My dog strains to pee, no stones, no improvement on meds. What now?

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concerns! My next concern is are we dealing with some predisposing factor leading to these UTIs or is there a resistant bacteria in the urine that is not responding to the current rounds of medications? I would recommend ultrasounding the bladder and obtaining a sterile urine sample for culture and go from there. Have the crystals resolved yet? If there are still crystals in the urine, then these need to be resolved as the presence of crystals will lead to recurrent UTIs and symptoms. I hope this helps!

This looks like a pretty normal urine puddle for a dog Romeo's size. I think it's encouraging that he's no longer only urinating in small volumes. Signs that his infection would be persisting or worsening include urinating small frequent amounts, straining to urinate, seeing blood in the urine, licking his penis more than normal, or drinking large volumes of water. From what you've described, it sounds as though Romeo is improving so far, but his test on Friday will provide more clarity. Until then, just keep giving the amoxicillin as prescribed. I hope that everything goes well!

Hi, and thanks for your question. These signs are definitively compatible with a urinary tract infection/inflammation. Stress related (idiopathic type of inflammation) infection and presence of crystals are the most common causes of it. Another clinical examination at your local veterinarian is essential to confirm these clinical suspicions and treat appropriately. Ultrasound or x rays of the abdomen may be needed as there may be stones inside the bladder (which does not show up on urine analysis). Hope this answer was helpful, but 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. Please find the time to give us a feedback about the consultation as that will be used to improve our service.

I'm sorry to hear that Snare has been having so many urinary issues. There are several possible causes for his ongoing bloody urine and straining. One possible cause is that the bacteria causing his urinary tract infection are resistant to the antibiotic being used. Others include the possibility of prostate issues, bladder stones, crystals or a bladder mass, which could be partially blocking the urethra or causing discomfort. I strongly recommend taking Snare to his vet first thing in the morning for further evaluation. Your vet will likely recommend additional diagnostic tests, which may include a urine culture, x-rays or an abdominal ultrasound. If Snare becomes unable to urinate or is straining, but unable to pass any urine, this is an emergency and should be addressed by an emergency vet immediately. I hope this helps and that Snare is one the mend soon!

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.

Blood in the urine can be from a urinary tract infection for which Clavamox is usually an appropriate antibiotic. Blood in the urine however can also be due to crystals that are forming and irritating the bladder/urethral lining. If you haven’t already submitted a urine sample for a urinalysis (to determine specific gravity /whether the kidneys are concentrating the urine properly, whether there is glucose in the urine which is usually a symptom of diabetes, whether there is bacteria/white blood cells in the urine and whether there are crystals and what kind, I would recommend submitting a urine sample to your vet’s office for a urinalysis and then starting the antibiotics prescribed. If Summer has stones, she likely has crystals as well and may benefit from being on a prescription crystal dissolving diet such as Royal Canin Urinary S/O or Hills C/D for life depending on the type of crystals seen. Best of luck!

If there is no improvement and Fitz is still having these symptoms, I would recommend having the veterinarian take xrays of the bladder to see if there are any abnormalities such as a bladder stone. If the pain is not under control, I would recommend a different pain medication such as Methadone, which works quite well at relieving pain. If he is not improving and is worse, I would get him seen by a veterinarian so that the most appropriate diagnostic and treatment recommendations can be made. I hope this helps! Please let me know if you have any other questions or concerns and I would be more than happy to help you further.