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post #1 of 30 (permalink) Old 07-01-2010, 11:25 PM Thread Starter
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Bloody urine

Poor Dash. Back in mid-April, when Dash was 4 months old, he had his first episode of bloody urine. His urine was dark red. We were alarmed, but he seemed completely fine with no other symptoms. The next day, before we had the chance to take him to the vet his urine went back to normal color. I figured he had a UTI and it cleared on its own.

Then a week later, he had blood in his urine again. And again he showed no other symptoms. We took him to the vet, who examined him, ruled out stones, and prescribed amoxicillin. His urine once again cleared up.

A little over a week after that, the bloody urine returned. We took him to the vet again, and they took a urine sample for a urinalysis. The vet suspected he might have crystals in his bladder or some sort of infection. The urinalysis came back negative for crystals and negative for bacteria. The vet diagnosed Dash (now 5 months old) with a food allergy. He prescribed Prednisone and a change in food. The bloody urine once again stopped. Dash transitioned well to his new food.

A month and a half passed with no episodes of bloody urine. In the meantime, we switched vets and Dash was neutered.

Then this past Monday, we noticed Dash's urine was bloody again. We took him to his new vet for an exam on Tuesday, ultrasound, and urinalysis. The ultrasound showed that his bladder was clear and looked healthy. Meanwhile, Dash's urine cleared up again.

The urinalysis came back Wednesday. It showed a high concentration of bilirubin, red blood cells, and protein. The vet consulted with an internalist, and they recommended a urine culture (in case it was an infection of the bladder or kidney) and or a blood test (in case it was a clotting issue). There were no visible signs of bruising or other indication of a clotting disorder, so we opted for the urine culture. Dash's urine became bloody again.

We took him to the vet again today (Thursday) to give a urine sample. They were alarmed at how very dark red it was and became very concerned for his health. Another doctor was consulted and they both recommended a chemistry panel to comprehensively check the blood. They suspected a possibility of a clotting disorder or an autoimmune disorder, which they say isn't very uncommon with exotic breeds. They took a blood sample, and we were sent home with instructions to keep Dash's activity level really low because he was at risk of collapsing. They also gave me the location and number of the nearest emergency animal clinic. Test results won't be available until tomorrow.

All day I kept a close eye on him and made him as cozy as possible. He napped much of the day and was pretty lethargic in the evening. I hand fed him his dinner. His energy level seems to have picked up a little as night approaches.

I am so worried. I have no idea what is wrong with my baby. He's only 7 months old! I am trying not to think the worst. Have any of you had a similar experience? Ugh! Tomorrow cannot come soon enough!
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post #2 of 30 (permalink) Old 07-02-2010, 07:54 AM
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At first I thought this might be some kind of muscle tear after exercise as we had a horse once that would have blood in the urine for a day or two after a field trial. He never seemed sick. He was sent to the UGA Vet College but even they could never put a name or reason for the urine blood. Our vet was sure it was muscular tearing. At some point it stopped and he lived to be in his 20’s.

Please let us know what the results are and how Dash is doing. We are wishing you Good luck with the results.

Sandi, taking a new road with Smarty and Galen
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post #3 of 30 (permalink) Old 07-02-2010, 08:06 AM
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I'm so sorry for you and Dash. Hopefully it will turn out to be something minor, but I know how lousy it feels for your baby to be sick. Pixie had a UTI before, but I don't think there was blood present. I just looked it up and it appears to be a pretty common thing with many possible causes, many of them minor and very treatable. Fingers crossed that you get an answer very soon and Dash is feeling back to normal.

Beth, Pixie Puff and MiG too
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post #4 of 30 (permalink) Old 07-02-2010, 09:02 AM
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If there's a high concentration of bilirubin that would lead me to believe something is going on with his liver. Are they doing a liver enzyme test?

I hope it all comes back normal!

Ann-Scooter, Murphy, & Gracie's Mom
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post #5 of 30 (permalink) Old 07-02-2010, 09:46 AM
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Hoping for the best.

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post #6 of 30 (permalink) Old 07-02-2010, 10:05 AM
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Oh No! I pray for the best. Hopefully it is just a bladder infection. My mother's dachound had a really bad one and passed bloody urine.
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post #7 of 30 (permalink) Old 07-02-2010, 10:32 AM Thread Starter
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Thanks for all your well wishes. The vet had considered that it might be a muscle tear, but Dash isn't very active (only as active as darting for the ball/frisbee). I suppose in one of his "dashes" he could have torn something. The fact that the bloody urine comes and goes may suggest that he is re-tearing the muscle, if that is the correct diagnosis. Hm.

They aren't doing a specific liver enzyme test, but I think the chemistry panel they're running includes testing for bilirubin to evaluate the kidney and liver function.

I hope the chemistry panel is conclusive for the cause of his symptoms. He was pretty lethargic all day yesterday, then at night his energy returned and his urine cleared up.

I'll post the results. Thanks again for the positive thoughts.
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post #8 of 30 (permalink) Old 07-02-2010, 02:06 PM Thread Starter
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Update:

The vet called this morning and reported that Dash's blood test results were fairly normal. The only thing of possible concern is the reactive lymphocites, which could indicate an infection. We are to recheck his CBC later.

Yesterday's blood test ruled out a clotting disorder (whew!), but we still don't know what's causing the bloody urine. They have not ruled out the autoimmune disorder. More tests will need to be run for that. The vet will run a urine culture to check for a kidney or bladder infection. If that comes back negative, then the next step is to get an internal medicine consult.

Dash's energy returned last night, and his urine became clear again, but about an hour ago when I took him out it was brown again (but thankfully not deep red). His energy level still seems normal. I'll be watching him carefully.
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post #9 of 30 (permalink) Old 07-02-2010, 03:00 PM
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Quote:
Originally Posted by havadash View Post
Dash's energy returned last night, and his urine became clear again, but about an hour ago when I took him out it was brown again (but thankfully not deep red). His energy level still seems normal. I'll be watching him carefully.
I know this is all worrisome, but don't forget that his lower energy level yesterday could easily have been just from the stress of being at the vet, getting his blood test done, etc. It MIGHT not have been because he was sick.


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post #10 of 30 (permalink) Old 07-02-2010, 03:26 PM
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Rosie's urine is brown or deep orange a lot. It just is because she hasn't hydrated enough. When she is drinking a lot it is clear. Now you have me worried. But it has alwas been this way and she had complete blood work in March.
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