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Dr. Kara
Dr. Kara, Board Certified Veterinarian
Category: Vet
Satisfied Customers: 18130
Experience:  Over 20 years of experience as a veterinarian.
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My dog has white cells urin had antibiotic 10 days no change

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My dog has white cells urin had antibiotic 10 days no change incontinent and on tabs for heart failer what do you think could be wrong
Hello, my name is***** and I have over 20 years of experience as a veterinarian. I'd like to help with your concerns about Poppy having evidence of white blood cells in her urine and incontinence with no improvement after 10 days on an antibiotic.

I understand that she is also in heart failure and is on medication to help with that as well. Dogs that are taking a diuretic (such as Lasix, also known as furosemide) because they are in heart failure and are experiencing fluid accumulation in their lungs may have problems with incontinence simply because they are unable to hold all of the urine their kidneys are producing due to the effects of the diuretic. If her lungs are now clear, and have been for a while, it may be possible to decrease her diuretic dose now, which may help with her incontinence.

However fluid over load should not cause increased numbers of white blood cells in her urinary tract. Increased numbers of white cells means she has some sort of inflammatory process going on in her urinary tract, which can point toward an infection but can also be caused by a mass in her urinary tract, crystals or calculi (stones) in her urinary tract.

Ideally Poppy should have radiographs of her abdomen to evaluate her bladder and kidneys, possibly an ultrasound of her abdomen as another way to look for calculi that don't show up on normal radiographs and evaluate her urinary tract for a thickened bladder lining or a mass as well as a culture of her urine. Though she has been on antibiotics perhaps she has a resistant infection which didn't respond to the antibiotic she was given.

Please let me know if you have any further questions.
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