Phosphate binders for struvite prevention

Re: Phosphate binders for struvite prevention

John Rimmer — Thu, 08 Mar 2012 15:09:28 GMT

You can tell them that if they stick to the urinary s/o it shouldn't get more UTIs too due to the urinary acidification.

Re: Phosphate binders for struvite prevention

james herriot lied — Wed, 07 Mar 2012 22:00:05 GMT

Whilst I'm certain the diet's been broken, I'm equally certain today that there's a UTI - urine collected at cystotomy today was full of wbcs, so sample gone to lab. It was always likely in this dog in any case, but I wondered if anybody had tried phosphate binders in with the diet to try to further reduce struvite formation. can't find anything on it anywhere, so would suggest that one's a dead bust.

Re: Phosphate binders for struvite prevention

John Rimmer — Wed, 07 Mar 2012 19:07:01 GMT

Not much doubt about dietary indiscretion IMHO. Tell them to be strict or will get recurrence!

Re: Phosphate binders for struvite prevention

james herriot lied — Wed, 07 Mar 2012 07:59:30 GMT

[quote user="Alex Allen"]

My money would be urease producing bacteria and dietary indiscretions.

[/quote]

Yep, would entirely agree with these; the second is something that the owners absolutely deny to their support socks is happening, but sometimes let slip about the dog going round to the neighbours, who feed it titbits etc etc. It's our inability to absolutely stop this that made me wonder about phosphate binding - but whether this would be ineffective in the face of UTIs is what I don't know.

We'll be sending urine off for culture today in any case.

Re: Phosphate binders for struvite prevention

Alex Allen — Tue, 06 Mar 2012 23:47:49 GMT

Worth digging out an 'In Practice' article by Kit Sturgess - July/August 2009 - Dietary Management of Canine Urolithiasis.

My money would be urease producing bacteria and dietary indiscretions. Worth checking water intake and urine SG as this may be part of the issue - small breeds can produce concentrated urine => xstal formation