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Discussion Starter #1
So we finally found a Vet that we liked, we liked the practice (there's 3 Vets) and everything was fine and dandy, until....

I went took Napa in to get his Bordella vaccine. While we were there, the Vet Tech came out and asked us if we wanted to do a urine culture since we were apparently supposed to get one done 10 days after Napa finished his anti-biotics for the double whammy of a UTI. We politely said no, since it had been almost a month since we finished the antibiotics and Napa had been doing fine. She said to keep an eye on Napa because he's now prone to UTI, and he could eventually get one that is immune to antibiotics and have chronic UTI. She said to bring him in at the first sign.

So at the beginning of last week, we noticed a few signs, licking of his penis, crusties (which I know are normal, but she really stressed how important it was for us to be monitoring him), and then finally leaking. Once the leaking happened, I called the Vet the following morning.

We were told that there wasn't any open appointments but they wanted to see him THAT DAY. I called at 9 am, and she told me to not take him out (anyone see a problem with this?). I said we already had, and she said, well fine he'll have to be at the Vet's all day. So I asked if she wanted us to feed him, figuring that would make him need to pee, and she said no.

So off Napa went to the Vet. They did a Urine culture, and x-rays. They cost a pretty penny. On top of that though, they charged me $45 for a Vet visit (although neither of us saw the vet, she just talked to Anthony on the phone), plus a $25 cage fee, because they wouldn't let us give him water!

$350 later, we know he had blood in his urine, but no obvious sign of infection (had to wait for the test result to come back), and we're sent away with antibiotics again.

Napa has NEVER acted sick, except for the night he came back from the Vet. He's got a health appetite, playful, full of energy, just what you expect from a puppy.

So, we finally got our test results back- NEGATIVE. But the Vet is still concerned. She's calling him an "unusual case" because the first time he had a UTI there was no blood in his urine, but this time there was apparently a lot of blood in his urine, but no infection. She now wants us to see a Specialist....

We've since made an appointment for tomorrow morning, so we're going to go and get a consultation. But does all of this seem odd?

Napa doesn't whine when he pees. He doesn't pee often. He drinks plenty of water. My gut's telling me nothings wrong, but at the same time I'm afraid that there might be something going on on the inside, that we can't see. Oh, because our other Vet did tests on his kidneys and they were fine....

Sorry for this being so long! But any advice would be great!

Kristen
 

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Gosh Kristen, I 've never had bladder infections with any of mine - did he say what he suspected might be wrong that you needed to go to the specialist
Hope Napa is gonna be alright
 

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Have you considered a second opinion from another vet? I would at least want to know what they suspect might be wrong with Napa. What type of specialist and what is the specialist looking for? I would really want more information from my vet on what is causing such concern on their part to recommend a specialist. After all that, I would probably be worried enough that I would do as was suggested, but I would still be asking a lot of questions . . .
 

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Discussion Starter #4
The Vet hinted at a mis-placed Urethra. I'm not a health-field-oriented person, so I should have had Anthony talk to the Vet.

But, I talked to a breeder friend of mine, and he said that what he thought I was talking about has NEVER been found in Australian Labradoodles and is genetic, and my doggie's mommy is from his dogs (but I'm not sure he knows that). So he thought that was just crazy.

Napa was early neutered, but studies really haven't shown that this is a cause from that. I'm still holding out, just until we know for sure. But I don't really think its because of that. I think if it were, it would be more prominent that it is. Or at least steadily decreasing, instead of increasing. We rarely have accidents in the house anymore. The only times we have them is if we've forgotten how long its been since he's be out last (talking many hours(3-5), which isn't nice to admit, but sometimes time just flies!), or he's on the antibiotics.

So, I don't know.....

I hope nothings wrong too!
 

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Discussion Starter #5
Diane,

That's what I'm planning on doing. (sorry you posted as I started my post most likely)

She wasn't very specific on the phone other than it's "unusual." We tried to call the Vets office the next day to get a little bit more information so we could call a specialist, but the receptionists weren't very helpful, and the doctor wasn't in.

I think its just the blood in the urine. Not being savvy on health stuff, this doesn't mean much to me. But, I would think that if there was something seriously going on inside, at this point Napa would be making some sort of noise while peeing. And he doesn't avoid peeing. If we take him out, he goes. If we pass by his spot, he goes. If we have him out on a walk, he will find grass and goes.

It just seems very odd. So, I'm going to go to the specialist. But just for a consultation. I'll report to everyone what the specialist says.

I just don't want to make this decision alone. I am a college student, naive and gullible (unfortunately) and I'm sure sometimes, ok most of the time, I'm seen by others as an ATM.... which is so disheartening!
 

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Glad to hear you are going for a consultation - 2nd opinions are always best when not sure what is going on
keeping fingers and paws crossed that it is nothing serious
 

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Here's what found with a quick scan on the Internet:

More commonly, the problem is due to recurrent urinary tract infection that is occurring because
there is something wrong with the normal mechanisms that prevent urinary tract infection. This can be
a problem with anatomical abnormalities of structures like the vulva or prepuce that allow urine
pooling or urine retention. Internal portions of the urinary tract that are not working properly, such as
a misplaced ureter, can also contribute to this type of problem. It can occur when dogs are unable to
fully empty their bladder due to neurologic problems or painful conditions. It can occur when immune
system disorders or hormonal diseases such as hyperadrenocorticism or diabetes. Crystal formation
in the urine as a contributing cause doesn't seem to be as common in dogs as it is in cats but it can
still contribute. Some types of crystals are more common in acidic urine and some types more
common in basic urine. It can be very difficult to identify the exact problem in these situations but
sometimes it is possible to identify and treat an underlying problem.

Kristin
Even though some conditions can be commonly linked to genetics, very few are always linked to genetics. And genetic disorders can leap generations, so it's really hard to be definative about genetic history. Having said that, you could probably do a little more research on the symptoms of a misplaced ureter so you can at least update your 2nd vet on any symptoms Napa is or is not having. good luck--hope all is well with Napa. The good thing is he seems to being showing no signs of pain or discomfort . . .
 

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Kristen, your story reminds me of Lily. (the 9 week old pup I'm keeping from my litter because she got sick)
She's been on antibiotics and a special prescription food now for 2 weeks.
She was crying and straining when she peed. Hers was bloody. So we too had the urinalysis done and Dr B called and said there had been no bacteria in her urine but he had found a kidney stone during his exam, which I myself could also feel.
He too mentioned the possibility of her ureter being too high up for the bladder to empty properly. If she has recurring problems he wants to do the x-rays and check more for that.
So now we continue the special food hoping to dissolve the stone. She's back to acting normally, so we continue the special diet and wait and see.

I've used the same vets office for MANY years. Dr B has been my small animal vet most of that time. I do trust him, but medicine isn't an exact science, so a lot is left to the discretion of the individual vets... and mine will usually try the simpler thing first; which is why he held off on the X-rays until we see how things go.
 

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If it were me, I would go see the specialist. Blood in the urine is certainly a sign that something is wrong. If its not an obvious problem - and apparently it isn't based on the vet's lab tests - then I think a specialist is the way to go.

It's good that Napa isn't feeling sick and is otherwise healthy. You don't need to panic but you should get this resolved.

Good luck!

Deb
 

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Good luck Napa
I have a cat with crystals and it is more common with cats
it is good to be checking everything out..............
 

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The thing that bothers me with all of this is you really haven't had problems with Napa I know he had the UTI and went through 2 rounds but that is sometimes normal for pups to do. I think before the specialist wants to do anything I would get a second opinion, no need to put him through something he doesn't need or your pocket book.

Keep us posted.
 

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I would call the vet and dispute the cage fee and the office charge. I would also question the xrays. thats insane they took xrays for a possible UTI???? I would change vets too. I would call around and tell a few vets what happened and see how much to bring some urine in for a check for blood. until you get a second test positive for blood I wouldnt even worry. I took my daughter in for a possible UTI and they can test immediate and saw blood. the test was negative for UTI so they cultured also negative but still were concerned about the blood - until I realized it was my blood on the cup I had just changed my son and poked my finger with a diaper pin. my point is anything can happen and before paying for a specialist I Would get another urinalysis by a different vet.
 

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Discussion Starter #14
Well, we went to the specialist yesterday..... and boy, should we have listened to all of your wonderful advice! But as nervous first time "parents," we thought wrong.

She wanted to do an ultrasound to make sure his "pluming" was sound, and a full adult panel- blood and urine. So, the trip turned out to be quite pricey. The way we figured, if we didn't do the ultrasound, we would have been charged another vet visit, which would have only tacked on more money in the end if he needed it. Plus, we made the commitment when we brought him into our home, that we would care for him as best as we could.

So, she did the ultrasound, and everything came back perfect. She also decided that she wanted a free-catch sample, because there was quite a bit of blood. On top of that, we found out that his records were wrong from the last time we brought him in to see our Vet. The notes made his condition seem a whole lot worse than they were- constantly leaking rust colored urine, and it just went on....

So, we got her a urine sample, and she called us back today.... absolutely negative for blood. So, she's no longer concerned. Yes, we're sad that we spent soo much money to find out he's perfectly healthy.... but now there's no doubt that he's perfectly healthy. So, now we can say to others who want to run all of these tests, NOPE! It's a great relief that he's healthy, and that my gut was right. The specialist thinks that the catheter (which was how the other two Vets took his urine) was more traumatic then they're letting on. So, I guess the hunt is on for another Vet.... either that or us being more cautious, with ours. I'm not sure.... We're running out of Vets in the area. We've already been to three....

So, I'm in the process of faxing over to VPI the bills and stuff from this latest batch of work. I'm hoping that this will be the last for a while.

But.... of course not! The specialist, while looking him over, mentioned that his two upper canines should be out by now. Which is quite true, they're the last ones in his mouth, and his new canines are very much grown in.





Sorry that they're blurry. My camera sucks!

And here's two of Napa. We just tried to get him to play in the tub, so he's wet!



 

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Kristen, I'm glad to hear that everything is OK. For your peace of mind, I suppose its good you got him checked out. And good thing you have doggie insurance!

About those teeth... are they loose? Maybe you can wiggle them back and forth a bit and get them to fall out. It was a big day around here when Charlie's sharp pointy baby teeth came out. :p

Deb
 

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Discussion Starter #17
Well, we just found our 8th tooth. We've got his bottom two canines. I stepped on the one we found today.

But, they don't even seem loose. When he lost the bottom two, you KNEW they were coming out soon. The gums were very red, and you could tell his was in some pain. He also wasn't interested in his hard dry kibble- wonder why? heehee.

I'm going to give it some time. My fear is that the baby one is going to cause the bigger one to rot. I know that was what happened to me with my wisdom teeth. They were growing into my other molars and ended up rotting them just a bit beneath the gums. So, we shall wait and see!

Napa weighs 28 lbs, we think. That was another cause of concern. When he first went on the scale yesterday, he was 8 lbs lighter than he was two weeks ago. But I think there was something wrong with their scale. That would mean he weighs as much as he did when he was 4 months old. So, we eventually got the scale to read that he was about 26 lbs.
 
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