Sorry been a couple days since I've posted. I just recently started working a new job and have been in training. I wasn't happy with the results of the first vet visit and wanted a second opinion. I am shamelessly going to copy and paste two posts from another forum where I also frequent that I posted updates from both vet visits.
This was posted on 11/30/2015; Ok so we have to wait til at least tomorrow for the urinalysis results. His yeast infections have returned in both ears after only 2 weeks. We are upping the benadryl to 2x a day instead of once and daily cleaning and ear drops for the next 10 days. $200 later and I'm still worried about my boy. He seems to be acting, eating, drinking and playing like normal. I'm just a worry wort I guess.
We showed up at the vets at 7:15, They open at 7. Apparently though the Dr.s don't get there until 8. He enjoys the vet though. I always make sure and sit near the entrance so he gets to politely greet everyone that comes in. He especially loves meeting new kitties.
12/01/2015 ; Well, they called the wife they said there were crystals in his urine. They want to do an ultrasound to check his kidneys and bladder. She said they wanted to get him on a diet that changes the balance of his urine? Apparently they are going to call back in the morning...
12/02/2015; Ok so talked with the vet. She say they are cystine crystals in the urine and there may be stones in the kidney or liver. She recommends having an ultrasound done for one and a kidney panel for two. She wanted to put him on an antibiotic even though she said there was no bacteria in his UA. She also said she thinks that neutering my Hank will help and that I should put him on a low protein diet of prescription only food that will also change the ph of his urine. She didn't even mention that it could be a hereditary disease, Cystinuria (thanks google).
I'm getting a second opinion at another vet tomorrow morning before I have to go to work.
And the update from today ; Ok got a second opinion. For sure it's cystine crystals. The vet said there isn't a way to test for cystinuria but that they(the crystals) are rare to have(without the disease) and there is prob a good bet he has it. She said that neutering wouldn't affect it one way or the other, that it was more of a preventative measure so as to not breed pups that could have the disease or be carriers of the gene.
I guess the next step is to have an x ray and/or ultrasound done to see if there is a presence of stones in the bladder or kidneys. Not all stones can be seen in either one or the other and sometimes both.
Both vets said basically that there are two ways people try and manage the disease, diet and medication. Hills U/D is an ultra low protein diet that also alkalinizes the urine. But there is mixed information whether this actually works or not to prevent stones from forming and it's also $75 for a 27.5lb bag. Also apparently it can also cause other types of stones to form that only form in alkalinized urine. There is also some debate as to whether an ultra low protein diet is even healthy for large breed dogs. The other option is something called Thiola but is apparently very expensive for large breed dogs and can have adverse side effects. The vet said she was going to research the data a little more and let me know her findings. I found an article that talk about this subject a little more in case anyone wants to read more about this Canine Cystinuria Treatment
One step forward two steps back.