2178. Clinical Research on methone. Day 3 - sharp bladder stone Shih Tzu goes home

June 1, 2015

Bright sunshine blue sky day. Vesak Day. The couple is free to bring their 3-year-old Shih Tzu home today as they are a working couple. Nobody at home.

Yesterday on Day 2, this dog had ripped out his urinary catheter. I checked that he had tried to bruise his surgical wound near the flank of the penis, with his e-collar. I gave him methone inj. 10mg/ml at 0.3 ml SC. He also had Rimadyl 25 mg tablet.  I checked his surgical area. There was little pain on palpation and less bruising. He ate the U/D can and was very active. I videoed him peeing normally without one leg up.

At 3 years old, he appeared "obese" but actually he was broad-chested. The first vet had provided a good detailed examination report. She had said he was obese with body score BCS 8/9.  She said he could have "urate" crystals and that X-rays of the bladder stones were too radio-dense to be urate stones.  Urate stones are said to be radio-opaque in some reports but it is not true.

Free catch urine dipstick. pH 8, Protein 3+, blood 4+, leucoyctyes negative, "rest wnl."

The dog was super-active today and went home with instructions (Video on urination)

1.  not to feed any more dry food as he may have a familiar tendency to develop bladder stones.
 2. pee more than 2 times per day. Not practical as the couple works and nobody is at home during weekdays. So the dog holds his urine from 8 am to 8 pm waiting to go downstairs.

3. to measure volume of water drank/24 hour and record. Drinks lots of water.
4. to use dipstick monthly to measure pH, blood, etc and let me know
5. to send urine for lab test 6-monthly and if there are small crystals, I can flush out the bladder.
6. stones sent for analysis
7. U/D diet can be expensive. Eat canned food exclusively. No dog treats, rice, bread.

I don't know how many of the abovementioned instructions the couple will comply with.