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    Dog urinating blood
    Moomer2 posted:
    We have a Rednosed Pit/yellow Lab mix 8 month old dog. She started urinating blood, so we took her to a vet, and after $694.00 they couldn't find anything wrong with her. They took xrays, ultrasounds (2) bloodwork, the vet even brought another vet in to check everything out and neither one of them found anything wrong. they even tested her for Leppto. The vet was so frustrated because he couldn't figure what was wrong. He told us we would need to find a Internest. We can't afford anymore cost. The vet gave her 20 days of a antibiotic and vitamin K. the dog eats well, doesn't feel bad, plays, She isn't anemic, no temp. Do you have any ideas what could be wrong? Dixie Yager
    Kathy_Snyder_DVM_DACVIM responded:
    Hi Dixie,

    Do you know what tests they performed and what the results were? There are many different things that could cause blood in the urine, with the most common being a bacterial infection. But other causes could include kidney diseases, problems with blood clotting, other blood disorders, other problems with her bladder or lower urinary system.

    Is she still urinating blood or has she improved on the medications?
    Moomer2 responded:
    Like I said before the Vet did every test, and Xrays and 2 ultra sounds, plus called in another Vet to look at Xrays and ultra sounds. All tests came back normal. No infections no problem with blood clotting. . Like I said we spent $684.00 which the Vet gave us a discount, because we are seniors and he knew we didn't have the money, it should of been probably $400.00 more. We had to put the cost on a charge card, so we will be paying for several months. We don't have the money to continue further tests etc. The dog is still urinating blood. She is eating well running around acting normal. The Vet was very frustrated because he couldn't figure what was wrong with her. We gave her 20 days of antibiotics and vitamin K. Still the same!!!
    ShivaChi responded:
    One quick question, did the vet do the x-rays plain, or with dye? I had a doberman who had a pee problem, he couldn't hold it and would pee all the time. After many tests of his urine and blood tests, they did 2 sets of x-rays with dye and discovered he had pelvic bladder. If they had just done regular x-rays, they wouldn't have been able to see it, or at least not as well, as the dye is picked up by the x-rays so they take the x-rays at intervals and see how the dye is running through the dog.
    Kathy_Snyder_DVM_DACVIM responded:
    Unfortunately there are still many questions to be answered to clarify what the cause might be. This is a challenging case!

    1. Is this truly blood? Red blood cell destruction or muscle destruction along with true red blood cell loss in the urine can all cause a red-brown color change to the urine. Therefore, the first question I'd need to ask your vet was if they actually saw lots and lots of red blood cells when they looked at her urine under the microscope. If the answer is yes, then it's blood loss. If they didn't, then she is more likely to have what we call hemoglobinuria (which usually would result in anemia so less likely in your dog) or myoglobinuria. Which of these problems is going on would point us in different directions.

    2. Is the urine red throughout her entire urine stream or are there times when it looks yellow? This might help us localize where in the urinary system the blood might be coming from. If it's red early then yellow at the end of urination, it's more likely to be a vaginal or urethral problem.

    3. Does she strain to urinate, have increased frequency of urination, or go smaller amounts more frequently? These signs are all associated with lower urinary tract (bladder, urethra) problems. If she does NOT have these signs, it's more likely the blood is coming from her kidneys or ureters.

    4. When your veterinarian collects urine do they put a needle into her bladder to remove the urine? If so, is it bloody when it comes out? Again, this is another very important piece of information to help us figure out the location of the blood loss.

    5. Have they performed a variety of blood clotting tests? I know you said she doesn't have a clotting disorder, but your vet would have to perform some specific tests (platelet count, buccal mucosal bleeding time, and coagulation profile) to prove without question that no bleeding disorders were present.

    6. Has a urine culture been done or just a urinalysis? Urine cultures may show evidence of infection while urinalysis sometimes will not.

    If she does not have clinical signs associated with the lower urinary tract (which I'm assuming she doesn't since you didn't discuss them), then I'd be inclined to think she has blood loss high in her urinary tract (kidneys, ureters). A clotting problem might still be possible, but less likely. If that is the case, the next best step as far as testing goes is for her to have cystoscopy performed. Cystoscopy is when a camera is placed into her urinary system to look for problem, obtain samples, etc. Unfortunately it requires general anesthesia. This procedure would allow your veterinarian to see if there was blood entering the bladder from the left kidney/ureter or the right kidney/ureter.

    If blood was observed coming from one of these locations, the most likely cause would be an abnormal vessel in one of her kidneys. Considering her age, this would most likely be a vessel that formed abnormally as she grew. There are several different treatment options available.

    If you were going to have her spayed, you could also have your vet examine her kidneys during her spay. He can put a needle into what we call the "renal pelvis", or an area right next to the kidneys that collects urine, and see if the blood is coming from the kidneys and if so, which side. The advantage to this is that he doesn't have to have expensive endoscopy equipment to perform this procedure. However, treatment still may require visiting a specialist.

    A good first step considering your financial concerns would be to answer the questions above. Your veterinarian may be able to consult with an internist at a local veterinary college (often for no charge) and see how much those further tests and treatments would cost.

    As a last line of defense, there's a Chinese herb called Yunnan Baiyao that some vets use for bleeding of unknown cause. Ask your vet about if it'd be safe for your dog.
    Moomer2 responded:
    Thanks, for the response. My problem is the vet we went to is 1,200 miles away. This all happened in Butte Montana, while we were on vacation at Sons. Dog has already been spayed. I don't know exactly all that was done and how. I have all the records, but don't understand it. I will send your response to Vet in Montana and see what he says. He wants to know what we find out. Like I said we aren't able to spend anymore money on her. As long as she feels fine I'm going to let her live with the urinating blood. Oh yeh, her urine most of the time is brownish looking. Since she has been home I don't follow her around to see what her urine looks like. We have a large back yard. She sleeps in laundry room and isn't in house during night. For some reason she wants to urinate in house. She didn't in motohome. She never had to urinate frequently, she was inside at night (in motorhome) and she did'nt have to go out to urinate until morning. I believe the Vet only took urine by catching it in cup when she urinated, but not sure, that is the way I collected it.
    kosettesmith replied to Moomer2's response:

    my dog seems to be having the same thing, any follow up on what happen?

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