AddThis Sharing ButtonsShare to FacebookFacebookFacebookShare to TwitterTwitterTwitterShare to PinterestPinterestPinterestShare to MoreAddThisMore11

Recurrent urinary tract infections are common in dogs and less so in cats, but can be aggravating causes of urinary tract symptoms in our companion animals. Symptoms may include uncomfortable or challenging urination, enhanced frequency of urination, unsuitable urination, as well as bloody urination.

The many common cause of recurrent urinary tract infections in animals is inadequate length of suitable antimicrobial therapy when treating initial infections. While numerous veterinarians will dispense 7-10 days of an antibiotic, I find it much more valuable to administer antibiotics for 2 to 3 weeks, even in a first time infection to make sure the infection is eradicated. If a flare-up recurs in the future, I will typically culture the urine to check for resistant bacterial overgrowth, as well as to help guide my antibiotic therapy. A full exam to check for anatomic problems of the penis or perivaginal area, where typically extra skin folds exist, or poor vaginal conformation may be present, which may predispose to relapsing urinary infections. X-rays are also typically indicated to guideline out urinary tract stones, as well as in some cases ultrasound to evaluate for any bladder polyps or tumors, especially in older pets.

In cats who have had repeated catheterization for urinary tract blockages, recurrent urinary tract infections are common, as it is in cats who have had perineal urethrostomy surgeries for such blockages. In these cases, periodic urine analyses and urine cultures are indicated to monitor for relapse and to allow us to institute prompt antibiotic therapy when indicated.  In those cases where no predisposing causes can be found in animals with recurrent urinary infections, options include pulse antibiotic therapy the first 5 days of every month, or even low dose chronic evening antibiotic therapy to keep infections in check.

A consultation with a homeopathic vet (www.doctordym.com) may help address dietary and immune system issues, and will typically allow us to strengthen the pet’s health and reduce relapses.

Urinary Infections