Cause: The cause of this disease is quite complex, it usually follows cystic endometrial hyperplasia which is a type of womb disease, this changes the internal environment of the womb and makes it prone to bacterial infections. Once the bacterial infection is established it goes wild and a full blown pyometra is the result. Other contributory factors would be the use of drugs to postpone or control the dog’s seasons. Pyometra can also occur in stumps left after spaying and on occasion following womb infection after the animal has given birth.
Clinical Signs: [Symptoms] These dogs will be lethargic, will have no appetite and will be drinking much more than normal. Some will have a vaginal discharge which cases are called an open pyometra, others will have no vaginal discharge and these are termed closed pyometras. Obviously these dogs are not spayed, they are usually more than six years of age in my experience and they will have been in season just prior to the onset of symptoms.
Diagnosis: The above clinical signs would on their own be very suggestive of pyometra. I found ultrasound very useful to confirm the diagnosis in these cases, X-rays could be used as well, and a high white cell count is also indicative.
Treatment: The main treatment for this disease is an immediate hysterectomy operation [ Spay ]. It differs from a normal spay operation in that as the dog is usually quite sick you need to provide additional support like putting it on a drip and a higher level of post operative care.
7 days of the 14 day antibiotic course has gone...there is a remaining 7 more days. I thought of finishing the 7 more days and then do surgery. I wonder if the pus will suddenly increase?
Also once an open pyometra can it close? I know it was open due to discharge but can it just close up?
is 1ml clavamox the regular dose for a 6lb chihuahua and
does the pus stay in the uterus even after the infection is gone?
how do i know if the pus is just pus or infected pus when pus shows up on ultrasound? my dog was given liquid forms of both eurofloxacin and clavamox.
is 1mg stilvestrol effective in dogs with pyometra to get the pus out?
1.can parasites cause pyometra and is clavamox effective in treating parasites?
2.is WBC count a good indication of progress or does WBC count drop if pyometra is advancing?
3.where should i look to find a good vetinary hospital in massachusetts?
I always have more faith in UK vets...maybe bias as i lived there longer. Here the problem is the vets i have gone to have lied just to make me do the surgery and one asked for $6000. I have no problem doing the surgery and would do it with a vet who gives me facts properly. I like your answers very much as you are giving facts and not just keeping on saying to cut the dog up.
One vet said that the reason WBC is going down is that pyometra is advancing and blocking WBC from getting into bloodstream? is this true. when i asked if the pus had decreased from the last ultrasound the vet said she is in no position to tell that information...
But earlier the dog had dehydration and now it doesn't. All kidney, liver etc are fine. Only WBC has come down to 34000 from 35000 and netraphils have also slightly decreased. So, I want to try giving the full antibiotic course while I search for a vet for surgery.
if i need to ask a question at a later time can i ask for you?
what level should the WBC generally be for me to consider immediate operation? and the level of NEU is 23.54 K/ul
MONO 2.67 K/ul
PLT 628 K/ul
CREA 1.9, PHOS 9.6 , CA 4.9, TP 12.0 AMYL 442 U/L, GLU 220 mg/dl