Day 2.  An 11-year-old Lab Retriever passed bloody discharge - pyometra. Pt 2/2
Channel: Dr David Sing
Date: 20/11/2018

Day 2 of in-patient treatment at Toa Payoh Vets.

After 2 bottles of IV drips, antibiotics and painkillers, the dog has recovered her appetite and is no longer lethargic.

Blood test showed very high total white cell and neutrophil count and low red blood cell count. This is due to pyometra and resulted in the dog not eating for over one week. 

The dog had bacteraemia (bacteria in the blood), hence the lethargy and loss of appetite.

Red cell count  4.9  (5.5 - 8.5). Low
Total white cell count 36.5  (6-17). High
Neutrophils  93.1% (60-70%). High
Neutrophils absolute numbers 33.98  (3-11.5). High
Platelets 233 (200-500). OK
Blood test indicated a bacteraemia - bacteria inside the blood and loss of red blood cells from the uterine bleeding.

The dog had soiled her back area with bloody pus discharged from the uterus. She is washed as shown in this video. 

As the dog has discharged most of the pus and is active and eating, she can be treated with medication at home, the dog is sent home today at 10 am.  Spay some 2-4 weeks later is advised. 

For new dog owners, this case shows that pyometra can be prevented by spaying your female dog at 6 - 12 months of age or at an early age.  This means less worries of death during operation to remove the uterus and higher veterinary costs in operation of pyometra.

Pt 1/2 video is at:
Nov 19, 2018. Not eating for one week. Brown discharge. Pyometra. Day 1. 
https://www.youtube.com/watch?v=OF3LT8t7uaw