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Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 16873
Experience:  Over 20 years of experience as a veterinarian.
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I have a Shepard mix who is going on 15 she is having blood

Customer Question

I have a Shepard mix who is going on 15 she is having blood in her urine
JA: I'm sorry to hear that. What is the dog's name?
Customer: does not have pain
JA: Is there anything else important you think the Veterinarian should know about the dog?
Customer: Urine is also more mucous, she does look to be losing weight but eats well and has trouble with sitting upright on hind legs will sway I'm most interested in if we need to treat the blood in the urine I know she is elderly and just want her comfortable
JA: Have you looked to see if there is a wound on their foot?
Customer: there is not it appears like an arthritiis
Submitted: 9 months ago.
Category: Dog Veterinary
Expert:  Dr. Kara replied 9 months ago.

Hello, I'm Dr. Kara. I have over 20 years of experience as a veterinarian and I'd like to help. Please give me a moment to review your concerns.

Expert:  Dr. Kara replied 9 months ago.

I am very sorry that your older girl has blood in her urine and weakness in her rear legs.

There are many reasons to have blood in the urine or bleeding from vulva.

We often think of an infection but also crystals or stones in the urinary tract, masses in the vagina, or in the urinary or reproductive tract or clotting disorders are possible causes. If she is an unspayed female endometritis or a pyometra are possible causes as well, though less likely given that she is eating well and her feeling relatively fine otherwise.

Are her gums and tongue white, pale pink or bubble gum pink? If they are nice and pink then she likely hasn't lost enough blood to make her anemic and that is a good sign.

Is she bleeding only when he passes urine or does the bleeding ever seem independent of passing urine?

If the bleeding is only when she passes urine then concerns would be a genitourinary tract infection, crystals or stones in her urinary tract, a clotting abnormality or a mass in her urinary or reproductive tract.

If the bleeding is ever independent of her passing urine the concerns would be trauma to her reproductive tract (rough breeding), a mass in her lower reproductive tract, or a clotting abnormality.

Given her history of rear end weakness and being female I suspect that she has a urinary tract infection, more common in females and especially so in older females that have rear end weakness as that likely means her urethra muscles are weak too and would allow bacteria into her lower urinary tract more easily.

She does need to see her veterinarian.

If she were my patient I'd start with a urinalysis with culture and radiographs of her abdomen to look at her kidneys and bladder for signs of stones and the size and shape of her reproductive tract. We may need an abdominal ultrasound to identify some urinary calculi and masses in her bladder or reproductive tract. If she had pale gums signifying significant blood loss then I would want to check her clotting function too.

Given her age and history if there were signs of infection on the urinalysis then an antibiotic prescription for 10 to 14 days would be reasonable to start.

If I saw lots of crystals or abnormal looking cells on the urinalysis I'd warn the owner that things may be more serious.

And I'd recommend a recheck of her urine at the end of the antibiotic therapy. If there was still blood then radiographs or an ultrasound of her bladder/kidneys is needed.

If this is a reproductive tract infection I highly recommend that she be spayed.

This is something we can help her with relatively easily if this is an infection, without much cost to you or discomfort to her, and improve her life quality by doing so.

All you can do for her at home is encourage fluid intake to flush out her urinary tract. Add water or low salt beef or chicken broth to her food or feed her canned food to encourage eating and increase her fluid intake.

Give her ice cubes. Offer her fresh water frequently.

And make sure she gets out frequently to urinate.

If she is straining but unable to pass urine, is vomiting, runs a fever (more than 103F rectally), has a tense, painful abdomen with gentle pressure, or her gums become very pale it is time for emergency veterinary care.

Please let me know if you have any further questions.

Expert:  Dr. Kara replied 9 months ago.

Hello, I wanted to make sure that you didn't have any further questions for me, and I'd like to know how things turned out for your pup. If you could give me an update that would be great, thank you, ***** *****