? 1/18 Bronx's bloodwork & urinalysis

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Bronx's dad (GA)

Member Since 2016
Everything looked good with the blood work except for the low lymphocytes. @Wendy&Neko can this have something to do with the SRT? Amylase was also high, but no concern from the vet but she seemed kinda clueless about Acromegly & SRT. (This was the first time with a different vet, "main" vet was out that day)

Vet said there was blood in the urine but she had no concerns because they drew the urine from a needle and this can be normal due to blood from the needle??? I never heard this before @Marje and Gracie

No idea why no tT4 test, I will call them back tomorrow
On a positive note....first time ever no glucose in the urine!:cat:
 
Vet said there was blood in the urine but she had no concerns because they drew the urine from a needle and this can be normal due to blood from the needle??? I never heard this before

On a positive note....first time ever no glucose in the urine!:cat:
Yay! No glucose! Years ago, with my old girl who had CRF, I recall reading that it is possible to get blood in a urine sample when they use a needle inserted into the bladder (cystocentesis), which is supposed to be the best way to collect a sterile sample. I'm sure Marje can elaborate, but here's my reference point http://www.felinecrf.org/diagnosis_urinalysis.htm#cystocentesis

Extra chin scritches for Bronx, hope the vet visit wasn't too stressful.
 
I recall reading that it is possible to get blood in a urine sample when they use a needle inserted into the bladder (cystocentesis), which is supposed to be the best way to collect a sterile sample. I'm sure Marje can elaborate, but here's my reference point http://www.felinecrf.org/diagnosis_urinalysis.htm#cystocentesis
"Obtaining a urine sample via cystocentesis (a needle into the bladder) may sometimes cause blood in the urine." I feel better now about that, thanks so much!
 
My vetty has said it's not unusual to have a very small amount of blood in the urine from the needle stick.

I'm so glad you can do the Adequan at home! Prayers it helps with Bronx's arthritis...we had very good luck with it here.
They wouldn't write me a script though since it is for dogs, had to buy it from them. But so happy no need to bring him in twice a week! I did drop the bottle, hopefully it isn't as sensitive as insulin as far as bubbles go. Did read that it doesn't have to be refrigerated.
 
"Obtaining a urine sample via cystocentesis (a needle into the bladder) may sometimes cause blood in the urine." I feel better now about that, thanks so much!
You're welcome :). I think also probably your vet wasn't concerned because there were no other issues in the urine sample which would make them think there was another reason for blood in urine, like a UTI for example. Disclaimer, I'm making dinner, so I haven't actually looked at the test results :rolleyes:.
 
Neko never had low lymphocytes until her kidney disease was fairly well along. They didn't go down as a result of SRT. Was the vet concerned at all about it? I would definitely hound them about the T4 test. CSU suggested I get that tested every theee months for the first year after SRT.

Paws crossed the Adequan provides some relief.

You didn't ask, but I'd like to see more consistent dosing. It's really hard to figure out what the dose should be when you are jumping around. And with those 40's he's been giving you, I would step up the testing. The SRT impact can come in waves, requiring more vigilance.
 
Most of his labs look pretty good! I agree with Wendy that I’d be keeping an eye on his tT4 as he’s over 12 years old and he said creeping up on the “gray” area. Anything over 2.5 in a cat over 10 is suspect.

The amylase doesn’t bother me. What does your vet say about the low lymphocytes? Cats on steroids or where too much cortisol is produced by the adrenals can have low lymphocytes.

And, as you’ve read and others have posted, blood can occur in the urine if cystocentesis was done.

The one thing that I would have checked is the 2+ protein. Since that didn’t run an MA, it’s hard to say what might be going on but considering his acro, I would ask the vet if there is still any urine left to do a urine protein:creatinine ratio. If there’s not enough urine, if you can take in a sample, I’d have it checked out. If he has proteinuria, he’ll need to be treated for it.
 
They wouldn't write me a script though since it is for dogs, had to buy it from them. But so happy no need to bring him in twice a week! I did drop the bottle, hopefully it isn't as sensitive as insulin as far as bubbles go. Did read that it doesn't have to be refrigerated.
Of course this is a completely bogus excuse - many of us have had scripts for cats filled through online pharmacies that are much cheaper than our local vets. But, at least he is letting you do the shots at home.

There are two versions of Adequan - equine and canine. The canine contains a preservative, so it doesn't need to be refrigerated. The equine does not contain the preservative, so it does need to be refrigerated. The preservative is the only difference between the two. I always found the equine version to be cheaper, so that's what I've used. I know you're getting the Adequan from your vet right now....but this is just a little tidbit in case he decides to let you order it online instead at some point in the future!
 
My vet was going to sell me Adequan from China. I forget the brand name. I ordered the original "Canine Adequan" from a pharmacy. I think one vial is about $75, more expensive than the imported stuff. I would be annoyed with a vet who wouldn't write me a prescription. Of course I was annoyed when my vet wouldn't write me a prescription for R week before last, but it turned out I didn't need one.
 
Of course this is a completely bogus excuse - many of us have had scripts for cats filled through online pharmacies that are much cheaper than our local vets. But, at least he is letting you do the shots at home.

There are two versions of Adequan - equine and canine. The canine contains a preservative, so it doesn't need to be refrigerated. The equine does not contain the preservative, so it does need to be refrigerated. The preservative is the only difference between the two. I always found the equine version to be cheaper, so that's what I've used. I know you're getting the Adequan from your vet right now....but this is just a little tidbit in case he decides to let you order it online instead at some point in the future!

Great info, I will hound them again after this bottle starts getting low
 
My vet was going to sell me Adequan from China. I forget the brand name. I ordered the original "Canine Adequan" from a pharmacy. I think one vial is about $75, more expensive than the imported stuff. I would be annoyed with a vet who wouldn't write me a prescription. Of course I was annoyed when my vet wouldn't write me a prescription for R week before last, but it turned out I didn't need one.
They charged me $138 for 5ml which works out to 12.5 shots
 
Hi Paul, I just read this good report on Bronx and want to congratulate you on your stellar care of him. I hope the new meds will do their thing.
Blood in the urine after the needle draw is common. Rusty has had it many times. It goes away right away.

Thanks for your concern for Rusty.
 
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