Blood in urine.

Dr. Marie replied:

I'm so sorry to hear about Saga's difficulties. This is really an unusual case.

It sounds like your vet is doing all of the same things that I would do. Do you know if Saga's urine was sent to the lab for a culture? This is a test that is separate from a normal urinalysis. It usually takes several days for the results to come back. Sometimes the normal lab tests that we run on urine can miss an infection. If a culture has not been done then this is not a bad thing to do. A hidden infection can definitely be painful.

Is Saga spayed? If not, you could ask your vet about the possibility of pyometra which is an infection in the uterus. It doesn't directly cause blood in the urine but it can cause blood to flow from the vagina and this could make it look like it is in the urine. Pyometra can make a dog feel very unwell. While most dogs with pyometra will have a high white blood cell count, some dogs can have a normal WBC.

I have seen some dogs who have a condition called interstitial cystitis. This condition is much more common in cats than in dogs, but it can exist. This is a condition that causes blood in the urine and we don't really know why. It is painful as well. If this is the case, then Rimadyl really should help.

I can't tie in the head shaking with the other issues.

In most areas, there are either veterinary teaching hospitals or specialty hospitals nearby where you can see an internal medicine specialist. If you feel that things are not improving then you can ask your vet for a referral.

I hope things look up soon!

Dr. Marie.



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