Blood in Urine

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Blood in Urine

This is a discussion on Blood in Urine within the Dog Health forums, part of the Keeping and Caring for Dogs category; Hoping someone can provide insight! I have a 3-4 year old male Maltese/terrier mix I adopted about 10 months ago. He suffers from terrible allergies ...

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Old 06-26-2018, 10:41 AM
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Blood in Urine

Hoping someone can provide insight!

I have a 3-4 year old male Maltese/terrier mix I adopted about 10 months ago. He suffers from terrible allergies and takes Apoquel 2x a day.

About a month ago I noticed him "pretending" to mark during our walks and didn't think much of it until he started to have accidents in the house, which never happens. But instead of seeming as if I didn't come home in time to take him out, there were lots of small spots as if he was trying to urinate but didn't need to or couldn't. After a couple days of "phantom" peeing and multiple small accidents I noticed blood in his urine. I took him to the vet and they did a prostate exam, checked for blockages, did a urine analysis in the office and an xray and found nothing in any of them- no UTI, no stones, nothing. She prescribed an antibiotic for some sores he had from his scratching and the blood quickly cleared up and no more "phantom" peeing or accidents. Fastforward about a week after finishing the antibiotic and I started to notice all of the same symptoms as before. In addition, I noticed his urethra looked red and kind of bloody? I took him to the vet again today along with another urine sample and the vet did another prostate exam and checked him out and insists all looks fine. I showed pictures of the bloody urine and urethra from last night but the vet seems very confused about what could be going on. She tried to use a catheter to get urine for a culture but hes a fighter and didnt allow it. Her recommendation is a $400 ultrasound and/or blood work. I am waiting to see what happens with the urine analysis before moving on to those options.

Has anyone seen this or know what it could be? The test came back negative for a UTI but symptoms seemed to respond to the antibiotics, so it is a bit boggling. I want to put my faith in the vet, but am hoping it is something simple that she perhaps didn't think of and not something worse...
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Old 06-26-2018, 11:50 AM
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If your Vet can't find the cause, its time to involve a specialist. Ask your Vet for a referral, or find a clinic that deals with multiple specialties.
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Old 07-03-2018, 12:38 AM
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I've seen this twice before, and might be something to consider with your guy, the frequent marking causes inflammation to the bladder wall and results in bloody urine. Vets were baffled since all their tests came back negative despite the symptoms. Preventing the dogs from constantly marking on their walks was the solution.
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apoquel, blood, kidney, urine, uti

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