My spayed Shih Tzu has vaginal staining that looks like blood.

That does not look good, and I think it needs to be seen by a vet. It's concerning that it's still bleeding and crusted over. As for constantly licking her paws and the tile, this could be a negative sign, it could be caused by allergies, so that also needs to be checked out by a vet.

If your elderly dog has vaginal bleeding you should have her seen by a veterinarian as soon as possible because that is not normal. If she has not been spayed it could be a sign of a uterus infection called pyometra which can be fatal if not treated immediately. Also it could be possible that she has blood in her urine which could be a sign of a urinary tract infection or possibly stones. If she worsens in any way, becomes lethargic, starts vomiting, or starts bleeding more, you should have her seen by a veterinarian immediately.

Bleeding from the vulva in a spayed dog is not normal. Possible causes include bleeding from the urinary tract (UTI, urinary bladder stones, tumor) or bleeding from the vaginal vault (tumor or infection). Some bleeding/clotting disorders can also be causing the blood you see. I would recommend that Isabella be checked out by a veterinarian. After a thorough physical and vaginal exam, your vet may recommend bloodwork, clotting times, x-rays, or ultrasound.

If your dog isn't [spayed](https://www.petcoach.co/article/spaying-ovariohysterectomy-the-benefits-in-dogs/), this could be a heat cycle. Or it could be a very serious condition known as [pyometra](https://www.petcoach.co/dog/condition/pyometra/), which means infected uterus. Especially if she had her heat cycle a couple of months ago, and if she's lethargic or has a fever you need to take her in to a veterinarian to be examined tonight. If she is spayed, this could be several things. She could have a [urinary tract infection](https://www.petcoach.co/article/5-signs-of-urinary-tract-disease-in-dogs) and you're seeing her leak blood-tinged urine. I hope not, but depending on her age there could be cancer in the urinary tract that's causing bleeding (blood doesn't always look bright red). Very occasionally spayed dogs will continue to bleed if a piece of an ovary was left behind. Get her checked out by your veterinarian as soon as possible to figure out what's going on.

Hello and thank you for contacting Petco Pet Education Center, formerly Petcoach. Spotting blood is most likely related to uterine infection called pyometra. If left untreated, it may become a very serious condition, so please try and get Lacey seen by your local vets as soon as possible. If it is uterine infection, you will have to get Lacey neutered, as this is the only reliable treatment for pyometra.

Hi and thanks for your request. This small skin lesion seems to be related to a superficial skin abrasion, which could be traumatic, infective or due to self-traumatism (licking). I would recommend to: - stop any further licking (if any) by using a buster collar. - disinfect the area with some hibiscrub diluted 1:10 with water twice daily for 5-7 days. Lack of improvement by then should be ideally checked by your local veterinarian.

It could be a cyst, mass, or pustule. Have your vet take a look at it to determine the best way to treat. She may need an antibiotic to treat an infection and/or it may need to be removed. Your vet can do an aspirate to help diagnose.