How to treat pyometra in dogs? Is surgery the only option?

Conservative therapy for pyometra in dogs
The treatment principle is to promote the discharge of uterine contents and uterine involution, control and prevent infection, and enhance the body's resistance.For open pyometra, oxytocin or prostatic drugs can be injected to promote the elimination of pus, and systemic antibiotics and body fluid replenishment can be used to correct acid-base balance imbalance. In the treatment of closed pyometra, for patients with open cervix, diethylstilbestrol 0.1 mg or estradiol 0.1 mg (per kilogram of body weight) can be injected intramuscularly to sensitize the uterus, and 2 to 4 hours later, oxytocin 5 ~10U/time or pituitaryin 10~20U/time intramuscular injection, once a day for 3-5 days to promote the discharge of thick juice. Use 10~30ml of pregnancy-stimulating infusion solution or 0.1g of Reifonol, 0.5~1.0g of oxytetracycline and 10~30ml of normal saline to infuse the uterus once, once every 3~5 days, and use it 3~5 times in a row until the uterine secretions are discharged. Until it becomes clear and transparent.
For cases of cervical atresia, prostaglandin 0.5~0.8 mg/time can be injected intramuscularly or paravulsally for 5 days. After the cervix is opened and the pus is discharged, treatment will be conducted as an open case.
Surgical treatment of pyometra in dogs
Carry out ovarian and hysterectomy surgery as soon as possible. This is the best treatment for this disease at present. It is mainly used for breeding or medicines with little value. Dogs that do not respond to treatment. Dogs with elevated body temperature or sepsis should first take antibiotics, add adrenocortical hormone and baking soda to the infusion, and wait until the general condition is stable before undergoing surgery.Systemic drug treatment for pyometra in dogs
Oral broad-spectrum antibiotics or intramuscular or intravenous injection of penicillins, cephalosporins, and aminoglycoside antibiotics throughout the body to fight infection , the effect of oral administration of metronidazole or tinidazole tablets or intravenous injection is better. If necessary, replenish fluids, sugar, and add VC, dexamethasone, ATP, COA, 5% sodium bicarbonate, 10% potassium chloride, and analga to maintain electrolyte balance and correct autotoxicity.
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