Hyperuricosuria in Dogs

Hyperuricosuria is a genetic condition characterized by elevated levels of uric acid in the urine, which can form urinary stones
Condition Snapshot
  • Name:

Hyperuricosuria

  • Other Name(s):

High Uric Acid Levels
  • Acronym(s):

HU
  • Severity:

/5
  • Genetic:

Yes
  • Idiopathic:

No
  • Predisposed Breeds:

Yes
  • Onset Age:

Young to Adult

Overview

Hyperuricosuria, also known as high uric acid levels, is a genetic condition in dogs. It is characterized by elevated levels of uric acid in the urine, which can lead to urinary stone formation. This condition is relatively uncommon, but shows a genetic predisposition in certain breeds. The severity of hyperuricosuria varies. Some dogs remain symptom free, while others develop painful urinary stones requiring medical intervention.

Causes

The primary cause of hyperuricosuria is a genetic mutation. This mutation interrupts the normal process of uric acid breakdown and excretion in dogs. High uric acid levels accumulate, increasing the risk of stone formation.

Dietary factors can also play a role in exacerbating hyperuricosuria. High-purine diets contribute to elevated uric acid levels, worsening the condition. Ensuring a balanced diet is important for dogs prone to hyperuricosuria.

Dehydration and urinary tract infections can further increase the risk of stone formation in affected dogs. These factors can complicate the condition, making it essential to maintain hydration and monitor for infections.

Predisposed Breeds

Breeds predisposed to hyperuricosuria include:

Symptoms

Dogs with hyperuricosuria may show primary symptoms, such as frequent urination, blood in the urine, and difficulty urinating. These signs often indicate urinary stones.

Secondary symptoms can include lethargy, loss of appetite, and abdominal pain. These symptoms may arise because of discomfort or complications from urinary stones.

Other symptoms, such as vomiting and signs of discomfort or pain during urination, may also occur. Observing these signs promptly is important to prevent further complications.

Hyperuricosuria symptoms include:

  • Frequent urination
  • Blood in the urine
  • Difficulty urinating
  • Lethargy
  • Loss of appetite
  • Abdominal pain
  • Vomiting

Diagnosis

Diagnosing hyperuricosuria involves a combination of tests. Veterinarians often start with urinalysis and blood tests to check uric acid levels. These initial tests help identify the condition.

Genetic testing is an important step in confirming hyperuricosuria. It identifies the specific genetic mutation responsible for the condition, providing a definitive diagnosis.

Imaging studies such as X-rays or ultrasounds can detect urinary stones. These diagnostic tools help differentiate fibrocartilaginous embolism from conditions like cystinuria, struvite urolithiasis, and calcium oxalate urolithiasis.

Treatment

Treatment for hyperuricosuria may include dietary management to lower purine intake and medications to dissolve stones. Increasing water intake is essential to help flush out excess uric acid.

In severe cases, surgical removal of stones may be necessary. This procedure alleviates symptoms and prevents further complications. Close veterinary supervision is important during treatment.

Tip: Ensure your dog drinks plenty of water daily to help manage hyperuricosuria effectively.

Management

Long-term management of hyperuricosuria involves a low-purine diet and regular veterinary check-ups. Monitoring urine pH and uric acid levels is important to prevent stone recurrence.

Medications may be prescribed to control uric acid levels. Regular therapy and lifestyle changes, like ensuring proper hydration, are important parts of management.

Tip: Schedule regular veterinary visits to monitor your dog’s uric acid levels and adjust their diet as needed.

Prevention

Genetic testing before breeding is a key prevention strategy for hyperuricosuria. Identifying carriers helps reduce the risk of passing the condition to offspring.

Maintaining a proper diet and ensuring adequate hydration are important preventive measures. Early detection through regular check-ups can help manage the condition effectively.

Tip: Provide your dog with a balanced diet low in purines to reduce the risk of hyperuricosuria.
Sources
  • Hyperuricosuria (HUU) | Veterinary Genetics Laboratory: https://vgl.ucdavis.edu/test/hyperuricosuria. Accessed October 31, 2023.
  • Hyperuricosuria and hyperuricemia or urolithiasis (HUU) | Cornell University College of Veterinary Medicine: https://www.vet.cornell.edu/departments-centers-and-institutes/riney-canine-health-center/canine-health-information/hyperuricosuria-and-hyperuricemia-or-urolithiasis-huu. Accessed October 31, 2023.
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