Originally Posted by mickp1
13 week old puppy is in terrible discomfort, down below, having been to the vets she was given an injection (anti inflamatry) on our return she was still in pain so returning to the vets she was given anti biotics.
symptoms, very tender on her vagina, knorring at the area, scrapping her bottom along the floor, no discharge, inflamed area, not weeing enough.
When you are describing the pain, I am assuming that beyond the painful vaginal region, the licking vaginal area and rubbing it on the floor - that she is otherwise doing fine? Eating and drinking? No vomiting? With you puppies, abdominal pain/colic can be a serious issue. I am assuming that because you have just taken her to a vet, that the vet should have ruled out the most common serious conditions. But since I can't see her in front of me to do an exam, I need to state this.
Assuming all of the pain is in the vaginal/bladder region - when puppies get bladder inflammation, it can be very uncomforable. Puppies will often exhibit signs of discomfort for inflammation that would not bother an adult. Mild dehydration (ie subclinical) can lead to concentrated urine which can inflame the baldder. The fact that she is not urinating enough, this could support this. Also infections, vaginitis that is made worse by irritation can all lead to these type of signs.
Increasing water consumption - perhaps by adding some water or low sodium broth to her food, can help increase water consumption. This can reduce concentratoin of the urine which can help relief bladder inflammation and vaginal inflammation. Antibiotics can help with any potential bacterial infections.
Pain medications such as buprenorphine can be used in puppies. So if the pain is bad, think about asking your vet to see what can be done to make her comfortable.
If the symptoms persist or worsen or if your vet recommends, then urinalysis and possibly blood work/radiographs would be indicated.
Hope this helps.