I am sorry to hear you are worried about Jess.
My name is***** am a veterinarian, and will do my best to help.
The first thing I would to before any other tests is a urinalysis to be sure that the urinary infection she had is gone, and that a persistent infection is not the cause of these symptoms.
You can also have a test done on the urine, called a UCCR test for urine creatinine cortisol ratio, that will tell you if it is likely she has Cushing's disease. If a UCCR test is negative, she does not have it. If a UCCR test is positive, she probably does, but more testing is needed to confirm it.
Diabetes insipidus is a rare disease. It is easily ruled out, by testing the first urine sample of the morning for concentration. If the USG, urine specific gravity, a measure of concentration, is higher than 1.020 (normal is usually 1.035 or higher), she does not have DI.
I hope you can see what I am writing! I am not seeing responses from you.
they took another urinary sample but clear for infection when she pees it looks like clear water from tap.
Cushings is a complicated disease, and there are more than one type. You have to figure out which type, before knowing the treatment. The medication is expensive, and you have to do blood tests regularly to manage it. There is no easy, quick, and inexpensive way to diagnose or treat it. I sure wish there was, I seem to be seeing more and more of it.
If the urine is that clear, she either has diabetes insipidus (very rare, but easy to rule out by checking the specific gravity, a simple test) or she is drinking too much water (Cushing's, kidney disease, high blood calcium, liver disease, many causes). It would help if I could see the urine and blood tests that were done.
She had a dry night last night and has not peed in her bed so far today yesterday she didn't stop peeing is the UCCR urine test expensive?
At my clinic it is about $70, not sure what that is in pounds.
Looks like around 40 pounds
But that is my lab, here in the US.
And that is just the first baby step in dealing with Cushings.
Do you know if the blood tests showed an elevated liver enzyme at all? Usually with Cushing's, a liver enzyme called ALKP is very high.
But not always. That is the problem with Cushing's, it can be very variable. There is no one test that proves it, although the UCCR test does rule it out if it is negative.
She hasn't drunk that much this morning we have had a bit of a heat wave here in England and they thought it was because of hot weather but it has now cooled down I can at least go to my Vet armed with a bit more information and ask to do UCCR see what that comes back and then decide from there, if it is negative then we can go down another route I just feel my vet is going to do more expensive test first.
The UCCR is where I usually start. If it is negative, we can spend our money looking elsewhere.
Has she been tested to see if her thyroid disease is under control, that her levels are normal? Getting too much thyroid supplement can make a dog drink and urinate a lot.
Yes I agree thank you for all information I feel a bit more positive for her but I'm afraid I haven't got a bottomless pit of money and as I live on my own there's only so much I can pay out.
You are welcome.
Is there anything else I can answer?
No thank you very grateful for all info Sharon
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I will ask them to test thyroid s as well thank you
I will be checking back to see how she is doing.