咨询描述：14岁博美犬，母狗，未绝育，食量、精神状态良好。
今年8月22日左右发现血迹，以为是正常发情期生理期。
9月2日明显减少。
9月12日突然尿道口滴血尿血增多，到医院检查治疗，连续打针5天到9月17日，明显好转。
9月22日给狗狗洗澡。
9月24日晚再次滴血尿血，出门遛弯儿尿一路均带血。
患病时长：
患病时长：
症状描述：
问题大致一样，细节不同？
您好，宗医生。狗狗是我收养的，具体出生年龄不详。预判大概14岁。9月12日有做B超和X光。
为保护用户隐私不显示图片/视频
宗振平
执业兽医师
您好狗狗主人，狗狗去医院有没有做B超看看膀里面有没有结石，另外狗狗是尿尿带血，正常如果不尿尿就没有血性分泌物是吧？狗狗这种情况尿尿带血很有可能是有膀胱结石，如果不尿尿也有分泌物，可能是子宫的问题。狗狗尿血比较严重，而且拍片子是有结石的，应该是结石引起的膀胱出血。
没有尿尿时也会有滴血状。考虑到年纪大，医生当时建议保守治疗，打针5天，才几天就再次反复了。除了手术治疗之外，请问该如何治疗呢。
宗振平
执业兽医师
这种情况建议手术，子宫一旦感染化脓基本上保守治疗不能彻底根治，而且可能会耽误治疗。狗狗如果体质可以的话，现在都是呼吸麻醉，一般也没有太大的危险。主要看狗狗心脏的情况，狗狗确实有心脏肥大，做好心电监护。提前吃上心脏病药物调理，这种情况结石还有子宫可能都要手术。
宗老师，也就是目前判定的是子宫蓄脓或膀胱结石引发的出血吗？狗狗做过检查，心脏偏大，五脏六腑都有些老年问题，实在怕她熬不过手术。如果用药物治疗，建议使用什么药品呢？
宗振平
执业兽医师
做B超应该能看到子宫的情况，目前判断出血和尿血和子宫以及膀胱结石有关系，子宫蓄脓可能真的吃药控制不好，后面还会加重。膀胱结石可以吃排石消炎的药物试一试。
9月12日做过B超，医生说子宫有絮状物，说X光上有小结石可以不用管。生化报告出来也没有炎症。目前出血量加大了，证明上次打针没有什么效果。目前如果继续保守治疗，能给她吃点金钱草、益母草中药之类的吗？
为保护用户隐私不显示图片/视频
宗振平
执业兽医师
子宫确实有感染的话吃药可能真的没有效果，狗狗尿血那么严重应该是结石的原因，子宫感染一般是阴道有分泌物，尿血还是结石的问题。这种情况可以试一试中成药看看，我给您推荐一下。子宫的问题吃益母草可以的，益母草膏可能好喂一些，一次3-4ml，一天两次。消炎药也要继续吃。
给您推荐了宠物用的包括子宫排脓的，还有化石的。
医生建议及处方根据当前病情给出，仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具，此处方暂不展示
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