Nutrition: Urolith Dissolution with Nutritional Management in Dog
World Small Animal Veterinary Association Congress Proceedings, 2016
T.L. Nazaret1; C. Goloni1; B.S.A. Bonder1; I.L.S. Senhorello1; A.P. Gering2; T.D. Prado1; M. Tinucci-Costa1; A. Carciofi1
1Departamento de Clínica e Cirurgia Veterinária, "Júlio de Mesquita Filho," Universidade Estadual Paulista, Campus de Jaboticabal, Jaboticabal, São Paulo, Brazil; 2Departamento de Medicina Veterinária, Universidade Federal do Pará UFPA, Campus de Castanhal, Castanhal-PA, Brazil

Introduction

Urolithiasis often affects the urinary tract of pets. The struvite urolith is the most common type in dogs, usually consequent to urinary infection with alkaline pH, increasing saturation and adding crystals. An eight-year-old spayed Pekingese bitch was treated at the Veterinary Hospital of FCAV/UNESP, Jaboticabal - SP, presenting clinical signs of cystitis, and at simple radiographic examination it was observed the presence of uroliths in the urinary bladder, the largest presenting 1.26 x 1.63 cm.

Objective

Use of commercial therapeutic diet for struvite uroliths dissolution in a dog bladder.

Methods

Staphylococcus sp. were observed in urine culture results. As treatment, 0,1 mL/kg of cefovecin was administered subcutaneously every 15 days for 60 days according to the result of antibiogram, besides commercial diet therapy with a potential acidifying with higher concentrations of anions.

Results

Diets with a high anion concentration content enhance renal reabsorption of bicarbonate and further remove the hydrogen ion by acidifying the urine pH values that lead to the dissolution of struvite uroliths that are formed at alkaline pH together with phosphorus and magnesium present in urine. After 70 days of treatment, the patient no longer presented clinical signs and the radiographic examination did not show any presence of radiopaque uroliths.

Conclusions

Therefore, proper diet and proper antibiotic treatment were sufficient for dissolution of struvite stones, not requiring surgical intervention.

  

Speaker Information
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T.L. Nazaret
Departamento de Clínica e Cirurgia Veterinária
Universidade Estadual Paulista "Júlio de Mesquita Filho"
Campus de Jaboticabal
Jaboticabal, São Paulo, Brazil


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