Question Details
Excessive Thirst And Can't Hold Urine In A Dog
by nicolleredig - March 2, 2017    View Case Report
I have a 2 year old cocker patient that the owner was seeking another opinion for her boy that for the last year has been having trouble holding urine. It all started when they got a new cocker a year ago - so he would have been 1 year old. There was some diet changes around that time - not exact sure on dates but was on Blue Buffalo then switched to a grain free version and it started - acc to owner. He likes the new dog - not 'angry' or didn't seem stressed to owner when they got her. Then both dogs were having some urinary issues - crystals in urine, etc and was put on UR food. The other dog is fine now but Axel was still stressed, trying to get outside and dribbling urine before he could get out. The owner would notice him drink a large volume of water at times. The old urine results the owner showed me had a pH of 7, one of pH8 - so am assuming struvites. But culture had no growth and and ultrasound was normal.

When I went to her home, he barks and keeps his distance. Seems like a 'wood' dog. Tough to look at tongue but seemed pale lavender. I had owner send me a pic today when he's calm and she got one from the side and still seems that way but along the lateral edge - it could be a darker pink right on the edge. (pic with mouth closed and lip lifted) She did change to raw a month ago and we added in Renal Support from Standard Process. He wasn't a hot or cold dog, likes couches, beds. He was so scared of me but I had written the pulses were more wiry than slippery and weaker on the right. He has good and bad days since diet change a month ago per owner. Today she saw him drinking the whole bowl and then is frantic to get out and has occasional accidents. He loves to eat his new diet and both dogs like to eat grass, mulch, etc in yard. A recheck urine this week showed a pH of 6, SpGr of 1.050 (assume first urine of day), only 2 crystals on slide. no signs of infection. So, he can concentrate urine, not an obvious crystal/infection issue. I'm torn on the 'heat' signs of drinking a lot vs deficiency. Please help:) I'd like to do some herbs but not sure what.
Replies
by naturevet
March 10, 2017
Hi Nicole,

For uncontrolled urgency, the main differentials are Damp Heat and Spleen Qi sinking. The latter is actually a form of Liver Qi stagnation, and so fits the wiry pulses and general impression of 'Wood' that you had during your visit. The treatment is Bu Zhong Yi Qi Tang, and it helps to reduce anxiety and stress as well.

Damp Heat would be more likely if there was inflammation evident, and Kidney deficiency would be more likely if urine concentration was poor. Bu Zhong Yi Qi Tang seems the best bet

Steve
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