Help with cat case please

Re: Help with cat case please

Nicola Lawlor — Mon, 03 Sep 2012 21:26:04 GMT

well, after a large enema on Friday and two days with an indwelling urinary catheter the cat was feeling pretty sorry for herself. We "filled her up" with analgesia over the weekend on an assumption of pain and she had some acupuncture over her lumbar spine. Today she is managing to urinate and fully empty her bladder and has passed some more of the faeces that we were unable to get out in full at the enema. Things are looking up! Her owner called from abroad and apparently she is used to using a litter tray at home so we can rule that out as a factor. Pain seems to be the likely culprit here. Glad to see her doing so well.

Re: Help with cat case please

Karen Eggleton — Sun, 02 Sep 2012 22:58:47 GMT

I own a cat like this and the cause was an RTA (so cauda equina) He gets a full bladder, no overflow, sometimes easy to express, other times impossible which is tied in to what is happening with passing faeces bizarrely.

Re: Help with cat case please

Kate Richardson — Sun, 02 Sep 2012 22:40:23 GMT

Pain or neurological given constipation as well, so full neuro exam and see if constipation recurs or was secondary eh to dehydration/pain, but is there any possibility there was some urethral obstruction with the cystitis and bladder atony has developed secondary to overstretching of the bladder wall? Admittedly less likely in a female but not impossible. If so, hopefully a few days of keeping bladder empty via catheter/repeated cysto and some bethanechol may improve the situation.

Re: Help with cat case please

Nicola Lawlor — Fri, 31 Aug 2012 17:28:13 GMT

Unfortunately with owner away history is limited so I don't know re the litter tray issue which is frustrating. I didn't personally see the cat when admitted either so I didn't get the benefit of any info from the carer of the cat either.

Re: Help with cat case please

Mark Holmes — Fri, 31 Aug 2012 17:22:20 GMT

[quote user="Nicola Lawlor"]

Cat is getting on I think, (age not recorded as carer is not sure) no other issues that I can see....was thinking Key Gaskell too after the post the other day! It walks fine and holds tail up ok. Seems more a smooth muscle thing?? Cat seems chilled out here as far as I can see - not unhappy to handle, is eating though only has picked rather than eaten well.

[/quote]

Find out if its used to using a litter tray

Re: Help with cat case please

Michael Woodhouse — Fri, 31 Aug 2012 17:11:27 GMT

I was thinking back pain. NSAIDS rather than opioids if already constipated and try to get cat home - they do hate being at the vets.

Re: Help with cat case please

Bob Russell — Fri, 31 Aug 2012 17:10:04 GMT

RTA? Painful to urinate?

Thread is starting to sound like a list of differentials but common things happen commonly!

Re: Help with cat case please

Nicola Lawlor — Fri, 31 Aug 2012 17:09:51 GMT

Re: Help with cat case please

Martin Atkinson — Fri, 31 Aug 2012 17:06:28 GMT

How old is this cat? does sound like caudal spinal injury (cauda equina syndrome) so your osteophyte may be of significance. In light of recent discussions on here have you considered Key Gaskell syndrome - how is it eating, any regurgitiation, dilated pupils?, but given it's weight less likely. I wonder if you could get a fat embolism in the spine, can happen in humans.

Re: Help with cat case please

Monika S — Fri, 31 Aug 2012 17:03:27 GMT

How old is this cat? any other problems? anything abnormal in physical exam? (bradycardia?, prolapsed third eyelids?,dry nose?, vomiting/regurgitation? etc)

Monika

Re: Help with cat case please

Mark Holmes — Fri, 31 Aug 2012 16:58:51 GMT

This may be a noddy Q but is it an outdoor cat who is refusing to use litter. I have seen some hold it for days. The last one wasn't in for bladder issues but I still ended up sedating it and expressing the bladder every couple of days.

Re: Help with cat case please

James Laidlaw — Fri, 31 Aug 2012 16:58:47 GMT

Sounds neuro rather than cystitis... Any defecits - hind legs/tail? Have you used any pain relief? Vetergesic? I'm not particularly helpful otherwise! Maybe some boffin will contribute soon!