Cystitis in dogs
Cystitis in dogs is a common condition, yet few people know much about it. Some pet owners are unaware of the wide variety of illnesses their pets can suffer from. It doesn't even occur to them that, in addition to infectious diseases specific to animals, their pets can also suffer from "simple" inflammatory conditions common to humans. Today, we'll discuss the main symptoms and home treatments for cystitis in dogs.
This article will discuss bladder inflammation, or more scientifically, cystitis. We'll explore the causes, clinical signs, and behavioral changes that can indicate bladder inflammation, how to treat cystitis, how to prevent recurrence, and finally, how to treat cystitis in dogs.
Content
Causes of cystitis in dogs
The causes of cystitis in dogs are the same as in cats. They are also similar to those in humans; in fact, the bladder in mammals is essentially very similar. Therefore, the processes occurring within it are similar regardless of the pet's species. Therefore, the main factors contributing to the development of cystitis in dogs are:
Cold
Hypothermia is most often the culprit behind inflammation in dogs. Cystitis is not the only condition that can bother a pet after exposure to cold. A dog doesn't necessarily need to walk in the rain and wind or run for long periods in the freezing cold. It's enough to sit for long periods on cold concrete or sleep on tiles at home (if there's no heating or carpet). Homeless dogs or those living outside (in a kennel or crate) often become hypothermic. Therefore, urinary tract problems are almost universally reported in these pets.
Infections
Bacteria entering the bladder find themselves in near-perfect conditions for proliferation. Pathogenic microorganisms are introduced through blood and lymph. However, direct entry into the bladder via a non-sterile catheter is also a possibility (catheterization is performed when normal urine flow is impeded by stones or inflammation).
Moreover, the inflammatory process often "spreads" from other organs. Not necessarily from the kidneys or urethra (although these are the most common culprits). In females, it often "spreads" from the uterus and vagina to the bladder. And vice versa.
Therefore, it's crucial to recognize the symptoms of cystitis in dogs to avoid further health complications. Furthermore, bladder inflammation in dogs can be a symptom of a viral or bacterial infection. Simply treating the bladder isn't enough; without eliminating the causative agent, you won't achieve a positive result. The problem will inevitably return.
Metabolic disorder
When metabolism changes, it's hard to miss. If it slows down, your pet will quickly gain excess weight, and diabetes may develop. But far more often than not, diabetes is diagnosed in pets with metabolic disorders. urolithiasis disease.
Therefore, it's safe to say that stones are the cause of cystitis in dogs. They clog the urinary tract, causing urine to stagnate in the bladder. This only accelerates the proliferation of pathogenic microorganisms. Furthermore, as stones move through the urethra, they scratch the mucous membrane. This leads to blood in the urine. And scratched mucous membranes are more susceptible to bacterial penetration. Just imagine how painful it is when urine, especially stagnant, highly concentrated urine, comes into contact with the damaged area (wound, scratch).
To reduce the pain, pets try to urinate less frequently. However, since the daily urine output remains the same, the dog is forced to relieve itself more frequently. However, we'll discuss this "mechanism" a little later, in the section on the symptoms of cystitis in dogs. For now, let's continue to explore the causes of bladder inflammation in dogs.
Improper nutrition and drinking
If you feed your dog incorrectly, its metabolism is disrupted. This leads to one cause of cystitis in dogs, leading to another. Everything is interconnected. Certain foods stimulate the formation of insoluble salts, which settle and turn into stones.
Speaking of water, if the body doesn't get enough, the urine becomes very concentrated. This urine poisons the pet, leading to severe intoxication. The bladder lining becomes severely irritated and inflamed, resulting in cystitis.
Water quality also plays a significant role. If it contains a lot of metal ions or salts, it can impact your pet's health. It's best to use filtered water. There's no need to boil it; a regular filter is sufficient. It's beneficial for both you and your pet. Make sure the water bowl is always clean.
Symptoms of cystitis in dogs
Almost all owners notice the clinical symptoms of cystitis in dogs. Yes, sometimes the inflammation can be almost unnoticed. But more often, the symptoms are clear and specific. So, how does cystitis manifest in dogs?
| Signs of cystitis in dogs | Manifestation |
| Frequent urge to urinate | You may notice your pet increasingly asking to go outside. Or they're relieving themselves right inside the house. Your dog may have always been perfectly behaved, never defecating indoors, but now they're leaving small puddles. Yes, small. A symptom of cystitis in dogs is a small amount of urine excreted at a time. The total amount of urine produced per day doesn't increase, but the number of bowel movements increases significantly. It's as if the little whiskers are squeezing out little by little. |
| During urination the animal moans and whines. | They may even shift from paw to paw. This behavior immediately indicates that the process of emptying the bladder is very painful. However, this symptom is similar to that of urolithiasis, when stones scratch the lining of the urinary tract. This also causes extreme pain to the animal. |
| Blood appears in the urine |
This again occurs due to damage to the mucous membrane, but not necessarily due to the mechanical impact of solid particles (sand or stones, for example). Concentrated urine severely irritates the bladder walls, which can cause the blood vessels to react. |
| Urine becomes cloudy |
In addition to blood, pus particles may appear, and mucus may also be visible. The color also changes. And the smell becomes so "heavy" that it's difficult to describe. In more severe cases, the pet may be unable to urinate at all. In these cases, emergency assistance—catheterization—is required. If the urine is not removed from the bladder, the pet will very quickly become intoxicated by the breakdown products of urea in the body, which will be absorbed into the bloodstream, poisoning the animal. |
| Appetite decreases, general condition is lethargic |
The temperature may rise, but this increase is usually not very noticeable. However, if the dog has purulent cystitis, the fever will be noticeable. |
If you notice one or more signs of cystitis in dogs, you should immediately consult a veterinarian and begin treatment. However, until a diagnosis is made, do not self-medicate!
Treatment of cystitis in dogs
How to treat cystitis in dogs at home? First of all, it's important to understand that there's no magic pill—treating your dog for cystitis requires a comprehensive approach! This is essential. Simply suppressing the symptoms and relieving pain isn't enough. If the underlying cause isn't identified and addressed, bladder inflammation will inevitably return. Relapses of this condition occur in almost 90% of cases. So, what should you do if your dog has cystitis?
Conditions of detention
First, improve the pet's living conditions. Insulate all cold floor surfaces, or avoid allowing your pet to lie on tiles or concrete. It's best to provide a bed with high sides to prevent drafts. The room where your pet is kept should be warm. Just don't heat the bladder. Some may recommend doing this, but in reality, it will only worsen the animal's condition. Heat promotes even greater bacterial growth, making inflammation (especially purulent) more difficult to treat, and prolonging the course of treatment for dogs with cystitis.
Antibiotics
Antibiotics are essential for dogs with cystitis. Intramuscular administration is preferred. This way, they begin to work more quickly and maintain a high concentration of the active ingredient in the blood longer. Giving tablets will take longer to see results than injecting them intramuscularly.
Catheterization and bladder irrigation
It is necessary to empty the bladder of accumulated urine.
- Firstly, it will help reduce the risk of intoxication from urine breakdown products.
- Secondly, this will allow some of the pathogenic microorganisms to be removed from the bladder.
All this will lead to irritation of the bladder lining, if not completely stopping, then at least significantly reducing it. This is a huge step toward your dog's recovery from cystitis. You can't do this yourself; you'll need a veterinarian's help. Through a catheter, they'll flush the bladder with antiseptic solutions (such as an aqueous solution of furacilin). Antibiotics may be injected directly into the bladder to "kill" the bacteria.
Antispasmodics
Antispasmodics can help your dog pass stools more easily—they're another type of medication used to treat cystitis in dogs. After taking them, swelling will subside slightly, causing the urinary tract to dilate, allowing urine to pass in larger amounts and preventing stagnation. Antispasmodics also have analgesic properties. Your pet won't experience the same intense pain, although it won't completely disappear.
Food and drink
In any case, it's necessary to review the diet and create a special diet for dogs with cystitis. It should be formulated more carefully, maintaining the balance between micro- and macronutrients, proteins, fats, and carbohydrates.
- Avoid meat while treating your dog for cystitis.
- But it is better to give fermented milk products, because the use of antibiotics depletes the intestinal microflora.
- And the intestinal microorganisms restore it due to bifido- and lactobacilli.
- You can give prebiotics or enterosorbents to “bind” antibiotics in the intestines, preventing them from destroying beneficial microorganisms.
Provide clean water, and don't limit it. Plenty of water will help reduce the concentration of harmful substances in the urine (it will simply dilute it, making it less aggressive toward the inflamed mucous membrane). And if the urine is not concentrated, emptying the bladder will be less painful. It will also be easier for your pet to pee. The more they pee, the fewer bacteria will remain in the bladder.
Traditional methods of treatment
Among folk remedies for treating cystitis in dogs at home, decoctions of lingonberry or bearberry leaves are widely used. However, extreme caution should be exercised when using them. They should be given as a complement to medical treatment, not as a replacement. These decoctions are known for their healing properties for the genitourinary system.
They have good bactericidal properties, along with diuretic properties. Incidentally, diuretics should only be given once the mucosal swelling has subsided and the inflammation has significantly subsided. Otherwise, you'll only make things worse. There will be a lot of urine, but the dog won't be able to eliminate it (the urethra is too narrow, the mucosal lining is damaged, pain persists, or there's a fear of further pain).
Do not self-medicate! Your veterinarian will prescribe all medications after an in-person examination and urine and blood test results! The bacteria causing the bladder inflammation may not be sensitive to the antibiotic you choose (or the one you bought on the advice of a friend/neighbor/forum member). This will only increase the bacteria's resistance to antibacterial medications, greatly complicating the treatment of a dog with cystitis.
Prevention of cystitis in dogs
Prevention of cystitis in dogs is the same as in cats.
- Do not sleep or sit on cold surfaces.
- Avoid drafts and hypothermia.
- Balance the diet; if necessary, switch to special dry food intended for animals with diseases of the genitourinary system.
- Filter the water and always keep it within reach of the animal.
- Vaccinate your dog on time and don't skip veterinary visits. Have your dog's blood and urine tested regularly, especially if your pet has had cystitis before and there's a risk of a recurrence.
- Treat your pet if it has other inflammatory conditions (chronic diseases are often the cause of cystitis in dogs). Inflammation from the kidneys/urethra/ureters/vagina/uterus can easily spread to the bladder. And vice versa.
- If your dog suddenly starts gaining weight or is extremely thirsty but urine output isn't increasing, a blood sugar test is necessary. If diabetes is confirmed, this is a sign of a metabolic disorder. The animal urgently requires treatment and dietary adjustments.
If you have any questions about cystitis in dogs, please leave a comment and we'll do our best to answer them!
Read also:
- Urinary Incontinence in Dogs: Causes and Treatment
- My dog is urinating blood: why and how to treat it
- Urolex for dogs
91 comment
Natalia
My female dog is 3.5 months old and weighs 10 kg. She pees frequently, but only a little at a time. There's white discharge coming from her vagina. How can I treat it?
Daria is a veterinarian
Hello! It's definitely not a good idea to treat it on your own or at random. Go to an appointment for a diagnosis and get tested (if necessary, if pus is detected, a bacterial culture to identify pathogens and determine sensitivity to specific antibiotics). It could be a fungal infection. In that case, the treatment will also be different. We'll rule out genitourinary pathology first.
Julia
Hello! I have a 4-year-old male Shih Tzu. Please tell me what to do. He lifts his paw and stands there for a long time, apparently due to urinary retention. His urine is light yellow, normal, and has been this way for 5 days. He tries to do this every 15 meters during walks. He doesn't defecate at home. I always take him out every 4-5 hours. He doesn't show any signs of illness, but something is wrong.
Daria is a veterinarian
Hello! I would recommend an ultrasound, blood work, and a urine sample (at least a urine sample). It's important to rule out not only cystitis but also urethritis (inflammation narrows the urethra, which impairs urine flow). Is the dog neutered? Has it been mated? Has it been given any medications yet? What is the diet like? Have there been any previous urinary tract problems? Try collecting urine in a sterile container and examining the color and sediment. However, the midstream portion of the urine (just like in humans) is required for testing; some clinics collect it on-site using a catheter.
Andrey
Good day. I have a three-year-old female Yorkie. She always goes outside to the bathroom, even in winter and freezing temperatures (I dress her accordingly and give her shoes). But several times after a walk, she's peed an hour or even later, sometimes in the hallway, sometimes in her room. What could be wrong? We always walk her three times a day. Can you suggest anything?
Daria is a veterinarian
Hello! It all depends on what's wrong with your pet. It could be an inflammatory process, in which case a 5-day course of antibiotics and nonsteroidal anti-inflammatory drugs (NSAIDs) are needed. Or it could be psychological – it's cold outside, and your pet doesn't want to urinate there, so it's doing its business indoors, in a warm place. Ideally, you should have an ultrasound of the bladder and kidneys. If no abnormalities are found, then we can address the issue. Is there a fever, blood or other impurities in the urine, pain when urinating, or restlessness? What is the approximate amount of urine being excreted (the same as outside, or less)?
Pauline
Darya, hello, please help! We picked up a puppy from the street. We took her to the vet, and he said there was purulent discharge "down there" and her reproductive system was prolapsed (I don't know the correct term), but it's nothing serious; all puppies get that. They prescribed a chlorhexidine rinse. We weren't worried, but then I noticed she was getting red and constantly whining at night, keeping us all awake for two or three weeks now. At first, we thought she was being naughty and scolded her.
When we went to get her shots, the vet said everything was fine and she was just being manipulative. But today I noticed she's been peeing very frequently, literally every 2-3 minutes, sometimes pushing herself when she's completely out of pee. She's restless, her appetite has decreased, she won't eat anything except wet wipes. She had a dry nose a couple of days ago, and most importantly, her temperature has risen from 38 to 39. What should I do about this? She's howling nonstop, and I know she's not feeling well. Her next vet appointment is scheduled for March 10th, but what can I do to help her now?
Daria is a veterinarian
Hello! What do you mean, "manipulative?" This isn't a human child, but a puppy seeking help from humans. Purulent discharge is never normal! This is always a reason to see a vet and start antibiotics. Ideally, an ultrasound should be performed to rule out or confirm a "female" inflammation in the puppy, which has already spread to the bladder and led to cystitis. Such a puppy couldn't be vaccinated because it is weakened and its immune system simply can't handle such a strain. Isn't there another clinic in your city? I'm ashamed of such colleagues...
Elena
Hello. Is it still possible to get a consultation here?
Daria is a veterinarian
Hello! Yes, of course you can =) I'll answer any questions I have. Please describe the problem in as much detail as possible, including the animal itself (symptoms, feeding, vaccinations, age, living conditions, results of any additional tests, etc.). I'll be happy to help.
Natalia
Hello! I have a 1.6-year-old Chinese Crested. When we got her at 2 months, she peed every 15 minutes. Normal puddles. By 6 months, she was going every 3 hours. She was spayed at 7 months. By 1 year, she could hold her urination for 6-8 hours at night. We took her out 3-4 times during the day. Sometimes she would get cold and urinate more often, but in normal amounts. So, she couldn't hold it at night, and during the day, she peed 2-3 times more often. Now she can't hold it at all. We film her at night and take her outside 3-6 times during the day. An ultrasound showed normal bladder and kidney function. We didn't do a urine test. So we're wondering if it's congenital, behavioral, or cystitis.
Daria is a veterinarian
Hello! Well, with cystitis, a dog wouldn't just urinate frequently; she'd do it in small spurts (due to spasms of the bladder sphincter and urethra) and with a squeal. Cystitis is an inflammation, the bladder walls become very sensitive and painful, and urine is a strong irritant. Small dogs have a very low tolerance for pain, any kind.
So, if your pet had cystitis, you would know it. They would squeal when urinating, whine very frequently, and the urine might contain blood (especially if the condition persists for weeks). For your own peace of mind, take them for a bladder ultrasound to confirm.
Tatiana
Hello! Can cystitis be confused with heat?
Daria is a veterinarian
Hello! It's practically impossible. While a dog in heat might urinate more frequently, as with cystitis, urination during heat is painless and occurs in normal amounts (not just drops). During heat, there may be some blood leakage, which can be confused with blood in the urine.
But urine and blood tests, and especially an ultrasound, will help make a definitive diagnosis, eliminating all other possible options. However, the owner knows when their pet is in heat (after all, behavior changes dramatically), so if they fail to mention this when they visit the clinic, they themselves have complicated the diagnosis. Although, confusion is not that easy.
Svetlana
Please tell me, I have a big dog that lives on the street, he started eating poorly, his belly is swollen, we caught him on the belly, it hurts and a little urine is released, he practically doesn’t urinate, he doesn’t let anyone strangers near him, could this be cystitis and how can we treat it?
Daria is a veterinarian
Hello! Cystitis won't cause abdominal distension. An abdominal ultrasound should be performed to rule out ascites (abdominal swelling). A small amount of urine leaking after abdominal pressure may be associated with severe pain (the animal could even wet itself from the pain). Before starting treatment, a diagnosis is necessary to avoid harming the animal.
Maria
Good afternoon! My 5-year-old pug developed cystitis after her heat. Yesterday she urinated in the house, although this had never happened before. The urine was bloody and sticky. During walks, she would often squat and pass drops of urine, sometimes with blood clots. The vet prescribed ampicillin, metronidazole, but also shpa, and dexamethasone. I walked her every 3 hours and only once did she manage to urinate a large amount. This morning after her walk, she tried to urinate, but nothing came out. She is active, eating and drinking as usual, and sleeping.
We gave her a warm bath today, but nothing worked. We haven't mated her once, and we tried switching her to natural food for the past month and then went back to Royal. She's fallen asleep now, but I'm worried because we haven't peed or pooped since this morning, even though we're eating and drinking as usual. The skin around her vagina has turned dark during her heat cycle. Her condition worsened yesterday, and we went to the vet yesterday. Are we doing something wrong? Please tell me what to do. Thank you.
Daria is a veterinarian
Hello! Yes, the simplest treatment regimen is: No-Spa, ciprofloxacin, and some nonsteroidal anti-inflammatory drug (Ainil, Meloxicam, or any Profen would be fine for a dog, but cats have serious side effects). You can add Stop-Cystitis (a homeopathic remedy). Why did you add such a strong anti-inflammatory to the treatment regimen (dexamethasone quickly reduces inflammation, but stopping it can only make things worse)? Did you do a urine test? Did you have an ultrasound of the bladder and kidneys?
There could also be pyelonephritis, since the urine is viscous (possibly mucus). My advice: get the animal examined further. Check the urine thoroughly. And don't experiment with the diet like that again. A sudden change could have triggered a metabolic disorder (a prerequisite for urolithiasis, but an ultrasound will reveal whether there's sand in the bladder).
Lyudmila
Good afternoon. My dog, a 5-year-old female toy pinscher mix, was diagnosed with cystitis. Urine tests showed yeast, bacteria, and salts. Blood counts were elevated. Furadonin tablets were prescribed, along with liver IVs, Essentiale, and some other medications. The IVs have been given for 5 days. My question is, the tests didn't say anything about the liver. Why do we need expensive IVs (500 rubles each)? Is this necessary, or is the doctor just trying to extort money from us? The dog had a catheter inserted, and she's extremely stressed. Thank you for your reply. All the best to you.
Daria is a veterinarian
Hello! First, Furadonin should not be taken for more than 3 days! Although it is a diuretic, it can "kill" the kidneys with prolonged use—it's nephrotoxic. Second, regarding Essentiale, I can't say why it was prescribed because I don't see what other medications were prescribed. Perhaps it's to help with aggressive antibiotic therapy. I see you haven't done a blood chemistry test. What else are you giving besides IVs and a diuretic? Have you done an ultrasound? Is the animal not drinking or eating on its own? Could it be that the IVs were prescribed? Is it because it's very weak? Has the bladder been flushed?
Lyudmila
The only medication prescribed was Furadonin and an Essentiale IV. That's it! The dog lay lethargic for two days, so we rushed to the clinic. But she drank and ate on her own. They didn't do an ultrasound, but they did do a biochemistry test: glucose 6.53, total bilirubin 4.4, ALT 79.8. Everything else was normal. What should we take then? The doctor said to take Furadonin, three tablets for two weeks. Thank you, Daria.
Daria is a veterinarian
Oh, how much nitrofurans they told me to give! I would switch to "safer" broad-spectrum antibiotics. Fluoroquinolones, for example (ciprofloxacin, marbofloxacin, for example). No-shpa, a non-steroidal anti-inflammatory. Canephron, at least as homeopathic "support." Why burden the liver with such a drug with such indicators? That's why they give Essentiale. IVs with saline solutions (no glucose). Warm the bladder to make it easier to empty. Drink more to produce more urine, "passing" it more often, thereby "flushing" bacteria and other nasty things from the bladder.
Lyudmila
Thank you, Daria))
Inna
Good afternoon
We have a 6 year old female pug, not spayed, never given birth.
We have been treated for cystitis for a year now, it doesn't help for long. The last treatment was 10 days of ciprofloxacin 500 mg. 1/4 tablet x 2 times a day, omez 1/2 capsule 2 times a day (10 days), papavirin injections of 2 ml. into the muscle 2 times a day (3 days), no-shpa 1 tablet x 1 time per day.
20 days have passed since the treatment and now she has started peeing small puddles at night again. She retested her urine today (density 1050, pH 6.0, leukocytes 1 before treatment, there were 2, erythrocytes 1 before treatment were not detected, oxalates in large quantities before treatment there were oxalates in the same form)
We are eating Hills C/D food (prescribed by the doctor!) Previous tests showed STRUVITE stones, and the last two tests showed OXALATES, the doctor does not change the food for us to HILLS U/D)
Please give me some advice on what to do?
Tomorrow I'll go and donate blood again.
Daria is a veterinarian
Hello! Your pet's pH isn't so low that it warrants U/D. This series is prescribed for kidney disease. Oxalates DO NOT dissolve and are only removed mechanically (via urine or surgery). Struvites will disappear with a proper diet. Were you initially told to try S/D for a month or two and only then switch to C/D? In severe cases, they start with that (they don't feed S/D for long periods!). Have you had an ultrasound? I'd like to assess the size of the stones. What's the blood test result?
Victoria
Hello! Could you please tell me about a female Russian spaniel (who has given birth) who developed an enlarged abdomen six days ago. She is always active on walks, but now she's started shuffling her hind legs. The next day, her hind legs stopped working. After her hind legs stopped working around lunchtime, we went to the clinic the next morning and were diagnosed with cystitis. She was prescribed injections and a systemic NaCl solution, nitrogyl, cefriaxone, combilepen, proserin, urolesan, dicynone, and noshpa. We had an X-ray and ultrasound. The ultrasound confirmed cystitis and found a uterine cyst.
There's blood in his urine now, but less than before. He defecates spontaneously. He has sensation in his hind legs, but still can't stand up. We've been massaging his hind legs for two days now. He stands up on his front legs, spreads his hind legs, and then stands for 3-5 seconds, but doesn't move. Could you tell me what else I can do to speed up his recovery? What can I do to get him back on his feet? Thanks in advance!
Daria is a veterinarian
Hello! You've had both an ultrasound and an X-ray. The diagnosis has been made. The treatment has been prescribed correctly. It won't go away right away; within 7 days, the treatment should show positive results. Once the cystitis has cleared up, a histo-oophorectomy (removal of the uterus) is needed to avoid worries about recurrence or future cancer. The question remains: why has my belly swelled? Is it a cyst or ascites (abdominal swelling)? Or is there something else causing the abdominal swelling? Did the X-ray examine my bladder and uterus? Has a pinched nerve been ruled out by the enlarged organ? Could this be causing the limb weakness? How many times a day should I take No-Spa? Are you allowed to apply heat to the bladder to help with bladder control?
Alexandra
Hello! Please help! My one-year-old Jack Russell Terrier doesn't poop at home. This evening, he started peeing in the house without lifting his paw. He walks down the hallway, leaving a trail of urine behind him. It's obvious he's embarrassed. My husband took him for a walk and says he's soaked all the trees. He stood over one for two minutes, and the urine was clear. Even his paw was numb from hanging for so long. We came home, and the leakage continued, not as much, of course, but still more than a few drops. What could it be? Cystitis?
Daria is a veterinarian
Hello! It could be that, or it could be bladder atony, or sphincter atony. Therefore, we need to rule out neurological and inflammatory processes in the bladder. An ultrasound will help. Did he fall? Maybe he slipped and bruised himself while walking? Maybe he took a bad turn at home? It's important to rule out a lumbosacral spine injury. If that's not the case, then a bladder ultrasound and a urine test (especially since the urine is clear, it's not concentrated; we need to look for the cause of the low specific gravity). How is he drinking?
Tatiana
Hello. My Yorkie is a 3-year-old standard, 7 kg male, neutered at 8 months. He developed acute urinary retention. We went to the clinic for an ultrasound, blood, and urine tests. Bladder stones were found. A catheter was inserted, but it fell out that evening. (The next morning, the dog began urinating on her own, but with difficulty, so the doctor decided not to insert a catheter for now.) He was prescribed a course of treatment. An intensive course... That's the question. In addition to the oral medications, he was prescribed four injections of various medications into the withers in the morning and four more into the withers in the evening. The injection course lasts for 5 days. A total of 40 injections.
Can you please tell me if this is normal? I give him the injections myself and cry... And he whines because the medications are painful (even though they are necessary). Injections into the thigh are even more painful! Will the withers withstand 40 injections in 5 days??? If this is a common practice, I'd just like to hear from another specialist. I'm really looking forward to your answer. Thank you in advance.
Daria is a veterinarian
Hello! First, you need to know what exactly was prescribed. What do you mean, 8 injections a day? Antibiotics, I understand, and No-shpa. What else? Generally, if you inject correctly, everything will dissolve under the skin. If you can't inject into the withers, you can inject subcutaneously into the skin fold behind the knee. It's just that the dog is small, so you think you're injecting too much. The dosage is probably too low. But you can choose an antibiotic that can be injected once a day. What medications were prescribed? This seems like a bit much for me, but you need to know what exactly was prescribed.
Alena
Daria, hello, a miracle happened!
Most likely due to the antibiotic.
I accidentally missed one walk, the dog waited 6 hours and didn’t pee!
And about food, we were thinking about switching her to Brit Care hypoallergenic with rabbit or trying to give her mono-bilok canned food of the same brand.
It has a decent composition and, most importantly, there are many positive reviews about it from owners whose dogs have allergies.
He drinks water as usual, nothing special, he pees as usual, but the more often he pees, the less urine he produces.
Daria is a veterinarian
It's logical that the volume of urine per session is smaller because the number of times it's passed is greater. Essentially, if you're pouring a liter of water twice, you'll need half a liter. And if you need to pour 10 times, you'll need 100 ml. Gradually increase the time between walks. Train your pet, let it learn to walk like all adult animals: 2-3 times a day (but make sure your walks are long, half an hour or more, so it has time to do all its business outside). However, you should still have it examined to rule out serious pathologies and inflammatory processes.
Alena
Hello, I have a Jack Russell Terrier.
The girl is 1 year old, the problem is that she pees very often.
She can only stand it for about 3 hours at most, and I have to take her out 7 times a day.
There is no pain when urinating, the urine is transparent yellow.
A seemingly active and healthy dog eats constantly.
A urine test showed an increase, we were told that for a complete picture we need to give a blood test and do an ultrasound, but now I am in a very tight financial situation.
I suspect it's also because of her diet. She has terrible allergies and recently ate plain rice for 2 weeks, and now, on the advice of a dermatologist, we are gradually switching to Royal (Anallergenik) food.
(She has gradually stopped itching on the rice now, but unfortunately she still itches on the cream)
The dermatologist also wrote us a prescription.
(Deworm, administer flea and tick preventatives, and also buy the antibiotic clavaseptin 250 mg, half a tablet twice a day, and switch to food)
But first we had to give a urine sample, which is what we did.
The recipe remained unknown after the results, we have been following the recipe for 7 days now.
Can you tell me what's wrong with my dog and can an antibiotic help us or does it only work in one direction?
And what should we do with all this?
Daria is a veterinarian
Hello! I completely misunderstood part of your message. What's the elevated urine level? What happened to the prescription? What have you been doing for 7 days? Deworming and parasitizing is a one-time procedure (except perhaps deworming, which needs to be repeated in 10-14 days). Antibiotics—yes, they're taken as a course. They're needed to suppress bacteria to prevent pyoderma (skin pustules, basically) from developing due to allergies, and to suppress pathogenic microflora in the bladder, since the doctor didn't like the test results. Royal food isn't always suitable, even hypoallergenic (especially if it contains poultry). Try switching to Hill's d/d.
It contains one type of protein and one type of carbohydrate already broken down, which reduces the burden on the gastrointestinal tract. You can stick to D/D for life, but it's better to try it for 2-3 weeks, then switch to Hills Z/D for life. Give an antihistamine: 1/4 of a Suprastin twice a day for UP TO 3 DAYS! Other antihistamines may not be necessary afterward if you switch to a good hypoallergenic food.
Now regarding frequent urination, it's unlikely that this is a symptom of an allergy.
An ultrasound and blood tests are necessary for diagnosis. A urine test will show the doctor that an inflammatory process is underway. A full examination is needed to make a definitive diagnosis. Only then will treatment be truly comprehensive. It's not normal for a dog to be rushing to the bathroom like that. How much does she drink? And what volumes of urine does she produce? Perhaps she drinks a lot and frequently, and urinates a lot as well?
kseniap_4@mail.ru
Hello. I really need some advice. My dog (a 6-month-old Amstaff) has started urinating very frequently, in small amounts, sometimes even on herself. Her urine is brightly colored and not cloudy. She also whines and walks occasionally (not because she's hungry or looking for attention). And there's no way to see a vet anytime soon. Could you suggest something we can give her to help? I'd be very grateful.
Daria is a veterinarian
Hello! My advice is simple: find a way to see a vet! You have a young dog (I suspect it's a female). It could be cystitis, urolithiasis, or even a urinary tract infection. It's impossible to make a diagnosis without a thorough examination. You could try antibiotics and an antispasmodic (No-Spa or Papaverine) plus Stop-Cystitis/Kanephron and other cystitis medications, but that's risky because there's no definitive diagnosis. And if you start treatment before seeing a vet, you'll blur the clinical picture, making it more difficult to diagnose your pet. If I'm right that your dog is a female, you need to treat her as soon as possible, otherwise the inflammation will spread to the genitals, which are still developing.
Anna
Hello! My 4-year-old dog just had a kidney stone treatment. All the stones passed, but there's still some inflammation. I'm continuing the treatment as the doctors recommended, with Cyston and Urolesan. Everything was fine, but now, as I continue treatment, she's started peeing again, in small amounts and very infrequently. She feels great, has an appetite, and is playful. What could it be? Is the disease returning, or are the medications ineffective?
Daria is a veterinarian
Hello! I need an ultrasound to check how my bladder is doing: is the inflammation going down or is it getting worse? Maybe there's still sand left and it's starting to pass (the large stones have passed, but the sand is still there, it's scratching the walls of the bladder and urinary tract, which is why he's peeing in small amounts). Have you changed his feeding? What are you feeding him? Did you give him intramuscular antibiotics?
babinanvkz@mail.ru
Hello! My 6 year old male Pekingese got sick (dark urine, lethargic, doesn't drink or eat). We went to the veterinary clinic, took a biochemistry test (ROE-2, hemoglobin-145, erythrocytes-4.3, leukocytes-9, segm.venom-72, lymphocytes-24, monocytes-4, platelets-66, urea-13.8, creatine-120.7, ALT-27, AST-49, amylase-694. Diagnosis - piroplasm +++ We don't go outside and don't know where we picked it up. Maybe we brought it home with clothes. We did an ultrasound, cystitis, the bladder wall is thickened by 5 mm. We are being treated for piroplasm at the veterinary clinic. I'm in doubt. We had it before No, no, yes, the urine was bad. But the next day it was fine again, but we didn't go to the vet.
Daria is a veterinarian
Hello! You've been diagnosed with piroplasmosis! Why start doubting it, wondering what's coming from? The diagnosis has been made! It wasn't a random guess, but confirmed by laboratory testing. The poor urine was the reason you sought help and a diagnosis. You said it yourself: the urine was poor. So why be surprised that the bladder walls are inflamed? Treat your pet for piroplasmosis first, then deal with the bladder and kidneys, and there will be no more urine problems.
Larisa
Thank you, Daria. We're getting treatment and everything is fine now. Yes, I had my doubts, we were sitting at home and there was a tick. Now I agree with you, and it's also causing my bladder to become inflamed.
Daria is a veterinarian
What's so surprising? You simply walked through the grass, near some small bushes, or in a park or wooded area, and a tick landed on your clothes. They're very small and hungry (the size of a match head). You brought one home, and it landed on your pet. That's it. The female had her fill and then fell off. Now, inspect your house thoroughly; she's eating her fill to feed her young. I hope she doesn't "give birth" in your home. Be sure to continue treating your pet for piroplasmosis and begin urinary treatment. Absolutely! Don't let things get out of hand.
An animal can't tell whether something is painful or not, or whether it's bothering them. Remember that cloudy or dark urine, the color of meat slop or red, with an unusual odor, or a strong ammonia smell—all these are reasons to see a vet. Don't wait for it to go away. Otherwise, a chronic condition will develop, which is much more difficult to treat than an acute (newly developing) one.
Catherine
Hello. We have a 7-year-old female Shar Pei who was spayed three months ago. Now, every time she urinates, she passes blood clots with white particles, and every time she urinates, it's just blood. What could this be?
Dasha is a veterinarian
Hello! How was the sterilization performed? Did they tie the tubes or remove the entire cyst? There are several options. But the first thing to suspect is either severe cystitis, pyometra, or a purulent urinary tract infection (kidney problems cannot be ruled out right away). That's why it's crucial to go to a clinic as soon as possible and have all the necessary tests (urine, blood tests, biochemistry, and ultrasound). You shouldn't prescribe treatment on your own. It's important to determine what the white discharge is: pus, fibrin, or something else.
Daria
Hello! I have a 3-year-old dog. He had a problem: he couldn't stand on his hind legs. We had him examined and tested, and they found cystitis.
Dasha is a veterinarian
Hello! If a veterinary clinic diagnosed your pet, they should have prescribed a treatment plan and provided recommendations on feeding and care. They should have identified the cause of the inflammation and prescribed treatment to address it. Or would you like to consult about the prescribed medications?
Xenia
Hello! We have a shepherd, 11 months old, had a mini inflammation when he was a puppy, I treated it. Now, out of the blue, he started peeing at home, and every 15 minutes, shaking with fear that we will scold him, he is a very decent guy and always goes outside. His urine is bright, the puddles are not small, I gave him antibiotics + lactobacillus and washed him with furacilin, covered all the windows with diapers and closed them (maybe he got a draft). I will take him to the doctor in the morning, there is a cloudy discharge from the penis (like purulent fluid), hello, a low temperature of 36.9. Maybe give him caffeine? Or what can I give him to cheer him up, he eats normally, drinks water, is cheerful, but worries, nervous. He asks to go outside, but I can’t take him out every 5 minutes (we have already walked 20 times in 2 hours). I am very worried
Dasha is a veterinarian
Hello! Wait until you see your veterinarian. You've already made the first and most important mistake: giving antibiotics and self-medicating. Now blood and urine tests will be inconclusive. All that's left is an ultrasound.
I'm embarrassed to ask, but what did you flush with furacilin? The bladder or the preputial cavity? Your kidneys and bladder are definitely checked; cystitis won't produce a large volume of urine. And it wouldn't be a bad idea to have your reproductive system examined, either.
Elena
Hello. I have a 1.3-year-old Chihuahua. He started peeing in his sleep, and he still sleeps in the wet spot. It doesn't happen often, but it does happen. What should I do?
Dasha is a veterinarian
Hello! Did your dog get a cold draft? Maybe it was lying somewhere cold. Is it a female or a male? Neutered or not? How is it overall? A bladder ultrasound, kidney ultrasound, urinalysis, and a complete blood count and biochemistry panel are needed. A diagnosis can't be made by eye alone. Only a physical examination, medical history (what happened before the illness and how, including feeding, vaccinations, deworming, and other details), and the examination results can a diagnosis be made. It could be leakage, cystitis, or some other urinary tract issue.
Irina
Hello!
Irina
Hello! Please help me figure this out. We brought home a poodle puppy, 2.5 months old. She's active and cheerful. But her back paws are constantly wet, and the area itself is always damp no matter where you touch her. She urinates frequently, but within reasonable limits for a puppy—probably 10-12 times a day, and she doesn't get up at night. Her urine color seems normal, without any impurities.
Several times I noticed that the dog suddenly stopped, almost squealing, and began to lick itself there, but not in connection with urination.
She was vaccinated 10 days ago. According to the owner, the puppy's mother started licking her frequently after urinating just the day before we arrived to pick her up. She was dewormed before the vaccination. She hasn't been outside yet.
I'm not sure what to think—is this normal for puppies, considering they pee so often, or is it cystitis? We can't get to the vet until the end of the week. Is it worth giving Stopcystitis or Canephron or herbal teas to drink?
Thanks in advance!
Dasha is a veterinarian
Hello! Don't give medications (even herbal teas) without consulting a doctor. Giving medications before an examination and collecting test results can distort the clinical picture. Even a couple of days of treatment can lower many blood counts (necessary for diagnosis). It will then be difficult to determine whether there are kidney or urinary problems. An ultrasound will be necessary. Please be patient until the doctor's examination. But monitor your pet's well-being (for any restlessness, elevated body temperature, or blood in the urine). It's possible that the animal simply has incontinence due to its young age.
Irina
Thank you for a similar answer.
Let's examine it. I'd like to believe it's age...)
Yesterday I sent a question for the second time—without waiting for this one to appear.) Sorry for the repeat. And thank you!
Edward
Hello! My 4-month-old female CAO puppy recently lay on cold concrete (it was hot, but we didn't think it was the cause). The next day, the skin in her groin area turned red. She started urinating more frequently and in smaller amounts. Her urine hasn't changed (no blood, mucus, pus, or strong odor, etc.). However, she's now developed diarrhea (never before). Her stool is normal in color, like her food. She whines when she urinates, so I'm giving her No-Spa. I haven't had a chance to see a vet yet. If we've been giving her Phytolysin for about a week, will it harm her? Or is there a better remedy you can recommend? Could this illness lead to another?
Dasha is a veterinarian
Hello! The urinary system is closely interconnected with the reproductive system; it's called the genitourinary system for a reason. Therefore, if inflammation occurs in one organ system, it can easily spread to another. The symptoms are very similar to cystitis. Ideally, you should see a doctor, get tested, and ensure there are no complications. Instead of phytolysin, you can give Kanefron (in tablet form) twice daily for 10-12 days. Continue No-shpa. Dicynone/etamsylate should be used to prevent blood in the urine (after all, it's an inflammatory process, so capillary bleeding may occur). Ideally, antibiotics should also be added (but again, your veterinarian will prescribe these based on the animal's weight, and the dosage and frequency will be adjusted based on the severity of the condition).
Edward
What do you say if you serve it in a combination of phytolysin and stopcystitis?
Edward
We currently have the option of purchasing Stopcystitis tablets for our puppy, plus Phytolysin (we've been giving it to her for two days now, and she doesn't really like it, of course, but unfortunately, we don't have Conephron). It's best to give them together before the puppy's vet visit and full examination.
Edward
Stopcystitis tablets are available as antibiotics. Should I give them in combination with Phytolysin? Of course, before the puppy's vet visit and full examination. We've been giving Phytolysin for two days. The puppy has become more cheerful and urinating has improved (I understand that this is just a symptomatic treatment), but he's also not eating very well. What would you recommend? Thanks in advance.
Edward
Sorry for the multiple identical messages, the internet here isn't the best either :c
Eduard Sinenko
Hello. My 4-month-old female Alabai puppy was lying on concrete, apparently catching a cold. Her groin area is slightly reddened, she's urinating frequently and in smaller quantities (no blood, mucus, pus, etc., normal, clear urine with no strong odor). When I examine her abdomen, she's calm and her tummy is not tense. Can I give her phytolysin? It's just that I can't take her to the vet right now. Will we harm her?
Dasha is a veterinarian
Hello! In any case, your pet should see a veterinarian in the next few days for an accurate diagnosis. It's best to replace Phytolysin with Canephron (it's in tablet form, easier to administer, and less unpleasant to taste). This is only symptomatic treatment, but a comprehensive approach is required: antibiotics, antispasmodics, diuretics, anti-inflammatory medications, etc. You can't develop a treatment plan on your own. The animal should undergo an ultrasound and a urinalysis (general urine analysis and bacterial culture). However, after antibiotic treatment, there's no point in doing a bacterial culture. Keep the puppy warm, give him No-Spa and Canephron, and then see a veterinarian in the next few days for a diagnosis and treatment plan.
Evgeny
Good afternoon !
Everyone is telling me to go to the vet.
On April 18th we went to the veterinary clinic, they did an ultrasound, inserted a catheter, cleaned him….
Everything was fine until today, but today he couldn't pee....
He was prescribed: Sinulox 50 mg orally, 2 tablets 2 times a day (course of 3 weeks)
Terazosin 2 mg orally 1/2 tablet 2 times a day (14-day course)
and no-shpa intramuscularly
The veterinary clinic charged 5680 for the visit ((
I would be glad to receive advice on a veterinary clinic in St. Petersburg.
Because I think I'll have to go there often.
Dasha is a veterinarian
Hello! No one can examine your cat, make a diagnosis, and prescribe treatment over the internet without seeing it face-to-face and conducting additional tests. Would you treat yourself online or would you prefer an in-person visit to the vet? What was your cat's diagnosis? I hope they didn't insert a catheter, but rather removed it immediately?
Irina
Hello! My husky puppy is 5 months old and she started peeing herself quite a bit. I've never had anything like this before! Can you tell me what this could be?
Dasha is a veterinarian
Hello! Has the puppy ever been overheated or had a cold? Under what circumstances does the puppy wet itself? Is it just because, or is it out of joy/fright/emotional overload? Has the puppy been seen by a veterinarian? Has the puppy had a bladder ultrasound? Blood tests? Could it be some kind of stress (a new pet in the house, a move), or perhaps the puppy is getting less attention, and this is an attempt to get attention? Does the puppy experience pain when urinating, or have you noticed any other symptoms? A diagnosis should be made based on clinical signs, tests, and the collected medical history.
Olga
Hello! I found a puppy. He was out in the cold for four days and was very emaciated. I think he was hypothermic. He has diarrhea 4-5 times a day and pees frequently. What do you recommend?
Dasha is a veterinarian
Hello! I recommend taking your pet to the veterinarian as soon as possible. He needs to be examined. If the animal has been out in the cold for so long, especially if he's emaciated, he could have not only caught a cold but also a more serious illness, such as pneumonia or bronchitis. Intestinal parasites could be the cause of his thinness and diarrhea. However, frequent urination could indicate a genitourinary tract infection (again, he caught a cold in the cold). Without an in-person examination by a veterinarian, it's impossible to say for sure what's wrong with the animal. Treatment will be prescribed based on the diagnosis(es).
Olga
My dog is 15 years old. Diarrhea suddenly started. We stopped it. He hasn't eaten or drunk anything for two days now. He also hasn't peed. What should I do? Should I give him a diuretic?
Dasha is a veterinarian
Hello! Your pet needs a physical examination! We need to rule out urolithiasis, cystitis, and urinary tract obstruction. It's also important to determine the cause of the diarrhea. Giving a diuretic if the animal isn't drinking is pointless; it will only worsen the condition (fluid will drain from the tissues). Force-feed the animal, try special solutions for dehydration (like rehydron), or chamomile tea with glucose, which you can infuse directly into the mouth with a syringe without the needle. Water is essential!
Lyudmila
Hello! I'm hearing nothing about subtitles. Doctors know about it, but for some reason they don't talk about it. It's so sad! So much money, time, and effort has been wasted. I can barely move (due to spinal problems), but all this isn't as upsetting as I feel for my pet, who is suffering due to the doctors' ignorance or unwillingness.
The animal is young, but I'm afraid we might have to treat other organs after this treatment! This is all bad, especially since all services are paid for, and we (the owners) know this and are paying for it, so everything should be of higher quality! Now we'll have to change doctors! The new doctor will prescribe something for us... Thanks for the reply!
Dasha is a veterinarian
Not everyone does it because it's time-consuming, and owners want it fast. In severe cases, it's done immediately (if the lab has the capacity), but amoxicillin, phloxacin, and various other medications usually help (so many new ones appear on the shelves every year it's dizzying). After antibiotic treatment, titration won't produce the desired results (false positives are possible). But let's be honest: treating an animal is more difficult than treating a human.
A person can say where it hurts, how long it has been there, and how exactly it hurts; he can go on sick leave, attend physical therapy, and tolerate manipulation, all because he understands that he needs it.
And animals remain silent. Veterinary clinics often lack the necessary equipment, laboratories, and even the most basic reagents, and there's no mention of on-site specialists at all. Salaries in government institutions are meager, and turnover is high (just like in human clinics, you'll agree, their approach to patients is also quite different). And in private clinics, many adhere to the belief that "the more money the owner spends, the higher the doctor's salary." Through trial and error, the doctor who is truly committed to the pet's recovery is found.
Lyudmila
Please clarify. Can I continue giving Canephron after Stop-Cystitis Bio (10 days)? And can I give both Cyston and Canephron at the same time?
Dasha is a veterinarian
Hello! I wouldn't give two medications at the same time. I'd stop using Canephron, since another medication was used for more than a week and didn't produce any positive results. The same goes for the previously prescribed antibiotic. If it's ineffective, you should switch to another one (not necessarily a stronger one, preferably from a different group). Why didn't you do antimicrobial susceptibility testing of the isolated microorganisms?
Well, it would have been possible to do a titration immediately after the urine sample was collected, bacteria were isolated, and then a titration was performed (special disks soaked in various preparations are placed in a dish where colonies of microorganisms are actively growing, and then it is assessed around which disk the colony growth is the least). For the first three days, a medication could have been administered while waiting for the results, but then, based on the titration results, an effective antimicrobial drug can be selected.
Lyudmila
Hello again! I wrote above that my dog was diagnosed with cystitis. The dog is 4.5 years old, spayed a year ago (I wrote above, weight 25 kg.) I will describe the tests in a little more detail: urine: leukocytes - single, erythrocytes - 0, hemoglobin - negative, epithelial squamous - 1-0-2, epithelial transitional - 0, epithelial renal - 0. What is a blood leukogram? If these are leukocytes, then they are 9.1 nucleated erythrocytes before treatment were 0, became 1, eosinophils were - 4, became - 8. ESR - 4. First treatment: 1) furadonin, 1 tablet 2 times a day, for 5 days 2) Stop-cystitis bio, 4 ml. 2 times a day, for 5 days. 3) Melbemax for worms.
We continue to pee. The second treatment: 1) Cefotaxime 500 mg. 2 times a day for 10 days, (after the 6th injection they stopped, she started limping on her paws) Replaced with Marflaxin, 2) No-shpa 1 tablet 1 time per day - 5 days, 3) Tavegil - 1/2 tablet 1 time per day - 5 days, 4) Stop-cystitis bio 4 ml. 2 times a day. (another 5 days, a total of 10 days.) 5) Furadonin 1 tablet 2 times a day (another 5 days, a total of 10 days.) 6) Regular Linex 1 capsule 2 times a day for 14 days. We continue to pee. The third treatment is the last one for now, we are taking it to this day: 1) Marflaxin 20 mg. 2.5 tablets once a day (this is already the 12th day, they extended it to 20 days, then cancel and take tests), 2) Cyston 1 tablet 2 times a day for a month (we have been drinking it for 12 days), 3) We continue to drink Linex (I think it’s already more than 14 days, they told us to continue, isn’t that too much?!).
We took Stop-Cystitis for 10 days and then the doctor cancelled it. CONTINUE WRITING!!! I've described everything in more detail, I understand it's difficult to give any recommendations from a distance. But still, could you advise me if I should give Kanefron (as you wrote above), since Stop-Cystitis was cancelled for us? What Urinary food (name, manufacturer) would you recommend? My dog often has allergies, we've tried a lot of things, even switched to natural food. Now we're on Happy Dog lamb rice, we've been eating it for a year, and everything seems fine. Can we switch to the therapeutic food right away? I mean, not gradually? And also, about Marflaxin: the instructions say to take it for 10-14 days, but they extended it to 20 for us... what's that? Isn't that too much? Well, that's all, I'm exhausted from writing and I've exhausted you, sorry! Thank you in advance for your reply!
Dasha is a veterinarian
Hello! You won't bother me with questions, trust me =) I've been corresponding with the owner of a cat for a month, but we finally managed to stop his loose stools, which had lasted almost three months, and he's gained weight, finally managing to deworm him. He even seems to be gaining weight well and eating more with an appetite than before =) So, if our correspondence (even daily, if necessary) helps him get better, I'll be thrilled.
The antibiotics are taking too long. If they haven't produced good results within a week, change them (preferably to a different class of antimicrobial). For the liver, you should already be using Karsil (you're taking antibiotics for too long). If you're taking oral antibiotics, add Omez/Omeprazole/Almagel A to the treatment regimen (to prevent gastritis from developing, otherwise you'll be dealing with stomach issues and endless diarrhea).
We always transition to new food gradually, replacing 1/4 of the bowl at a time. If your cat has allergies, then in the first week, 1/4 of the new food and 3/4 of the old. In the second week, half the new and half the old. In the third week, 3/4 of the new and 1/4 of the old. In the fourth week, we're feeding the new food entirely. No chicken or turkey as additives (even natural ones), as these are often the cause of allergies.
Lyudmila
Hello! Could you please help? I have a female mixed-breed dog, 25 kg, spayed a year ago. Almost a month ago, she started peeing a couple of puddles at night and during the day as well. It could have been more frequent and more frequent, but I just started taking her outside 4-5 times a day. We had her urine tested, and it seems to be more or less normal, but her blood hemoglobin and red blood cells were elevated. An ultrasound of the bladder wall was done. It was 3.8 mm (what should be normal?), the mucous membrane was loose, and a small amount of sediment was detected. Everything else was normal, including her kidneys. At the beginning of the illness, she was prescribed Stop-Cystitis, 4 ml, twice a day, and Furadonin, 1 tablet twice a day. We also dewormed her, but we took all of this for 10 days, but to no avail.
Then they prescribed cefotaxime intramuscularly, 500 mg, twice a day for 10 days. They gave her 6 injections in total. I had to stop because she went lame on all her paws. I didn't see any positive dynamics after these six injections. They prescribed Marflaxin 20 mg, 2.5 tablets, once a day for 10 days, and Cyston 1 tablet twice a day for a month. Today, we took these medications for 10 days, and there is no improvement! Clinical blood test before treatment: hemoglobin 209, after 206; red blood cells up to 8.52 - after 8.23; nucleated red blood cells before treatment were 0, and became 1. Everything else is normal. Blood biochemistry is also within acceptable limits. We only took a urine test at the beginning of treatment, now she doesn't let us near her. The urine was normal, except for the pH of 7.5.
Today the doctor said we should continue Marflax for another 10 days. Why am I writing in such detail? I'm starting to doubt the treatment is right, because I don't think the test results are that bad that such a long-term treatment wouldn't have shown improvement! There's no blood in his urine, he pees outside normally (not a teaspoon every hour), his appetite is normal, and he's happy to play and be mischievous.
It seems like she's making puddles in her sleep, meaning she's out of control. Please help, give me some advice! It's a shame to waste antibiotics on a dog that aren't working! There's a vet nearby, so they suggested the leaking might be related to weakened muscles after her spay, but three doctors (who I showed her test results to) all diagnosed cystitis. The ultrasound also said: preliminary diagnosis: cystitis! Please help us, because my dog will probably soon be pooping pills, and all to no avail!
Dasha is a veterinarian
Hello! Based on the ultrasound results, I agree with the veterinarians who examined her. It also looks like cystitis. Regarding treatment: did they prescribe anything other than antibiotics, a diuretic, and anticystitis? What was in the urine besides the pH? Were any white blood cells or epithelial cells detected? What was the white blood cell count?
I would replace Stop-Cystitis with Kanefron tablets or capsules – 1 tablet 1-2 times a day for a week (can be given for up to 12 days). No-Spa will relieve spasms so the antibiotics don't have such a strong effect on the body, half a tablet of Mezim or Krasil twice a day (for up to 7-10 days). Etamsylate or Dicynone can be given intramuscularly. I chose only holistic (or at worst, premium) food from the Urinary series – this food should be given for 3-6 months.
In general, "Flox" and "Cef" are strong antibiotics. They also produce good results for cystitis if given in the correct dosage and course. When I caught a cold at work, I took a course of ciprofloxacin, No-shpa, and Kanefron (I took it for a month), and the pain only subsided on the fourth day. So I understand that completely eliminating cystitis isn't that simple, and without the right and comprehensive approach (including addressing the underlying cause), recovery will be delayed.
The urinary incontinence didn't start immediately after the spay, but rather a year later, apparently. If sphincter weakness had developed, it would have been soon after the surgery. By the way, you didn't specify your pet's age.
Olga
Hello, my dog is 10 years old and was diagnosed with cystitis. After a course of treatment, it didn't help. I have to use a catheter to remove urine once a day. Any advice on what to do?
Dasha is a veterinarian
Hello! What exactly did you treat your cat with? What was the prescribed treatment regimen? You're asking for help without describing exactly what you did and how long the treatment lasted. Have you investigated the cause of the cystitis? Perhaps it persists because the underlying cause hasn't been addressed? Perhaps the animal is overcooled? Perhaps it's due to improper feeding (urolithiasis, for example, can cause inflammation of the bladder lining). Did you collect urine for culture and antibiotic titration at the onset of the illness? After treatment, there's no point in doing so. Perhaps the antibiotics weren't effective? Or perhaps you didn't strictly follow all the recommendations. Please provide more detail.
Dina
Good afternoon
The dog was diagnosed with cystitis, he peed on himself, and froze at the dacha.
We treated him with Sinulox and Stop-Cystitis for 10 days. He's started missing shots less often, but he still wets himself once a day. Tests show the dog is healthy.
Another doctor told me to take Furodanin 1/4 tablet 2 times a day for 3-5 days.
The day before yesterday we started drinking, but during our walk we stayed outside longer than usual and in the evening the dog started frequently urinating near and under itself.
He also refuses food completely. Yesterday I put some fish in his food, and he threw it up. We gave him a different food to try last night, and he ate it with gusto, but today he refused to eat it. Today I gave him low-fat cottage cheese for breakfast, and he threw it up an hour later.
Now she gave me Almagel.
Tell me how to be a dog?
Maltese 10 months, 4,800 kg
Dasha is a veterinarian
Hello! You can take cephalosporins or ciprofloxacins (good for cystitis) as antibiotics. Anti-gastritis medications (Almagel A, Omez, omeprazole, and their analogs) should always be given along with antibiotics. Kanefron tablets are also good (1 tablet 1-2 times a day for up to 10 days, maximum 12). Dicynone or Etamsylate, 1 ml intramuscularly twice a day for a week. No-shpa for spasms: 0.4-0.5 ml intramuscularly twice a day for up to 5 days. Mezim and Karsil, half a tablet twice a day for 7-10 days. Also, keep the animal warm. Use a heating pad at home, and wear a jumpsuit or blanket outside. Unfortunately, relapses can occur if the animal is cold or has a weakened immune system and is exposed to a draft.
Valentina
Hello. My dog has cystitis. We had a urine test. He was given antibiotics for five days. Does he need any other medication? He's started eating well and is active.
Dasha is a veterinarian
Hello! Which antibiotic? How many days did the doctor prescribe for the course of treatment? If 5 days was prescribed, repeat the urine and blood tests. If an ultrasound is available, get that done as well. Make sure the condition has completely subsided. Sometimes symptoms subside, but if you stop treatment after the initial relief, the cystitis can flare up again or become chronic, which is even worse. You can also give Stop-Cystitis or KotErvin—herbs against inflammation in the bladder and urinary tract. If the course of treatment is prescribed for 7-10 days, complete the antibiotic injections (the entire course), even if the animal appears completely healthy. Wishing your pet a speedy recovery.
Valentina
Thanks for the reply. The doctor prescribed Baytril for 5 days, then Cyston. Now blood has appeared in his urine again (during his last urination). We've added Furadonin, 1 tablet twice a day. Meat is unavoidable; he's from a shelter and has pancreatitis. We're trying to avoid giving him anything other than cooked meat and buckwheat (diarrhea).
Dasha is a veterinarian
Well, Baytril is actually a good antibiotic. You can add Canephron tablets to the treatment regimen (1 tablet 1-2 times a day for up to 7-10 days, maximum 12). Also, Dicynone or Etamsylate, 1 ml intramuscularly twice a day (5-7 days). No-Spa, 0.4-0.5 ml intramuscularly or subcutaneously twice a day (up to 3-5 days), or in tablets. You can replace No-Spa with Riabal, 0.7-1 ml, also twice a day, for the same course. Mezim and Karsil, half a tablet twice a day for 7-10 days.
Diarrhea needs to be addressed. It could be caused by pancreatitis or other factors (worms, infection, improper feeding, or dysbiosis due to antibiotics). If necessary, we'll develop a recommended treatment plan for diarrhea.
Victoria
Hello! We live in the north, and veterinary care is underdeveloped. Our dog has cystitis, has urinated blood several times, and often sits down while out for a walk. According to our biochemistry results, our pancreas is elevated, liver is slightly elevated, and urea and creatinine are normal. Traveling to another city for treatment is currently not possible, so we need help with medications. She is a female Samoyed, almost 7 years old, spayed. Thank you in advance!
Dasha is a veterinarian
Hello! Well, I wouldn't say your veterinary medicine is poorly developed if you were given such a comprehensive blood chemistry panel. Why didn't the veterinarian who handed you the results at least make a preliminary diagnosis and prescribe treatment? Regarding cystitis, the treatment plan is listed both in the article and in the comments (antispasmodics, diuretics, anti-inflammatory medications, antibiotics, etc.). But what about the liver—what exactly is wrong with it? Inflammation? It's also unclear what exactly is wrong with the pancreas (perhaps it "reacted" to the liver inflammation, or maybe something else). Without an accurate diagnosis, it's impossible to prescribe the most effective treatment. Wishing your pet a speedy recovery.
Olga
I had Monural on hand, so I diluted a packet and gave my Golden Retriever a third of it. It worked great, and then I followed up with Stopcystitis, just in case.
Dasha is a veterinarian
Hello! You shouldn't self-medicate (without consulting a veterinarian). If a veterinarian prescribed it, they should have told you that Monural is not given once, but as a course. This way, the therapeutic effect will be faster. Stop-cystitis is not the primary treatment, but rather an adjunct. Antibiotics are also necessary (this prevents bacteria from multiplying in the urine, which worsens the condition), diuretics (to speed up the flow of urine from the bladder), and antispasmodics (to relieve pain and allow the sphincter and bladder walls to relax). Sometimes the symptoms disappear, but the pet is still sick. Only good test results can indicate a full recovery.
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