Hi Tia,

Thanks for sending in your question.

It sounds like you have done a lot of good things for your little pug already. Urinary problems can be frustrating to deal with as a pet owner. Veterinary urinary diets are generally very effective in addressing crystal formation in the urine. However, if there are complicating factors that have not been resolved, you may continue to see problems. I would strongly suggest following up with your vet and consider additional diagnostic tests if your dog is still having urinary problems. They will be able to help guide you further on why things are not resolving.  As a side note — it is generally best to eliminate or limit other foods or treats when on any veterinary diet, as this could interfere with its efficacy.

Best of luck!

Dr. Kim Hester