View Full Version : Reiters Syndrome (Definition | Symptoms | Treatment )

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12-05-2008, 08:32 AM
Reiters Syndrome is a rare disorder characterized by arthritis, inflammation of the urinary tract (nongonococcal urethritis), inflammation of the mucous membranes that line the eyes (conjunctivitis), and inflammation of the front part of the eye (iritis, uveitis).). Painful and swollen joints occur because of an underlying infection (reactive arthritis). Sores (lesions) may also occur on the skin and the mucous membranes of the mouth. In many cases, Reiters Syndrome is transmitted through sexual contact (venereal). However occasionally there is an underlying infection of the small bowel (enteric) which may contribute to the onset of Reiters Syndrome. All the symptoms of the disease may not appear at once, and they may also disappear and then recur. The symptoms subside spontaneously within the first year in the majority of individuals.

Urinary urgency, burning or stinging
Urethral discharge
Redness of the eye
Discharge from the eye
Burning eye pain
Sensitivity to light
Joint pain in the large joints (hip pain, knee pain, and ankle pain are common)
Low back pain
Heel pain
Achilles tendon pain
Skin lesions on the palms and soles that may resemble psoriasis
The symptoms described above may not necessarily mean that you have Reiters Syndrome. However, if you experience one or more of these symptoms, contact your eye doctor for a complete exam.

The objective of Reiters Syndrome treatment is to alleviate the symptoms associated with the syndrome and to treat any underlying infection. If the conjunctivitis is caused by bacteria, it is usually treated with antibiotic eye drops and/or ointment. Other infectious forms, caused by viruses, can't be treated with antibiotics. They must be fought off by your body's immune system. But some antibiotics may be prescribed to prevent secondary bacterial infections from developing.
The arthritis is treated with nonsteroidal anti-inflammatory medications (NSAIDS) and pain relievers (analgesics). These medications are tolerated better when they are taken with food. Local administration of corticosteroids may help relieve the symptoms associated with uveitis and with persistent joint inflammation. In severe cases, other immunosuppressive therapy may be necessary. Physical therapy exercises for specifically involved areas and the back are helpful in relieving pain, maintaining mobility of the affected joints, and maintaining muscular strength. Adjustments in occupational tasks may be required if lifting or strenuous use of the back is required.

12-06-2011, 06:38 PM

Our Fox Terrier, Maddie, was diagnosed with an inoperable bladder tumor about one year ago. Through a combination of Piroxicam and Doxycycline we have managed to turn her death sentence into a temporary reprieve shrinking the tumor and have had, thankfully, another 12 months to spend with her so far and there is no sign of the tumor growing at this time.

About 6 months ago, however, Maddie started to urinate in the house... FREQUENTLY. Now, it seems like every time she gets up, she squats and its getting a bit out of control here.

Our vet found some organisms in her urine we started to treat with a variety of antibiotics. Some of these antibiotics would show a temporary benefit, but several days into the treatment, the symptoms would return.

The vets last theory was that the tumor was causing an irritation in the bladder, making Maddie believe she has to urinate. So based on this, weve been trying a number of medications to reduce the "sensation" and "urgency" of needing to urinate the latest being Gabapentin. It seems to help A LITTLE BIT but the results are far from ideal and we just feel like were bobbing along the bottom in terms of quality of life...

Maddie cant go for walks because she squats every 100 feet. No one is getting any sleep because we are constantly jumping up every 2-3 hours to let her out or clean up her accidents on her way down the stairs and she wont let us pick her up and carry her out.

Weve tried diapers, but shes the kind of dog who "wont move" if shes wearing something like that. Weve tried a kennel in the bedroom but she tries to chew the bars to escape breaking her teeth. We are about to try puppy pee pads to see if we cant redirect the pee to a controlled spot, but were not overly optimistic at this point.

There seems to be little or no information online on the long term care for a dog with this medical situation and although we adore our vet and he has gone above and beyond to try and help us, hes low on ideas and we feel like were just treading water.

Needless to say, were getting desperate to try and improve this situation. We cant even remotely fathom a "final alternative" at this point she still is a happy, active and loving dog, DESPITE ALL THIS.

I realize there arent many of you out there with this problem, but we would love to hear from any owners or doctors with experience with this particular condition and related set of problems who could offer some potential advice that we can share with our vet as to medications theyve used to treat this very pesky secondary symptom and give us some hope again.

Thank you for taking the time to care.