Penile Discharge In A Dog
Watson is a 15 mth old neutered male German Shepherd. He has recently re-developed penile discharge after a long history of illness being off and on abx. The discharge is tan and he leaves droplets all over the house. He was neutered last June 2022, then really sick that July and on abx after developing a pharyngeal abscess that progressed to pneumonia. On abx the dripping cleared up. He has had abx on and off last 12 weeks again via a specialist. Then last 3 weeks, since off abx, dripping more again. Looks like pus, cleans himself, licks and chews at penis. Urination WNL. Will go a long time without urinating, stream seems normal. Fed BID Purina Proplan dry and Iams or Purina wet. Super finicky eater, esp while sick. Started eating much better with abx, then off again since off. Generally a nervous boy, jumpy, esp at night. Mostly good with dogs, goes to puppy daycare, reactive occas on-leash. With people overall indifferent/reserved, but never aggressive.
On exam today he is quite thin, BCS 3.5/5, shy, penis and sheath NAF, and tongue pinkish-purple, sl swollen, not overly moist; pulses wiry but toned. O/wise PE unremarkable.
It seems like a Spleen Qi deficiency with Damp Heat (or just Dampness?) with Blood deficiency. Would you think I am on the right track with DGSYS? Or is WLT better to address this?