Question Details
Soft Stools, Urinary Incontinence, Frequent UTI,Liver Enzyme Elevation
by herblmt - July 2, 2022
Helo Dr. Marsden,
I need help with this case.

Bella is a 9YO SF GreatPyrenees mix - 88.4 # ( spayed early at 3 months)

HISTORY =>> B is overweight and ha soft stools for a long time on and off (when they are off look like cow patty and beige in color. Recently after the vaccination the feces are soft again- loose => O ADDED Digestive PET WELLBEING AND THE POOP IS CONTROLLED
B has chronic UTI and urinary incontinence at night =>> O ADDED VETRI SCIENCE BLADDER AND THE URINARY PROBLEMS ARE MUCH IMPROVED
eLEVATION OF LIVER ENZYMES - O GIVES PET WELLBEING LIVER SUPPORT
////////////////////////

MAJOR COMPLAIN TODAY- O needs an alternative option for her dog health
SHEN - great
PERSONALITY - earth
APETTITE - ok
FOOD =>>Ziwi Peak and Open farm
VOMITING - no
DEFECATION - Soft usually on and off and after stress vaccination - wet and caw paw like. Poops 3 times a day
DRINKING - a lot
URINATION - a lot
ENERGY LEVEL - good
SLEEPING PATTERN/ PREFERENCE - good - likes cooler places

TONGUE - red/ dry/ with longitudinal striations , mmc pink/pale/ dry ( panting in the room and is running warm almost always)
PULSE - deep,thin slippery, cannot palpate in the R is so small
EAR TEMP - hot
BODY SURFACE TEMP normal
PADS ARE NORMAL

MUCUS MEMBRANES - pink
FOOT PADS - normal/black
PANTING - almost always - very anxious especially with the noises
No pain


TCVM DX
- KIDNEY YIN DEFICIENCY
- SPLEEN DEFICIENCY WITH DAMP
- LOWER JIAO DAMP HEAT

I need help with this case.
I really would like to know what herbal will benefit this case the most.
(I finished CHI so my DX is what I learn there.)

Thank you very much
Lavinia
Replies
by naturevet
July 4, 2022
Hi there! The formula that fits with your assessment is Zhi Bai Di Huang Wan. It has a reputation for addressing polyuria, polydipsia, recurrent UTIs, and colitis.

My only other thought is that this could be a Spleen Qi sinking case. These dogs have rapid bowel transit times, causing soft pale stools. They are vulnerable to repetitive UTIs because their Wei Qi is deficient. They are also vulnerable to stress, since this is really a form of Liver Qi stagnation. The only thing that doesn't really fit is a red tongue. If you'd said pale or lavender, this would have been my first choice.

I guess keep it in mind if the Zhi Bai Di Huang Wan doesn't work.

Steve
by herblmt
July 4, 2022
Thank you very much for your answer.
The tongue when I enter the room was pale wet wit striations
But then at the end was red with striations
Very confusing pattern
Shall I start with Bu Zhong Yi Qi tang in the case of Qi sinking?
Thank you

Lavinia
by naturevet
July 4, 2022
Sure, let's see what happens
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