2.5 year old Shih Tzu urinating a little blood. Help or advice please

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2.5 year old Shih Tzu urinating a little blood. Help or advice please

This is a discussion on 2.5 year old Shih Tzu urinating a little blood. Help or advice please within the Dog Health forums, part of the Keeping and Caring for Dogs category; Hello, Our two and a half year old shih tzu started showing blood in his urine two nights ago. My wife and I noticed this ...

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Old 02-17-2013, 10:15 AM
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2.5 year old Shih Tzu urinating a little blood. Help or advice please

Hello,

Our two and a half year old shih tzu started showing blood in his urine two nights ago. My wife and I noticed this because there’s snow on the ground, so we immediately realized it when the snow was a little red. It’s not a lot of blood. Instead, he urinates fine for the most part, and then when he goes to squirt out the last few drops, it’s blood. We looked online and the most common cause of this is a UTI. We brought him to a vet yesterday to be safe and she ran a urine analysis. Initially, the test came back negative for a UTI, but she was sending it out-of-house to get results. Not sure if they perform a more thorough analysis at a lab. Since our little guy isn’t showing any signs of pain, she said she wouldn’t worry about it. We had the option to wait until Wednesday for the lab results to come back and then go from there, but we were nervous so we had an x-ray done yesterday. The x-ray came back fine, with no stones or anything, but she said the urine analysis could come back with a minor UTI or small bladder crystals which can turn into stones. If either of those happen, we will treat him accordingly. Our biggest concern about this is cancer. As I mentioned earlier, he’s less than three years old, and we’re terrified that something could be wrong. We’re nervous wrecks. We have two shih tzus and they're our entire life. We’re willing to do anything to make sure he is ok. Has anyone had any experience with this before? We appreciate your help.

P.S. We're debating going to a different vet because we worry that this vet isn't being thorough in this situation. After our trip to the vet, I read online about other people's experiences where the vet did a CBC and a urine culture. Our vet did neither. We've gone to this vet for a couple years now, and we think they're great, but we want to ensure our little guys are getting the best service available.

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Old 02-17-2013, 10:18 AM
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Sounds like you are doing everything right with seeking medical care.
I'd take him to a different vet if you want a second opinion. Certainly following up with the additional tests is the right thing to do.

I would think the chances of bladder cancer at 3 years old would be very slim. Try not to worry!
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Old 02-17-2013, 11:06 AM
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I would follow up with another vet. While it can happen, a UTI in a male dog isn't as common as in a female. My concern would be potential for crystals or a stone. I would have bare minimum done a urinalysis and urine culture, +/- a lateral X-ray. I wouldn't just let it go. And the urine sample should be as sterile as possible, obtained either by a catheter or needle by the vet.
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Old 02-17-2013, 11:08 AM
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I agree that cancer in him is unlikely. If the signs continue, I recommend an abdominal ultrasound to take a good look at not only his bladder but his kidneys due to his breed. Unlikely an issue but if signs persist, this is the way to go.
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Old 02-17-2013, 12:43 PM
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Thank you all so much for your replies!

For the urine sample we took, the vet tech had me go outside with him before our appointment and catch his urine in a plastic bowl. Doesn't exactly seem sanitary, but this is what we did. As far as I know no culture was done. I didn't see her stick a needle in him or anything like that. The x-ray that she did showed his entire abdominal region. She reviewed the x-ray with us and said there were no signs of stones.

We're now waiting on the results of the urinalysis. She mentioned that if it comes back positive for crystals, we'll have to switch his food to adjust the ph in his system. With that said, we're still very nervous at the moment since we don't know what else to do, or if we should make a trip to another vet.

I should also mention that of our two shih tzus, Charlie (the dog I've been referring to) is not the one we worry about when it comes to hydration. He loves to drink water. It's Kosmo that doesn't get enough. In the past few weeks, we've been incorporating water into their food to get some extra moisture. They're both currently eating Acana Grasslands (grain-free) and we top it with Merrick canned. I'm seriously considering making a switch to The Honest Kitchen and supplementing that with their Acana.

I also picked up some cranberry extract last night and have been adding that to his meals to help restore health to his bladder. I'm not sure how effective the cranberry supplement is, but I've read good things about it for treating UTIs.
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Old 02-17-2013, 01:33 PM
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Just FYI, Holly is our best medical person. I would definitely trust her!
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Old 02-17-2013, 03:49 PM
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Thanks Tess!

Cranberry could be good if it has the appropriate extract: proanthocyanidins.

Is there still blood?

Getting the sample as you did is okay, but not the best if its being cultured.

My two cents anyway. Glad no stones were seen. Only the two main types of stones can be seen on X-rays so keep the ultrasound in mind if signs persist. Also have blood work performed to check kidney values and a CBC done if sign persist. Culture of the urine is a must IMO.
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Old 02-17-2013, 04:13 PM
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Quote:
Originally Posted by Holly View Post
Thanks Tess!

Cranberry could be good if it has the appropriate extract: proanthocyanidins.

Is there still blood?

Getting the sample as you did is okay, but not the best if its being cultured.

My two cents anyway. Glad no stones were seen. Only the two main types of stones can be seen on X-rays so keep the ultrasound in mind if signs persist. Also have blood work performed to check kidney values and a CBC done if sign persist. Culture of the urine is a must IMO.
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Yes, there is still a small amount of blood. He's peed two or three times today, and every time, he pees a good, normal yellow stream followed by a couple drops of blood. Still acting good, no pain, etc. We think we might go to our other vet tomorrow and get a urine culture and see if they can do anything else.
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Old 02-17-2013, 08:44 PM
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I think that's a good call. Make sure they look in the prepucial sheath for any abnormalities and feel along the penis for any abnormalities. Is he neutered?
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Old 02-17-2013, 08:52 PM
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Ok, I'll make sure to tell them. Thank you

Yes, he is neutered. He was abused as a puppy and lived in a crate for his first year with no socialization. We adopted him two years ago and they neutered him while he was being fostered. He means the world to us. We just want to make sure he's ok.
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