Sasha's mom. Pumpkin has CRF and FLUTD, really need advice

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EAWall61

Member Since 2013
Hello everyone, this is Sasha's mom, Elizabeth. I'm so sorry I haven't been around, I have such deep love and respect for this beautiful community that helped us try to save Sasha and ultimately held my family's hand when she passed last year. It has been really emotional trying to come back and I'm embarrassed about that. Its been a year since Sasha passed on and now my family is truly in need of some advice/wisdom/experience again if it isn't too much trouble.

Our cat Pumpkinhead (13 years old) about three weeks ago started straining to urinate, urinating bloody urine in front of us on the floor (pumpkin is so proper and would never ever do that normally), lifting his back legs like they hurt him and he would attack us if we tried to touch him. The ER vet said he wasn't blocked. They couldn't find his bladder but said they felt a hard mass, which they later said was probably his inflamed bladder itself. They checked his enzymes that night, said he might have a UTI gave us antibiotics. He immediately did better with the clavamox and Prazosin. He was extremely difficult to give the Medication to after about 5 days in of him doing much better, and for about two days he didn't properly get his medicine and immediately started having the same problem. We rushed him back to the ER and they said he was ok and this time ran full blood work on him, which came back normal accept for "high normal" kidney values ( I believe creatanine) and elevated white blood cells. We have tried on two separate occasions to get a urinanalysis but his bladder has been empty. The vet said that with that kidney value off, she could diagnose him with stage 2 kidney disease. She said in about a month we could try again to get urine because he is ok for now.

I asked her if without the urine results could he be later stage than stage 2 and she said, no, if anything he wouldn't be as FAR as they think. Does anyone know if that is true or not?

She also said she doesn't think he has a UTI because infections of the bladder are extremely rare in older cats. Has anyone ever heard of that before, I recall reading the opposite, that the older they get the more likely it is an infection?

She diagnosed him with idiopathic FLUTD. They did do an unofficial ultrasound of his bladder last time to see if there was urine in it and they said they didn't see any stones. The vet keeps saying that we should wait on the full ultrasound and urinanalysis because the stress could cause him to get worse. She wants him to stay on the Prazosin possibly forever, but Im getting worried that something worse is happening with Pumpkin.

He had an episode tonight that really scared me. He didnt get his medicine today because we ran out and were waiting for the refill, but what happened was so much worse than what he initially had. He started running around the house peeing little spots of blood everywhere, one time a long string of a blood clot, his lower body was visibly contorting and spasming and it looked like he couldn't stop trying to pee, like he was frozen in a painful pee position he couldn't get out of. My husband had just gotten home with his Prazosin which we gave to him, and gave him some Buprenex which they prescribed for him initially also because he was obviously in pain and distress. He just laid down on his side with his back legs frozen in a squatting position, with him lifting his back legs and butt twitching now and again. He also vomited. For a second I thought he was dying. Any attempt to touch him he would cry out. I was so scared... Eventually I moved him to the couch and underneath him it looked like he peed on himself. He had just seemed to settle and now he is going back and forth to the litter box again, where he is getting out tiny bits of urine. I am so scared right now and don't know what to do or what is wrong with him. We've taken him in to the ER vet twice now for a slightly less intense version of this and when we'd get there he would be fine, they would check his enzymes which would be fine and they'd send us home.

All day yesterday he was going in and out of the litter box without the obvious pain and straining, but he was peeing normal sized pees multiple times an hour which made me think he has worse kidney disease than they think. He has also been drinking twice as much as usual (he's a cat who has always looooved water though). I told the vet all if this and she thinks that could fit within his stage 2 of kidney disease and is just in addition to the FLUTD which she says is I the straining, leg problems and blood. I'm not sure what to think....

Does anyone here have any experience with anything like this? Could this be worse kidney disease than they think? He just started going back and forth to the box again and I just don't know what to do to help him. He's on a lot of medication and he does seem a little better, but he still seems to be having more problems than when he first went on the medication and it would immediately make him feel better. Could this really just be an idiopathic bladder issue as the vet keeps saying? Should the vet be considering other possibilities? Any guidance or wisdom or experience would be such a blessing right now. I want to help my boy so badly, but I'm just not sure what to do. He really seems distressed...:( Thank you for reading this.... Thank you all and blessings to everyone and all of your babies:)
 
Re: Sasha's mom. Pumpkin has CRF and FLUTD, really need advi

Did they do an ultrasound? The hard mass and other symptoms could indicate cancer, maybe renal cancer or other cancer.
 
Re: Sasha's mom. Pumpkin has CRF and FLUTD, really need advi

I would go to the ER if he still seems in distress or go to my regular vet first thing in the morning (when their doors open) and describe what happened last night.
I hope they can figure out what is causing this and am sending wise vet vines to whatever vet you see next.
I would recommend looking at Tanya's CKD Support Group and joining the group and posting to them. Do you have a copy of his lab results? If so post them if you can.

I hope Pumpkin is feeling better with proper treatment, soon. Hugs to you.
 
Re: Sasha's mom. Pumpkin has CRF and FLUTD, really need advi

Hi, thanks so much for your reply. They said they did an unofficial ultrasound because they were trying to see if he has any urine in his bladder and they said his bladder looked good. The vet has wanted to put off doing a full ultrasound because she thought the liklihood that he has cancer, stones or worse kidney disease are small. I just don't know because this seems so severe, unless FLUTD can really be this scary, which I don't know....
 
Re: Sasha's mom. Pumpkin has CRF and FLUTD, really need advi

Here is Dr. Lisa Pierson's site She is a member here and sometimes posts. I know she does phone consults for a fee, but I don't know how people get a hold of her.

I wish you the Best Of Luck.
 
Re: Sasha's mom. Pumpkin has CRF and FLUTD, really need advi

Thanks so much for your reply Dyana, I just left my vet a message. I've brought him in to the ER with less intense versions of this twice in two weeks and they say he is fine when they check him (electrolytes normal, physical exam good except the one time they felt a "mass" but then thought it was just a thickened bladder, in no visible pain) :/ I'm so confused. Thank you do much for the good vibes, we definitely need them:) I'm definitely going to join that group, I've scoured Tanya's guide and it really is amazing. I'll check Dr. Lisa's page now, thanks again:)
 
Re: Sasha's mom. Pumpkin has CRF and FLUTD, really need advi

I have a kitty with idiopathic cystitis and he gets a trip to the vet whenever he starts showing symptoms (frequent visits to the LB, peeing dime sized amounts, licking). He usually gets fluids there and cerenia to reduce inflammation, as well as bupenorphine for pain and he has gotten prazosin too. For longer term, it's best to feed low carb, low phosphorus wet food, with lots of water added. You want a lower urine specific gravity to keep flushing out the system. Some studies have shown that adding glucosamine can help the bladder wall, so my guy gets Cosequin regularly. Last time at the vetty, he also got a 4 shots, once a week, of Cartrophen - equivalent to Adequan in the US. That's just a better form of glucosamine. And I've started putting Feliway plug-ins in the areas he frequents. Stress can cause flare-ups of the cystitis and it's often the skitty scaredy cats who get this (mine is a semi feral).
 
Re: Sasha's mom. Pumpkin has CRF and FLUTD, really need advi

Thanks so much for your response Wendy&Neko and for sharing your experience. Did your cat fall into a groove with medications right away or did it take some time? Did your vet ever recommend amitriptyline for your kitty? My vet just prescribed it because she thinks he's in a vicious cycle of stress, but I'm nervous about the side effects which seem really intense (saw reference to needing an EKG before prescribing to be sure the cats heart is healthy enough). Does anyone here have any experiences with it? Pumpkin still can't seem to get into a painless groove yet... I like the sound of Feliway, I think we may have to do those as well. Thanks again for your reply
 
Re: Sasha's mom. Pumpkin has CRF and FLUTD, really need advi

Sorry to hear your boys problems. My civvie cat Charlie was diagnosed with idiopathic cystitis after years of problems. Typically, to and froing litter box but mostly in the bath with only traces of blood. One attack was so bad we ended up a vets after midnight who gave him a vetergesic which settled him for the night. He'd had scans, ultrasounds, bloods, urinalysis. All clear. The thing I found helped him was a bladder flush. He was maintained on royal canin urinary s/o wet food. Very little problem since the flush. He always had pain relief during an attack. He is now also on low carb wet diet with his diabetic brother to see if this is the way forward. Your poor boy sounds so very much worse than Charlie so I think you need to insist on more test or if not happy get 2nd opinion. I wish you both the very best x
 
Re: Sasha's mom. Pumpkin has CRF and FLUTD, really need advi

My cystitis kitty usually is back to normal within a few days. The last episode took a couple extra days before the pees were back to normal size, but I think the fluids really help flush him out. Adding lots of water to the foods is key. I had started him on Hills C/D, but quickly changed to a raw diet on the vets recommendation as I couldn't serve him high carb food with a newly diagnosed acrocat in the house who scavenged food and pushed him out of the bowl.

The other thing my kitty was once prescribed was alprazolam (Xanax) - but I stopped it after 2 doses. The side effects were not good, staggering like a drunkard. We had gone to a different vet because the episode started on a Sunday and one of the few open vets we could get into was more into medications. That same vet had suggested I think about some drugs for behaviour modification, but when we went back to the regular vet who isn't into medications as the first solution, I started the Feliway plug-ins.
 
Re: Sasha's mom. Pumpkin has CRF and FLUTD, really need advi

Can the dose be compounded into a lower concentration? Some people need smaller doses; it is possible some cats may need smaller doses too.
 
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