Polyuria / Polydipsia In A Dog
Lola is a 9 yr old FS greyhound who suddenly in early February began drinking and peeing a lot. Regular vet did blood work, UA, could find no particular abnormalities other than mild proteinuria. Treated as cystitis "just in case", but there was no change. No other symptoms-- good energy, strong appetite. Next step for conventional vet was abdominal U/S and glucose deprivation test. Her pulse was very strong and full, tongue possibly a little on the red side. But does not behave cool-seeking in any way. She has history of noise reactivity, so I was considering putting her on XYS, but did not really have any valuable thoughts on the PU/PD.
Just was at the CIVT renal seminar and I felt like for every new variety of renal symptom *this* must be Lola's problem. The signs did come on during the spring SY transition, and now in April, owner thinks it's about 50% better than at its worst. So maybe beginning of a Shao Yang problem? But no azotemia currently. Or is she an R6 case with KI yin def that just has not progressed yet to clinpath levels? I have not seen the bloodwork myself, only had client report, so I need to find out whether they did a urine P/C ratio.
Would you treat a case as renal with the only symptoms being PU/PD and mild proteinuria?