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Discussion on Blood in Urine

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Phyllis
Member
Username: Dandy234

Post Number: 9
Registered: 1-2003
Posted on Saturday, Aug 7, 2004 - 2:04 am:   Edit PostPrint Post

My 16 year old QH gelding has blood in his urine. There is evidence in his stall that it started yesterday. After a normal trail ride he urinated - the urine was obviously bloody and at the end of the stream it was very red with a couple clots. He is now trying to urinate every 10-15 minutes and getting out a little each time.

Urine test showed red blood cells and everything else normal. Blood chemistry/electrolytes showed significantly low lymphocytes but everything else was normal - all kidney values were normal. His temp, capillary refill, breathing, attitude, appetite is normal. He is a VERY stoic horse, though, so he could have pain that another horse would be showing symptoms.

Vet has him on extra salt, naquasone, banamine and tucoprim starting tonight through Monday and he plans to scope his bladder looking for stones.

Any thoughts?

Thnaks
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 10927
Registered: 1-1997
Posted on Saturday, Aug 7, 2004 - 9:44 am:   Edit PostPrint Post

The important question not addressed in your post is, "is the bladder over distended requiring catheterization to relieve the pressure?". Palpation is all that is required and ultrasound is quick and accurate method for iding bladder stones.
DrO
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Phyllis
Member
Username: Dandy234

Post Number: 10
Registered: 1-2003
Posted on Saturday, Aug 7, 2004 - 4:56 pm:   Edit PostPrint Post

He is freely urinating. I had him out of his stall for an hour this morning and when he went back in, he urinated immediately and I caught it in a bucket - there was probably a pint of urine. Much better color this morning - yellow at the beginning of the stream, a tinge of red toward the end and no blood clots. And he was alert and normal in his attitude/appetite.

The vet never offered to do a palpation/ultrasound and since his symptoms are subsiding so quickly, I'm not sure I want the invasive scoping procedure done right away.

Is this something we can run a course of the antibiotics/naquasone and hope it goes away?
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 10933
Registered: 1-1997
Posted on Sunday, Aug 8, 2004 - 10:31 am:   Edit PostPrint Post

If the only problem is a urinary tract infection and it is responsive to the antibiotic you are using then yes this may be all that is required but currently there is not enough information to know if this is true or even likely.
DrO
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Phyllis
Member
Username: Dandy234

Post Number: 12
Registered: 1-2003
Posted on Friday, Sep 24, 2004 - 12:47 am:   Edit PostPrint Post

Hi Dr. O

My horse has had no additional problems with bleeding and he is back in full work.

I found out that rat bait was placed in the barn eves near my horse around the time this was happening. It could have come down into his paddock. If he ate it, could that explain his symptoms?
Thanks

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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 11244
Registered: 1-1997
Posted on Friday, Sep 24, 2004 - 9:02 am:   Edit PostPrint Post

Hmmm...unlikely for several reasons. The biggest being the toxicity of most rat baits require several lbs of ingestion to effect a horse however some of the newer more potent warfarins have resulted in poisoning in horses. If you will post the active ingredient (there are many forms of warfarin with different toxicities), concentration, and the amount likely ingested I can better evaluate this.

Second you saw blood clots in the urine: warfarins work by preventing clotting.
DrO
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