Journal of Case Studies in Homeopathy

Cite it as: J. P. Varshney. Clinical management of a

Haematuric dog with Cantharis 30C. Journal of Case
Studies in Homeopathy 2013; 1(2):2-6
Available online at www.jcshom.com

Case Report-Veterinary

Clinical management of a Haematuric dog with Cantharis 30C

J. P. Varshney*
Abstract
A male Labrador dog, aged 8 years, with haematuria, urgency and incontinence of urine for last 10 days
was diagnosed with Cystitis. The basis of diagnosis was clinico-urological examination, preponderance of
E.coli, RBCs in the urine and ultrasonographic evidence of urinary wall thickness with mixed echo fluid
in the urinary bladder. Homeopathic drug Cantharis 30C was chosen on the basis of principal symptoms
of urgency, incontinence and haematuria. Though gross haematuria ceased on day 7 th post therapy,
complete recovery with the absence of microscopic haematuria was seen after 21 days of therapy.
Keywords: Cantharis, cultural examination, E. coli, haematuria, Labrador, urinary incontinence,
ultrasonography, homeopathy, veterinary

Introduction

the veterinary hospitals. Further high cost of

Urinary infections with haematuria and urge

allopathic drugs leads to poor compliance by the

incontinence are multifactorial common clinical

owners leaving the treatment half way causing

problems in day to day canine practice. In most

development of drug resistance in the organisms.

of the cases micro-organisms are associated with

Recent reports have indicated some promising

such urinary problems. E.coli is one of the most

results with the use of homeopathic Uvaursi and

common isolate from the urine of dogs and cats

Cantharis in the management of such cases in

as in humans. These infections, though respond

dogs (Varshney 2007 a, b). Therefore, with the

quickly to antibiotics as per sensitivity, improper

consent of the owner, the present case of E.Coli

and inadequate treatment in the absence of

cystitis with haematuria and urge incontinence in

antibiotic sensitivity leads to relapses. In our

a dog was treated with Cantharis 30C.

country, getting antibiotic sensitivity done in

most of the cases is not feasible for its cost and
non-availability of laboratory facilities in most of
Dr. J. P Varshney
Senior Veterinary Consultant,
Nandini Veterinary Hospital, Gujarat
jpvarshney@gmail.com

 Journal of Case Studies in Homeopathy

Cite it as: J. P. Varshney. Clinical management of a
Haematuric dog with Cantharis 30C. Journal of Case
Studies in Homeopathy 2013; 1(2):2-6
Available online at www.jcshom.com

Case Presentation

Investigations

A male 08 years old Labrador dog was presented

Urine analysis before institution of therapy

with the complaints of frequent dribbling of red

revealed turbid, foul odor, red color urine with

colored urine and uneasiness for past 10 days.

alkaline pH (8.2); proteinuria (++); absence of

On presentation at the hospital, detailed clinical

bile,

examination revealed slightly elevated rectal

erythrocytes; 10 pus cell per high power field.

temperature (102.8 0F), weakness and dullness,

Cultural examination showed profuse growth of

frequent urge of urination, pollakiuria, dysuria,

organisms identified as E. coli on the basis of

stranguria, terminal red colored urine and mild

cultural and biochemical characteristics. Plain

tenderness

Rectal

abdominal and pelvic region X-ray showed

examination revealed distended urinary bladder

distended bladder with no evidence of either

and normal prostate glands. Perineal and bulbo-

renal or urinary bladder calculi or growth.

spongious reflexes were intact.

Ultrasonography revealed distended urinary

over

caudal

abdomen.

glucose

bladder

with

and

ketones;

echogenic

abundance

moving

of

particles,

thickened bladder wall (> 3 mm) and absence of

uroliths or tumours (Fig.1).

Fig.1 : Ultrasonogram of an eight year old male Labrador with haematuria, urge incontinence showing thickened
urinary bladder wall (> 3 mm) , UB distension and moving echogenic particles.

 Journal of Case Studies in Homeopathy

Cite it as: J. P. Varshney. Clinical management of a
Haematuric dog with Cantharis 30C. Journal of Case
Studies in Homeopathy 2013; 1(2):2-6
Available online at www.jcshom.com

Diagnosis

Prescription

Based on clinical symptoms of haematuria and

Therapy with Cantharis 30C, 04 drops in water

urge incontinence at the time of referral;

orally three times a day was instituted. Response

ultrasonographic evidence of thickened urinary

was evaluated by clinical examination daily and

bladder wall with moving echogenic particles;

urinary examination on day 7, 14 and 21 post

radiographic evidence of distended bladder and

therapy. The treatment was continued till urine

absence of uroliths; cultural evidence of E.coli

examination showed absence of erythrocytes in

in the urine; and urological examinations,

the

diagnosis of cystitis was arrived at.

ultrasonographic examination on day 21 when he

urine.

The

dog

was

subjected

to

appeared clinically normal and erythrocytes were

absent in the urine (Table-1)
Table-1: Urological Investigations
Urological
Day of referral
investigations
Color
Reddish
Transparency
Turbid+++
Smell
Foul smell
pH
8.2
Protein
++ve
Glucose
-ve
Ketones
-ve
Bile
-ve
Pus cells
10/high power field
Clumped Leucocytes
Yes ++
Erythrocytes
Abundance
Bacteriuria (semi20/oil immersion field
quantitative)

7th Days Post

Therapy
Whitish-pale
Transparent
Normal
7.8
+ve
-ve
-ve
-ve
7/high power field
Yes +
Few RBC
05/oil immersion field

21st Days Post

Therapy
Whitish
Transparent
Normal
6.8
-ve
-ve
-ve
-ve
1/high power field
No
No RBC
Nil

Discussion

Normal feel of prostates on rectal examination

Urge incontinence characterized by pollakiuria,

ruled out prostatic hyperplasia or infection.

stranguria, and micturition observed in the

Intact perineal and bulbospongious reflexes ruled

present case was suggestive of cystitis (Culham

out neurological involvement in the pathogenesis

and

haematuria

of urge incontinence in this case. Urological

further indicated

findings of turbid, red colored foul odor urine

Grauer,

observed

1991).

Terminal

while urination

urinary bladder involvement (Grauer, 1998).

with alkaline pH, proteinuria, haematuria and

4

 Journal of Case Studies in Homeopathy

Cite it as: J. P. Varshney. Clinical management of a
Haematuric dog with Cantharis 30C. Journal of Case
Studies in Homeopathy 2013; 1(2):2-6
Available online at www.jcshom.com

pus cells also suggested urinary tract infection.

ultrasonographic evaluation on day 21 was

Cultural examination confirmed that E.coli was

consistent with clinical improvement.

the cause of urinary tract infection. Thus the

presence of pyuria, haematuria, proteinuria,
bacteriuria

strongly

suggested

cystitis

Learning Points
Urge

incontinence,

haematuria,

(Large,1992; Varshney and Hoque,2005) that

preponderance of E.coli in urine and > 3.0

was further confirmed by radiographic and

mm

ultrasonographic examinations. On the basis of

sonographic examination were diagnostic of

all investigations the haematuria in this case was

E.coli cystitis.

diagnosed due to E.coli cystitis. Its treatment

with modern medicines relies heavily on

thick

urinary

bladder

wall

on

Symptoms matched with the modalities of

Cantharis.

prolonged administration of sensitivity based

Cantharis 30 C was an effective alternate in

antibiotics, antispasmodics, anti-inflammatory

relieving the symptoms of haematuria, urge

drugs and pH modifier costing substantially.

incontinence related with E.coli cystitis.

With the consent of the owner the case was

treated with Cantharis 30C.

In humans

References

homeopathic drugs such as Aconite, Arsenic,

Boericke,

Cantharis, Cina, Camph., Apis, Staph., Berberis

Medica. 9th revised edition. Indian Books and

vulgaris, Uvaursi , Causticum and Equisetum

Publisher, New Delhi.

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Culham,

haematuria, cystitis or urinary incontinence

Haematuria In: Small Animal Medicine. Allen,

(Boericke,2001). Based on the modalities of

D.G.

homeopathic drug that covers symptoms of urge

Philadelphia, pp.573-579.

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dribbling

Grauer, G.F. (1998). Urinary Tract Disorders. In:

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Small Animal Internal Medicine. Nelson, R. and

chosen

Couto, C.G. (eds). Mosby, St. Louis., pp.572-

in

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(Boericke,

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Company

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667.

frank

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improvement.

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within

07days

analysis

and

 Journal of Case Studies in Homeopathy

Cite it as: J. P. Varshney. Clinical management of a
Haematuric dog with Cantharis 30C. Journal of Case
Studies in Homeopathy 2013; 1(2):2-6
Available online at www.jcshom.com

R.V. (ed). 2 nd edn. W. B. Saunders Company,

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Varshney J.P. (2007 a). Clinical management of
haematuria with Uvaursi-A clinical case report.
In: Research Findings. Homeopathic Bioefficacy
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J.P. and Swaminarayan, Shivang (eds). Pulisher
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