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Even if there are no stones in the kidneys, there could be crystals in the urine that are causing problems. If I were you, I would have the bloodwork done and ask for a urinalysis (by needle from the bladder for a clean catch) and see what comes of it.
Let me know if you still have specific questions. I would be happy to answer them.
You will almost always see blood in the urine when crystals (sand) are present. The crystals abrade the urinary tract and can even cause blockages as they grow.
Let me know if you still don't understand.
You should see results within 72 hours of starting an antibiotics. If your dog has urinary crystals, you will need antibiotics AND a dietary change to a prescription diet.
Be sure to ask the vet about how probable a recurrance is after treatment. Ask about how long you will have to use the special food. Ask about whether or not you should increase fluid intake with pedialyte or gatorade.
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This is normal with crystals or a UTI.
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