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Welcome to Justanswer. I am Dr. Loretta, a licensed veterinarian, and would like to assist you. I will respond quickly after reviewing your question.
Good Morning and welcome! I am Dr. Loretta, a licensed veterinarian and I am happy to answer your question.
Since there is no evidence of bladder stones or cancer in the bladder or UTI, this problem must be related to a neurologic issue caused by the interference of the nerve supply to the bladder sphincter and this could come from many places such as an unstable disc in her back that would require an MRI to diagnose or a primary brain lesion, also needing an MRI or spinal tap. I wpuld recommend that you seek the attention of a Neurologic Veterinarian that can perform these tests to determine if there is a treatment for this. Considering Katie's age, I would worry about a cancer lesion somewhere that may not be operable and may not be treatable but at least you would know for sure. If it is treat able, then this would be very helpful for sweet Katie's quality of life.Does that make sense to you?
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The lack of nerve supply will not cause any pain and Tramadol will only help with pain. This may require an anti inflammatory medication such as Rimadyl depending on what is causing this but only further testing will tell you for sure.