I had known
Celebrity since she
was a puppy in 2005.
After the puppy
vaccination, no more
visits. In
Jul 3, 2013, blood
appeared in the
urine. I took a
urine test.
July 3. Haematuria.
Urine test. pH 9.0,
SG 1.034, Protein +,
Blood 3+,
Crystals
triple phosphate +,
amorphous phosphate
3+ . No bladder
stone palpated. I
advised X-ray and
S/D for 3 months.
July 10. Cannot pee.
Owner sent the dog
for X-rays at
another practice. No
stones seen.
Aug 13. The owner
brought in the urine
for test. pH 8, SG
1.020, Blood Trace,
Bacteria +,
amorphous phosphate
2+, Triple phosphate
occasional
After July 10, no
problems of
urination or visible
blood in the urine
and so the owners
were satisfied. Surprisingly,
the wife brought in
the urine sample on
Aug 13, for analysis
as advised by me.
Most Singaporean dog
owners don't bother
since the dog had no
urination problems.
Dissolving of
urinary crystals
My advice on the
first consultation. S/D 3
months to dissolve
the crystals. Urine
test monthly. Then
C/D dry.
PROBLEM
Dog will not eat the
S/D and so the owner
did not comply with
my instructions.
I advised the owner to
feed 10% S/D and
then add to become
100%. However, the
owner bought S/D x 7
cans on Jul 6, 12
cans on Jul 20 and
now 12 cans on Aug
13.
No dog treats given.
Fed Pedigree Canned
+ rice in the past
month.
CONCLUSION
The dog had no
episodes of
urination difficulty
since Jul 10 to date.
However, the mixture
of S/D diet and
other food did not
dissolve the
crystals as the
owner needs to
convert to 100% of
S/D. I text the
husband who says he
will do it.
Aug 15, 2013. The
husband phoned to
see me in 20
minutes. I advised
medication and
review of the X-rays
taken by another vet
again. Many cases
need monitoring and
review but vets will
have no "work-life"
balance if they
really review ever
case and write case
report to understand
the effects of home
management on S/D
diet. So, we can't
do it for every
case.
In this case,
S/D diet would have
worked to eliminate
the amorphous
phosphate crystals
in the urine if the
owner had diligently
converted the dog to
100% of S/D in July. Although
the
dog did not get 100%,
she
still benefited in
that she no
longer had urination
problem.
But the latest urine
test in Aug showed
that blood, bacteria
and crystals are
coming back in the
alkaline urine
again.
Many owners
don't understand the
technical use of S/D
diets in dissolving
the crystals by
acidification of the urine. So they
don't comply since
the dog will not eat
it. The trick is to
give 5% increasingly
and consistently.
Let's hope this dog
will be OK with the
new motivation and
participation of the
owners, a couple in
their late 50S
-----------------------------------------------
Dysuria -
X-rays taken.
S/D trials not
properly
complied with
The old
female Shih
Tzu peed
blood in the
urine 3 days
ago in July
2013. The
owner did
not want an
X-ray.
"Practising
heartlander
medicine is
not as easy
as
practising
in a
practice
where
clients do
not worry
about
medical
costs," I
said to the
two Raffles
Institution
interns from
Secondary
Four working
on Aug 19,
2013.
"Some owners
don't want
x-rays. Some
don't want
blood test
and so the
vet has no
complete
evidence to
support his
diagnosis
and
treatment.
Then the dog
could not
pee normally
7 days
later. The
owners
phoned me.
They went to
a clinic to
get the
X-rays done
and
consulted me
with the
X-rays.
There were
no
radio-dense
stones.
I had
advised S/D
diet to
acidify the
urine which
had
amorphous
phosphate
urinary
crystals,
bacteria,
blood and
alkaline pH
3 days ago
during the
first
consult. I
also advised
S/D based on
urine test
and get
another
urine test 1
month later.
"My dog will
not eat the
S/D" the
couple said.
"Mix with
the original
food and
increase to
100% S/D," I
advised.
"Otherwise
the stones
may form."
One month
later, the
wife brought
in a bottle
of dog's
urine for
testing. The
amorphous
phosphate
crystals
were lesser
in amount
but a bit of
blood and
bacteria
were
present.
"You didn't
feed 100%
S/D for the
last 4
weeks. Based
on the
latest test,
the blood is
coming back
in the
urine."
This time
the couple
was serious.
"How did you
do it?" I
asked.
"Just starve
the dog. He
will eat
100% S/D".
S/D is fed
to dissolve
the
phosphate
crystals for
1-3 months.
Urine tests
must be done
monthly.
Then the
owner has to
be careful
in feeding
commercial
food. No
more dog
treats for
sure.
TOA
PAYOH VETS
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