Dog's recurring bladder infection with pus, negative culture. What to do?

Make sure your vet does a culture on the urine to be sure your pup is on the right antibiotic. Then, make sure to recheck the urine at the end of the antibiotics to make sure the infection is resolved. If you haven't yet, get an xray to make sure there are no bladder stones present. Make sure your dog doesn't have a recessed vulva or a vaginal stricture that traps the urine and leads to infection. If these things don't work, there are also supplements like probiotics, herbal products, and even foods that can help. A good holistic vet could help with this.

I would recommend to treat medically before doing any invasive procedure such as tissue biopsy. Inflammatory type of cystitis are common and bladder wall can be often thicker than normal (I should see the ultrasound images though to give you an opinion on that). mAnti-inflammatory medications (i would associate an antibiotic anyway even with negative culture) can be tried before deciding any invasive test. Please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further.

Thank you for submitting your question regarding your dog. I agree that he requires a further work up. It is not common for male dogs to develop urinary tract infections given their anatomy. I would recommend that he has bloodwork and x-rays of his abdomen. You need to rule out any metabolic disorder and uroliths (bladder stones or kidney stones). Then I would proceed with the abdominal ultrasound. Occasionally prostate disease can cause recurrent urinary signs. This is uncommon in such a young dog though. It may be easiest to pursue a consult with an internal medicine specialist. I hope you are able to get an answer and his problems resolved. Good luck!

She should have an x-ray and/or ultrasound of her bladder to look for bladder stones. Dogs with stones tend to have chronic urinary tract infections. If your vet has already ruled out any stones than her urine should be cultured to make sure the right antibiotic is used. She may need to stay on an antibiotic for an exteneded period of time.

Many times there is an underlying cause of recurrent UTI-like symptoms. Daisy likely needs additional diagnostics, like: Urine sediment exam: to look for crystals in the urine Abdominal x-rays: to look for bladder stones that cause inflammation and can create an environment for UTI Abdominal ultrasound: to look for possible tumors Urine culture: to look for resistant bacteria, this will also help your vet determine the best antibiotic to use. Other medications to consider are anti-inflammatories, prescription urinary diets, and bladder support supplements; you can discuss this with your veterinarian.

Hello and thanks for using Petco Pet Education Center, formerly Petcoach! I'm sorry to hear your pet is having an issue. By vaginal infection, I am unsure if you mean she is having vaginitis, a urinary tract infection or even a uterine infection (also called a pyometra). If she is having repeat UTIs it is a good idea to have her urine cultured and also to do some imaging diagnostics like X-rays and even an ultrasound. If she is not spayed and the infection is coming from her uterus it is very important to have her spayed as this will resolve the issue. If your veterinarian is unsure as to where the infection is coming from then the next step is urine culture and an ultrasound. In some cases a resistant bacteria is present and the culture will help rule that out. An ultrasound will help determine if there are any complicating factors like bladder inflammation, bladder stones or even cancer. More information provided by you may help us make additional suggestions. I hope this helps clear some things up for you!

It may be that Goofy has a bladder stone or has a tumor in his bladder that is an underlying issue. If a bacterial culture hasn't yet been done, that should be considered as well to determine definitively whether or not there is an active infection. Talk to your vet about an X-ray or an abdominal ultrasound to further investigate. While the ALT and globulin are slightly high, they aren't terribly high out of the normal range. Its reasonable to repeat these blood tests in 1-2 weeks and see if the values have normalized. Neither of those bloodwork findings are terribly alarming to me, especially if Goofy isn't showing any symptoms. Follow up with your vet in a week or so to recheck bloodwork and discuss doing X-rays or an ultrasound (sonogram). Thanks for asking Petco Pet Education Center, formerly Petcoach!