8 Yr old pug

Hi , I have a pug named harley she was originally someone else's who didn't look after them very well so me and my partner have taken her and have had her for 2 ish years. We love her. She has got a fue problems tho that are concerning: 1 she has this massive lump in her bottom right hand brest (was told was probably a hernia from past owners)(2+years) 2 she has smaller lumps going up her spine (3months) 3 she has problems controlling her bladder( not sure when cos she is also a deva and will pee where she is not allowed if food is late but we assume 5+ months) 4 I'm not sure witch place it's coming from but there is blood coming eather from her vagina or her anuse(1 month) 5 she has an infection in her ears that will not go (1 year) She is happy and still eats but she also sleeps most of the time if she is not eating. Me and my partner are poor I cannot work as I'm disabled and he works full time. I want to know if she is going to be ok or if I should save to do the bye bye. We love her so much and just want to know what's wrong with her and are frustrated we cannot afford to do everything she needs.

Hello and big hugs to you and Harley.  Thank you for sharing this complicated case.  Because you are disabled, depending on your family situation, you may qualify for help from the PDSA (this is, in the UK - we are a UK site) so please do check this out. Taking the problems in turn: 1) this might be a hernia.  A vet may be able to confidently rule that in or out from feeling, or they might want to test with eg ultrasound.  If it isn't, it could be something else concerning eg breast cancer so a biopsy might be indicated. 2) There should be regular bony lumps over the spine on a dog, just as there are on a person.  However lumps in the skin or irregular lumps need to be looked into and could be benign or cancerous. 3) the bladder could be checked for size, for lumps and bumps in the urinary tract, eg perhaps with ultrasound.  However this may not be the bladder; it may be polyuria / dipsia (drinking a lot which causes peeing a lot) linked to kidney failure or uterine infection.  Your vet can do quick tests to differentiate. 4) blood from the vagina can be a sign of a uterine condition called a pyometra, which is frequently life threatening and interesting, causes drinking and urinating a lot, sleepiness, poor appetite, discharge.   It can also simply be a season or an unexpected pregnancy (the uterine tract is from the bottom hole; the slitty one below the round, more muscular anus.  Blood from the anus is also abnormal).  Pyometra can be imminently life threatening and your vet should rule it out in the short term. 5) Ear 'infections' are frequently not real infections and even when they are, are mostly caused by other long term factors.  It is rare that a course of antibiotics will make them better. Overall, your dog appears to have multiple conditions, all of which potentially carry some expensive and one of which (that discharge) might be urgent.  The conditions sound to be potentially treatable but chronic (ongoing care likely needed) and expensive given the number of conditions.   I hear your frustration but feel that a vet definitely needs to be involved, potentially as an emergency because of that blood, so please speak to them ASAP.  I also hear that finances are limited; the is the case everwhere in healthcare, including the NHS.  Because the NHS is free at point of use, British people have no culture of saying 'I cant afford to treat this medical condition' and therefore, when this happens with an animal, the 'feels' involved can be compounded by things like judgement and guilt.   However, as a vet I prefer it when people ask me for a realistic indication of the cost; this way I can reccommend the best course of action and discuss whether it can be changed to fit within a budget that the owner can afford.  Sometimes the answer to this is that it can't; that multiple conditions can't be adequately treated given the finances, time resources and so on available.  In these cases, I would absolutely advocate that you consider euthanasia and your vet, who knows your dogs' case in its entirity, is well-placed to give a recommendation on this.   Good questions include:  1) what is the best case scenario outcome here - both financially and from Harleys point of view?   2) given these conditions and these financial limitations, what do you think is the most welfare friendly suggstion ging fwd?   3) would euthanasia be appropriate?    From the little that I can see, I think that there are definitely scenarios in which this may be an option worth considering.  Wishing you both all the best.