Kidney problem or just infection
Feb 13, 2011 18:11:09 GMT 10
Post by Liana on Feb 13, 2011 18:11:09 GMT 10
Dear Tom,
I am desperately seeking for qualified/specialist advice/point of view regarding one of my pups, a girl, 5 months of age.
Background:
- At one week old, she was incontinent for almost two days. Verdict given by veterinarian (in fact two veterinarians) “it happens”!
- At 3.5 months old, she urinated with traces of blood for 24 hours. Verdict by the veterinarian “it happens”! He did however prescribe us DYCYNONE (a drug that helps stopping hemorrhages specially for women in period)
- The next day, incontinence during sleeping time. Veterinarian verdict “let’s wait; maybe she’s not well house-trained yet”!
- At that moment, we called another veterinarian and took appointment. The veterinarian #2 performed ultrasound; nothing wrong visible. He also asked for urine analyses. However, the indication he gave us about how to collect the urine (i.e. chasing the pup first time in the morning and collecting urine in a jar) was not appropriate and, therefore, the results of the analyses could not be validated.
- Further to the above, we contacted the veterinarian #3, a specialist in urology
Latest developments:
- First visit to veterinarian #3; urine analyses ad blood analyses performed (I have and can make available the entire file with results). This time, the urine collected directly from the bladder, by means of puncture. Verdict: urinary infection with E-Colli, therefore, treatment with CLAVASEPTIN 250mg/day
- Three days after initiation of the treatment, the pup starts presenting incontinence again, mostly early morning during sleep time.
- We call veterinarian #3 and be advised to increase the dose of CLAVASEPTIN to 500mg/day (i.e. 250mg two times per day)
- As consequence, the pup stops urinating while asleep
- Furthermore, the veterinarian #3 advises for an MRI (also because I insisted to know why she used to be incontinent sometimes), aimed at confirming or infirming a potential renal ectopy or urethral ectopy
- MRI being performed, any possibility of an ectopy is excluded. However, it is found that the infection went up to one kidney (n.b. meanwhile the infection is no more present in the urine);. The respective kidney has an irregular shape, probably because of the infection (veterinarian dixit).
- The veterinarian states that something in the scan is not clear to him, but he cannot precisely indicate what! In his opinion, the kidneys cavities seem to be too dilated. Therefore, he launches the scenario of a potential malformation, without clearly indicating what could that be! The MRI is further sent to scans’ reading specialist.
- The scans’ reading specialist is not able to provide any clear statement, advise, diagnostic, and he further sends the scan to … other specialists!!!
Few lines about the “patient” (my 4.5 pup):
- She has an excellent stamina, she eats very well, she plays, drinks normal quantities of water; on the overall, she does not present any sign of a suffering/ill dog
- The only difference between she and the other pups of the same litter is (was) that, until 2 months old, she was just a little bit smaller than her sisters and brothers; however, such differences may show up in almost each and every litter
Why am I asking for help?!
- First of all, the health of my pups is an issue of high concern to me.
- Second of all, this pup is anxiously awaited by a loving owner located into the UK and, as a responsible breeder, I cannot send this pup without finding out first what is wrong and if the pup suffers from something involving life time medical monitoring, treatments and who knows what else!? Meanwhile, as embarrassing as it could be, I’m providing the future owner with the same controversial verdicts and diagnostics and statements and so on and so forth that I am in my turn provided with by veterinarian #1, and #2, and #3 and …
- Finally, none of the mentioned veterinarians have any experience in Greyhounds. Moreover, veterinarian #1 appeared to be highly unreliable (as one could see in the first lines of the background above); veterinarian #2 , I find hard to trust him, while that one “forgot” one pup in my bitch when performing the C-section (which was of course preceded by an ultrasound); veterinarian #3 cannot make a statement about what’s in the scan, in-between two visits he forgot what treatment prescribed and we had to remind him, and for the last visit, while the prescription was for CLAVASEPTIN 250mg two times per day, he provided us with the drug in 500mg and when we asked if he thought about an increase of the dose, the reply was “well, not necessarily, but a double dose cannot do any harm” !!!
The file which I can make available for further reference includes
- Urine and blood analyses performed by the urology specialist at the 1st visit and the second (vet #3)
- The MRI (I uploaded it on megaupload.com and I can post the link for download if you agree)
Having said the above, I am again reiterating that I am desperately seeking for qualified advice and, as such, I thank you in advance for your time to read my case and willingness to help.
PS. I live in France
I am desperately seeking for qualified/specialist advice/point of view regarding one of my pups, a girl, 5 months of age.
Background:
- At one week old, she was incontinent for almost two days. Verdict given by veterinarian (in fact two veterinarians) “it happens”!
- At 3.5 months old, she urinated with traces of blood for 24 hours. Verdict by the veterinarian “it happens”! He did however prescribe us DYCYNONE (a drug that helps stopping hemorrhages specially for women in period)
- The next day, incontinence during sleeping time. Veterinarian verdict “let’s wait; maybe she’s not well house-trained yet”!
- At that moment, we called another veterinarian and took appointment. The veterinarian #2 performed ultrasound; nothing wrong visible. He also asked for urine analyses. However, the indication he gave us about how to collect the urine (i.e. chasing the pup first time in the morning and collecting urine in a jar) was not appropriate and, therefore, the results of the analyses could not be validated.
- Further to the above, we contacted the veterinarian #3, a specialist in urology
Latest developments:
- First visit to veterinarian #3; urine analyses ad blood analyses performed (I have and can make available the entire file with results). This time, the urine collected directly from the bladder, by means of puncture. Verdict: urinary infection with E-Colli, therefore, treatment with CLAVASEPTIN 250mg/day
- Three days after initiation of the treatment, the pup starts presenting incontinence again, mostly early morning during sleep time.
- We call veterinarian #3 and be advised to increase the dose of CLAVASEPTIN to 500mg/day (i.e. 250mg two times per day)
- As consequence, the pup stops urinating while asleep
- Furthermore, the veterinarian #3 advises for an MRI (also because I insisted to know why she used to be incontinent sometimes), aimed at confirming or infirming a potential renal ectopy or urethral ectopy
- MRI being performed, any possibility of an ectopy is excluded. However, it is found that the infection went up to one kidney (n.b. meanwhile the infection is no more present in the urine);. The respective kidney has an irregular shape, probably because of the infection (veterinarian dixit).
- The veterinarian states that something in the scan is not clear to him, but he cannot precisely indicate what! In his opinion, the kidneys cavities seem to be too dilated. Therefore, he launches the scenario of a potential malformation, without clearly indicating what could that be! The MRI is further sent to scans’ reading specialist.
- The scans’ reading specialist is not able to provide any clear statement, advise, diagnostic, and he further sends the scan to … other specialists!!!
Few lines about the “patient” (my 4.5 pup):
- She has an excellent stamina, she eats very well, she plays, drinks normal quantities of water; on the overall, she does not present any sign of a suffering/ill dog
- The only difference between she and the other pups of the same litter is (was) that, until 2 months old, she was just a little bit smaller than her sisters and brothers; however, such differences may show up in almost each and every litter
Why am I asking for help?!
- First of all, the health of my pups is an issue of high concern to me.
- Second of all, this pup is anxiously awaited by a loving owner located into the UK and, as a responsible breeder, I cannot send this pup without finding out first what is wrong and if the pup suffers from something involving life time medical monitoring, treatments and who knows what else!? Meanwhile, as embarrassing as it could be, I’m providing the future owner with the same controversial verdicts and diagnostics and statements and so on and so forth that I am in my turn provided with by veterinarian #1, and #2, and #3 and …
- Finally, none of the mentioned veterinarians have any experience in Greyhounds. Moreover, veterinarian #1 appeared to be highly unreliable (as one could see in the first lines of the background above); veterinarian #2 , I find hard to trust him, while that one “forgot” one pup in my bitch when performing the C-section (which was of course preceded by an ultrasound); veterinarian #3 cannot make a statement about what’s in the scan, in-between two visits he forgot what treatment prescribed and we had to remind him, and for the last visit, while the prescription was for CLAVASEPTIN 250mg two times per day, he provided us with the drug in 500mg and when we asked if he thought about an increase of the dose, the reply was “well, not necessarily, but a double dose cannot do any harm” !!!
The file which I can make available for further reference includes
- Urine and blood analyses performed by the urology specialist at the 1st visit and the second (vet #3)
- The MRI (I uploaded it on megaupload.com and I can post the link for download if you agree)
Having said the above, I am again reiterating that I am desperately seeking for qualified advice and, as such, I thank you in advance for your time to read my case and willingness to help.
PS. I live in France
Now all I can do is to continue to believe in her, and learn how to live with the idea she is not really out of danger and she will never be. I hope we'll celebrate her 14th Birthday some day...