My neutered dog has penis pain and can't walk. What's happening?

That could be due to a urinary tract infection. Bladder inflammation is by far the most common reason for it (due to infections, sterile inflammation or crystals) but other part of the urinary tract may be affected as well. A check up is required to confirm this clinical suspicion and have urine analysis performed and discuss further investigations and treatment. 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.

It is difficult to see blood in the picture but his skin looks red and it looks like he has been licking a lot. He could have a urinary tract infection causing the blood and may need an antibiotic. He may also have allergies causing the redness of his skin and licking. As for his paw, he may have a strain or sprain Causing the lameness. He really needs to be examined by a vet to diagnose all his problems and determine the best way to treat them. He may need an antibiotic, allergy medications, and an anti-inflammatory.

I see that your dog is not neutered - I'm not sure how old he is, but in middle-aged or older unneutered males it is common to see blood dripping from the penis as a symptom of an [enlarged prostate](https://www.petcoach.co/dog/condition/prostate-enlargement/). That is normally the first thing that I would check out in a dog with this problem. Other possible causes include an injury or tumor on the penis or the penile sheath, a bladder or prostate infection, bladder stones, kidney disease, or even a systemic bleeding disorder. I would recommend taking him to a vet for an exam - they will probably want to collect a urine sample for testing, check his prostate during a rectal exam, and examine his penis closely outside the sheath to look for any problems. From there, x-rays and ultrasound can be used to look at the prostate, if needed. If the problem is due to prostatic enlargement, this can normally be improved with [neutering](https://www.petcoach.co/article/benefits-of-neutering-castrating-male-dogs-puppies/) and does not typically cause any long-term problems.

If the area is too swollen for him to urinate (ie the urine cannot be evacuated through the opening prepared by the surgery), then this needs to be rechecked by your veterinarian. He could also withhold urinating due to pain, so make sure you give him the pain medication given to you for him by the vet , or get some from the vet for a few days. Any movement, including pressing to poop, probably hurts, so Ginger may try to avoid eliminating. Again, pain medicine is necessary to help him eliminate without fear and pain. Food wise, I suggest you feed him the food he is used to, do not abruptly changed his diet. If Ginger does not urinate within another 23 hrs, it is an emergency and he must be seen by the vet.

It sounds like he should be examined by a vet to determine the cause and treat. He could have an infection and may need an antibiotic to treat. Please schedule an appointment with your vet, especially since he seems to be in pain.

I can understand being concerned about Ruger! He could have sustained trauma to his penis, or he could be suffering from a UTI or bladder stones. As long he's not bleeding heavily and is acting normally, you can bring him into the vet in the morning. The vet can diagnose the cause of the bleeding so Ruger can be treated.

Dogs can become sexually aroused even if they aren't sexually active, getting an erection. If his penis is swollen and sticking out, I would be concerned that the swelling could potentially constrict his urethra, leading to difficulty urinating. Because he's having trouble walking and his penis is swollen, I recommend you taking him into your vet to have the paraphimosis resolved. It's important to have him seen now, as it's causing him difficulty walking and you don't want it to lead to a constriction of the urethra.