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I just adopted a dog from the shelter. She is underweight and probably malnourished. Her inscision from the spay surgery was infected and I thought she had a bladder or urinary tract infection so I took her to the vet. He diagnosis heartworms and the UTI and put her on anitbiotics. I feel like the UTI has cleared up because she isn't squatting all the time anymore. When I take her out she squats and tries to defecate but nothing comes out. After she had urinated on me several times when I carried her inside, I realized I could express her bladder for her. Also, when she is sleeping she will sometimes deficate. I have tried to help her with that too if I notice that something is on its way out. The vet is scheduling an ultrasound but I would love to here anyone's experience, ideas, or advice. I am really worried about her.
I started to reply but I don't know what to think of this. My first thought was alarm and to wonder if they did the spay correctly or not. It should not be infected and she should be able to urinate. This seems like either an emergency or close to it. None of this makes any sense. You can sometimes end up with an incontinent dog following spay surgery but as far as I know (?) the incontinence takes the form of dribbling, not inability to void. You can express the bladder, but you want to be careful since she just had spay surgery. I would ask the vet before doing it.
Here is a little information about expressing a pet that just had spay surgery. I don't know...is it possible they tacked the urethra during the spay? I have no clue on this. I am worried about your dog, too. I would try a different vet, not the one who did the surgery!
http://handicappedpets.biz/wiki/index.p ... dog_or_cat (click link After Abdominal Surgery)
http://www.handicappedpets.com/Articles ... spayed.htm
I have an incontinent dog as do many others on this site.
How many days has it been since her bladder was emptied? If you are expressing completely you could be managing the care, but I'm concerned that you DO IT about 4 times per day.
Agree with Carol that you need another opinion VERY soon.
"How far that little candle throws his beams! So shines a good deed in a weary world." -William Shakespeare
Thanks for the help. I am taking her to a vet I trust (he saw my last dog through kidney and heart failure with a lot of skill and compasion) He has ordered an ultrasound but we couldn't get in until Tuesday. His initial worry was that it was a bad spay job too, although because the problem deficating continues he is starting to think it may be a birth defect or pre-existing syndrom.
I am worried that I am not expressing her completely. She is very small and doesn't drink much. Some days hardly anything comes out for 8 hours or more. But days when she drinks more regularly it seems like we have to go every couple hours to keep her from dribbling. (She does dribble on accident, but when she tries to go nothing comes out) I also was worried about hurting her because of the spay, but so far she hasn't registered any discomfort. I've read the articles at the top of this board, and I did ask my vet to check how I was doing it. He said her bladder was empty (that time at least). Are there any tricks that you can think of that aren't i nthe general info? Like maybe if she is tense?
Your imput is so helpful right now. I am discouraged and I guess this is a support group. I've had dogs my whole life, but never any that requiered so much special care. I hope I will be able to do it.
What kind of a little dog is she?
The main thing I can think of is just that expressing after surgery isn't the same as expressing at normal times. When my dog was spayed and I had to express her, for one thing it seemed like she had a lot of gas in her abdomen which made the bladder hard to get hold of. I had the advantage that I'd already been expressing her for a year before the surgery so by then I was good at it, but it was still hard to do for the first 4 or 5 days after her surgery. I'd say all you can do right now is do the best you can. I think that if my dog had had pain medication following spay surgery, her abdomen might not have been as rigid. I don't think she had any pain meds, after all she was paralyzed, you would not expect her to feel anything, but I look back and suspect she did feel discomfort from the spay. (She can feel her abdomen very well now.)
When my dog's abdomen was rigid it helped to do deep tissue massage were I kneaded her abdomen till it relaxed. Of course that is the upper abdomen, I could not massage where her surgery was, but it helped a lot. Then her muscles relaxed and I could express her better. I just don't think you can expect to do a perfect job right now, don't blame yourself. Like I said, I was already good at expressing and I had a very hard time right after the spay. One other thing that may help is if you be sure to keep her warm enough. It sounds like a small thing but my dog was cold after her surgery, and you do tense up when you are cold.
You might talk to your vet about keeping her on preventive antibiotics for a while longer since it isn't easy to express right now. It's going to get better, you are just having a hard week as anyone in your situation would.
If it turns out she needs to wear diapers between expresses, you can always do that, and if she is as small as you say, you will have an easy time getting her diapers at the grocery store, you just cut a hole for the tail. However, she may not need them after her surgery heals and you see how you do with the expressing then. Did you see the information on diapers?
http://handicappedpets.biz/wiki/index.p ... male_wraps
My mom had her urethra nicked during her hysterectomy. It happens from time to time. She had to be cath'd and it eventually healed. You might ask doc about that? Her digestive system was probably a mess from her history. Sometimes (most times) starved dogs eat too fast, dry food, in a shelter, as it may be taken away from her, with all the other dogs around. That can cause a mess in her intestines...
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Your little doggy is so lucky that you adopted her. Now she has an advocate and a "Mom" which will make all the difference in the world. Bless you for hanging in there and caring so much.
The first thing that came to my mind when I read your description of your little doggies problems was bladder stones. Before they had all the prescription foods for Struvite and Calcium Oxalate crystals my dog Krissy had to have several surgeries for stones. Your description of urine running out of her when you picked her up reminded me of a late night when we rushed her to the ER clinic and she had to have Emergency Surgery. Krissy was a cockapoo who I also adopted from a shelter and she was less than 15#. I was so shocked by the size of the stones that they removed. She had several and they were bigger than the end of my thumb.
However, that doesn't explain the bowel problems. With her unknown history and lack of care she could have several problems.
Did she have an X-ray of her abdomen yet? I know it must be frustrating to have to wait for the Ultrasound. It sounds like you live in an area similar to where I live where there are no specialty clinics.
Hopefully, you will determine what is wrong with her and can get her treated. Watch her closely.
Even though she may be uncomfortable it must be like HEAVEN to have a caregiver who is taking such good care of her. She is so lucky to finally be HOME !!!!!!!!!!!!!!! /Jean
Thanks so much to everyone who has replied. It makes me feel hopeful and like maybe it will be OK. It is espescially good to be reminded I can only do the best I can do. Yesterday it seemed like every time I tried to express her nothing would come out, but then today has been easy. Who knows. I am going to try the belly massage! At the very least it should be fun for her.
Her name is Camilla. We live in a small town in Itlay. I think it is a little harder to get care. The more High tech clinics are both an hour away. That is where I will be taking her for her Untrasound Tuesday....
Just wanted to add a note after reading Jean's message. I have no experience with stones in a dog but I trust anything Jean says, so it sounds like this is a possibility with Camilla. I would be careful with the expressing if there is a chance she is blocked. For example, if she has a stone or stones sometimes moving around and obstructing the urethra, that can cause a problem while expressing. If the urethra is blocked and you put pressure on the bladder, you can risk rupturing the bladder. This message board has been going since 2001 with hundreds of people expressing their pets' bladders and there has never been a case of rupturing the bladder yet, but those are cases of neurological impairment like paralysis, not obstruction. I am not a vet, but I think you need to be especially careful with a small pet as the bladder is smaller and thinner and possibly easier to rupture. I am sorry, I do not want to scare you, I just wanted to add that thought. Since she has both bowel and bladder incontinence, my first impression was that this was neurological but after reading Jean's message I wonder if it is not. Will certainly be waiting for Tuesday when you find out for sure. I am glad Tuesday comes earlier for you than it does here!
Likely the reason you can express Camilla easier today is because her bladder is so full that it is to the place of overflowing. If she does have stones and she totally blocks and you are an hour away you may only have a short period of time in which to save her. Even if she doesn't have stones she has major problems and needs care NOW. If I were you I would NOT wait. The High Tech Clinics which are an hour away are likely also ER clinics. I would call and check and take her in to the ER clinic. There will likely be a Specialist there and if not they will call one in to treat her. She may not have another day to live. I guess I am trying to scare you because i hate for you to miss out on years of "Loving Camilla" when she may have a very treatable problem that if not treated now may kill her. Don't wait till Tuesday. She needs care NOW !!!!!!!!!!!
My thoughts and prayers are with you Andrea./Jean
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