When is a skin case not a skin case-when licking because of Renal and Bladder issues

RE: When is a skin case not a skin case-when licking because of Renal and Bladder issues

Aine Seavers — Thu, 14 Nov 2019 06:55:39 GMT

THANK YOU TO EVERYONE FOR REPLYING-NONE OF THIS CAME THROUGH TO ME UNTIL NOW SO APOLOGIES ABOUT MY LACK OF RESPONSE.

Anal sacs can be an issue, g;ands are long,deep and tubular so previous clinic did not empty them fully-that is now well controlled and was at the time of this new pattern.

The licking was manic and excessive and nothing like normal itch-lick pattern.

Stress/Behaviour could indeed have been a trigger-one owner fell over and broke hip, the other suddenly died.

gabapentin is being trialled but renal levels were up soneed to using lower doses.

The dog needs also to lose weight as has hooded vulva and intermammary folds and responded well currently to good clean and scrub and application of Sudocrem nappy rash cream and Kefvet antibiotics.

Dog had been to specialist derm for the whole das blinkin lights investigation./slit/id etc.

Agree re referred pain in anal sac licking so L/S disease always a concern.

The best response for the 6 yr long atopy-went on low allergen diet for the 'Atopy"-this year on the diet, needs hardly any skin issues to address-other than this new sign

The cortex was abnormal but follow up scan shows normal cortex now.

TX TO EVERYONE FOR THEIR TIME

RE: When is a skin case not a skin case-when licking because of Renal and Bladder issues

Thomas Johnson — Mon, 28 Oct 2019 12:16:34 GMT

[quote user="Julie Innes"]Feel a bit silly saying this, but one of our nurses dogs began licking her bum excessively- anal glands never full, but presumed itchy. Changed her food, itching stopped. Tried changing her back, itching started again.[/quote]

I had a patient that kept licking at its anus, and like yours the anal glands were generally fine, it was eventually diagnosed with lumbosacral disease on MRI and the licking resolved with gabapentin.

RE: When is a skin case not a skin case-when licking because of Renal and Bladder issues

Julie Innes — Mon, 28 Oct 2019 11:10:14 GMT

Feel a bit silly saying this, but one of our nurses dogs began licking her bum excessively- anal glands never full, but presumed itchy. Changed her food, itching stopped. Tried changing her back, itching started again.

I wonder if the urinary thing might be a bit of a red herring (unless urinanalysis says otherwise!)

RE: When is a skin case not a skin case-when licking because of Renal and Bladder issues

Dinu Catilina — Sat, 26 Oct 2019 08:06:40 GMT

[quote user="Kate Richardson"]In the context of the clinical signs and history do you really think a renal biopsy is indicated? Without any knowledge of whether renal function is reduced or not? [/quote]

No I got carried away

RE: When is a skin case not a skin case-when licking because of Renal and Bladder issues

Kate Richardson — Sat, 26 Oct 2019 07:08:47 GMT

[quote user="Dinu Catilina"]

Is the bitch entire, has it been in season?

I would do a urine cytology to look for bacteria and I would be inclined to aspirate or biopsy (ultrasound guided) the kidneys. May be a coincidental finding but they look rather dodgy to me. The cortex certainly appear hypoechoic and the corti-comedullar ratio seems abnormal to be.

[/quote]

In the context of the clinical signs and history do you really think a renal biopsy is indicated? Without any knowledge of whether renal function is reduced or not?

RE: When is a skin case not a skin case-when licking because of Renal and Bladder issues

Dinu Catilina — Sat, 26 Oct 2019 00:58:25 GMT

Is the bitch entire, has it been in season?

RE: When is a skin case not a skin case-when licking because of Renal and Bladder issues

Anthony Dennison — Fri, 25 Oct 2019 16:54:21 GMT

We had a dog that was obsessively licking its paws to the point where it wouldn't settle at night. Tried steroids, apoquel, derm consult with our derm cert holder... started on fluoxetine and gabapentin by a behaviourist. Cured it! Was part of an OCD complex including fly catching and shadow chasing.

RE: When is a skin case not a skin case-when licking because of Renal and Bladder issues

Kate Richardson — Fri, 25 Oct 2019 14:42:34 GMT

Hi Aine

What treatment is the dog on currently for it's atopy?

I agree that a repeat ultrasound with a fuller bladder would be appropriate to assess that thickening further- it does appear slightly thicker cranially, but it's impossible to say if its pathological or not. Definitiely needs a urine sample incl C&S.

RE: When is a skin case not a skin case-when licking because of Renal and Bladder issues

Lindsey Edwards — Fri, 25 Oct 2019 13:55:52 GMT

urinanalysis - glucose and sediment (UTI and/or diabetes?)

RE: When is a skin case not a skin case-when licking because of Renal and Bladder issues

Nicola Cole — Fri, 25 Oct 2019 07:46:32 GMT

Repeat scan when bladder full. Can not conclude anything from first scan.

How were the vulval folds?

Any reported urinary incontinence? Change in urination pattern? Urine sample?

P.s.- predictive text for ‘vulval’ comes out as ‘Vulcan’

RE: When is a skin case not a skin case-when licking because of Renal and Bladder issues

David Mills — Fri, 25 Oct 2019 07:34:53 GMT

The ultrasonographer has poor spelling and grammar.

I wouldn't make any recommendations on bladder structure when empty.

Requires a repeat scan.