A 9 year old, intacted male Akita-Chow, showed signs of abdominal discomfort. While dog was palpated, a rounded mass was felt on the upper abdominal area, behind urinary bladder location and under sacral area, by the same time, the dog showed signs of pain. Through rectal palpation, prostate was dislocated cranially, what suggest an increase on the prostate size. With this, the patient was submitted to radiological and ultrasound assessment.
By radiography, an increase on prostate size was confirmed as shown in Figure 1, then was confirmed by ultrasound (Figure 2). Measure was 2.77cm and 3.54cm of width and height, respectively. Referral veterinarian suggested castration and hormones as conventional treatment, which was rejected by owner, the dog is epileptic since one month old and the life risk was a major worry to the owner, then just therapeutical conventional treatment was follow.
Figure 1. Radiograpgh of a nine year old Akita-Chow with prostatitis.
Figure 2. Ultrasound of a nine year old Akita-Chow with prostatitis.
Owners just accepted therapeutical treatment and the hormonal part was also rejected. Treatment was follow as detailed:
• Baytril 150mg: 10mg/kg SID for 5 days, then 5mg/kg SID for 7 days.
• Prednisolone 20mg: 1mg/kg BID for 4 days, then 1mg/kg SID for 4 days.
But owners requested alternative or different treatment as the dog did not show behavioral change, was still no eating well, no defecating neither with normal urination and mass still felt present by palpation.
The dog was presented to the Traditional Chinese Veterinary Medicine (TCVM) practitioner for assessment and treatment.
Evaluation through TCVM showed:
Tongue: pale and wet (color cannot be evaluated on behalf of natural purple tongue color).
Pulse: thin, weak and fast, weaker on right side.
Prostate: by abdominal palpation between 2.5-3.0cm in diameter and by rectal palpation was unreached and during process, signs of pain.
Body temperature: most of the body normal, warmer on lumbar and sacral area.
History of idiopathic epilepsy, some Liver Yin/Blood issues before, because of seizures and skin problems and Spleen Qi Deficiency when sometimes malformed feces. Urination was frequent and in small amounts.
TCVM Diagnosis: BL Excess Heat and certain level of Qi Stagnation. Shen disturbance.
Acupoints treated were Bai Hui, Da Feng Meng, GV-14, LI-4, LI-11, BL-23, BL-28, BL-39, BL-40,BL-60, LIV-2, LIV-3 and SP-6.
Main Herbal Formula recommended: Prostate Invigorator (Table 1 and Table 2). This was used for 25 days on a dosage of 0.5g /5kg of body weight BID and then was recommended to follow 1-2 months with half of last dose. By the end of first part of the Chinese herbal protocol, size of the prostate was decreased (Figure 3 & Figure 4).
During the first three days of treatment, diarrhea was developed on the patient. Dosage on herbal recommendation was not altered, but another herbal formula was prescribed to control diarrhea, Eight Gentleman (Table 1). This formula was given on a basic dosage of 0.5g /5kg of body weight BID for 5 days, although diarrhea was controlled by the second day of this last prescription. No antibiotics for this developed diarrhea were prescribed.
Figure 3. Ultrasound of a nine year old Akita-Chow with prostatitis after 25 day treatment with Chinese Herbal Medicine (Prostate Invigorator).
Figure 4. Ultrasound of a nine year old Akita-Chow with prostatitis after 25 day treatment with Chinese Herbal Medicine (Prostate Invigorator).
After one acupuncture session and 25 days of herbal treatment, prostate size decreased from 3.54 to 2.00cm (44%) in height and from 2.77 to 1.42cm (49%) in length. In general, 50% of the prostate size was diminished. On prostatitis cases, TCVM can help on assessment and treatment, integrated with conventional treatment. Furthermore, with the TCVM approach, castration is not always recommended for this kind of cases. With TCVM treatment resolution of prostatitis can be achieved and better quality of life can be given.
Table 1. Chinese Herbal Formulas used in a prostatitis case1