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My dog is peeing blood. I first noticed there was in issue…

Customer Question
My dog is peeing...

My dog is peeing blood. I first noticed there was in issue when I got home from work and he had peed in his kennel. He's 8 months old now and never does that, so I thought that was really strange. Then we went on a walk and he probably peed around 10-15 times in 30 minutes. That's when I noticed there was blood coming out.

Veterinarian's Assistant: I'll do all I can to help. Strange behavior is often perplexing. I'm sure the Veterinarian can help you. What is the dog's name?

Memphis

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Memphis?

I took him into the vet about a month ago because his eyes were swelling up and getting pinkish-red. He also wasn't eating his food. The vet put him on two different antibiotics and eye drops. Now, he's only eating late at night - I'm assuming because he's so hungry from not eating all day. I've tried giving him chicken and rice and such, and he showed interest there.

Submitted: 1 month ago.Category: Dog Veterinary
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Answered in 4 minutes by:
3/14/2018
Dog Veterinarian: Dr. Kara, Veterinarian replied 1 month ago
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,137
Experience: Over 20 years of experience as a veterinarian.
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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.

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Customer reply replied 1 month ago
Great. Thank you!
Dog Veterinarian: Dr. Kara, Veterinarian replied 1 month ago

I am very sorry that Memphis has blood in his urine, frequent urination, and a poor appetite.

There are many reasons to have blood in the urine or bleeding from the penis/prepuce.

We often think of an infection but also crystals or stones in the urinary tract, masses on the penis or prepuce or in the urinary or reproductive tract or clotting disorders are possible causes. If he is an un-neutered male prostatic cysts or an abscess or a prostatic tumor are possible causes as well.

Some systemic infections, particularly tick borne infections, can lead to blood in the urine and the pup feeling systemically ill.

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

Is he bleeding only when he passes urine (is he constantly straining and dribbling urine) or does the bleeding seem independent of passing urine?

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

If the bleeding is independent of him passing urine the concerns would be trauma to his penis, a mass in his prostate, prepuce or on his penis, or a clotting abnormality.

You can try to gently retract his prepuce over his penis to look for a mass or cut either in his prepuce or on his penis. If you can see a mass or a cut on his penis or prepuce then a cold compress on it, followed by gently it patting dry and then applying some corn starch or flour to help form a clot may stop the bleeding. Then he should see his regular veterinarian for treatment tomorrow.

If he doesn't have a visible mass or cut and he were my patient I'd start with a urinalysis with culture and radiographs of his abdomen to look at his kidneys and bladder for signs of stones and the size and shape of his prostate, sometimes we need an abdominal ultrasound to identify those. If he had pale gums signifying significant blood loss then I would want to check his clotting function too.

If his gums are nice and pink, he can empty his bladder but is straining a lot due to inflammation, and there were signs of infection on the urinalysis then an antibiotic prescription for 10 to 14 days would be reasonable to start is money was very tight. But if he is running a fever, and has signs of bleeding/bruising elsewhere that would not be a good option, as there is almost certainly something more serious than a simple urinary tract infection going on.

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 his urine at the end of the antibiotic therapy. If there was still blood then radiographs or an ultrasound of his bladder/kidneys is needed.

If this is a prostatic infection I highly recommend that he be neutered once he feels a little better. When they are neutered and the effects of high testosterone are gone the prostate shrinks which helps prevent infections.

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

Give him ice cubes. Offer him fresh water frequently.

And make sure he gets out frequently to urinate.

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

Let me know if you have any further questions.

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Dog Veterinarian: Dr. Kara, Veterinarian replied 1 month 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, ***** *****

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