Postpartum Hematuria in Dogs: Possible Causes and Conce

Postpartum Hematuria in Dogs: A Detailed Explanation

Postpartum hematuria refers to a condition where a female dog's urine appears red due to blood mixed with the urine, and this occurs without any pain during urination. This condition is often attributed to either Qi deficiency or Yin deficiency.

Pathogenesis:

1. Qi Deficiency Postpartum Hematuria: After giving birth, the dog's body is weakened, and excessive exertion can damage the spleen and kidneys. This leads to the spleen and kidneys losing their ability to control and store, resulting in Qi deficiency and the failure to hold fluids.

2. Yin Deficiency Postpartum Hematuria: Postpartum, the dog may experience blood loss and injury to body fluids, leading to Yin deficiency and internal heat, which in turn damages the blood vessels.

In cases of postpartum hematuria without pain, it is considered a form of hematuria. Treatment for Yin deficiency with heat and Qi deficiency should focus on nourishing Yin, clearing heat, cooling the blood, and stopping bleeding.

Symptoms and Treatment:

Qi Deficiency:

Symptoms: Frequent urination with blood, no pain during urination, pale urine, listlessness, pale tongue with thin white coating.

Treatment: Tonify Qi, control bleeding, and astringe to stop bleeding. The formula "Sheng Xian Gu Xue Tang" can be modified for use.

Prescription: Astragalus (Sheng Huang Qi) 18g, Anemarrhena (Zhi Mu) 9g, Bupleurum (Chai Hu) 5g, Platycodon (Jie Geng) 5g, and Cimicifuga (Sheng Ma) 3g. Administer one dose daily, brewed twice, and taken in two servings, morning and evening.

Yin Deficiency with Internal Heat:

Symptoms: Short, dark urine with blood, pain during urination, abnormal posture, unsteady standing, restlessness, red tongue with little coating.

Treatment: Nourish Yin, clear heat, and cool the blood.

Prescription: Modify Xiao Ji Decoction by removing Mu Tong and Huashi, and add Scutellaria (Huang Qin), Ophiopogon (Mai Dong), and White茅根 (Bai Mao Gen) to clear heat and nourish fluid.

Canine Mastitis:

Mastitis commonly occurs during the lactation period in female dogs. Symptoms include fever, lack of energy, red and swollen breasts with hardness and warmth, reduced or ceased milk production, and refusal to nurse. Initially, the milk may be thin, and in cases of purulent mastitis, it may contain yellow, fluffy material or blood. Chronic mastitis may not show systemic symptoms, but multiple milk glands may become hard, and watery secretions may be expressed.

Local Treatment:

For acute mastitis, apply a paste made from fresh Dandelion and Lonicera to the inflamed breast area, or apply Ichthammol ointment. Express a small amount of milk daily to relieve breast pressure and reduce pain. In severe cases, penicillin and procaine can be used for local anesthesia around the breasts.

Conclusion:

In this case, the dog's hematuria and listlessness are likely due to postpartum Qi deficiency, which can be treated with the "Sheng Xian Gu Xue Tang." For mastitis, the application of Ichthammol ointment can be beneficial.