4.5 month old puppy - health issues - really at a loss!
Thanks to those who posted to my previous post.
I thought I would start a new thread as I'm now really at a loss.
Dougal, 4.5 month old male, is weeing a lot! This has been going on probably since we got him at 9 weeks, but I put it down to housebreaking, puppy behaviour etc until a few weeks ago.
1. Possibly always been there since we got him at 9 weeks, although we put it down to housebreaking/puppy behaviour.
2. Urinating up to every 10 mins. Proper amounts of wee, not dribbles/spots. He knows he's doing these and 99% of the time gets outside. Other times he usually knows and managed to get to the back door and I'm just not quite quick enough to let him out. Definite urgency to go!
3. No problems whilst asleep, either during the night (crated for 6/7 hours) or whilst asleep during the day.
4. Drinks a lot, but I'd not say it's excessive, but more than my other older dogs.
1. Was on CSJ kibble, (UK brand), I'm currently in the process of changing him onto Orijen.
2. He's constantly very hungry. Currently he's on 540g per day, split into 3 meals, but he'd definitely eat more, and looks fod food off my other dogs as he finished before they do!
3. Quite a bit of water with food.
TESTS/TREATMENT SO FAR
1. Antibiotics given at 12 weeks for ? UTI although this was a "ruling out" thing as we had aggression issues with him biting my DH and children (proper aggressive biting, not play biting/mouthing). This has now been overcome with training, dominance suppression etc).
2. Clavucill antibiotics for last 14 days for ? UTI. Also, I've increased water with food (for reasons below), cranberry capsule 1 per day, also Glucosamine for last 7 days on advice of vet.
3. Urinalysis done 14 days ago, showed leukocytes in vets office, but when sent to lab, no bacteria, no blood etc, but showed struvite crystals (in quite high numbers) and PH of 8.0. Vet prescribed Hills C/D but I said no, started the increased water with food, cranberry tablets and changing to Orijen to try to acidify the urine.
4. Urinalysis done 2 days ago. This time came back completely normal - no struvites, no bacteria, but PH of 8.0 still. Vet said PH is not a concern.
5. Response to antibiotics - he seemed much better after a week of antibiotics. He had improved so he was only weeing every 1 hour, I was just breathing a sigh of relief and then wham, the next day he was back to every 15 mins, then 10 mins the next day.
In himself this dog is fine, seems healthy etc. The problem is just the ridiculously frequent urination and the fact it seems to be getting worse as it's now a dribbling issue as well as proper wees!
My problem is, my vet is kinda jumping on any bandwagon he finds. He has always been fantastic with my older dogs, was great with my GR that we lost last year, who had throate cancer, heart problems, bad arthritis etc, and we got him over all of those things to live until nearly 14 a happy life.
When the struvites came up I was convinced there must be a bacterial UTI. I pushed and pushed to ensure the lab had cultured the urine and he said they had, but nothing found. He wasn't best pleased when I didn't want to use Hills C/D, and was happy to leave him for 6 weeks on the Hiills. I pushed for another week of antibiotics as I felt there was some improvement, and I have read all that I can about trying to get rid of the crystals another way. I also pushed for another urinalysis to check for bacteria.
So.....on Tuesday,. I took in a fresh urine sample 15 mins before the lab were due to collect. the following day they had the results showing no bacteria. My reaction was,"but have they definitely cultured it?" vet said "yes", I said "but I thought that it took several days to culture", vet said "not always". Incidentally, both samples have been free catch ones I've done. No suggestion yet of doing a sterile sample direct from his bladder. I know my vet wouldn't do this without anaesthetic anyway.
So........now I don't know where to go with this. There's obviously a problem, as this frequent urination isn't right. Vet said next stage is to have him in for the day and test for diabetes insipidus, and then if that shows nothing, to x-ray him to see if there are any anatomical abnormalities.
He won't x-ray without knocking him out, and so this is considered more invasive.
Am I going crazy here? I actually still believe he has a UTI, but that the lab haven't cultured the samples long enough to allow anything to grow. Does anyone else think this could be possible, or am I clutching at straws?
Obviously, if the diabetes tests turn out normal (am praying they do!), then obviously the next stage is x-ray at which stage I'll also request a sterile urine sample be sent to the lab.
Anyone else's thoughts would be very gratefully appreciated! DH thinks "a little knowledge is a dangerous thing" and thinks we should stop questioning the vets advice, but hey, 1 week after being told it was due to crystals without bacteria, and being prescribed Hills c/d which isn't appropriate for a 4 month old large breed puppy, we test again and there's no crystals at all! I'm so glad I did put my foot down on that score!