3 year old cat - stranguria

Re: 3 year old cat - stranguria

Louisa Huntington — Tue, 06 Apr 2010 00:40:37 GMT

Am so sorry it has taken me so long to reply, been a busy on call easter weekend!I sent it home on metacam.

I have had to transfer the case to another vet as I swap practices for 1 week amonth but am hoping for an update today.

Re: 3 year old cat - stranguria

Vikki Halliday LLB — Fri, 02 Apr 2010 07:59:28 GMT

Did you send it home on any pain relief?

Re: 3 year old cat - stranguria

Louisa Huntington — Thu, 01 Apr 2010 20:15:36 GMT

Thank you all very much for your help, this cat is on a diet!

I sent the cat away on clavaspetin and urinary s/o food, as well as laxatone. Sadly the bladder was so small and irregular looking on ultrasound i did not get a SG before the SQ fluids. The fluids were given around 7 pm and the SG i have is from around noon the next day. It was 1.039. I rang the owner and he still has dysuria and she is unsure about bowel movements!

I have asked the owner again to strictly monitor in and out goings of the cat, the cat urinated normally with us. The cat is to come back in next week if no improvement over the weekend.. i think an enema is prob going to be needed!

Re: 3 year old cat - stranguria

Jean-Paul Schmidt — Thu, 01 Apr 2010 08:50:13 GMT

Dear Louisa,

The xrays show a substantial amount of retroperitoneal fat in the region of the kidneys which is common in obese cats.

Have the signs of tenesmus or dysuria resolved now? What was the urine specific gravity prior to fluid therapy? Did the cat go on to defecate normally?

Hope this helps,

J-P

Re: 3 year old cat - stranguria

Vikki Halliday LLB — Wed, 31 Mar 2010 17:10:41 GMT

I've had a look at this xray and agree the cat looks a little constipated, however the bladder tissue looks to be slightly increased in soft tissue density for what I would expect, and there are some areas of reduced density in both kidneys consistent with slight dilation of the renal pelvis? A contrast or double contrast study would be useful to determine bladder ball thickness and if there is any degree of ureter dliation secondary to urethral obstruction.

I think the retroperitoneal areas are just fat. There is no indication of another fluid filled viscus in the cranial abdomen, you may be feeling the edges of the peritoneum through the thick mobile body fat? the colon is not really that abnormally deviated, it sits nicely in the caudal abdomen, albeit slightly ventral due to the fat. But not enough to compress the bladder neck in my opinion..

My suggestions would revolve around treatment of chronic interstitial cystitis, FLUTD, and constipation., Pain relief and laxitives should resolve the latter, but an enema might be needed. It's not the worst constipated cat I've ever seen though!

A weight control program would also be on the list.

Let us know how you get on. By the way, is this a long haired cat???

Re: 3 year old cat - stranguria

Kevin Castle — Wed, 31 Mar 2010 14:55:46 GMT

In my experience cats with FLUTD that have been straining for 3 days or tenesmus as you describe it will have abnormal urine on urinalysis and will have minimal to no stool in the colon due to the constant bearing down to urinate. Your xrays show a rather faecal filled colon bordering on constipation and with the normal urinalysis I would be a bit worried that it may be a GIT problem rather than FLUTD. I wouldn't say the kidneys were necessarily much lower than normal either. Don't know if this helps?

Re: 3 year old cat - stranguria

Louisa Huntington — Wed, 31 Mar 2010 03:58:39 GMT

The VD..