MRSP Vaginitis - Treatment options.

RE: MRSP Vaginitis - Treatment options.

Clare Tapsfield-Wright — Tue, 27 Feb 2018 17:16:46 GMT

I know this is pretty basic but how about cetrimide cream such as Drapolene the nappy rash / human incontinence cream. I am not sure if there is a veterinary version , probably udder cream. It might help the itching and protect the skin.

RE: MRSP Vaginitis - Treatment options.

Glenn Hodgson — Tue, 27 Feb 2018 16:22:54 GMT

Thanks for the input with this one folks. Certainly helpfull.

RE: MRSP Vaginitis - Treatment options.

Andrew Kent — Fri, 16 Feb 2018 09:02:41 GMT

Hi Glenn,

Any chance this dog has sub-clinical urinary incontinence (be that anatomical or functional)? That tends to be a major contributing factor to vaginitis in the adult dogs I see with that condition. Often suspected if the vaginitis is primarily confined to caudal of the urethral meatus (this can be assessed with cystoscopy).

So I tend to make sure no potential anatomical cause and then perhaps consider trial of phenylpropanolamine.

I have had some success with probiotics in chronic vaginitis cases so agree that can be an option.

Andy

RE: MRSP Vaginitis - Treatment options.

Michael Woodhouse — Thu, 15 Feb 2018 22:07:32 GMT

Dog sounds pretty stuffed TBH.

RE: MRSP Vaginitis - Treatment options.

Elisabeth Knappett — Thu, 15 Feb 2018 18:33:11 GMT

I have used Peptivet Otogel on a resistant preputial infection (on the advice of a dermatologist) with excellent results - owners used it daily on the affected area (including just inside the preputial orifice) and the area cleared within 2 weeks. No recurrences as yet. Well tolerated by a total wuss of a dog. He is mildly incontinent with suspected atopy issues amongst other problems, so a little similar! Bacteria cultured were S.pseudointermedius and Pseudomonas....

RE: MRSP Vaginitis - Treatment options.

Glenn Hodgson — Thu, 15 Feb 2018 15:36:34 GMT

[quote user="Anthony Todd"]

? sugar in the urine?

[/quote]

No sugar in urine on repeat tests and blood glucose normal.

I agree fair point though. Don't assume tested!

RE: MRSP Vaginitis - Treatment options.

Glenn Hodgson — Thu, 15 Feb 2018 15:34:08 GMT

[quote user="Bob Russell"]

Is the constant licking aggravating the situation? Minor constant trauma leading to ongoing issues?

A short trial on Apoquel might be worth a shot to improve comfort if nothing else.

[/quote]

I'd agree re itch. I'm more verging on cytopoint given the nasty bugs this dog tends to grom.

RE: MRSP Vaginitis - Treatment options.

Glenn Hodgson — Thu, 15 Feb 2018 15:32:15 GMT

[quote user="Lucy Fleming"]

What about a long term oral probiotic product? Protexin have a canine urinary product which includes a probiotic, or you could just go for something like enterogenic or fortiflora? My understanding of the principle behind it is most of the bacteria in the lower urinary tract are faecal in origin, so might be worth trying to out compete the nastier ones? Not sure it will be enough in an acute flare but worth considering for long term management?? (NB this is from experience of n=0!)

[/quote]

Seems sensible. I am cautious may be a bit too homeopathic but no harm trying.

RE: MRSP Vaginitis - Treatment options.

Anthony Todd — Thu, 15 Feb 2018 15:25:03 GMT

Phantom one starrer should google "diabetes and vaginitis".....

RE: MRSP Vaginitis - Treatment options.

Anthony Todd — Thu, 15 Feb 2018 14:46:50 GMT

? sugar in the urine?

RE: MRSP Vaginitis - Treatment options.

Bob Russell — Thu, 15 Feb 2018 11:30:50 GMT

Is the constant licking aggravating the situation? Minor constant trauma leading to ongoing issues?

A short trial on Apoquel might be worth a shot to improve comfort if nothing else.

RE: MRSP Vaginitis - Treatment options.

Lucy Fleming — Thu, 15 Feb 2018 11:28:11 GMT