|
|
Post by Angie & Omino on Apr 28, 2024 7:17:27 GMT -7
post made as a guest: My 6 yr old dachshund just had surgery on 4/25/24 for a herniated T12-13 disc. We were told he was urinating and defacating fine but since we brought him home yesterday he has not peed intentionally when we take him outside. He just sits in the grass. He’s able to walk and will stand for a few seconds then plops down on his butt. He was not eating well at the hospital but has eaten farely well since coming home. Im not real worried about the lack of bowel movements yet but I am concerned about the urination. We have found urine on his bedding but I think it might just be overflow. I am going to use a towel or something to support his back end the next time I take him outside to see if that helps. Do you have any other advice? He’s on gabapentin around the clock so I know he’s pretty sedated. Not sure if that’s part of the problem or not.
My dog’s name is Omino. He is a dachshund. He is 6 years old. He weighs 19.5 lbs. He started having IVDD symptoms Monday 4/15/24. His walk was very slightly wobbly. Tuesday 4/16 he woke up, got out of his crate and then wouldn’t move. He was shaking from pain. I took him to the emergency vet. They diagnosed him with IVDD. He still had response to pain but had bilateral CP deficits in his hind limbs. We did conservative treatment but his motor deficit was worsening. He had surgery for the T12-13 disc herniation on 4/25.
He is on gabapentin liquid 50mg every 8 hours. Carprofen 37.5mg once a day and Trazadone 50-75mg as needed for anxiety.
[MED LIST/HISTORY- Moderator's Note. Please do not edit
19.5 lbs 6 y.o.
carprofen : 37.5mgs 1x/day
gabapentin formula ?mgs in 1mL: 50mgs 3x/day]
He is not urinating intentionally when we take him outside but has peed on bedding quite a bit. He has not defecated for us since he came home on 4/27. He is eating and drinking ok. He doesn’t act like he’s in pain.
|
|
PaulaM
Moderator. 
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,793
|
Post by PaulaM on Apr 28, 2024 8:42:00 GMT -7
Welcome Angie! You are right to be concerned if Omino has bladder control. If he has had no bladder control, in a matter of days a bladder infection could start. A urinalyis would be proof of bacterial infection and need for an antibiotic OR no bladder infection. What did the surgeon say on discharge day: 1) Did Omino have bladder control on that date? If not, then did you get a hands over your hands type of expressing the bladder lesson? How to express both the bladder and the bowels if proved Omino lacks bladder control. Be sure to get a lesson especially on bladder expressing in particular. ==> dodgerslist.com/2020/05/05/bladder-bowel-care/ Poop expressing needs no lesson as it is so easy.
2) Did the Surgeon say Omino also had deep pain sensation (DPS)? SNIFF and PEE TEST to verify bladder control The "sniff and pee test" is the only way for humans to determine whether bladder control exists. Carry the dog outdoors when you believe he should have to release urine, set him down on an old pee spot for a sniff. Make sure that neither the sling nor your hands are on the stomach region as this could put pressure on the bladder. If urine comes out after sniffing, bladder control is returning. Until you are certain that full voiding is always occurring, continue to do a quick express check after dog pees. Tell us what you observe. When things settle tell us Omino's neuro function as of today: --- can he do a happy tail wag IF you do some happy talk to him? --- can he use his rear legs to push himself up into a stand? --- can he use his rear legs to help move his body to a different position in the recovery suite (crate, ex-pen) --- does he leak urine on you when lifted? |
|
|
|
Post by Angie & Omino on Apr 28, 2024 13:53:12 GMT -7
We were told by the surgeon that he was peeing and pooping without issue. He is able to walk, he’s just wobbly. He wags his tale often. He does have deep pain reflexes.
We find urine under him every time we pick him up.
I will be calling the doctor first thing in the morning to report the urinating problem.
|
|
PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,793
|
Post by PaulaM on Apr 28, 2024 14:06:31 GMT -7
Angie when neuro functions return that happens in a predictable order:
--Deep Pain sensation is first
-- 2nd happy tail wagging
-- Next bladder and bowel control
-- Then leg function
So it would be good to find out what the reasons with likely ability to pee by brain direction (vs. reflex overflowing urine). But why urine in bedding? Hopefully no discovery of a urinary tract infection (UTI) is going on that needs antibiotic.
|
|
