Our 5 pound, 10 year old Papillon had 3 bladder stones removed last month. The analysis showed that they were Calcium Phosphate Carbonate. I was only able to find limited research matching the specificity of her condition, and have lots of questions. I would love guidance from someone who has experience with this specific type of stone? What have you done that’s worked? Our Vet told us there’s a 50/50 chance of recurrence, and even after surgery, there is still blood in her urine.
She goes on a wee wee pad – so can urinate freely, which she does, . . . frequently! The blood in her urine appears pinkish/red. She was on Carprofen immediately following surgery – but bloody urine persisted, so Vet switched her to a different anti-inflammatory – Meloxidyl. This seemed to work because we weren’t noticing blood in her urine 10 days after we started Meloxidyl, so we were told to stop. But shortly after stopping Meloxidyl, we noticed the blood in her urine resumed. The Vet took some additional X-Rays and did a Sonogram, and told us that she still has some clotting and debris from either the surgery or from ongoing cystitis (bladder inflammation); and that while she still may be creating some sediment, thankfully stones have not developed over the last 3+/- weeks since surgery. How long does it take for the sediment to form? Is it possible for sediment to form merely weeks after surgery?
Our Vet prescribed Hill’s C/D (stating she needs a diet lower in protein, phosphorus, and calcium). She was on a diet of Natural Balance – variety of flavors since we got her (only weeks old). We’ve been feeding her the Hill’s C/D food for one week now (she wouldnât eat the canned, so we feed dry soaked in water . . . soupy consistency). Vet did a unrinalysis yesterday, which showed pH of 8.5. How long should it take for the food to alter her pH? He suggested we use a dipstick (which he said we can purchase online and touch it to the urine on the wee wee pad) to test her urine daily. But, if we determine that her pH is not where is should be, what else are we supposed to feed her to help manage the pH to around 6.5/7 (where the Vet would like it to be)?
Urine culture results are not yet back, but last time they didn’t show anything out of the ordinary.
In addition to suggesting Hill’s C/D prescription diet, and monitoring the urine pH at home daily, the Vet also recommends diagnostic testing at his office including urinalysis ( every 3 months), urine culture( every 3 months), radiographs/x-rays (every 6 months). We still aren’t clear what to do if pH doesnât go down? i.e. how do we get it to decrease? I read somewhere that we’re supposed to be feeding a diet rich in animal-based protein to help increase acidic pH vs. alkaline, but based on the type of stones she had (CALCIUM PHOSPHATE CARBONATE UROLITHS), we’re supposed to feed her a diet low in animal protein. So what to do?
Also, how do we get her to drink more water? We already soak the dry kibble in hot water an hour +/- before serving. We also refresh her water throughout the day and night. I don’t want to add sodium to her diet, because I read somewhere that dogs with her type of stones are also supposed to stay away from salt.
Thank you in advance for any guidance you can provide!
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