Help understanding dog blood results

I have a 12 y/o spayed female who has urinary incontinence. Blood tests show above normal BUN, Lipase, Amylase, K, Glucose, and AlkPhos. She also has high WBC, Neutrophils and Monocytes. She has been on .4mg thyroxine replacement and 25mg medrol for about a year, and now on 500mg Keflex for the infection. The vet thinks this is a pancreatic infection, and blames her diet for the BUN. She only recently developed incontinence. Could there be more than just pancreatitis? Thanks,Stephan

  • Vetinfo

    By: Kara McCarty El Segundo, CA

    Replied on 04/19/2011

    Why is your dog taking medrol? Medrol is a steroid that can cause an elevation in BUN, glucose, and ALK Phos and lead to urinary incontinence. It can also cause secondary infections by suppressing her immune system. Sometimes dogs need to be on medications which can cause serious side effects, you and your veterinarian can discuss risks compared to the positive effects of that medication. How high were her BUN and K? A few points above normal, especially with a normal creatinine (another kidney enzyme), can be due to her diet, a secondary urinary tract infection or even be normal for her. The high white blood cell count can point toward an infection or a stress response depending upon how high her white cell count was. Was a urinalysis with a culture performed? Only your veterinarian can explain your particular dog's situation to you as he or she has all the bloodwork, history and performed her physical exam. Don't be afraid to ask questions, it will make you a more informed owner who is able to help his dog get well. -Kara, DVM

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