Aloha! You're speaking to Dr. Michael Salkin
My moderator has asked me to see if you still need help. Dr. Kara gave you an excellent synopsis of why Molly might not be able to hold her urine and discussed how you might address this. You commented that you already "knew the rest" and so I'm puzzled, then, that you didn't also know that there were medications ("pills") that could help Molly. To summarize for you...
If a urinalysis confirms that Molly has a urinary tract infection, an antibiotic will be prescribed for 10-14 days. Two days after the antibiotic course has been completed, another urinalysis or culture of her urine should be performed to ensure that her urinary tract has been sterilized.
If a urinalysis doesn't find evidence of infection, a urethral incompetence is diagnosed and either PPA as mentioned above or an estrogen compound such as DES or estradiol is prescribed.
If Molly's history includes her being polydipsic and polyuric (increased thirst/increased volume of urine), the etiology for those symptoms needs to be identified and treated before her incontinence abates.
A neurogenic etiology is less likely and is usually found comcomitant with spinal disorders which would cause problems in locomotion.
Please continue our conversation if you wish. If none of the above has been worthwhile, please contact [email protected]
to have your deposit refunded.