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Please help! 6 year old neutered male with a n episode
Sent to Cat Experts April 09 06:19 PM

Please help!
6 year old neutered male with a n episode of urinary blockage 2 months ago. Thankfully resolved. Changed diet to proper food. Several days ago, lethargic, not eating not urinating.   Finally urinated after 10 hours. Took to Critical care center, unable to do urinalysis due to empty bladder but blood test yielded nothing. Vet did subcu fluids and sent us home with antibiotics. Cat has only urinated again after 24 hours-no strainingand no blood in urine. Cat still lethargic and has not eaten in several days. I am giving a syringe of water every 2 hours alternationg with chicken broth. still not eating and no evidence of bowel mvt.   Please advise. No temp., no upper respiratory symptoms.    Does not seem to be in pain.
                                         &nbs p;                            Trudy

Customer (name blocked for privacy)
Answer
April 9 6:31 PM (11 minutes and 56 seconds later)
         
ACCEPTEDCheck Mark
Hi there,

Sounds like your cat may be experiencing recurrances of the urinary problem. Some of these cats never have urinary tract infections, just inflammatory cells and/or crystals that plug up the urethra in the penis. Unfortunately, a lot of the cats never go on to be able to urinate normally. It is a curse of the male cat because of the small narrowing of the urethra as it passes through the penis.

I would take your cat back in. He needs to be rehydrated, which cannot happen with oral water alone. Not eating is also a bad sign in cats. He is likely in a lot of discomfort/pain.

I would have a blood panel redrawn to check his kidneys (and state of dehydration) and, if they can get urine, have it sent to an outside lab for a urinalysis and culture for bacteria. Some of these cats need what's called PU surgery - this makes a hole from the urethra to the skin before it gets to the end of the penis. The surgery can help cats who tend to get a lot of blockages to pass them easier and avoid trips to the ER.

Sounds like you care deeply for your kitty and are trying to the right thing. You can always consider a referral to a specialty clinic if your vet is unable to help you further.

Let me know if you have more questions or concerns.

Sincerely,

Dr. Amanda

Edited by DrAmanda on April 9 2006 at 6:31 PM



Dr. Amanda
Small Animal Veterinarian
Special interest in canine and feline behavior.
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