Today’s Monday Mischief post is the second in the six part series on Nellie’s Health Series. This post should of come after the urinalysis post since this is how I found out Nellie has vaginitis but I thought this made for a mischief post so bear with me on the order.
Monday: Senior Wellness ~ Nellie’s Health Series Part 2: Vaginitis (when your male dog sticks his face where it doesn’t belong may mean there is a problem).
Yes, yes you recognized the culprit, it’s the Gman to the rescue to tell you there might be a problem with Nellie. Gambler is constantly sticking his face where it doesn’t belong.
After we got the results of the bloodwork the doctor wanted a urinalysis done on Nellie’s urine (more on that this Thursday). I got a urine sample, ran the urinalysis and the results were “are the white cells coming from the bladder or from the vaginal tract”, we needed to rule out a “bladder infection” vs a “vaginitis”.
In order to find out where the white cells were originating from (bladder vs vagina) we needed to collect a sterile urine sample that came right from the bladder (more on that Wednesday). The sterile urine sample had no white blood cells in it so it ruled out a bladder infection in which I didn’t think she had a bladder infection because she wasn’t showing any signs of an infection which are: frequent urination, blood in urine, accidents in the house.
To find out if the white blood cells were coming from the vaginal tract we needed to a vaginal cytology. In order to do this you take a sterile long q-tip wet it with water and then insert it into the vagina and roll to pick up the cells. You then put that sample on a microscope slide, stain it then read it.
The big round purple cells are epithelial cells which are normal in the vagina, all skin contains epithelial cells. All the other small purple structures are bacteria which ranged from cocci to rods. Some bacteria is normal as it isn’t a sterile environment but this slide contains too numerous of bacteria which means there is a problem. There were a few white cells but not like what was seen in the urine sample. The urine sample I ran was the first morning catch (which is the one the doctor wants to interpret the results correctly) so the white blood cells had time to collect in the vaginal tract and then be flushed out with the first urine sample. My boss wanted another urine sample from later in the day and there were a few white blood cells in that one so if not flushed out there is more white blood cells. Now why are these white cells present? It can be a normal vaginitis or it could mean there is a mass in the vaginal canal that is causing it. Nellie’s diagnosis is a vaginitis but after research on other cases like hers we decided not to treat the vaginitis because again she isn’t showing any symptoms of a problem so we are going to leave it alone until a problem arises. Why, well because if we start treating with antibiotics to get rid of the white cells and bacteria it may disrupt the balance and then she will show signs in the future and have to be continually treated. I am going to start her on a probiotic to see if we can’t get the bacteria balance back to normal.
I will check Nellie in a few weeks and if we get the same results we will look further as to why the white cells are present but for now we will leave her alone, well at least I will leave her alone. Gambler has other ideas.
Stop back tomorrow for:
Tuesday: Senior Wellness ~ Nellie’s Health Series Part 3: Bloodwork, why routine bloodwork is a good idea.
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