Blood in urine, tests inconclusive

[Dalascmum]

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Hi
Our rescue Ranger, 18 months old male, castrated in April, from north Macedonia has had blood in urine twice. First time treated with antibiotics early May. We noticed the dark urine again 2 weeks ago, he had a day stay at vets who sedated him, ultra sound scan on bladder, flushed his bladder out. There are no crystals or bacteria. Bloods came back clear. Where do we go from here apart from extensive scans & tests at the vets if insurance allows? The vet wasn’t clear on what tests they would try next, talked about referral to specialist. He can get a bit lethargic, he’s a mixed breed heavy long body with stubby legs. He doesn’t drink a great deal apart from after exercise. I’ve tried changing water sources and bowls. He does seem happier less lethargic after the course of antibiotics- Any ideas?
Thanks

 

[JoanneF]

Sorry, no; but hopefully someone with better ideas will be online soon - i just don't want you to think we haven't seen your question.

 

[JudyN]

You could encourage him to drink more by making some bone broth and offering it diluted in water. The liquid from a can of tuna in spring water (not brine) might work too. If you feed him kibble, could a wet food be a better option?

I hope you find a solution.

 

[Dalascmum]

Thank you I’ll try those out. He has kibble Ava (pets at home) and wet dog food (forthglade) mix. I do put plain yoghurt in his water.

 

[arealhuman]

I would get a scan done at a higher resolution if you can. I don't want to scare you and won't go into details here, but this is how problems with our dear Jimmy started. Of course, your vet my have ruled this out based on the diagnosis so far.

 

[Burrowzig]

Did the vet check the acidity level of his urine? If not acid enough, bacteria can survive and cause infections. Cranberry is supposed to be good for increasing acidity.