A cases canine metrrorhagia

Re: A cases canine metrrorhagia

Anthony Todd — Tue, 22 Jan 2013 19:57:48 GMT

[quote user="Aurelijus vet"]

Dog (Female) about 7 years, not spayed.Bleeding for about two weeks.How treat this case?

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Any very good reason not to spay? This dinosaur would spay, unless the uterus looked fine, and look around while in there.

Actually, I'd try to talk the owner into a spay anyway or, when the pyo developed next year, the owner would ask why I didn't last year when....

Re: A cases canine metrrorhagia

Aurelijus vet — Tue, 22 Jan 2013 19:24:28 GMT

All thanks for the advice.

Re: A cases canine metrrorhagia

Kate Richardson — Tue, 22 Jan 2013 14:07:13 GMT

Are you sure it just isn't a slightly longer than normal but otherwise normal pro-oestrous period? I presume some bitches will bleed for longer than the usual 10-14 days? You could check vaginal cytology and/or progesterone/oestrogen levels to ascertain where she is in her cycle if the owners don't know when her last season was plus a gentle vaginal exam to see if there is a mass and follow up with ultrasound exam of the uterus if still concerned.

Re: A cases canine metrrorhagia

Evelyn Barbour-Hill — Tue, 22 Jan 2013 14:06:56 GMT

It's not my field, but:

What is the source of the bleeding? Vagina, cervix or uterus? Have you, to put it crudely, put your finger up the vagina? Is there a lump?

Is the blood loss significant? Do a quick bleeding time test.

Abdominal ultrasound? Radiography?

I'd risk a small wager that whatever the proper diagnosis, ovarohysterectomy is going to be helpful or curative. If I were trapped on a small Pacific island with no diagnostic aids, that's what I would be doing.

Re: A cases canine metrrorhagia

Bibs — Tue, 22 Jan 2013 14:00:50 GMT

Are we sure the dog is not in season?

Vaginal swab cytology can help with determining what stage in the cycle she is at and what type of discharge you are dealing with - but if we are assuming it's stright forward bleeding:

Ultrasound of the the bladder and uterus useful

Urine sample + bloods.

Possibly radiographs of the abdomen.

If all else is normal then outside chance could be clotting issue (uncommon I think).

The last case like this that I had turned out to have a tumour of the uterus (found on imaging), so we spayed her. Owner declined histopath. Dog doing fine now.

Re: A cases canine metrrorhagia

Mark Hedberg — Tue, 22 Jan 2013 13:56:50 GMT

How long since her last season?

Re: A cases canine metrrorhagia

Aurelijus vet — Tue, 22 Jan 2013 13:49:39 GMT

Bleeding.Didn' t increase in drinking and urination?Temperature normal.

Re: A cases canine metrrorhagia

Mark Hedberg — Tue, 22 Jan 2013 13:42:23 GMT

Bleeding, or blood in the urine? Any increase in drinking and urination? When was last heat?

Might just be a pyometra; common things are common.