Accepted Answer

Hi,

The blood and pus in urine are very concerning. You and your vets are on the right track with the ultrasound. Not only can dogs have infections in their bladder or urethra, but their kidneys can also become infected. The ultrasound will be able to show detail in her kidneys and whether there is an infection.

This would definitely cause her appetite to go down. Keep feeding her the chicken and rice if that is all she will eat. Following the ultrasound, your vet should be able to make further recommendations based on their findings.

You may want to discontinue the Metacam, too if you think she can get by without it:

• "The most common side effects of meloxicam (Metacam) are nausea, appetite loss, vomiting or diarrhea. If any of the above are noted, meloxicam should be discontinued and the pet brought in for a liver enzyme and renal parameter blood test. In most cases, the reaction is minor and resolves with symptomatic relief, but it is important to rule out whether or not the patient has more than just a routine upset stomach.
• If a patient has borderline kidney function, NSAIDs should not be used as they reduce blood flow through the kidneys. It is also important that NSAIDS not be given to dehydrated patients because of this potential side effect."

This quote is from this website on the drug:
http://www.veterinarypartner.com/Content.plx?P=A&A=1752

I really hope she improves. The ultrasound really is the next logical step.

-Erin

Expert:	dogadvisor
Pos. Feedback:	100.0 %
Accepts:
Answered:	7/13/2008

Head Veterinary Technician

Internal Medicine Specialty, Head Veterinary Technician (w/ general practice expertise)