Saturday, June 9, 2018

3167. Travel photos. Oslo Vigeland Sculpture Park and Royal Norwegian Guards








Jun 8, 2018. Summer. Heat wave in Oslo but the locals love it.













Vigeland Sculpture Park



















Friday, June 8, 2018

3166. Travel photos from Norway, Juddith, Giddeon

Jun 6, 2018


Photos of fellow travellers




















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Met at Suntec EU on Sunday Feb 17, 2019
Judith and Giddeon booked a trip to USA

This Friday is NATAS Travel Fair












Thursday, May 31, 2018

3164. 10-year-old male not neutered dog passes blood in the urine for past 6 days




No urinary stones from X-ray. However, some stones are not radio-dense.
I palpated a swollen bladder the size of the golf ball but no pain
I did not palpate a swollen prostate which could also cause blood in the urine.


"Any humping on pillows or gripping people's legs?" I asked reference to the dog's behaviour at home since he was not neutered.
"No," the concerned lady replied.
"Does he lick his private parts?"
"Yes, daily."

This could cause injury to the penile area. Inflammation and blood showed in the urine.

3163. How to prevent recurrent urinary stones in an 8-year-old female, Japanese Spitz?

May 31, 2018

An internet query from a lady to Toa Payoh Vets. Vet 1 asked her to seek a vet as he or she does not do Voiding Urohydropropulsion which is a non-invasive treatment (ie. no surgery).




Treatment of uroliths in dogs are:

1. Medical dissolution for struvite stones
2. Cystotomy (surgical removal).
3. Lithotripsy for large stones of kidneys, liver or gall bladders.
4. Voiding urohydropropulsion.


An interesting case study of a possible case for medical dissolution and voiding urohydropropulsion is discussed below.








In this case, if the owner compliance is available, medical dissolution for 6 weeks and voiding urohydropulsion may be possible.

The dog had a cystotomy earlier. Now, she has recurrent urocystoliths. Early detection of small uroliths that can pass through the urethral lumen will avoid surgery as VU can be effective.
3-6 months after cystotomy - X rays are recommended.

The dog was fed Hills' C/D diet. But the dog got fed apples, strawberries, por or chicken meat, soup. So the urine was not acidified. The pH was around 7 - 8.


 


Chemical composition of the stone can only be confirmed by the laboratory, not based on physical appearance.
Stones may be compound mixture of struvites and calcium oxalates.


To prevent recurring struvite stones, feed an acidifying diet. No other food or treats. Ensure the dog drinks water and does not hold back urine for many hours.  Urine test for pH every 3 -6 months. X-rays yearly so that small stones can be flushed out using voiding urohydropropulsion.