1334. AUDIT. An old male dog passes blood in the urine

TP XX803  Male, toy poodle, white, not neutered
Feb 17, 2014

"My dog passes blood in the urine at 7 am today. Not eating today too. Very tired looking." the woman said.
"Did he drink a lot?"
"I don't see him drinking but the stools are OK."
I palpated the bladder area. The dog winced in pain. The owner did not want a blood test but gave permission for the urine test and X-rays.

"My dog had a blood test before," she said. I checked the records. The dog had a high total white cell count of 49.2 (6-17) on Sep 8 2013. The complaint was blood in the urine, licking of the penis, diarrhoea and not eating for 2 days. Two years ago, Vet 1 had said that the dog would die under general anaesthesia if dental extracton of the rotten loose teeth was performed. Vet 1 said she was old, had heart disease and so would die on the operating table.

The owner did not do it. The dog had foul breath for the past 2 years and was drooling in this Sep 2013 visit. But drooling was present in the past 2 years too. Regular dental check up from 2 years of age every year would have prevented this situation from developing. Dr Daniel had the loose teeth extracted and the dog was OK as the owner said: "It is the bad teeth causing drooling and the high white cell count!"  Owners are quite sophisticated as regards blood test results.