VET help / Cat pee issues

posted 3 years ago in Pets
Post # 3
Member
2565 posts
Sugar bee
  • Wedding: October 2014

Sounds pretty classic for feline lower urinary tract disease (FLUTD) or feline intersitial cystitis (FIC).  They keep changing what they want to call it but they are the same thing.  It’s not a very well understood condition.

Especially that it coincides with a stressful event (your husband leaving) and there is blood in the urine.  You can try using feliway diffusers when your husband leaves.  Some cats do end up on anti-axiety medications with this but there are several options before it gets to that point.

Post # 4
Member
429 posts
Helper bee
  • Wedding: October 2014

@MrsHoneyC:  Do you have her on a prescription diet (Like C/D or Urinary SO).  I’ve seen really great results with pets who have been on C/D.

Feliway is a really great product too, you can try to spray it in her hiding spots, it will keep her more relaxed. 

I think you should get a second opinion as she may have stones.  Who has done the ultrasound?  A lot of clinics will bring in an ultrasonographer for the ultrasounds and I think this is a better option than the doctor doing the ultrasound.  (They don’t get much training in vet school).  

Your vet may be able to provide you with a list of specialists that could also help.

(P.S. My expirtese: I’m a vet tech) 

Post # 5
Member
7070 posts
Busy Beekeeper
  • Wedding: August 2012

Have you tried changing her regular dry food?

Post # 8
Member
3210 posts
Sugar bee
  • Wedding: January 2014

I’m so sorry you’re dealing with this. I am SURE this won’t happen to you, because my vet said it was incredibly uncommon, but I had a kitty that we had to put to sleep because of FLUTD/FIC (since your kitty is responding to meds, I am sure that will not be the case for you! my kitty never responded to any treatment and just got worse and worse over a period of about a month). I just wanted to say that I know how stressful it is and how bad you feel for your poor kitty. Good luck and keep us updated!

I did try anti-anxiety meds for my kitty, by the way, so it’s definitely possible!

Post # 9
Member
1526 posts
Bumble bee
  • Wedding: May 2013

@MrsHoneyC:  My female cat has had issues with getting UTIs.  She just had one last week…she kept crying and going into her litter box alot but only peeing alittle.  I couldnt tell if their was blood but the last time she did this there was.   I was going to bring her to the vet – my DH said we should cut the dry food and try some natural remedies first.  So I picked up Vet’s Best Urinary Tract Support for Cats.  It has cranberry and other great ingredients in it.  I was surprised that both my cats love them and gobbled them up! And my female cat is all better! 

Post # 10
Member
2368 posts
Buzzing bee
  • Wedding: June 2014

 Vet tech here – the very first thing I would suggest with chronic UTIs (also called FLUTD) would be to get a culture and sensitivity test. We’ve seen it pretty frequently that a cat will get a UTI, go on antibiotics, and it comes back in a few weeks to a month. What is often the case is that they have a strain of bacteria that is resistant to the antibiotic that they’re giving. So it’ll knock it back some, and she’ll be asymptomatic for a couple of weeks, and as the bacteria re populates, the infection returns. I’ll be honest, the culture and sensitivity test isn’t the cheapest, but it’s a LOT cheaper than a return visit.

Post # 12
Member
2368 posts
Buzzing bee
  • Wedding: June 2014

@MrsHoneyC:    Sample collection is usually a sterile sample, obtained through cystocentesis (not a litter box catch, this is a needle and syringe, probably done while they’re doing the bladder ultrasound). 

The buprenorphine is a pain med, UTIs are seriously painful. Clavamox is a commonly prescribed antibiotic. 

Specifically, I’d ask if they could send the sample to the lab for a  culture and sensitivity test.  

Normally, we grab a sample and look at it under the microscope. We look for crystals, blood and/or bacteria.  Blood and bacteria indicate a UTI. Normally, the vet  scripts out an antibiotic and pain meds, and everyone is good to go. What happens with the culture and  sensitivity test is that the urine is sent to a lab and they see exactly what is causing the infection and they do a second test to see what antibiotics will work on it.  More importantly, they see what it is resistant to. That way, you don’t waste time treating with something that won’t work, and you’re not just  blindly throwing antibiotics at the problem and hoping something works.

Post # 13
Member
429 posts
Helper bee
  • Wedding: October 2014

@MrsHoneyC:  Doesn’t look like they’ve done a culture.  Just wondering if you meant to type U/S or if you meant U/A?  U/S would signify an ultrasound (usually in the 200-400 range) and U/A would be the urinalysis (We charge $35 for a U/A at my clinic but not sure what they would charge there).  The most expensive doesn’t mean the best, I would try another clinic just to see!

 

The buprenex is a pain med which is great because UTI’s can be pretty painful (Yes I’ve had a few myself) But I would really reccomend switching the antibiotics if the clavamox isn’t cutting it.  Like others have said, if a culture hasn’t been run it should be done.  (They are $150 at my clinic). 

A culture and sensitivity will tell you what antibiotics the bacteria that she’s growing is sensitive to. 

Also, are you finishing the whole round of antibiotics?  I’ve seen this problem a lot at work too, the clavamox drops is a total of 15mL’s and she is probably supposed to be getting 1mL twice a day for two weeks (or longer), which means you would need to go back to the vet and get one refill of the clavamox drops to finish the whole course of antibiotics.  

Post # 14
Member
2258 posts
Buzzing bee
  • Wedding: August 2012

@MrsHoneyC:  Hi, lovely! Vet here! I just skimmed everything so sorry if this is repetative. It sounds like your kitty has FLUTD (feline lower urinary tract disease). It’s a condition thought to be brought on by stress (which makes a lot of sense with it happening a week after your husband leaves town). Urinary tract infections are rarely (<5%) the cause of these signs in cats under 10 years old!, so without a culture (they would have to submit a sterile sample then call back several days later with results), I would doubt this is what is happening with Nora.

Instead, it is much more likely that she has Idiopathic Cystitis, meaning inflammation without an infection/bacteria present. Signs of idiopathic cystitis typically resolve on their own within a couple weeks, so I’d bet that the antibiotics you give each time have nothing to do with her getting better, she was just bound to get better anyways because that’s the course of the disease.

Treatment for FLUTD in the short term is with pain medication (like the buprenorphine you get each time), and in the long term is aimed at reducing environmental stressors and increasing water intake. You’re doing the right things by increasing water through the fountain and canned food and giving her more “be chill” spots. I also second the idea of the Feliway diffuser – plug one in an outlet in each room she hangs out in significantly, and maybe get the spray as well to increase the concentration in the house whenever DH goes out of town. For cats who have chronic, recurring problems despite these changes, anti-anxiety meds sometimes help. 

So, in summary. Next time you go to the vet, ask specifically for a urine culture to make sure there is (or likely is not) an infection. If there’s not, no need to stress Nora’s system out even more by adding in an antibiotic. She would just need pain meds and time. If there is, then she likely needs different antibiotics or a longer course of antibiotics to keep the infection from returning.

Luckily, in female cats, this condition is rarely life-threatening (their urethra is larger so they rarely “block” like male cats do, when a mucus plug lodges in the urethra and makes them unable to pass any urine). 

Here’s a couple reputable websites (put together by vets) with more information:

http://www.vet.cornell.edu/fhc/brochures/urinary.html

http://www.veterinarypartner.com/Content.plx?A=611

Feel free to ask me any questions you have!

Post # 16
Member
2258 posts
Buzzing bee
  • Wedding: August 2012

@MrsHoneyC:  You’re very welcome! Good luck today and best wishes to Nora for a speedy recovery!

Leave a comment


Sent weekly. You may unsubscribe at any time.

Find Amazing Vendors