Fe­line cys­ti­tis

Wangaratta Chronicle - North East Regional Extra - - News - with LINDA BRAD­BURY, Vet­eri­nar­ian

PROB­LEMS with uri­na­tion are one of the more com­mon rea­sons we see cats brought into the clinic.

Fe­line Lower Uri­nary Tract Dis­ease (FLUTD) is a col­lec­tion of con­di­tions which show up with the same set of symp­toms:

Blood in the urine Strain­ing to pass uri­na­tion Painful uri­na­tion Uri­nat­ing small amounts fre­quently Uri­nat­ing in odd places If these symp­toms oc­curred in a hu­man (or a dog), we would be highly sus­pi­cious of a uri­nary tract in­fec­tion. How­ever, things are rarely so sim­ple in cats.

In cats, these symp­toms may be due to:

Fe­line id­io­pathic cys­ti­tis - 50 -60 per cent of cases

Blad­der sto­ries - about 20 per­cent of cases

Urethal block­age ( a poten-tially life threat­en­ing con­di­tion seen in male cats) – about 20 per cent of cases

Uri­nary tract in­fec­tion - only 1-5 per cent of cases, although in­fec­tion is more com­mon in el­derly cats

Cancer of the uri­nary tract - 1-5 per cent of cases

Trauma to uri­nary tract ( eg hit by car ) – 1-5 per cent of cases

Test­ing of the urine and some­times x-rays or ul­tra­sound may be used to work out which category a pa­tient falls into.

Fe­line id­io­pathic cys­ti­tis (FIC), the most com­mon di­ag­no­sis, is in­flam­ma­tion of the lin­ing of the blad­der due to an un­known cause. There ap­pears to be a strong link be­tween FIC and stress/anx­i­ety. Cats who are over­weight or con­fined ex­clu­sively in­doors also seem to be more prone.

Treat­ment for FIC is gen­er­ally lim­ited to pro­vid­ing pain re­lief while wait­ing for the episode to pass (gen­er­ally 3-5 days) and at­tempt­ing to in­crease the cat’s water in­take.

This can be eas­ier said than done, and in­volves plac­ing mul­ti­ple water bowls all around the home, and chang­ing food from dry to wet.

There are also pre­scrip­tion di­ets avail­able which may help to de­crease the in­ci­dence of FIC. Tak­ing steps to de­crease anx­i­ety in cats is also be very help­ful in re­duc­ing re­cur­rence.

Signs of uri­nary tract dis­ease in male cats should al­ways be taken es­pe­cially se­ri­ously, as they have a much thin­ner ure­thra which is prone to becoming blocked when there is in­flam­ma­tion of the uri­nary tract.

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