Question Details
Urinary Tract Infections
by Hen4761@gmail.com - August 5, 2026
Hi Steve,


I have a few quick questions for you, and thank you so much for answering them all in the past few weeks.

General question: I have had a handful of geriatric female patients with recurrent urinary tract infections, who do not respond to antibiotic treatment no matter which antibiotic is used according to the urine sensitivity list after culturing. I have used Adored Beast Easy Peesy Protocol with no improvement along with UTI Warrior from Natura Petz Organics. Do you have any thoughts or other options as I dislike using antibiotics anyway, but now they don’t seem to respond to anything I try.

Specific patient question: I have a 17 week, female, Border Collie puppy who presented to my clinic for stranguria, pollakiuria on 6/15 and a urinalysis performed illustrated many rods and WBC’s and RBC’s noted. UTI was dx and she was sent home on Clavamox. 2 weeks later her recheck u/a on 7/1 after 2 weeks of Clavamox was exactly the same with WBC’s, RBC’s and Rods. At this point my co-worker cultured a cystocentesis sample, and it returned as E. coli. She then spoke to an internist and they had recommended starting TMS in which she then took for 14 days. Her recheck urine then on 7/21 illustrated continued elevated WBC count (49/phpf) but no rods and otherwise NSF. At that point when I saw them , I started her on Adored Beast Easy Peesy, perivulvar wiping with natural baby wipes, and asked them to recheck a urine in 2 weeks. (We had talked about possible Vaginitis at this time as well) Her recheck urine performed yesterday 8/4, illustrated less WBC’s (6/phpf), no RBC’s but significant amt of rods again. Ugghh. We discussed that ideally avoiding antibiotics again would be ideal, and hoping you might have a magical herb blend that we could try. :)).

Also she was on a kibble when she came to see me and now on a raw diet, along with omega 3 FA, Green JuJu Soil probiotic, and Standard Process Mushroom Complex.

Warm regards,

Heather Nickel
Replies
by naturevet
August 8, 2026
Hi Heather,

Regarding the Border Collie, it seems the switch to raw has potentially accomplished something, in the form of reducing reactivity. Highly exuberant inflammatory responses, especially if starting around the summer solstice, indicates Damp Heat, which is amenable to raw diets. Given the above and the obvious Heat signs at onset, the first thing I would try is Si Miao San (Four Marvels), since it addresses Damp Heat and since it has antimicrobial properties that might eradicate the lingering bacteria. If the culture was sensitive to berberine (assuming it was checked), then SMS should definitely work.

Use the Adored Beast product again, since it has mild immune stimulating properties that can help prevent recurrence as the SMS knocks out the infection. If the infection is unabated, then the usual work up for physical lesions (like developmental abnormalities or stones) should be initiated to rule them out. If you find something, you can follow up on this question and let me know what the underlying cause is.

For your older cats where antibiotics are completely useless, this suggests poor immune competence (perhaps because of advancing age). Sometimes it's not immune (Wei Qi) deficiency but Blood Stasis (or poor immune access). Bu Zhong Yi Qi Tang is a good formula for that. To increase the moving properties in the lower burner, you can combine BZYQT with Xiao Chai Hu Tang (especially if kidneys are normal) and/or Shao Fu Zhu Yu Tang (if mass lesions are present). But start with BZYQT. A mild improvement at least would suggest we are on the right track

Steve
by Hen4761@gmail.com
August 10, 2026
Thank you Steve!
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