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kristenv wrote:Looking for some ideas on how to prevent UTI's for our little girl Sary
Quick backstory: She joined our family on Oct 29 2017. She was found as a stray with limited mobility in her back end, left side weaker than right. She seemed to stabilize for a time and was voiding to some degree at that point. Then she worsened and became unable to walk. She had a laminectomy discectomy on Dec 30. Surgeon gave us a guarded prognosis for regaining mobility because of the long standing injury to her spine that was never treated, but with months of PT she is able to wobble about, and we are still doing weekly underwater treadmill and daily stretching exercises. We express her for both poo and urine as she is not able to empty her bladder/intestines well. She can dribble when full and tends to get constipated without twice daily poos. So the routine is she gets expressed about 5 times a day, then on her walkies in the grass she dribbles about twice a day. I get a decent amount of urine during epressing, so I was feeling like I was doing a decent job with this, feel terrible that she is getting these infections! Should I be washing her little vulva area daily to help? Hmm. Maybe. I'd ask vets for ideas on what to use and how often, because you wouldn't want to irritate her.
In addition she is on prednisone for IBD. We are also trying to get her on the lowest dose of pred to control her IBD which during a flare she gets diarrhea and a hugely inflammed GI tract. We have had 5 bouts of this before keeping her on pred, and recently changed her diet again to ZD. Of course, pred would make her more prone to UTIs, but, yes, I have one that does that. Metronidazole is what finally fixed Kiki, much to my dismay. Metro is something they find nasty, so it can be hard to give.
We are on our 3rd UTI since the surgery, 3 different organisms. She was placed on Primor 2 days ago. below is our routine and meds:
Expressed at 4am 6am 12pm 4pm 8pm
Meds and supplements
1mg prednisone once daily (has been on twcie daily doeses of 2.5mg during flares)
gabepentin 25 Q12
Crandandin Once daily
D'mannose 225 Q12
VSL 3 probiotics
Kefir once daily
Thanks for any tips...
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