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Location: Spokane, WA USA
Joined: Dec 2016
Posts: 42
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Pretty simple advice here. If you go to the conventional vet route, the next step is to X-ray to see if there are bladder stones. Most vets should be able to do this by palpating the bladder with their hand, but nowadays we like to jump into taking X-rays as it helps pay the bills. If there are stones, they will likely advise to have them surgically removed where they will remove them and send them to the lab to be analyzed. Once they have the lab report they will recommend you feed a prescription diet for the rest of your pet's life. If the stones are struvites then it will likely prevent recurrence, if they are oxalates they will likely return. They might even recommend a supplement to acidify the urine since the ph was 8, which is too alkaline.
The other route is to go to a holistic vet that will focus on the problem from a different perspective, give some treatment/supplements to dissolve the crystals/stones and correct the underlying imbalances. They will suggest a wholesome, non-processed food that will be in the best interest of your pet and not put her on a commercial kibble that is likely linked to the problem in the first place.
Hope this helps. Good luck.