diabetes insipidous - Page 1

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by Darcy on 26 March 2013 - 23:03

a friend of mine just had her 1.5 yo spayed female lab do a water deprivation test and this is the tentative diagnosis.  the dog has been on proin for some time and still urinates in her sleep.  she does not leak a little bit, she soaks her bedding.  she drinks a lot as well.  she has had anal gland issues and within the last month a couple of days of vomiting and not wanting to eat.  stool samples have been good.  any thoughts on a different diagnosis or different tests?  she is feeding a grain free kibble. 

thanks to anyone that might offer suggestions,

Darcy


by hexe on 27 March 2013 - 00:03

Anal gland issues aside [I suspect that they're just a red herring as far as the rest of the situation], the vomiting and anorexia in combination with the inability to concentrate her urine [thus the diabetes insipidus diagnosis] concern me as to kidney function...I think it might be wise in this instance to jump up to a veterinary teaching hospital sooner rather than later.

by Darcy on 27 March 2013 - 00:03

thanks you two.  she is in Green Bay and she is taking her to see some specialist that goes to one of the local clinics.  I am not a HUGE fan of University of Madison myself, but is there an option, like anything in Chicago or Minnesota?

Darcy

by SitasMom on 27 March 2013 - 01:03

the name is different, but the symptoms are the same.

http://www.petplace.com/dogs/polydipsia-and-polyuria-in-dogs/page1.aspx
this is a 6 page article (scroll down find the page links), it's informative.

it can be caused by many different things and all need to be looked at,
some are simple tests, some are much more complex.

hope you can find and answer.

what have you done so far, just the one test?

by Darcy on 27 March 2013 - 01:03

Hey Sitasmom,

this is not my dog, but yes, she has only done one diagnostic test.  Her primary vet is talking about doing some eyedrop test.  she has had relatively recent fecal and blood test, but no concrete answer on what heartworm tick titer test was done and what blood results were.....

thanks again,

Darcy

by hexe on 27 March 2013 - 01:03

Polydipsia and polyuria aren't syndromes, they're signalments [symptoms]; so while they're a good starting point, it sounds like the primary vet is on the right course in doing rule-outs...But that could take quite a while to get to an answer, and in the end might call for taking the dog to the vet school for specialized imaging anyway, which is why I would recommend doing it now instead of dragging out the differential review at the basic clinic.

Minnesota has it's own College of Veterinary Medicine teaching hospital in St. Paul, so that's an option if it's closer than UW-Madison...likewise, there's also the U of IL veterinary teaching hospital in Urbana, IL.

by SitasMom on 27 March 2013 - 02:03

in one vet visit, blood can be drawn and urine could be collected to rule out a whole bunch of stuff
(if the right tests were ordered).
if there isn't an answer from that, i'd follow hexe's advice.....and bring the all test results.

 

Elkoorr

by Elkoorr on 27 March 2013 - 22:03

CT or better MRI of brain needs to be done asap to rule out a tumor. The dogs condition can get tricky very quick; drinking lots of water doesnt replace the electrolytes (esp Sodium & Potassium) that are urinated out.

by hexe on 28 March 2013 - 02:03

Elkoor, you're spot on--this is not a situation where there's little risk to a few more weeks of batting around differentials...in the long run, it will be less expensive to get the diagnosis through one of the vet school teaching hospitals than it will be staying with the general practice veterinary clinic and try to get the problem pinned down so it can be effectively treated or managed. More importantly, as you've pointed out, worse-case scenario is that the dog has a tumor on the pituitary and it's permitted to progress for too long to correct the problem.





 


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