Tiny dog with bladder stones: Should he stay on c/d food forever?

The appropriate diet here would be the urinary diet either Urinary S/O or Hill's C/D, and then placing your pet on a liver protectant medication to address the liver issues. The liver protectant medication is called Denamarin, and has to be prescribed by your vet. I would then consider getting your pet an abdominal ultrasound to better define what is specifically going on with the liver, so that we know what mode of therapy would be best to manage things going forward, because these values (ALKP, CHOL) can be changed by not just the liver, but also the gallbladder and adrenal glands. I hope that your pet Ceca is able to manage both of her conditions well moving forward. Best wishes and take care. : )

Unfortunately, only these diets will be able to help Luca’s bladder problems. The diet will help acidity the urine and it also causes him to drink more. This helps to prevent crystal formation and also has a flushing action in the bladder. I recommend to try the Royal Canin first. Mix it in VERY slow (like 10% of the food initially). Then every few days increase the amount. You should purchase the canned food to see if he likes that. If he does, you can feed him that mixed in with the dry food. Try to keep him out of the other Doha’s food. The diet will not work if it falls below 90% of the total daily food intake. I hope you find this helpful and please feel free to post any further questions.

The answer partially depends on the type of bladder stones that Boo had. I am attaching handouts on the 2 most common types below. http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=460 http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=662 If Boo had struvite stones, those can often be managed without a prescription diet. If Boo had calcium oxalate stones, then diet will be a very important part of preventing him from forming stones again in the future. Unfortunately, the prescription diets tend to have both by-products and corn. The best option I have found for dogs with calcium oxalate stones are to make a homemade diet for their dogs. A diet can be created by a board certified nutritionist or with the help of Balance It. https://secure.balanceit.com/ Good luck! I hope that was helpful and answered your questions. Thanks for using PetCoach.

Hello. Unfortunately, despite our best efforts, some of these dogs keep developing stones, & we just do not know the total reason & mechanism for this. So you are perfectly right to feel confused, & frustrated with this. The Royal Canin S/O has been one of the best options in terms of preventing stones through the diet, & of course, the more water he takes in, the more water there is to flush the oxalate elements out of his bladder before stones reoccur. Sometimes we do recommend potassium citrate, if urine pH is consistently lower than 6.5, & some newer thinking is to add hydrochlorothiazide if he does seem to be redeveloping urolithiasis frequently & he does not have high blood calcium levels. You could monitor his urine for blood with urine dip strips manufactured for this purpose ( your vet can help with this ). A full urinalysis should be done every 3-6 months to keep pH between 6.5 & 8 & to maintain urine specific gravity to 1.020 or lower. Imaging, with either ultrasound or x-rays every 6-12 months is useful to identify very small stones that can generally be removed without surgery.removed . Hopefully, Casper will remain stone free for a very long time. Thanks for using Petco Pet Education Center, formerly Petcoach.

They do make a pill known as DLM that helps lower the pH but if you lower it too much you can form calcium crystals in the urine that can lead to bladder stones as well. Either method takes frequent urine checks to monitor progress

I would suggest that you ask your veterinarian about using Hill's Science Diet W/D. This is a low fat and high fiber diet that is good for diabetic dogs, but is also known to produce a neutral urine ph and may be adequate in preventing the return of her bladder stones. Depending on her individual situation, this may be a possible solution. If a duet change is done, it would be a great idea to periodically check a urine sample to monitor the ph and look for problems.

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! I am sorry you and Sanjee are going through this. First I think it important to wait until the stone analysis is back before deciding 100% what to do diet wise. Even though she has calcium oxalate crystals doesn't mean the stone will be that exactly, though it is likely. Calcium oxalate stones are the hardest to prevent recurrence. I recommend Veterinary Prescription diets like Royal Canin SO, Hill's c/d or Purina UR. I also recommend monitoring urine pH and concentration. Calcium oxalate crystals form in more acidic (lower pH) urine. If the diet alone won't control the pH and keep it more neutral sometimes we have to add potassium citrate. I think periodic X-rays to check for recurrence are also important. There are many small white dogs that have had many cystotomies to remove calcium oxalate stones. I hope this helps and I wish Sanjee the best today for her surgery and a speedy recovery!