3380. A 14-year-old spayed female Cavalier King Charles has urinary incontinence - Stilboestrol 1 mg tablets

Dec 21, 2018

The dog was lethargic, head down and could not stand long. "My old maid went home. The new one is with me for 3 days only caring for the dog. The dog had diarrhoea 3 times yesterday, after a short walk. It was going to rain dogs and cats," the lady owner said that the dog did not eat any grass or pebbles.

"Some few years ago, she had ingested 2 pebbles causing obstruction and you operated," she recalled. However, I did not confine her and her guts came out. So she had another operation. Soon after, another operation for the stitch breaking down. In total, she stayed 6 weeks as an inpatient!  I had to remodel the garden as she is a scavenger dog!"

In October 2, 2018, Dr Daniel prescribed stilboestrol 1 mg tablets to be given for 5 days and then 1 mg weekly as required for maintenance.   The dog had urinary incontinence for 10 moths. 

"It was great as the dog had no urinary incontinence for a few weeks," she reported as I complained that this dog has a strong urine smell in her back area indicating urinary incontinence now. "I gave around 7 tablets and lost the rest. I did not bother. So urinary incontinence returned for the past weeks"

Pus was present in the right ear too. The dog had dry eyes and moved the head away when I palpated the right ear. Ear irrigation was necessary.

"Vomiting and diarrhoea may be due to kidney disease," I requested a blood test. The owner gave consent. The dog had good heart, lungs and no abdominal pain or swelling. She just could not stand up and I suspected a bacterial infection in the blood stream.

2 days of inpatient are need to treat this dog. It is important that the old dog be given proper medication to prevent urinary tract infection and incontinence or ear infections as the old dog has a poor immune system. She gets infected easily unlike a young dog.