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What to Do When Your Pet Goes on the Carpet

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Incontinence in Pets

    Incontinence is also very common in dogs, especially middle -aged to older female dogs. This does not cause pain though, unless there is a secondary UTI.  Incontinence causes the dog to leak urine, usually while lying down or sleeping. A small to medium volume of urine will leak out; the dog may not be aware, or you may see her licking her genital area more than normal.  There are many cases where it is confusing whether the pet is suffering from incontinence or one of the bladder diseases. Your veterinarian can help you and your pet sort through this and decide the correct diagnosis and treatment.

Painful Urination

Straining to urinate, frequent urination, blood in the urine, and accidents in the house are common symptoms that pet owners report to their veterinarian. Many times the signs come on suddenly, as people find urine spots on the floor, often near the door where the dog goes outside. Cat owners may notice that the urine balls in the litter box are smaller than usual, or they may also see urine spots around the house, often in the corners of rooms.  Painful urination has three main causes in dogs and cats.

Urinary Tract Infection (UTI)

A urinary tract infection (UTI), also commonly called a bladder infection, is by far the most frequent cause of a painful urination. UTI's can occur in both males and females, but infections in females are more numerous because of the shorter urethra (the tube from the bladder to the outside). To diagnose a bladder infection, your veterinarian will obtain a urine sample, collected in a special way so as not contaminate the sample, for a urinalysis and often a urine culture. E.coli is the most common bacteria causing the problem, but Staph, Proteus, Klebsiella, and Pseudomonas can be other types of bacteria causing the infection.  It is believed that pets licking their anal area, then their genital area may be the means of transfer of the bacteria. Pets with extreme weakness or paralysis of the rear legs, diabetic pets, dogs with Cushings, and female dogs with a recessed vaginal opening are prone to UTI's.

Bladder Stones

Bladder stones are the second most common reason for painful urination. There are five main kinds of urinary stones with struvite (magnesium ammonium phosphate) being the most common. Other types of stones are calcium oxalate, urate, silica, and cystine.  Struvite stones commonly form secondary to a bacterial infection. The other  stones  form because of different metabolic problems. Many, but not all, stones will show up on abdominal x-rays.  Ultrasound will usually find the other stones.

Surgical removal is usually the treatment of choice for stones; this can quickly relieve the pain the pet is feeling. The main problem with stones is that they often recur. Some dogs have had multiple surgeries for stone removal. Your veterinarian can help to prevent struvite stones by performing urine cultures to monitor for UTI's. There is also a  special food that may help to prevent struvite stones.  The other types of stones each have their own recommendations for preventing recurrence.   

Bladder Tumors

Bladder tumors are the third most common reason for painful urination.  While not common, they do account for 2% of all cancers in dogs; however, they are less common in cats. The vast majority of bladder tumors are a malignancy called transitional cell carcinoma (TCC).  They occur mostly in older pets. Some breeds have a higher rate of TCC, with Scotties having the highest rate since they are 18 to 20 times more likely than the average dog to have a TCC. Other breeds with a higher incidence are Shelties, Beagles, Westies, and Wire Haired Fox Terrier. These tumors cause discomfort because they obstruct the flow of urine. Detection of the tumor is by ultrasound, diagnosis is by surgery and biopsy.

If your pet is showing signs of urinary discomfort by needing to urinate more frequently than normal and straining, if you're finding urine accidents in the house, or if you see blood in your pet's urine, then consult with your veterinarian. An examination of your pet and diagnostic tests can determine the cause, and your veterinarian will discuss the necessary treatment with you.

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Testimonials

  •           8/29/2017

    I love Balboa Pet Hospital! Balboa Pet Hospital's staff is amazing! The staff is knowledgeable, caring and above all honest! I feel confident that my pets are getting the best possible care there. The staff has always taken time to answer all of my questions and if I think of something after my appointment, I can just email! I know I won’t have to wait too long for response.

    Unfortunately, this year I’ve had to make some really difficult decisions. The compassion the staff showed to both my pet and I made these unbearable times tolerable. I am indebted to both Dr. Del Rosso and (the wonderful) Dr. Ravn for their kindness, compassion and dedication.

    If you are new to the area or just looking for a new vet, please give Balboa pet Hospital a call!

  •           6/5/2017

    LOVE everything about this place!!! The people are all super nice & caring. I never feel like they’re trying to sell me stuff I don’t need. The vets (especially Dr. Alice Chan) are wonderful, I always fee; comfortable coming here whenever Walle has an issue. They even help me file the insurance claims after each visit! Would highly recommended any pet owners to see them for their fur-baby needs.

  •           6/5/2017

    My dog has been a regular patient since 7 years ago. Once in a while we visit other hospitals due to time conflicts. However, we always go back to Balboa Pet Hospital. My dog has bad allergy and the doctors and assistants always follow up with us after the treatments or visits, help us submit the insurance claims. It’s not a cheapest place to go but their patience and caring are irreplaceable.

  •           4/28/2017

    I’m glad to have found Balboa Pet Hospital near my home. It’s definitely a hidden gem! Dr. Chan saw my dog, Oreo, for her skin problem last week, and my three cats, Pepper, Tofu and Cola, today for annual check-up. She’s very patient (especially with Oreo who’s shy to strangers), knowledgeable and approachable. The front staffs are also very friendly and helpful. They are so prompt to reply my email (within a few hours when I checked back my mailbox). All my pets are about 1-year-old and I’ll definitely bring them here for their health issues/checkup in many years followed.

  •           5/4/2017

    Brought my dog here for a checkup and some minor concerns. Dr. Chan was very professional. She got my dog the treatment he needed and answered all my questions regarding my concerns. The rest of the staff were very friendly and gentle with my dog. You could tell that the staff are genuine animal lovers; definitely something you want when you entrust the health of your pet to someone.

  •           5 of 5

    Been bringing our animals to Balboa for over 25 years and will continue because they provide great advice and care. We love Dr. D and staff are really helpful and friendly. Now if I can find medical care for myself like my animals get at Balboa...

  •           5 of 5

    I have been a patron of Balboa Pet Hospital for almost 500 years now (wink). I love Everybody there and feel they are have always been a great resource and the BEST support system for everything pertaining to my pets.

  •          

    The staff is very kind and gentle, the doctors are very caring and patient when dealing with my scared cat Lulu. I appreciate the time they took to put her at ease and making this procedure as painless as possible for the both of us. Will definitely be spreading the word. Thank you Balboa Pet Hospital.

    Linda P.

    San Francisco, CA

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