Written by dodobie
The purpose of this article is to increase your understanding of FLUTD, and in no way suggests that you deal with your cat's urinary problems on your own. No matter how well stocked the house is with medications, and no matter how much one dislikes certain veterinarians, there are some necessary tests that cannot be done at home. Here is the text.
Feline Lower Urinary Tract Diseases (FLUTD, Feline Lower Urinary Tract Diseases), also known as Feline Urologic Syndrome (FUS), is not an exact diagnosis, but rather a medical term used to describe a series of clinical symptoms. These symptoms include: hematuria; frequent toileting but minimal urination each time; difficulty urinating; urethral blockage; anuria; licking and frequent licking of the urethral opening (mostly due to pain); and irregular urination outside of the litter box.
Because many causes can cause one or more of these symptoms to manifest, and these causes can be mutually reinforcing, defining the cause and treating the symptoms becomes the key to successfully treating FLUTD.
Causes:
The following statistics are based on cases in North America:
The average age of onset of FLUTD is 4 years. About 50% of all sick cats cannot be identified as the cause of the disease even by detailed testing methods, 20% have bladder stones, 20% have urethral blockage, only 1-5% have true infections, 1-5% have urinary tumors, 1-5% have urinary trauma (car accidents, etc.), and 1-5% have both bladder stones and infections.
If the sick cat is over 10 years of age, then 50% have a true urinary infection, 10% have bladder stones, 17% have both a urinary infection and bladder stones, 7% have a urinary blockage, 3% have a urinary tumor, and only 5% have an etiology that cannot be identified, even with detailed testing methods. In addition, about 66% of sick cats over 10 years of age had varying degrees of renal failure at the time of presentation.
Urine crystallization (CRYSTAL) is a common cause of urethral blockage. Urine crystals and bladder stones are completely different things. These crystals can only be seen under the microscope, but long-term crystal deposition and overproduction of mucus from the uroepithelium prompted by the crystals can block the cat's otherwise tiny urethra. Because the internal diameter of the urethra is narrower in male cats than in female cats, male cats are much more likely than female cats to develop urinary tract blockages. Although there are many causes of urinary crystallization deposits that are not known, the role of diet, and infectious factors in the process has been studied more in veterinary medicine:
Diet: There are 2 main types of urinary crystals. One is called STRUVITE CRYSTAL, composed of magnesium, ammonium and phosphate. The other is called CALCIUM OXALATE, composed mainly of calcium. The original popular belief is that low magnesium (low ash, LOW ASH) food can reduce the formation of urine crystals, so the end of the 80's many manufacturing companies have introduced low magnesium formula, so far basically all the brands of cat food are low magnesium salt. However, it now seems that this formula doesn't make much sense because the PH (pH) of the urine has a much greater impact on the formation of crystals. In fact, after years of low magnesium cat food, while cases of FLUTD due to magnesium crystals have dropped significantly, the total number of FLUTD cases hasn't changed much, and there has been a significant rise in cases of blockage due to calcium crystals in cats seen for treatment.
Urine PH: Normal urine PH is acidic. urine with high PH favors the formation of magnesium crystals, while acidified urine dissolves magnesium crystals. Many high quality cat foods are specially formulated to maintain an acidic environment in the urine to reduce magnesium crystal formation. However, the downside of this diet is that acidic urine contributes to the formation of calcium crystals. Since calcium crystals can't be dissolved by changing the pH of the urine, it tends to bring more disadvantages. A word of caution to all cat parents: do not feel free to buy prescription cat food for your cat that regulates urine PH. If you want to prevent the formation of crystals, you must first go to the hospital to do a urine test for PH (normal value of 6.0 to 6.5), and only regulate it if there is an abnormality. Otherwise, I am afraid that blind changes may be counterproductive. In addition, urine PH changes relatively quickly, to measure the accurate value must be taken in the hospital fresh samples.
Infections: Although it is widely believed that urinary tract infections promote the formation of urine crystals, this view remains to be proven. In many cases, the use of antibiotics promotes improvement even in cases of FLUTD where no bacteria are cultured in the urine. It is important to note that urinary tract infections and FLUTD are often causative of each other. Normal urine should be sterile, and the acidic pH of urine, with its high salt concentration, inhibits bacterial growth. If for some reason the pH of the urine is elevated on the alkaline side, it favors bacterial growth. At the same time, bacterial growth will also elevate the pH of the urine, favoring the formation of crystals and causing FLUTD.
At one time, there was an opinion that male cats after neutering surgery, especially early neutering (8 weeks), had an underdeveloped and narrower urethra, and were therefore prone to FLUTD. However, in an investigative report by the Winn Feline Foundation (see here), researchers divided 31 kittens with similar genetic backgrounds and identical breeding conditions into 3 groups, one spayed or neutered at 7 weeks, one operated on at 7 months, and one not operated on, and then measured the internal diameter of the urethra (as well as a number of other metrics) when the kittens reached one year of age. The results showed no difference in the internal diameter of the urethra or the development of the urinary system among the three groups of cats. Thus, spay/neuter surgery or early spay/neuter surgery is not a cause of FLUTD.
In addition, necrotic detached cells, overproduction of mucin, and fine bladder stones may be the cause of obstruction of the urinary tract.
Diagnosis and treatment:
FLUTD can be diagnosed by the presence of one or more of the previously described symptoms, but of more therapeutic significance is the determination of whether it is obstructive or non-obstructive FLUTD.
Obstructive FLUTD:
As the name implies, obstructive FLUTD refers to a condition in which the urethra is completely obstructed and the urine cannot be passed out of the body. In this case, within 2~3 days, the urine left by the islets in the bladder will retrograde to the kidneys, and this retrograde pressure will inhibit the glomerular filtration function, and the body will not be able to remove the wastes and toxins from the blood. Such a condition is called renal failure, and the various symptoms caused by the accumulation of wastes and toxins in the blood in the body are called uremia. These can lead to the death of the cat if not treated in time within 3-6 days.
Because both renal failure and uremia are potentially fatal diseases with a short course and rapid deterioration, prompt diagnosis and management are important. The early signs of obstructive FLUTD are not very different from some non-obstructive FLUTD, with frequent toileting, difficulty urinating, and anuria. The difference is made by palpation. The veterinarian should be able to feel a hard, full bladder about the size of a peach in the lower abdomen of a cat with obstructive FLUTD. A bladder without FLUTD should be empty or feel like a balloon with a little water in it. Further confirmation is by X-ray. In obstructive FLUTD, an abnormally enlarged bladder should be seen.
Because obstructive FLUTD can be life-threatening, the first step after diagnosis is to unblock the urinary tract. Sometimes the cat can be made to urinate with appropriate bladder massage, but in most cases a catheter will need to be placed. (Anesthesia may be required.) The obstruction can usually be cleared by slowly injecting saline through the urinary catheter to flush the urinary tract. Once the obstruction is removed, urine can be drained through the urinary catheter. The bladder may also be flushed through a catheter to completely remove crystals, or clusters of necrotic cells, or even tiny stones that may be causing the blockage. Sometimes the doctor will leave the catheter in place for a few days to ensure that the urinary tract is clear and to allow the overstretched bladder muscles to recover. Prophylactic antibiotics should be used in this case because an indwelling urinary catheter can easily cause a bacterial infection. The exact treatment should be decided by your doctor on a case-by-case basis.
If the cat is already showing signs of kidney failure or uremia (vomiting, loss of appetite, coma), then in addition to immediate drainage of the urinary tract, blood tests are needed to check for toxin buildup in the body and to provide prompt treatment. Fortunately, in the case of renal failure caused by obstructive FLUTD, timely unblocking of the urinary tract can be very effective in saving the life of the cat.
Other things to note in the treatment of obstructive FLUTD is that after unblocking the urinary tract, there will be a period of postobstructive polyuria, in which care should be taken to ensure that the cat gets enough water, either by drinking, subcutaneous injection of water to absorb, or transfusion of fluids if necessary. In addition, the possibility of re-obstruction of the urinary tract is very high in the 1 to 2 weeks after the urinary tract is unblocked, so parents must pay attention to observing the cat's urination and not take it lightly. In isolated cases, the bladder distension caused by the obstruction can permanently damage the bladder muscle, in which case the cat will always need medication to help control bladder contraction and urinate, but this is rare.
Non-obstructive FLUTD:
Since 50% of non-obstructive FLUTD cannot be identified as the cause of the disease even after detailed examination and laboratory tests, and most of them can be self-healed within 7 to 10 days. Therefore, for cats with non-obstructive FLUTD, the first thing to do is to do a urinalysis. If there is no abnormality in the urinalysis, some preventive antibiotics can be given, attention should be paid to replenish water intake, and the cat's daily urine output and the progress of the disease should be closely monitored. If the urine PH deviates from normal, prescription cat food to correct the urine PH can be given. If crystals are found in the urine, it is an indication to consider the presence of bladder stones. It is important to note that the definitive diagnosis of bladder stones is by imaging - x-ray, urography, or ultrasound. If bladder stones are present, appropriate treatment is needed.
Prevention and care:
1. Prevention: because the causes of FLUTD are not fully understood, there are no measures that can be absolutely prevented. However, the following measures are undoubtedly favorable to reduce the occurrence of FLUTD, and these measures are also important for cats during recovery:
A) Encourage your baby to drink more water and urinate more. Drinking more water promotes urine production. Higher urine output can lower the concentration of minerals and reduce the chance of deposits forming crystals. More urination can not only rapidly excrete minerals out of the body, but also flush the urinary tract and enhance the ability of the urethral epithelium to protect itself. It should be noted that some cats may prefer to drink water in hidden, or some "strange" places. To encourage babies to drink, parents can put fresh clean water in these places for babies to drink. The water must be changed frequently and the water bottle must be cleaned every day.
B) The litter box should be cleaned often, at least once a day. Some cats may hold their urine because they are picky about the litter box not being clean, which is not good for their health. Also the litter box should be sterilized regularly and all the cat litter replaced. Families with multiple cats should prepare multiple litter boxes as appropriate.
C) Avoid high animal protein diet. High-protein foods are prone to elevate urine PH.
D) Do more exercise with your cat to prevent obesity. Obesity itself is associated with multiple incidence of FLUTD. Other diseases caused by obesity, such as diabetes, are also prone to FLUTD.
E) Try to minimize the factors that stimulate the cat and cause it to be nervous and depressed; FLUTD is more likely to occur when a cat moves home, a new cat is added to the family, or when the cat's long-time companion leaves. Even a single trip to the hospital has been documented to cause elevated urinary PH in cats, with the possibility of magnesium crystals forming. This may be related to changes in blood and therefore urine pH caused by changes in the cat's respiratory rate during stress.
2. Early detection and treatment: FLUTD is a very painful disease for cats, and can be life-threatening in severe cases. Therefore, it is important to observe cats carefully and find abnormalities in time. It may be difficult to distinguish between a cat's inability to urinate and a cat's constipation. However, cats generally have slightly different postures for booing and pooping, so parents should be able to tell the difference if they observe them carefully. In addition, parents should pay attention to the cat's urine volume every day to have a concept of the cat's normal urine volume. From this point of view, I think the agglomerated cat litter is more convenient for observation, especially for families whose parents work during the day.
When you find an abnormality, you should send your cat to a trusted hospital.
3. Nursing: Sick cats usually reduce or refuse to drink water because of urination difficulties. However, not having enough water not only increases urine concentration and reduces urination, which is not conducive to recovery, but also causes dehydration. For cats that still actively eat, you can feed more canned food to replenish water. For cats that do not eat canned food, you can soak dry cat food in water and give it to him. Another method is to have a doctor inject some water under the skin, which is slowly absorbed by the tissues. For cats that don't eat and are dehydrated, fluids will be given. Care for other symptoms, such as fever or decreased appetite, is no different from any other illness.
For a more detailed look at FLUTD, you can refer to the following website:
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/Feline/flutd.htm
Three actual cases:
Sick cat: COOKIE
Sex: male
Age: 1 year and 2 months
Weight: 11 lbs
Course of illness:
COOKIE went on a watermelon juice binge on Friday night, and everything was fine that night. On Saturday morning, we noticed that COOKIE was frequently visiting the litter box and making boo-boo's, but only a few drops of urine came out at a time, and after boo-boo'ing he would complain loudly and in a very aggravated manner. After determining that COOKIE had a urinary problem, dodobie was immediately reminded of the horrific sight of uremic kidney failure, and immediately rushed COOKIE to the hospital with his dad.
Medical examination:
COOKIE has a little fever. The doctor examined the heart and lungs and so on are all fine. Touching the stomach did not touch the bladder that rose. I'm not sure if I'm going to be able to do that, but I'm going to be able to do it. I've been waiting for 3 hours for the doctor to squeeze out a little bit of urine that was just enough for the test. The results were high PH, blood in the urine, lots of white blood cells, no urine crystals, but bacteria.
Treatment:
Ampicillin was injected intramuscularly once, and amoxicillin was given orally at 50 mg twice a day.Waltham regulated the urinary PH with a number of prescription cat foods, given daily. In addition, ~200 ml of saline was injected subcutaneously in the neck slip to rehydrate (COOKIE looks like a baby camel :P).
Recovery:
After returning home, COOKIE's spirit was average. Willing to eat, not actively drinking water. But soak dry cat food in water and he will drink water while eating (he never eats canned food). He takes his medication on time every day. But the first two days he still ran to the toilet frequently, but only squeezed out a few drops of urine each time. On the 3rd day of taking the medicine, Cookie finally passed a small amount of urine, which was much less than the usual amount, but mom and dad were still ecstatic. After taking the medicine for one week, COOKIE's eating and drinking gradually returned to normal, and his booing gradually resumed its usual great sound. However, the urine sample was found to have normal PH and no more blood, but there were still bacteria and white blood cells. So the oral amoxicillin was continued for a week. The prescription cat food went on for another month before stopping.
Since then, we have been paying close attention to his daily boo-boo results, and have taken every means to promote him to drink water. Luckily, half a year has passed and his little family has been fine :).
Case 2: Prabhupada's treatment
Written by Mann
Prabhupada is four years old, but he had two episodes of urolithiasis. The first time was when he was three and a half years old, and after treatment, he usually relapsed eight months later, and it almost killed him. So I would like to talk about the process of Prabhupada's illness.
I. The manifestations of the disease
In retrospect, it has the following manifestations in each attack:
Initial: squatting for a long time and can not finish urinating, frequent urination, irritability.
In the early stages, he would lose his appetite, pee all over the place, scream, and lick his butt a lot.
Late stage: vomiting - vomit is yellow in color by the late stage (when this condition occurs, it is usually UTI and urinary drainage and rehydration must be done immediately).
Repeated episodes are followed by blood in the urine.
The main method of treatment
After many treatments, it was concluded that the accumulation of uroliths takes time, but the main cause of urethral blockage is urethritis caused by uroliths irritating the urethra, and the urethra is red and swollen narrowing the space for urination. So to the onset of the disease after the emergency only to deal with, has been very serious at any time will be due to the urethritis and death.
The doctor's main therapeutic techniques are as follows:
1, urinary treatment
(1) catheterization - the condition of the emergency situation is actually a contradiction in terms of treatment, because catheterization will stimulate the inflammation of the urethra, exacerbate the condition; but if you do not urinate in a timely manner, it will be life-threatening. So it's best to find out before it's too late.
(2) Extracorporeal aspiration - that is, inserting a needle into the bladder outside the body to draw out urine. This is a method of killing the goose that was taken at that time because of the inability to introduce urinary catheters for urination, and it is not possible to do this every day, otherwise the bladder will become a leaky water bladder, and the leakage of urine into the abdominal cavity will lead to inflammation, and by this time it is usually a death sentence. So it's better to treat it in time otherwise it can cause a lot of unpleasant consequences.
2, anti-inflammatory and dilution of urine and rehydration (this is an emergency practice, but the drip on the cat caused by the greater damage, it is generally not necessary best not to do);
3, anti-inflammatory injections or feeding anti-inflammatory drugs;
Usual anti-inflammatory drugs: Amoxicillin or Pioneer. (The dosage for cats is usually 1/6 of that for humans, so the dosage of two pills three times a day can be divided into half a pill three times a day).
4. If you have blood in your urine, you will need to take a shot to stop the bleeding - usually one shot per day for three days. Or take medication to stop bleeding.
Commonly used injections are hemostatic or phenol-sulfonyl-ethylamine.
Third, the recovery period of care
1, Lactasexin - to increase appetite.
2, honey water - long-term use of antibiotics can cause constipation, honey water is very effective.
3, Nutritional cream.
4, lean meat water - minced lean meat, soaked in cold boiled water, steamed across the water. Effective in restoring strength.
5, canned formula.
Fourth, the treatment process to pay attention to matters
1, timely and accurate choice of doctor: plucking the second urolithiasis flare-up, I was too lightly, thinking that this is nothing more than a catheterization can solve the problem. So just find a school-run clinic, who knows that there are interns, even the teacher is half-knowledgeable about this. Not only delayed, but also the genitals due to give interns rounds 4 hours of attempts, not only guide rotten and also in the side of the artificial cause a 1CM deep mouth ...... choose a doctor must make sure that he can be resolved, otherwise equivalent to send to death.
2, the hanging of the needle must be on the side of the tight, to avoid unnecessary things happen. I'm not sure if you're going to be able to get a good deal on this, but I'm sure you're going to be able to get a good deal on this, and I'm sure you're going to be able to get a good deal on this. Since then, due to the foreign body in the bladder has been blood in the urine, 4 months before the operation to remove.
3, for things that are not clear, it is best to consult with experienced doctors or friends who are willing to explain to you. The doctor's explanation was always vague and ambiguous, but I was able to find a solution through many enthusiastic people on the Internet. Finally, through the Internet many enthusiastic friends to help find information, consultation, analysis is a foreign body recommended immediate surgery, blood in the urine to get a fundamental solution.
With the help of Yingzi from ThemeCat and Princess Sarah from EarthCat, as well as the help of many online friends, Paw Paw and I were finally able to end our horrible experience. After all, one person's power is limited, and it's always better to ask for help.
V. Its Diet
1. Dietary Habits - Drinking less water and going to the restroom less.
I live alone, and Puppy has been with me since I was a kid. If there is no one at home, it sleeps, doesn't eat or drink. It is only when I come home at night that it starts going to the bathroom, and drinking and eating (even though everything is prepared at home).
2. The living environment is hot.
Since I live on the top floor of my house, it is at least 35 degrees in the middle of the day in the summer here, and this temperature lasts for almost 2~3 months. So plucking every year in the summer is very painful, starting at 8 o'clock in the daytime to 7 o'clock in the evening almost always have to spit out the tongue to dissipate the heat. More accelerated body water evaporation.
Now I force-feed it a paper cup of water every morning and evening, and the cat food has been replaced with a more branded mix, usually giving it canned food every night, and the cans of urolith formula will be fed every other day. It was often encouraged to go to the bathroom more often to pee. After the open bladder surgery in July, she is now recovering well and starting to regain her former rounded body shape.
Case 3: Cat's Urinary Disorder: A Hard Lesson from Wooley's Cat
Text: Wooley's Cat
In the morning, I brought my cat back from my boyfriend's house to bury it in my own rooftop garden. I really didn't want Cat's body to be randomly dumped in the trash. When I took the cat out of the cardboard box, I simply couldn't bear to put him in the cold mud, the temperature outside was so low, and it was raining ...... Finally, my boyfriend put him down, and he was really sad that the cat's eyes would never close ...... After that we both cried while writing that story of what happened.
A whole day I and he are again to find something to do to distract, because a quiet down will think of the cat cat, simply can not restrain themselves. I had the courage to dial up just now, but I couldn't forgive myself when I saw the cool old wilted cat on the front page. If I hadn't let my boyfriend's mother, who doesn't know how to raise cats, take care of his diet; if I had insisted on raising Cats by myself; if I hadn't sent Cats to that poorly equipped "professional hospital"; or even if I had realized that Cats hadn't improved after the first day's treatment, and had transferred Cats to other hospitals farther away, but with better conditions, Cats probably wouldn't have been in the hospital for three days. If I had realized that after the first day of treatment, my cat was not getting better, I would have transferred him to another hospital that was a bit farther away but probably better equipped.
In light of my painful lesson, I'd like to say a few words of advice about urinary tract disorders:
1. If you can, give your cat a good quality cat food that maintains the health of the urinary tract, and be sure to make sure that your cat has plenty of water to drink and absorb.
3, the cat's edible water is still as good as you eat pure water. The poor water quality in Shanghai is recognized, and I think cats get urinary tract diseases, and the excessive magnesium and calcium content in the water may be related. As for mineral water, it's probably not good either.
4. The issue of xuxu in cats is very important, so please be sure to pay more attention to it. Especially at this time when male cats are starting to circle the wagons. My boyfriend's mother ignored the first signs of urinary tract disease when she saw her cat's constant circling of the earth, so she didn't notice that he wasn't in a fixed place. Please always remember that cats are very patient little creatures, for this kind of fast, violent attack of the disease, wait until his loss of appetite, vomiting and other signs reflect the time to send to the doctor, the result may be too late. As for the difference between circling and painful xuxu, I found the following results on a Taiwanese website: when circling, the cat's expression is relaxed, and it sprays xuxu in the same way as it stands in daily life, then quickly leaves; when it has a urinary disease, the cat's expression is in pain when it xuxu, and it struggles to urinate in the same way as it does every day, and it may take a very long time before it can pass a small amount of urine, so if you find this situation, please send it to the doctor immediately and do not delay. Do not delay.
5, usually accumulate more information about good hospitals, so as not to be sick.
6. Although the incidence of urinary diseases in the whole cat population is not high, about 1%, it accounts for 10% of the cats sent to the hospital, and in terms of the level of pet medical care in most areas of China, I believe that the mortality rate of this disease in China must not be low, so we must not take it lightly. If you have some PH test paper at home, you can measure your cat's urine PH value regularly. 6-6.5 is normal, and if it is more than 6.8, you should change the food or find a special formula to reduce the PH value of the urine.
When choosing, you can pay attention to its description of antioxidants and additives, and choose those with a shorter shelf life and no added preservatives will be more assured. In view of the causes of FLUTD in cats, please pay more attention to the description of the content of Mg and Ca, and it is better to use the "maximum not more than" rather than "minimum not less than".
Finally, please remember that FLUTD is the enemy of your cat's health and even life, and should be prevented and prevented again. The treatment process is so painful for cats that I can't hold back the tears when I think of how my cat looked when she was catheterized.
Attachment: A painful lesson from Wooley's cat
Cat started to show signs of discomfort about 5 days ago, when he was going to the bathroom frequently, but not conveniently in the litter box, because he was still getting water and food, but he had vomited twice. I knew he was sick on the evening of February 27th, when I thought it was constipation based on the signs my boyfriend said on the phone (it was the second day without BB, and there had been two episodes of vomiting on the same day and the day before, and no eating after that), and my boyfriend and I sent him to the Shanghai Zoo Veterinary Clinic (located at the intersection of Haining Road/Zhejiangzhong Road) at noon on February 28th.
In the cab, the cat shed a lot of blood and urine on the bamboo cage's newspaper mat, and after entering the hospital, a "doctor" in his 50s, with a northern accent, gave him a checkup. During the examination, he touched Cat's stomach with his hand and told us it was cystitis. Afterwards, he pushed Cat's lower abdomen vigorously, saying that he would be fine after a few days of injections to help him clear his urinary tract and discharge the bloody urine. At that time, I trusted him, although the cat screamed in pain on the spot, and I was saddened in my heart, I still let him "fix" the cat in this way, and after the blood and urine were basically emptied, he still pushed the cat's lower abdomen until there was no more blood and urine flowed out. The company's main goal is to provide a more efficient and effective way to improve the quality of its products and services," he said. "I'm not sure if I'm going to be able to do that," he said.
I brought the cat home, and when I got there, the cat was fine, drank some water, licked a can that I had just opened (but didn't chew), and jumped up on the sofa to sleep next to me. I went back to the office and checked many websites about cats, carefully comparing all the signs, I felt that Cat had Feline Lower Urinary Tract Disease (FLUTD), and I was very scared after knowing that this disease could be fatal if it turned into kidney failure and UTI, but I felt that Cat should not have gotten to this point yet because he had not been in a coma yet. After work that day, I went over to check on him again, and found that Cat was no longer able to control his urination, and he was lying there oozing blood and urine continuously. At that time, I sat down next to him, and he seemed to be very cold, so he immediately climbed onto my lap and slept, and I slept for almost more than an hour holding him like this, and then he stood up on his own to walk outside, and he was unstable at that time, so I helped him all the way to the place where he usually ate, and he sniffed at a can of food that had been opened in the afternoon, and then turned his head to drink a He turned his head and drank a lot of water. After that, I made him a warm cardboard bed according to the website, laid out a big towel, put in a hot water bag, and then he slept peacefully in it, but by the time I left, he hadn't stopped seeping bloody urine.
Yesterday I called my boyfriend early in the morning to check on my cat and learned that he had struggled to climb to the cat bowl in the middle of the night and had raked the sand, and had shed a small puddle of urine outside of the cat bowl, and that the uncontrolled bleeding and urination had stopped after that, but by the time I brought him in at noon for a follow-up appointment, he had continued to not urinate for more than 6 hours, and wasn't in good spirits either. After being taken to the hospital yesterday at noon, Cat was examined by a male doctor in his 30s with a northern accent named Wu. He said on the spot that the cat had a severe bladder infection, and based on the previous signs of vomiting, she might have developed a UTI. I asked if I needed to catheterize the cat, and he said yes, and called in the doctor who had seen the cat on February 28th to catheterize the cat with him. The technique they used was to put a syringe for infusion into Cat's urinary tract, inject saline, and then use external pressure on Cat's bladder to make him urinate. During this period, he had said that there seemed to be no resistance when injecting the saline, but it took a lot of pressure to make the cat urinate. I saw him touching the cat's urine with his hand after being pressed out and said that there was nothing gritty to the touch of a foreign body, but the last over-wash had some small clots, presumably from bladder inflammation, as for the cat's urinary blockage is due to bladder inflammation, the bladder wall thickening, inflammation and swelling of the urinary tract infection.
I was worried that the cat had not eaten for a few days and would not be able to urinate even after the urinary tract was unblocked, so I asked if I could prevent the cat from becoming dehydrated by administering fluids and replenishing some nutrients. Dr. Wu agreed and wrote a prescription for the infusion, while allowing the previous male doctor to give the cat the infusion. Throughout the infusion, the cat was well behaved, with no small bulges at the blood vessels showing signs of leakage, no continued seepage of blood or urine, and no signs of pain. The infusion took about 2 hours and totaled **** about 30ML of mixed solution, which included saline, dextrose, Pioneer 6, and some other nutrient solution called soup (couldn't hear it clearly, and the writing on the formula sheet was scribbled to the point of not being able to read it clearly). The cat was then given the same shots as the day before. During the shot, Cat started to show signs of oozing bloody urine again. Most of the time after we got home he lay on the couch or in the hospital bed and slept, no signs of bloody urine during sleep, but he walked very shakily, and when he stopped to rest on his back after a few steps, he would shudder every 10 seconds or so. I knew he must have been in a lot of pain, so I sat on the edge of his hospital bed and kept reaching out to touch him, wanting him to know that I was always there for him and that maybe it would be good for his recovery. From 7:00 pm to 11:00 pm when I left, I gave him two 5ML feedings of chicken broth and one 3ML feeding of lukewarm water from a syringe, which he didn't resist and licked up quickly. He was sleeping when I left, and when I tweaked his ears with my hand, he responded immediately. I think everything seems to have turned for the better, maybe two more days of fluids, the cat can take the initiative to eat and slowly restore health.
What I didn't realize is that this morning when I went to my boyfriend's house with the thick fish soup with the bones removed, what I found was his dead body hiding under the bed, still warm, and my heart was broken. How is it so easy to take a cat away from a cat, even though feline hypospadias is a serious disease?
Also attached: netizen dodobie's personal opinion on the hospital's diagnosis
I am not a veterinarian. The hospital's diagnosis and treatment is generally correct. flutd can be fatal within 6 days. I'm afraid your kitten was taken to the hospital a little too late. The refusal to eat and the vomiting indicate a possible UTI. Massaging the bladder to promote urination is one treatment, but the decision of when to stop and when to catheterize is up to the doctor's judgment, and there are no very clear indications.
The hospital did not do enough:
1, there is no blood test, blood muscle glycerin, blood urea nitrogen and other indicators to confirm the diagnosis of uremia, and even more can not accurately evaluate the cat's condition at that time. The kitten's subsequent unsteady walking and other conditions may have been the result of further metabolic acidosis following renal failure, which is no longer a problem that can be solved by fluids alone. But I doubt that veterinary hospitals in China have the equipment to give animals cardiopulmonary support and hemodialysis.
2, after catheterization, if you can use a special urinary catheter, left for a few days, it will be a better choice (soil cat note: catheterization of cats in hospitals such as the Agricultural University is going to be left for a few days) .
3, the choice of antibiotics and pain medication in renal insufficiency should be careful, I do not know if the amount of medicine is appropriate.
I feel that drug selection is no longer the main issue here. If there is any accountability, I think it is the hospital's responsibility for not doing detailed lab tests and not fully estimating the kitten's condition. But I'm afraid this has to do with both doctor experience and hospital facilities.