Dog Veterinary

Ask a dog vet and get answers to your dog health questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

This answer was rated:

15 year old 85 pound black lab with re-occuring UTI.

Hello. 15 year...

Hello. 15 year old 85 pound black lab with re-occuring UTI. Cephlaxin and Amoxicillin not working. Also mild case of cough, maybe a kennel cough strain that's in my sled dog kennel (in rural Alaska). 104 temp. Used azithromycin tablets a few weeks back but UTI came back. Want to knock it down then keep away with low level mild antibiotic. Is Azithromycin safe for these current conditions for this dog?

Veterinarian's Assistant: I'll do all I can to help. Coughing can be worrying. The Expert will know what you should do. What is the dog's name?

Bart. Coughing is not bad, and when we had kennel cough years ago it was a much more noticable occurance. He's also arthritic, and his latest metabolic numbers from two months ago were actually very good for his age.

Veterinarian's Assistant: Is there anything else important you think the Veterinarian should know about Bart?

No just my main vet feels that he is winding down on his lifespan. Best looking 15 year old large dog I've seen. Has had issues with bladder and bowel control. Last time on this drug he had very big blowouts and it knocked him down bad, but it seems to be best option now. I am away from home and he is watched by my employees/sled dog handlers, and a vet is too far away. Any help, recommendation on doseage is appreciated.

Show More
Show Less
Ask Your Own Dog Veterinary Question
Customer reply replied 4 months ago
Hi waiting on the question above, estimated time was 8 minutes a while ago. Just curious about timeline.
Answered in 2 hours by:
1/20/2018
Drhollowayvet
Category: Dog Veterinary
Satisfied Customers: 1,026
Experience: Relief Veterinarian at Aloha Animal Hospital
Verified

Hello my name is***** but you can call me Dr. H, and I am al icensed veterinarian who has been practicing for the past 6+ years. I am sorry no one was availalbe when you first posted your pet concerns, but I just logged in online and figured I could help answer your questions.

Give me a moment to type up a reply.

- Dr. H

Ask Your Own Dog Veterinary Question
Customer reply replied 4 months ago
OK I'm waiting

I understand that your pet has been having a chronic UTI infection. Have you seen any blood in the urine? Has the vet done a urine culture yet?

The cough is concerning. Has Bart been tested for heartworm disease? Any recent chest x-rays?

- Dr. H

Ask Your Own Dog Veterinary Question
Customer reply replied 4 months ago
No blood in urine. Was taken to vet for past UTI. No heartworm in Alaska so that's not an issue. No chest x-ray. I have a sled dog kennel of about 25 dogs. For the last few weeks a few have had a cough from a bug that was brought into our area from dog teams training in a different area. Common occurence. I've seen Kennel Cough twice in my yard over the last 35 years, this cough if it's KC is much more mild. Not much of a deep hacking, but other dog mushers have it and are calling it KC. No other symptoms, the sled dogs do not show any other problems. But KC impacts pets stronger so I'm not surprised my old lab is less comfortable. But still no deep hacking cough. Fever was a surprise. He's lethargic but he always moves very slowly. Numbers a few months ago showed good metabolic function, kidneys, liver, etc. Just this reoccuring UTI. In the past it was knocked down for many months by Cephalixin. It did not work last month so he was treated with Zpack. It hit him very hard with side effects but he was OK for about 10 days-2 weeks. UTI is back, loss of bladder control, very strong odor.

Many cases where a UTI does not respond to the initial antibiotic, there is a resistant bacteria, so a urine culture is the next best step. ALso in an older dog, if the urine culture comes back where the selected antibiotic was the appropriate one to use, I would consider getting an abdominal radiograph +/- ultraosound done to check for possible urinary bladder stones and/or tumors in the bladder. These are our top causes for a non-responsive UTI with selected antibiotics.

- Dr. H

Ask Your Own Dog Veterinary Question

Hmm. I see. So heartworms is low risk here. Got it.

Fever can occur in pets who have never been protected against kennel cough or in pets that have developed a lower airway infection (pneumonia). I would suspect this may be involving the lower airway now. : (

Ask Your Own Dog Veterinary Question
Customer reply replied 4 months ago
My vet said it may be stones or tumor. But he can't go to the vet for a bit (two hours away, and weekend). And frankly vet said that a 15 year old dog may not have many options. My concern is how strong Zpak impacts him. He was treated with 500mg tablets for three days. I have another dose. For now, until he can go to Fairbanks next week, should I give him this antibiotic for fever, maybe secondary pneumonia, or KC. Seems like it can be given. And at what dose? I can cut tablets.
Customer reply replied 4 months ago
I don't think anything got to lower airway, no wheezing. Although I'm not with him now, my dog handlers are. But they are very perceptive and have him around all the time. He does snore a lot, older dog and such. Has a bit of nasal discharge too.

Azithromycin can have some side effects. Especially in an older dog, but they can alos be used to treat some resistant airway infections as well. Let me check his dosage really quickly for the Azithromycin. How much does he weigh?

What other dosage of medication are you seeking at this time?

- Dr. H

Ask Your Own Dog Veterinary Question
Customer reply replied 4 months ago
I'm basically looking for the treatment that will help over the weekend until I can re-evaluate and get him to the city. Switch from Amoxicillin (he's on now, not working, and bypassing Cephalixin since it didn't work last time) to the Z pack, and what dose, and if it's good or bad with the 104 temp.
He's about 80-85 pounds. Last time he had big stool blowouts, abdominal discomfort, did not dig life. Looking at the side effects I guess this is common. Give with Pepto-Bismol? Considering he has poor bowel control all the time, this is a major issue but one that my handlers will deal with for the few days.

Outward wheezing isn't always heard in pets that have fluid in their lungs. Especially in a large breed, older dog in the beginning stages of pneumonia, especially if he is pretty mellow anyway. Just want to forewarn you.

Ask Your Own Dog Veterinary Question
Customer reply replied 4 months ago
OK. Sounds like an antibiotic that works wonders like Azithromycin should be given soon. Only other med he's on is CBD oil for arthritis and Adequin shots once a month. Rimadyl for his joints was not a good long term solution, his hair was falling out. Responds well to the CBD oil.

Ok. I understand you wanting to help him fo the meantime. I would not give Pepto Bismol in this situation, becuase it is contraindicated if the pet has any type of bacterial infection. And with a fever we can assume he has an infection for sure. I would instead give him a probiotic (Culturelle over the counter) and fiber (1-2 tsp of canned pumpkin, no the pie filling) in his food daily. I will look into the Azithromycin dosage for an 80 lb dog just to be safe. Give me a moment.

Ask Your Own Dog Veterinary Question
Customer reply replied 4 months ago
OK good to know.

There is a good range for Azithromycin. It ranges anywhere from 5-10 mg/kg for 3-7 days. 1kg=2.2lbs. So for an 80 lb dog that is around 250mg of Azithryomcyin once a day for 3-7 days.

-Dr. H

Ask Your Own Dog Veterinary Question

Poor guy. I hope he feels better soon!

- Dr. H

Drhollowayvet
Category: Dog Veterinary
Satisfied Customers: 1,026
Experience: Relief Veterinarian at Aloha Animal Hospital
Verified
Drhollowayvet and 87 other Dog Veterinary Specialists are ready to help you
Ask your own question now
Customer reply replied 4 months ago
OK thanks, ***** ***** He was on twice the strength the first time. Maybe his side effects will be less severe. Appreciate your help, thanks.

You are most certainly welcome. Best of luck to you moving forward and I hope that Bart is able to make a full and speedy recovery. Take care.

* Please don't forget to leave me a rating for the service I have provided for you and your pet tonight. Thank you so much for your feedback. Take care. *

- Dr. H

Ask Your Own Dog Veterinary Question
Was this answer helpful?
Ask Drhollowayvet Your Own Question
Drhollowayvet
Drhollowayvet
Drhollowayvet
Category: Dog Veterinary
Satisfied Customers: 1,026
1,026 Satisfied Customers
Experience: Relief Veterinarian at Aloha Animal Hospital

Drhollowayvet is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Debbie

Dr. Debbie

Dog Veterinarian

904 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,147 satisfied customers

UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

10,315 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Gary

Dr. Gary

Dog Veterinarian

10,063 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

15 years of small animal, equine and pocket pet medicine and surgery.

Dr. Bruce

Dr. Bruce

Veterinarian

9,533 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

8,299 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
The dog has a cough. I think it is Kennel cough. It is an
The dog has a cough. I think it is Kennel cough. It is an elderly chihuahua who is about 3 pounds. Can they take a small portion of PCN 500 VK … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,455 satisfied customers
Trying to determine if my 11 year old lab has kennel cough.
Trying to determine if my 11 year old lab has kennel cough … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My dogs had kennel cough a couple months ago and it had gone
Hi. My dogs had kennel cough a couple months ago and it had gone away. Over the last couple days they have produced different symptoms. 1st in one of them then the other. The cough is different then w… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,455 satisfied customers
My puppy was diagnosed with kennel cough and started on
My puppy was diagnosed with kennel cough and started on doxycycline onMonday. She seems to be improving but still coughs pretty bad at night. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My Husky caught what sounded like kennel cough in February
Hi, my Husky caught what sounded like kennel cough in February but still coughs every now and then, like first thing in the morning and after running around the first time of the day. It's the kind of… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,455 satisfied customers
Kennel cough. my dog does this about twice a year. I'm just
kennel cough. my dog does this about twice a year. I'm just wondering if I can give her some cold medicine in my cabinet? … read more
Dr. Andy
Dr. Andy
Medical Director
Doctoral Degree
16,147 satisfied customers
My dog seems to have the symptoms of kennel cough, but his
Hello, my dog seems to have the symptoms of kennel cough, but his breathing concerns me. It is slightly sped up, but his gums are nice and pink … read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
9,533 satisfied customers
Our 18 lbs, 4 year old dog was diagnosed with Kennel cough.
Our 18 lbs , 4 year old dog was diagnosed with Kennel cough. The vet prescribed Clavamox, 125 mg. The prescription says 2 pills a day, twice a day for 21 days. However, we only received 42 pills. … read more
DocPaul
DocPaul
Doctoral Degree
712 satisfied customers
Lactulose metronidazole famotidine and the amoxicillin
Lactulose metronidazole famotidine and the amoxicillin prescribed to my dog for liver shunt. Do any of these meds cause pain to the dog? She's being really “moody”… read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
My Frenchie of 1 year has nasal discharge he is like
Hi , my Frenchie of 1 year has nasal discharge he is like congested and it's hard for him to breath due to the congestion :( … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
2,481 satisfied customers
My dog is on temaril P and antibiotics for kennel cough,
my dog is on temaril P and antibiotics for kennel cough, trachial bronchitiu. He is panting, standing with head and tail down and he will not lie down. There was some pink in his vomit. … read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
10,063 satisfied customers
Had kennel cough was eating and drinking through the cough,
Second opinion] had kennel cough was eating and drinking through the cough, cough up yellowish fluid, cough is gone but now he won't eat or drink losing weight also and very weak breathing is heavy … read more
DrSarah
DrSarah
Veterinarian
DVM
404 satisfied customers
Had kennel cough was eating and drinking through the cough,
had kennel cough was eating and drinking through the cough, cough up yellowish fluid, cough is gone but now he won't eat or drink losing weight also and very weak breathing is heavy … read more
DocPaul
DocPaul
Doctoral Degree
712 satisfied customers
My Beagle is coughing, but I think it is Kennel cough. I
My Beagle is coughing, but I think it is Kennel cough. I have a video of him coughing last night. He did get a vaccination for kennel cough prior to attending doggie daycare. I have kept him home sinc… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My dog had a mast cell tumor removed and was given Rimadyl..
My dog had a mast cell tumor removed and was given Rimadyl.. 50mg BID. I misread the label and gave him the following: Friday he received 50mg in the morning and then 100mg in the evening. Saturday he… read more
Dr. Peter
Dr. Peter
Doctors Degree
14,326 satisfied customers
He was diagnosed with Kennel Cough on Monday and is on an
He was diagnosed with Kennel Cough on Monday and is on an antibiotic an hydrocodone/homatropine. Now he is limping on his left from foot and my vet is out of town at a funeral. I don't think the two a… read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
My 15 year old Shih Tzu is on rimadyl for arthritis pain. Is
My 15 year old Shih Tzu is on rimadyl for arthritis pain. Is this the best med for her to be on and I cannot get her to take it no matter what I put it in peanut butter marshmallows ham turkey cheese … read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,401 satisfied customers
4 week old puppy sneezing with nasal discharge after he
4 week old puppy sneezing with nasal discharge after he eats. Some food is also seen. Putting him on Clavamox. This will be 2nd time on Clavamox. His mother passed away when he was 1 week old. We have… read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,401 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x