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Old 01-06-2020, 03:23 PM   #1 (permalink)
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Unhappy Blood in urine, has been both spayed and treated for UTI

Hi all,

My hedgehog Nellie is almost 4 and is still very active/loving/eating normally/nothing seems out of the ordinary other than the blood in urine. She has been to the vet 5 times in the past 2 months, & 3 different vets for differing opinions. She was first treated for a UTI, when that did not work we went forward with a spaying a month ago...she is still bleeding to this day so the spay did not seem to be the solution. I took her back to the vet 2 weeks post-surgery and she got treated for a UTI a second time, again no luck. All 3 vets are stumped at this point. I am starting to get very sad that I still do not know what is wrong with her & have been spending the big bucks at this point with the recurrent visits/treatments.

Has anyone experienced anything like this or have any ideas what could cause blood in urine other than a UTI? She has had x-rays and ultrasounds that did not show any kidney stones or tumors.

Thanks!
Dana
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Old 01-06-2020, 04:23 PM   #2 (permalink)
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Initial thought I had is has your vet done a urinalysis or a urine culture and sensitivity test?

A urinary tract infection could be resistant to whatever antibiotic was used. Sometimes doing a culture & sensitivity test is necessary to determine what antibiotic will resolve the infection. I had a male once who was diagnosed with a UTI via urinalysis with sedimentation test. We later ran a C&S as the meds weren't working. Found only 1 out of 25 tested to work on that particular bacteria. We were prescribed that med and metacam (to reduce inflammation in the bladder). My boy had another issue (male reproductive cancer as well). But the infection was confirmed to be there and a later test confirmed the 2nd antibiotic did cure the infection.


Something else to think about/ask about...
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Old 01-29-2020, 09:43 AM   #3 (permalink)
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Hi Kalandra,

Thanks for the response! Realized I never gave an update. After I posted this Nellie had an US guided cystocentesis. The US did not show any visible abnormalities and the urinalysis revealed a large amount of RBC as expected, but no WBC/bacteria/crystals were present. So we unfortunately still do not know what is going on but are kind of at the roads end as far as testing goes. :/


Here I have C&P the vets recommendations moving forward for those interested:
Recommendations/monitoring:
1. We recommend starting/continuing Nellie on a oral supplement called Cosequin. It contains glucosamine and chondroitin sulfate, which may help the bladder to create a better mucus protective layer and protect it. You can order Cosequin for Cats: Sprinkle Capsules online or get it from the pharmacy at Iowa State. Each capsule contains enough powder for 8 days for Nellie. We suggest mixing the powder with 2 teaspoons of canned food and feeding her 1/4 teaspoon per day of the food.
2. We recommend changing Nellie’s food (both wet and dry versions) to Science Diet C/D cat food. This diet is specially formulated for patients with urinary tract issues. This is a prescription diet and we can write you a script of if you fill it online we will authorize it.
3. In addition to the food change, we recommend trying to implement meal worms into Nellie’s diet. This would be an added source of Omega−3 fatty acids which is also a good supplement for bladder health.
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Old 02-03-2020, 11:18 AM   #4 (permalink)
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Well that's frustrating. Its never fun going through all the tests and are still back at square 1 trying to figure out what to do next. I feel your pain, been there many a time.

I've used glucosamin/chondroitin in hedgehogs for arthritis and have really only read about that type of usage. However your reply prompted me to go read about its other uses, and it looks interesting for bladder health/protection. Something I'm going to have to remember to bring up with my vet should I have a hedgehog in this situation in the future.

Please keep us updated on how Nellie is doing. I'd love to see if any of the diet changes seem to help out.
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