|Barked: Mon Feb 18, '13 5:57pm PST |
|Toto (8 years old next Saturday) went for a dental today, they didn't do one because he didn't need it, yay! BUT, they did do another sterile urinalysis and, it's no surprise as he was peeing in the house again and drinking way too much water, he has bacteria and casts again!
This time we are using a still different antibiotic and also adding Metacam since apparently NSAIDS do something good to the bladder lining and she felt his urethra was swollen and inflamed today as she had difficulty with the catheter and some bleeding.
Other suggestions were another ultrasound done by a specialist, testing for Cushings (he has NO symptoms), exploratory surgery, or...???
History, he has a UTI a minimum of every 6 weeks for the last three to four years. Is clear after two weeks of antibiotics, but it comes right back. He takes urinary acidifiers daily and was on Cosequin, now switched to Metacam. Ultra sounds, xrays of inflated bladder, analysis of casts, etc., are all normal. He didn't have bloodwork today ($$$), but it has been pretty normal in the past...bun is slightly elevated during an infection but everything else is good. Urine is very dilute as he drinks loads when he is suffering from the UTI's, but he can concentrate with no problems.
He eats Earthborn Great Prairie grain free, which two vets feel should be switched out to a senior diet for lower protein, but my research doesn't indicate that should be a problem as his kidney function really tests fine. Frankly, this guy JUST started eating well after trying everything under the sun for the past 7 years so I am reluctant to switch again!!
Since the antibiotics work so well I am hesitant to spend tons of bucks on more testing.(It doesn't really matter WHICH ones we use, they all work.) The follow up testing for the abnormal cells that were found on his last episode is $500 alone, and that probably won't really tell us anything except that he has an irritated bladder.
Anyone got any ideas???
Edited by author Mon Feb 18, '13 5:59pm PST
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