Oct 6, 2018. Pasir Ris cat
Last night, vomited, cannot pee. Feeding dry and wet food.
Blood test - Total WCC 14 (5.5 - 19.5). No bacterial infection. Platelets 210 (300 -800). Toxicaemia?
Glucose 8.2 mmol/L (4.4 - 8). May be due to illness and stress of FIC, FUS
Urine test pH 8 (5-8), SG 1.0 (1.005 - 1.030)
Protein 4+, Blood 4+, Bacteria +, Crystal Nil. WBC more than 900 (/ul). RBC more than 1800 (/uL)
Urinary catherisation. Inpatient 3 days. Baytril and tolfedine injections x 2 days.
Goes home on Day 4 with baytril tab, meloxicam syrup (4 days) and ACP 12.5mg (1/4 tab per day for 4 days for anti-spasmodic effect).
Advise: Royal Canin Urinary S/0 (no pork) wet and dry
--------------------
History
June 10, 2017. Blocked bladder 5 days ago. Treated at Toa Payoh Vets. Urinary catherisation.
No blood test or urine test to lower cost. I advised Royal Canin Urinary S/0 feeding. No urinary problem from June 2017 to Oct 2018. The couple stopped feeding the S/0 6 months ago. The commercial canned and dry cat food were less expensive and the cat loved it.
------------------------
"This cat will come to me to be tickled," the husband said when he took the cat home on Oct 9, 2018 at 6 pm. I made a short video clip from my handphone.
"He is afraid of the female cat but is friends with the other male cat," he told me. "So, I kept him in my bedroom all the time. The female cat will attack him."
In this multple household, this cat is timid and prefers the husband.
"I googled for cat vet to treat my cat with difficulty in passing urine," he told me when I asked why he did not go to the nearest vet in North East Singapore. "I viewed your You-tube video of you cleaning a cat's ears and so I came to Toa Payoh Vets."
He felt more comfortable at Toa Payoh Vets than at the neighbourhood clinics. So he took the trouble and expense to come here when the cat has difficulty in peeing again.
"The day before, he suddenly let go a lot of urine," he told me. "Then the next day, he just could not pee. So I quickly rushed him to see you!"
I spoke to the busy working wife who returned my phone call. "Yes, you did advise me to feed Urinary S/O to prevent this urinary tract infection. I stopped feeding the Urinary S/O 6 months ago, as the cat loved the commercial food more. Now, I understand and learnt my lesson."
The owners will continue feeding this cat the Urinary S/O which acidifies the urine, preventing urinary tract infection.This cat owner loves his cat very much and will take the trouble and expense to find a cat vet he has confidence in, no matter how distant is his clinic.
Pet health and care advices for pet owners and vet students, photography tips, travel stories, advices for young people
Tuesday, October 9, 2018
3311. Intern Images. Jutland horses from Carlsberg Museum, Copenhagen
Back to Main Page:
https://2010vets.blogspot.com/2018/09/3282-interns-be-kind-to-pets-images-sep.html
Back to Main Page:
https://2010vets.blogspot.com/2018/09/3282-interns-be-kind-to-pets-images-sep.html
Monday, October 8, 2018
3310. Query from Thailand - 2nd opinion on prevention of Calcium oxalate stones in a Pom
o judy, me

Dear Judy (TOA PAYOH VETS)
Greeting
from Bangkok. I am seeking the second opinion about stone in dog's
bladders. My dog has CaOx stones in his bladders and already operated 2
times
I wonder whether Dr Sing Kong Yuen can
give me the advise about how to prevent or reduce the recurrence of the
stone. FYI, I already manage to give urinary dietary (Hills C/d) and
also drink lots of water (500ml). So i just want to explore more other
ways to prevent it in detail
If
Dr Sing Kong Yuen can give the advice about this, can I meet him on Sat Oct 13 around 3.00 pm?
Can I also know how much is the consulting fee?
===================================================
Below is the summary of my dog's profile
1. My dog’s profile
Age: almost 7 years
Breed: Pomeranian
Sex: Male
Weight: 6.8 kg
2. Stones in Urinary bladder’s Timeline
·
1st Operation: 15 June 2018
o
Stone analysis: Calcium Oxalate Stone
o
Bacteriology Test: test from urinary bladder’s wall, result
NO GROWTH
·
After 1st Operations (15 June
–Aug 22)
o
Dietary: Vet recommended to take Royal Canin S/O
(Canned Food)
o
Water: 400-450 ml per day
o
**dog is fed small piece of apple (but not every
day, each time not more than 1-2 small pieces)
·
22 Aug, 2018 (only 2 months after 1st
operations)
o
Ultrasound and found 2-3 stones (size 0.4 cm)
o
**after found, STOP feed apple to dog
o
Strictly feed only urinary food, **but change to
Hills C/D (Canned food)
·
20 Sep, Decided to have the 2nd
operations to remove 2-3 stones form urinary bladder
o
Stone analysis: Calcium Oxalate Stone
o
Bacteriology Test: test from urinary bladder’s wall, result
NO GROWTH
---------------------------
Urine pH 7.0
USG 1.020
15.6.2561
Urine pH 7.5
USG 1.020
25.6.2561
Urine pH 6.5
USG 1.025
23.8.2561
Urine pH 6.05
USG 1.015
25.??.2561 Thai calender
Urine pH 6.5
USG 1.005
Blood test - no anaemia or leucocytosis
Stone analysis on 21.6.2018 Calcium oxalate
Ultrasound 22.8.2018 3 small cystic calculi in urinary bladder 2-3mm
-------------------------------------
ADVICES
To
prevent URINARY stones recurring:
1. the dog should be regularly monitored, using urine testing and either X-rays or ultrasound examination to look for new small stones. These small stones can be removed by voiding urohydropropulsion or treated with diet to dissolve them (e.g. struvites), without surgery.
2. Most prescription diets are safe for long-term feeding but a few are low in certain nutrients like calcium. Regular blood test is necessary.
3. For dogs predisposed to urate stone formation, e.g. Dalmatians with high uric acid, dogs with liver shunts, a low purine prescription diet e.g. U/D must be fed.
---------------------------
Urine pH 7.0
USG 1.020
15.6.2561
Urine pH 7.5
USG 1.020
25.6.2561
Urine pH 6.5
USG 1.025
23.8.2561
Urine pH 6.05
USG 1.015
25.??.2561 Thai calender
Urine pH 6.5
USG 1.005
Blood test - no anaemia or leucocytosis
Stone analysis on 21.6.2018 Calcium oxalate
Ultrasound 22.8.2018 3 small cystic calculi in urinary bladder 2-3mm
-------------------------------------
ADVICES
1. the dog should be regularly monitored, using urine testing and either X-rays or ultrasound examination to look for new small stones. These small stones can be removed by voiding urohydropropulsion or treated with diet to dissolve them (e.g. struvites), without surgery.
2. Most prescription diets are safe for long-term feeding but a few are low in certain nutrients like calcium. Regular blood test is necessary.
3. For dogs predisposed to urate stone formation, e.g. Dalmatians with high uric acid, dogs with liver shunts, a low purine prescription diet e.g. U/D must be fed.
Saturday, October 6, 2018
3308. Nami-Maid Ferry
-----------------------------------------------------------
-------------------------------------------------------------------
Wednesday, October 3, 2018
3306. Travel stories: Day 3 in South Korea. The Garden of Morning Calm - juniper millenia tree, Nami Island and Rail Park
In the Bible's Old Testament, a juniper with an angelic presence sheltered the prophet Elijah from Queen Jezebel's pursuit. Similarly a later apocryphal biblical tale tells of how the infant Jesus and his parents were hidden from King Herod's soldiers by a juniper during their flight into Egypt.
Tuesday, October 2, 2018
3304. Travel Stories. Australia - The Labrador Retriever "woofed" instead of barking normally - laryngeal paralysis
Oct 1, 2018
Met a happy couple Mr and Mrs Paul Neisen at the closed on Monday Palace. My group was deciding whether to tour the Palace. The option was to go to the other one which was open today till 6.30pm. Had a good talk with Paul. I learnt that his 10-year-old Lab Retriever was diagnose with laryngeal paralysis as the dog could only "woof" when barking. Cause could be deficiency of thyroid hormone (tested normal in this dog) or idiopathic. Cost him a few thousand to do the tests. He googled and found that this is a rare condition but Labradors are most commonly affected with this condition which I have not encountered in Singapore.
The old dog was in agility test and had anterior cruciate ligament repair (tibial transpositioning) costing $4,000. Dog insurance in Australia is $600 per year for 50% insurance payout.
The wife is a podiatrist and is a partner in
Cox and Nielsen Podiatry in Brisbane.
https://www.westfield.com.au/carindale/store/2YZCvHUKpyKUWyC2ESwqU6/cox-neilsen-podiatry-group
Said "The Foot Doctors" have a branch in Singapore.
Mr Neisen works in IT and volunteers with a peace organisation which is low profile. Has a branch in Singapore. Membership $10 per year. Visiting each member overseas for 2 nights will need a letter of introductioon and $50 payment. Now mainly older generation as members.
Travellers who communicate get to know each other and learn more as in this case for me referring to dog medical conditions.
Met a happy couple Mr and Mrs Paul Neisen at the closed on Monday Palace. My group was deciding whether to tour the Palace. The option was to go to the other one which was open today till 6.30pm. Had a good talk with Paul. I learnt that his 10-year-old Lab Retriever was diagnose with laryngeal paralysis as the dog could only "woof" when barking. Cause could be deficiency of thyroid hormone (tested normal in this dog) or idiopathic. Cost him a few thousand to do the tests. He googled and found that this is a rare condition but Labradors are most commonly affected with this condition which I have not encountered in Singapore.
The old dog was in agility test and had anterior cruciate ligament repair (tibial transpositioning) costing $4,000. Dog insurance in Australia is $600 per year for 50% insurance payout.
The wife is a podiatrist and is a partner in
Cox and Nielsen Podiatry in Brisbane.
https://www.westfield.com.au/carindale/store/2YZCvHUKpyKUWyC2ESwqU6/cox-neilsen-podiatry-group
Said "The Foot Doctors" have a branch in Singapore.
Mr Neisen works in IT and volunteers with a peace organisation which is low profile. Has a branch in Singapore. Membership $10 per year. Visiting each member overseas for 2 nights will need a letter of introductioon and $50 payment. Now mainly older generation as members.
Travellers who communicate get to know each other and learn more as in this case for me referring to dog medical conditions.
Subscribe to:
Posts (Atom)