 TOA
PAYOH VETS
toapayohvets.com
Date:
16 January, 2013
|
Focus: Small
animals - dogs, cats, hamsters, guinea pigs & rabbits |
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REVIEW
A CASE OF A RECURRING FLUTD IN A CAT
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
Date:
16 January, 2013
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 toapayohvets.com
Be Kind To Pets
Veterinary Education
Project 2010-0129 |
Jan 15, 2013
Recurring FLUTD (Feline Lower
Urinary Tract Disease) can be very distressful to the cat
and the owner. In one sad case, a couple’s cat with
recurring FLUTD of more than 2 times died at a veterinary
practice and the wife was very sad. This case was recorded
reported in:
http://www.sinpets.com/F6/20120218FLUTD-cat-death-toa-payoh-vets_Singapore_ToaPayohVets.htm
The cat becomes more aggressive as he knows what the vet
is going to inject and catherise him again and again. This
was what happened to this 3-year-old, male, neutered cat.
The brown-striped cat hissed at me as the lady owner
placed him on the consultation table.
His spinal hairs rolled upwards making a ridge. However,
Dr Daniel appeared not to distress him as he spoke to him
while the lady owner kept a close watch. Then he held the
cat by the scruff of the neck while I injected his back
muscles with xylazine and ketamine to sedate him for a
proper examination without stressing him more. The cat was
catherised and urine was collected. He was X-rayed as Dr
Daniel wanted to eliminate the presence of bladder stones.
FOLLOW UP
I phoned the young lady owner today at 11 am to remind her
that the cat’s diet must be strictly canned C/D for the
next 4 weeks to prevent recurrence of blood in the urine
and difficulty in urination.
DIET & URINATION
“What did you feed him before his urination problems?” I
asked the young lady who returned my phone call.
“Dry cat food. Sometimes canned food mixed with dry food
once a week.”
“Do you feed cat treats?”
“Yes, he loves them. I give him alternate days. Some
reddish pellets. I can’t remember the name.”
“Does he drink water?” I asked.
“He seldom drinks. He will run away when I try to give him
water.”
URINE ANALYSIS & X-RAYS
|
Date |
April 7, 2011
(22 months ago) |
Jan 11, 2013 |
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URINE ANALYSIS |
|
Urine colour |
Red, turbid |
Yellow, turbid |
|
Urine pH |
8.0 |
8.0 |
| Urine SG |
1.021 |
1.026 |
|
Urine Protein + |
+ |
+ |
|
Blood in urine |
4+ |
4+ |
|
White blood cells in urine |
50 |
30 |
|
Red blood cells in urine |
>2250 |
1359 |
|
Bacteria in urine |
Occasional |
Occasional |
|
Crystals in urine* |
Nil |
Nil |
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X-RAYS |
|
X-rays |
Not done |
No radio dense stones |
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Outcome |
Treated by an associate vet of my
Surgery. Given 2 cans of C/D. No complaint for the
next 22 months |
Recovered as at Jan 15, 2013. Fed
canned C/D for next 4 weeks and review. No treats or
dry food strongly advised by me. |
CONCLUSION
* No crystals in the urine does not mean there are no
Struvites or other bladder stones inside the bladder. The
cat was sent home on the same day after catherisation and
irrigation of the bladder. The cat tore out the urinary
catheter at home on the second day. On the 3rd day
morning, the owner phoned me saying the cat had difficulty
peeing. In the evening, the cat was normal and there was
no blood in the urine. Owner compliance with the vet's
instructions on medication and prescription diet is
invariably poor and so the FLUTD recurs in many cases.
Is this case of FLUTD a case of interstitial cystitis (painful
bladder) similar in human beings since there is
apparently "no struvite stones" inside the bladder? The
presenting sign was the cat having difficulty in urination
but no urethral abstraction.
Will hydro-distension of the bladder, DMSO and other drugs
supplied into the bladder resolve the problem of recurrent
FLUTD? Nobody knows as the causes of FLUTD in a cat are
numerous.
ADVICES
1. Owner adds 2 tablespoons of water into the C/D food.
Cat does eat C/D but will not drink water given by the
owner. “When he was sick in Jan 11, 2013, he drank a lot
of water,” the lady said. “But now he turns his mouth away
when I give him water!”
2. Continue C/D canned food for at least one month. Water
added to the canned food.
3. No dry food and no cat treats anymore.
Webpage:
http://www.kongyuensing.com/folder5/
20130116Recurring_FLUTD_cat_3years_toapayohvets.htm
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