Hemoglobinuria and Myoglobinuria in Dogs and Cats: Urine Colour Changes, Tests & Care [2025]
Hemoglobinuria and myoglobinuria indicate breakdown of red blood cells and muscle tissue respectively, and the underlying cause needs to be identified. Hemoglobinuria is commonly associated with haemolytic disease, while myoglobinuria is seen with severe muscle injury.
When to See a Vet
Immediate veterinary care needed (emergency)
- •Sudden collapse, unresponsive, or unable to be awakened
- •Gums or lips are clearly blue-purple or pale white
- •Persistent severe vomiting or heavy abdominal bleeding
Schedule a veterinary visit as soon as possible (within 24-72 hours)
- •Urine remains dark red or reddish-brown for more than one day
- •Marked decrease in energy or activity and not eating
- •Rapid heartbeat, abnormal breathing, or noticeably increased panting
01What symptoms suggest something is wrong?
The main sign is a change in urine colour, often together with changes in energy, activity level or heart and lung function. Your vet will need to assess whether other whole-body signs are present.
- Urine is noticeably darker or reddish-brown
- Faster heartbeat or more noticeable breathing
- Marked drop in energy or activity level
- Jaundice appears, with yellowing of the skin or whites of the eyes
- Abnormal changes in urination frequency or urine volume
- Arrange a veterinary consultation and assessment as soon as possible
Seek emergency care immediately if you notice the following symptoms:
- ⚠️ Sudden collapse, unresponsiveness or inability to wake
- ⚠️ Repeated vomiting or signs of significant abdominal bleeding
- ⚠️ Gums or lips that are clearly blue-purple or pale
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02How can you judge the problem at home? Key observation points and emergency warning signs
Observing and recording visible changes and their timing at home can help your vet quickly understand the course of illness and possible triggers.
- Record when changes in alertness and activity level started
- Write down appetite changes and daily food intake
- Estimate or measure daily water intake
- Take photos of the urine and note the time they were taken
- Record changes in urine colour, frequency and volume
- Bring all records and photos, or a urine sample, to the clinic
03How will the vet make a diagnosis? Common tests
Your vet will mainly use blood, urine and imaging tests to look for possible causes such as bleeding, haemolysis or muscle injury.
Blood tests, including complete blood count and biochemistry, to assess anaemia or organ function
Urine tests, including sediment, specific gravity and urine chemistry, to check for blood or myoglobin
Haemoglobin/myoglobin-related blood tests or specific assays if indicated
Abdominal or cardiac ultrasound to rule out internal organ abnormalities
Chest and abdominal X-rays, or CT if needed, to assess for tumours or sources of bleeding
Referral tests or tissue sampling may be arranged if further diagnosis is needed
04How is it treated and managed after diagnosis? Medication, diet adjustments and care guidance
Treatment focuses on stabilising the condition, addressing the underlying cause and regularly monitoring blood and urine results.
- Provide supportive or symptom-based care according to the test results and arrange follow-up
- Hospital observation and supportive care may be needed, with rechecks to monitor progress
- Adjust the diet and maintain appropriate water intake as advised
- Monitor urine colour, energy and appetite regularly at home
- Return for repeat blood and urine tests as instructed by your vet
- If test results do not improve or the condition recurs, referral to a specialist hospital is recommended
05What should you prepare before seeing the vet? Key details that help identify the cause quickly
This content is for reference only and cannot replace a professional veterinary diagnosis. If your pet shows signs of illness, please seek veterinary care promptly.
