.50 AM SUNDAY
Around 42 hours post-cystotomy,  my assistant walked the dog this morning. I checked the wound.  The xize-15 e-collar prevent direct licking of the surgical stitches but bruised the surrounding areas. The dog is extremely active and is normal. He urine-marked the clinic floor. I noticed some discoloured urine. 3 rows of sutures were placed on the bladder according to Dr Daniel as the bladder was bleeding (a blood vessel was nearby and stitched).

Usually, I place 2 rows of sutures and there will be bladder wall bleeding. Each vet has his or her own assessment on the spot and each case differs.

Urine test 42 hrs post surgery. dipstick. Fed dry food from owner.
Blood 4+  pH 5, SG 1.04, WBC +,  protein 2+

 

1142. Follow up on the Bichon - Nov 1, 2013

Friday Nov 1, 2013  2.49 am
I woke up at 2.49 am to check on the Bichon, housed in the back patio overnight. "In," I said several times before he would walk down the flight of 4 steps to the small grass patch. He looked at me again. No more urgency to urinate as in some days ago when he was closed indoors.

He did not stand like a statue and raise his right leg against the wall as in earlier nights. This means he has no more urination problems.

When I came back from home at 8.30 pm yesterday, he was in the living room and barked loudly again. I banned him into the kitchen area whenever he barked at anybody coming to the house. This is part of training over several months and is not 100% successful.

Yesterday there was the caregiver at home and so he did not urinate on the kitchen floor. No more urinary cathether. He is fed canned chicken gourmet food (Science Diet) and medicine to dissolve his stones. So far, so good.