*3380. A 10-year-old female, not spayed Silkie Terrier keeps having UTI for the past years. What to do?

Feb 26, 2018

Silkie Terrier, F, Not spayed, 10 years old

I advised spay as the uterus could have infections as evident by the hyperpigmented belly area and vulva from licking by the dog for many years. UTI present from around 3 years of age and many vets were consulted. Antibiotics cured the problem for a few weeks and then again, difficulty in urination, peeing small amounts and blood in the urine.


HISTORY

TP46126
2 years old, consulted vet. Medication. Cured for 1-2 years.
After 4 years old, strong smelly urine. Urinary tract infection. Saw several vets (6 visits to 2 vet clinics) but UTI keeps recurring, X-rays had been done by the other vet but no urinary stones seen.

Aug 15, 2015 as 7 years old, consulted Dr Sing K Y of Toa Payoh Vets. Smelly urine with blood. False pregnancy (milk). Vulval area and inguinal area licked for long time till they are hyperpigmented black. Bladder lump 2 cm x 2 cm. Blood and urine tests. Chronic cystitis. Advised spay. Accepted feeding advice on Hills' K/D and C/D later.  Bought k/d bag in Nov 11, 2015 and Feb 4, 2016.

April 27, 2016. Straining urination with blood. Young lady in her 30s said that there was no more smelly urine since the first visit in Aug 15, 2015 (8 months). Other vets' treatment - the dog will pass smelly urine in 2 to 3 months. But now, dysuria and haematuria again. Advised spay and X rays.

Sep 7, 2016. Haaematuria, Stranguira. Treated.
May 28, 2017   Buys C/D
Sep 16, 2017  Recurent UTI. Declined lab tests. Wants medication onlyu.
Dec 28, 2017. UTI again.
Feb 14, 2018. UTI. Buys C/D
 

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BLOOD TEST
Aug 16, 2015  - No abnormal blood cells, liver and kidneys.


URINE TEST
Aug 16, 2015
pH 9. SG 1.035.
Nitrite +ve, Protein 4+, blood trace.
Crystals triple phosphate +, amorphous phosphate3 +

Advised K/D followed by C/D. No other food.


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BLOOD TEST
Dec 29, 2017
Normal blood values. Fed C/D 100%



URINE TEST
July 27, 2016
pH 6. SG 1.017.
Nitrite +ve, Protein 2+, blood 4+.
Crystals Nil
Bacteria +



URINE TEST
Dec 29, 2017
pH 9. SG 1.022.
Protein 2+, blood 3+.
Crystals Triple phosphate occasional
Bacteria 3+
Bladder and/or kidney inflammation?




X-rays - Feb 26, 2018
No urinary stones. Dog had scavenged the garbage bin resulting in many whitish lines seen in X-ray.

Dog was spayed in Dec 28, 2018. Ovaries swollen. Uterine horns slightly swollen at 6 mm across.
Dog went home. One day later, the owner called to say dog was sitting still in one corner all the time. Advised take out e-collar. No more complaints since.