UROGENITAL

• Acute Infectious Pyelonenephritis
• Calculi/Stones
• Chronic Renal Failure (see KIDNEY)
• Cystitis-Bacterial (Urinary Tract Infections)
• Feline Lower Urinary Tract Disease (FUS, FLUTD)
• Puppy Vaginitis
• Uterine Infection

Acute Infectious Pyelonephritis

Species affected: Dogs (primarily, though cats and horses also affected)
Background:
Symptoms: When the disease is acute and severe, the symptoms include blood and pus in the urine, fever, abdominal or back pain, fever and uremia. Many cases are sub-clinical, causing very mild symptoms, but still damaging the kidney tissue.
Diagnostics: Blood tests, urinalysis.
Special Notes: The condition may be secondary to an ascending bladder or urethral infection, cystic calculi, congenital defects or other obstruction.
Principles for Supplementation: Natural treatment is aimed at clearing the bacteria and supporting the healing process.

CANINE AND FELINE PRODUCTS

Therapeutics:	Dosage:	Mechanism/Purpose:
Chinese Herbal Bactolyte9	Cats 1-2 pills, bid	Antibacterial.
	Dogs 5 pills/50 lbs, bid
Chinese Herbal Cystogen9	Cats 1-2 pills, bid	Clears heat, reduces UT inflammation.
	Dogs 5 pills/50 lbs, bid
Cran Guard7	Cats 1/4 - 1/2 capsule, tid	Antibacterial, blocks attachment of bacteria to bladder wall.
	Dogs 1/2 - 2 capsules, tid
Lithogen9	Cats 1-2 pills, tid	If secondary to calculi.
	Dogs 5 pills/50 lbs, tid

EQUINE PRODUCTS

Therapeutics:Dosage:	Mechanism/Purpose:
Ascorbic Acid Powder92-4 teaspoons, bid	Enhances immune system, acidify urine.
Chinese Herbal Bactolyte920 pills, bid	Antibacterial.
Equine Immune Support92 scoops, sid	Strengthens immune system.
Hilton Purify42-4 scoops, bid	Herbs that support liver and kidney metabolic pathways.

Calculi/Stones

Species affected: All
Background: The male domestic cat is particularly prone to an obstruction consisting of crystallized mineral embedded within a proteinaceous matrix; this is often considered to be an immune-mediated phenomenon. Obstructions are considered an emergency requiring sedation and unblocking with a catheter.
Symptoms: Hematuria, pain, possible obstruction or frequent urination.
Diagnostics: Urinalysis, blood tests.
Special Notes: Struvite (Magnesium Ammonium Phosphate) and oxalate are the most common urinary calculi seen in small animals. In dogs, struvite crystals and stones are associated almost exclusively with bacterial infections and excessively alkaline urine. Oxalate stones are more commonly found in certain breeds including Bichons, Schnauzers, Yorkies, Shihtzu; these are seen with excessively acidic urine or administration of excessive doses of calcium. Small struvite stones can often be dissolved using diet modifications and supplements alone; oxalate cannot be dissolved. Stones may have a struvite covering but an oxalate core. In cats, struvite and oxalate stones are both common; their incidence increasing as the majority of cat owners began feeding commercial foods, especially dry foods. There are foods to help manage/prevent both types of stones in dogs and cats, and these are usually necessary even with supplements.
Principles for Supplementation: Natural treatment can help break up struvite stones and prevent them from reforming, if they are not too large. Bacteria can be controlled with herbs if needed. Urinary pH should be repeatedly checked, to make sure the urine is not excessively alkaline or acidic.

CANINE AND FELINE PRODUCTS

Therapeutics:	Dosage:	Mechanism/Purpose:
Chinese Herbal Lithogen9	Cats 1-2 pills, bid	Dissolve urinary tract stones.
	Dogs 5 pills/50 lbs, bid
With Bacteria, add:
Chinese Herbal Cystogen9	Cats 1-2 pills, bid	Clears heat, reduces UT inflammation.
	Dogs 5 pills/50 lbs, bid
With Oxalate Stones add:
Renaplex9	Cats 1/2 capsule, sid	Relaxes ureters, inhibits oxalate formation.
	Dogs 2 capsules/50 lbs, sid
With Struvite Stones add:
Chinese Herbal Bactolyte9	Cats 1-2 pills, bid	Antibacterial.
	Dogs 5 pills/50 lbs, bid
Chinese Herbal Cystogen9	Cats 1-2 pills, bid	Clears heat, reduces UT inflammation.
	Dogs 5 pills/50 lbs, bid
Cran Guard7	Cats 1/4 - 1/2 capsule, tid	Antibacterial, blocks attachment of bacteria to bladder wall, acidifies urine.
	Dogs 1/2 - 2 capsules, tid
For Chronic and Recurrent Stones:
Small Animal Antioxidant9	Cats 1/2 capsule, sid	Antioxidant.
	Dogs 2 capsules/50 lbs, sid

Chronic Renal Failure (see Kidney Disease)

Cystitis-Bacterial (Urinary Tract Infections)

Species affected: All (rare in horses)
Background: Certain breed types, families and individuals are prone to a greater incidence of infection.
Symptoms: Usually involve frequency of urination, household soiling, urinating just outside of a litterbox, hematuria, straining, and painful urination.
Diagnostics: Normally urine is bacteriostatic but when the pH, nutrient level and concentration of the urine becomes conducive to support greater levels of bacterial life, a bacterial infection can ascend from the urethra.
Special Notes: Any factor that contributes to stress, nutritional deficiency or imbalance, urinary stasis, or immune weakness can lead to cystitis.
Principles for Supplementation: Antibacterial action of herbs, nutrients, support healing of bladder wall and urethra.

CANINE AND FELINE PRODUCTS

Therapeutics:	Dosage:	Mechanism/Purpose:
Arthroplex9	Cats 1/2 capsule, sid	Glycosaminoglycans will support mucosal barrier of bladder wall and relieve pain.
	Dogs 2 capsules/50 lbs, bid
Chinese Herbal Bactolyte9Cats 1-2 pills, bid	Antibacterial; use if bacterial infection is present.
Chinese Herbal Cystogen9	Cats 1-2 pills, bid	Clears heat, reduces UT inflammation; bacterial infection may or may not be present.
	Dogs 5 pills/50 lbs, bid
Cran Guard7	Cats 1/4 - 1/2 capsule, tid	Antibacterial, blocks attachment of bacteria to bladder wall, acidifies urine.
	Dogs 1/2 - 2 capsules, tid

EQUINE PRODUCTS

Therapeutics:Dosage:	Mechanism/Purpose:
Chinese Herbal Bactolyte925 pills, bid	Antibacterial.
Chinese Herbal Cystogen920 pills, bid	Clears heat, reduces UT inflammation; bacterial infection may or may not be present.
Glucosamine Sulfate93-5 grams, sid	Glycosaminoglycans will support mucosal barrier of bladder wall and relieve pain.

Feline Lower Urinary Tract Disease (FUS, FLUTD)

Species affected: Cats
Background: This is a poorly understood complex of diseases in the cat. It is characterized by cystitis, with straining, hematuria, etc. In some male cats, struvite crystals in the urine combine with matrix material to form a plug, and because of the more narrow urethra, male cats can become obstructed and die if not treated. The causes are unknown and probably multiple. There has been some discussion of occult viral infections.
Symptoms: Some cats have simple hematuria and pain, while others have struvite crystals in the urine.
Diagnostics: Urinalysis, physical exam.
Special Notes: Diet is definitely implicated, with dry cat food a very important factor.
Principles for Supplementation: These cats may represent a model for the human disease, interstitial cystitis, and based on work in humans, cats have been successfully treated with the glycosaminoglycan pentosan polysulfate; this is the basis for the recommendation of Arthroplex below. Other natural treatments help heal the wall of the bladder and remove bacterial infections if present.

FELINE PRODUCTS

Therapeutics:Dosage:	Mechanism/Purpose:
Arthroplex9Cats 1/2 capsule, sid	Glycosaminoglycans support mucosal barrier of bladder wall and may relieve pain.
Chinese Herbal Bactolyte9Cats 2 pills, bid	Use if secondary bacterial complication is present. Antibacterial.
Chinese Herbal Cystogen9Cats 2 pills, bid	Clears heat, reduces UT inflammation.
Cran Guard7Cats 1/4 - 1/2 capsule, tid	Antibacterial, blocks attachment of bcteria to bladder wall, acidifies urine.
Small Animal Antioxidant9Cats 1/2 capsule, sid	Antioxidant.

Puppy Vaginitis

Species affected: Dogs
Background: A nuisance infection of the young dog. The most common probable cause is poor hygiene related to the mother's inattentiveness in cleaning the puppies or a contaminated nest box area.
Symptoms: May include excess licking of the vulva, irritation, painful urination, purulent discharge and possible swelling of the vulva.
Diagnostics: Physical exam.
Special Notes: Puppies born to mothers with a weakened immune system and health status are more prone, as are dogs on a poor diet, heavily parasitized or those exposed to pesticides, chemicals, toxins or other environmental hazards.
Principles for Supplementation: Immune support may help the healing process.

CANINE PRODUCTS

Therapeutics:Dosage:	Mechanism/Purpose:
Canine Basic Nutrients9Dogs 1 capsule/25 lbs, sid	General nutrient support.
Clearing3Dogs 1/2 -2 tablets, bid or tid	Clears heat from heart, lungs, liver, stomach, bladder. Tonifies spleen qi, resolves dampness, circulates and nourishes blood.
Immugen9Dogs 1 capsule/25 lbs, sid	Strengthens immune system

Uterine Infection

Species affected: All (rare in cats)
Background: History in horses usually reveals a recent abortion, dystocia or parturition. Some cases also have a cystic or malfunctioning ovary as well. Hormone fluctuations may cause a lowered resistance to infection. In dogs, it is often part of a false pregnancy, and occurs a few weeks after estrus.
Symptoms: Simple infection will have a purulent discharge often accompanied by a characteristic odor, fever, malaise, and polydipsia and polyuria. Pyometra occurs in dogs with or without an infection present. When the cervix is closed, pus builds up inside the closed uterus. When the cervix is open, there is an abundant vaginal discharge. Classic symptoms for dogs include polydipsia and polyuria, progressively worsening, vomiting, depression, fever and then hypothermia, collapse, shock and eventually death if surgical intervention is not in time.
Diagnostics: Physical examination, blood work and smears made from the discharges.
Special Notes: Yeast infections can complicate the treatments.
Principles for Supplementation: Natural treatment involves clearing bacterial infections, restoring normal bacterial flora, and supporting the immune system.

CANINE AND FELINE PRODUCTS

Therapeutics:	Dosage:	Mechanism/Purpose:
Chinese Herbal Bactolyte9	Cats 1-2 pills, bid	Antibacterial.
	Dogs 5 pills/50 lbs, bid
Immugen9	Cats 1/2 capsule, sid	Strengthens immune system.
	Dogs 2 capsules/50 lbs, sid
Small Animal Antioxidant9	Cats 1/2 capsule, sid	Antioxidant.
	Dogs 2 capsules/50 lbs, sid

EQUINE PRODUCTS

Therapeutics:	Dosage:	Mechanism/Purpose:
Chinese Herbal Equine Tonic9	1/2 - 2/3 scoop, bid	Strengthens immune system.
Equine Immune Support9	2 scoops, sid	Strengthens immune system.
Lactobacillus Sporogenes9	4-8 capsules, sid	Restores normal flora in gut; helps immune system.
Phellodendron and Plantago Combination2	15 grams, bid	Clears damp heat in the uterus.

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