They probably need to culture the urine to see what kind of bacteria is in there so they can prescribe the right antibiotic. Sounds like it could be a bad UTI - Good luck & keep us posted.
I missed if you have said whether or not she is spayed. If she is not, than coming into season is what causes the genitalia to mature. If she is not spayed, I would take a pass on the DES and just wait for nature to take it's course.Just got back from the vet. Her ultrasound was normal so no stones. He did note that her vagina was very immature and he wants to try giving her Diethylstilbestrol (estrogen) to help stimulate it to develop quicker. Has anyone heard of this?
She will be going in for Cystocentesis next week for a culture. The only antibiotics left to try for her infection aren't exactly the safest, so we want to make triple sure its worth giving them to her. On that topic, the only abnormality in her urine is the increased RBC, there dont appear to be any WBC. Wouldn't there be WBC if there was an infection?
not really sure where to go from here. guess we will wait and see what the culture says.
PS- I know people have suggested a culture in the past, but it wasnt feasible since she had been on antibiotics so recently, which is why we hadnt tried it yet. We were hoping this last round would clear it up. Obviously that didnt work.![]()
I don't really know what the side effects of using DES for this might be, or if it would accomplish the goal... I also have never heard of using it for this. Since she is not spayed, I see no reason to hasten the process when it will simply take care of itself given a couple few months, provided she is left intact to come into season. I am confused by your vet seeming to think that her genitalia are immature and need "help"... is he recommending spaying now, and assuming that she never will come into season?Thanks!
She is not spayed and I am really worried about the effects of DES on her growth and development. I have not found anything that supports using it in this way. One of my concerns is, might the DES cause premature closing of her growth plates?
To be honest, I am kind of confused about this, too. I was hoping someone on this board had heard of using DES, in this fashion, before. I have told him that I wasnt planning to spay her, right away. He of course is a vet and they all push for 6 month spays. I asked him, "wouldn't it be better just to wait a few months, she should start puberty, soon." and he responded that he thought it was better to start this right away. Then of course an emergency came in and he had to attend to that. I called back later and asked if he had any reference material, but he was still swamped with patients.Since she is not spayed, I see no reason to hasten the process when it will simply take care of itself given a couple few months, provided she is left intact to come into season. I am confused by your vet seeming to think that her genitalia are immature and need "help"... is he recommending spaying now, and assuming that she never will come into season?
I saw the first one and the second was run by a very good friend and skilled technician, so I believe her when she says everything was normal. The pH on the initial UA was 6.0 so not all that alkaline and no crystals were seen, either.Did you see the full urine analysis results?
Does your vet check for PH level or crystals in her urine before ultrasound?
She's your dog. You should spay her if and when you decide... it is not your vet's decision. The more I read and learn, the less I like the idea of pediatric speuters... maybe, the less I like the idea of speutering, at all.To be honest, I am kind of confused about this, too. I was hoping someone on this board had heard of using DES, in this fashion, before. I have told him that I wasnt planning to spay her, right away. He of course is a vet and they all push for 6 month spays. I asked him, "wouldn't it be better just to wait a few months, she should start puberty, soon." and he responded that he thought it was better to start this right away. Then of course an emergency came in and he had to attend to that. I called back later and asked if he had any reference material, but he was still swamped with patients.
Apparently he has heard people have success with it at conferences and CE classes but I cant find anything in the medical journal databases regarding using DES in immature, intact bitches or for UTI's. I did see one mention of using it in a spayed adult female's with chronic Vaginitis but these are dogs who never went through puberty, naturally. Even the insert that accompanies the medication says for use with spayed female dogs.
I havent gone over to pick up the meds yet. I am very nervous about it. Maybe he knows of some cutting edge research that just isnt out yet and I hate to not do everything to help my little girl. but I also dont want to harm her.
Calcium oxalate stones can form at a normal pH.Now I wonder why your vet was looking for bladder stones. PH 6 is normal.
Get a second opinion...So, now I am back to square 1. The urine culture came back with no bacteria or sign of infection. So now I have a dog with hematuria with no stones and no UTI. Any ideas what to check next?