? Sprocket, Cystitis, got meds, still blood in urine, help, coming home from ER now

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Darnell & Sprocket (GA)

Darnell & Sprocket (GA)

Member Since 2015
Sprocket has had a rough week. Sat went to vet with blood in urine. She did urinalysis & told me bacterial cystitis, possible UTI. Gave Orbax antibiotics.
Ok until monday night/early tues am. He was peeing blood, straining to pee, trying on bathroom rug, empty box, floor, cat bedding, for hours. Bg in 200s here.
Went to different vet on tuesday to do another urinalysis with ultrasound & said no bacteria or UTI. Says cystitis ( thinking stress-induced) & bladder inflammation. Gave acepromondize & buprenex & cerenia. He was better till this am again. Overnight in litterbox there was blood in urine again. His bg went down 103 pts since 130am to 6am. He had a little less at his 2am meal plus I had given less carb since he was in 274 then. His bg seems to be on higher end when he doesnt feel well.
Gave his meds & he seemed to tolerate well but this am I had to crush & syringe the sedative med & he ended up wobbly (side effect of med but idk if he slept overnight so he got wobbly where he didnt realy last few doses) . I put him on floor where he is staying so far.
Very worried about him. Vet said if he strains to pee then go to ER. Said next step was xray but they are very busy today.
Suggestions?
Anyone have this issue before? How long did it take to heal?



@Sienne and Gabby (GA) @Jill & Alex (GA) , @Wendy&Neko , @Sandy and Black Kitty , @Gill & George , @julie & punkin (ga) , @Bobbie And Bubba ,
 
I also posted this on the FB page"

"I would request an ultra sound or x-ray to make sure there are no stones forming. Otherwise the AB may not be the correct one. Without doing a culture and sensitivity test it is impossible to say whether it is the correct AB. Unfortunately once a kitty has been taking ABs a C&S cannot be done until 7-10 days after the AB is finished or the results will not be accurate. With a "simple" UTI my kitties would respond within 24-48 hours of starting ABs."


If Sprocket is straining to pee especially if he is not passing any pee then this may require ER attention.
 
My cat had many episodes of sterile cystitis before his FD diagnosis. He'd been on Urinary S/O canned food for a long time. I learned to spot the onset and watched him carefully for any signs of blockage. Occasionally I gave him vet-prescribed prazosin for urethral spasm and bupe for pain. Cerenia can also help with inflammation. These episodes were self-limiting and many required no treatment, only watching. Since his FD diagnosis and me adding water to all his wet food meals as well as giving all the extra TLC that FD involves, he hasn't had a single bout (over a year and a half now). There's definitely a big stress component in FUS (feline urinary syndrome). Anything you can do to make his environment as calm and stress free as possible can help. Maybe put Feliway diffusers in different rooms and, as hard as it is, try to keep your own stress and anxiety under wraps as much as you can.
 
Kris & Teasel said:
My cat had many episodes of sterile cystitis before his FD diagnosis. He'd been on Urinary S/O canned food for a long time. I learned to spot the onset and watched him carefully for any signs of blockage. Occasionally I gave him vet-prescribed prazosin for urethral spasm and bupe for pain. Cerenia can also help with inflammation. These episodes were self-limiting and many required no treatment, only watching. Since his FD diagnosis and me adding water to all his wet food meals as well as giving all the extra TLC that FD involves, he hasn't had a single bout (over a year and a half now). There's definitely a big stress component in FUS (feline urinary syndrome). Anything you can do to make his environment as calm and stress free as possible can help. Maybe put Feliway diffusers in different rooms and, as hard as it is, try to keep your own stress and anxiety under wraps as much as you can.
Click to expand...

He eats alot of proplan Urinary tract formula but also ff, friskies, many proplans.
I always add water to all meals. He only eats wet food.
I try to talk to him alot but stress is hard as I have had 6 deaths this year and one was 2 weeks ago of my bfs father.
He is already dka 2x, ketones 4x & liver issues 2x.
He doesnt need this.
I have been trying to get him regulated but he has been difficult to do that.

@Tuxedo Mom . He also takes probiotics and vet did ultrasound but didnt see any stones then or blockage but said xray is next step.
 
Darnell & Sprocket said:
He eats alot of proplan Urinary tract formula but also ff, friskies, many proplans.
I always add water to all meals. He only eats wet food.
I try to talk to him alot but stress is hard as I have had 6 deaths this year and one was 2 weeks ago of my bfs father.
He is already dka 2x, ketones 4x & liver issues 2x.
He doesnt need this.
I have been trying to get him regulated but he has been difficult to do that.

@Tuxedo Mom . He also takes probiotics and vet did ultrasound but didnt see any stones then or blockage but said xray is next step.
Click to expand...
I'm sorry if it sounded like I was blaming you, Darnell. Not my intention. Just sharing my experience with my guy and what has seemed to work for him. :bighug:
 
Kris & Teasel said:
I'm sorry if it sounded like I was blaming you, Darnell. Not my intention. Just sharing my experience with my guy and what has seemed to work for him. :bighug:
Click to expand...

Oh i know. Didnt mean to sound like that. I am so tired right now I am surprised I am making sense.
When tired m worried. I just give facts. Not always in sentence form either.
 
Darnell & Sprocket said:
vet did ultrasound but didnt see any stones then or blockage but said xray is next step
Click to expand...


Ultrasounds tend to be better at imaging soft tissue problems than x-rays.

My Tuxie (GA) had an enlarged bladder and even though he peed a LOT there was always urine in the bladder. I had a cather drain one time and they removes 2 CUPS of fluid (weight 1 pound!!) . He had peed decently shortly before going to the vets. An U/S would show if the bladder seems unusually enlarged.


ETA Tuxie did get UTIs fairly often after his FD diagnosis, but the ABs always worked quickly at treating the problem.
 
Question??

Do you have the test results from the urinalysis....sorry if it is posted elsewhere.

Especially the PH and specific gravity and whether they saw any struvite fragments in the urine on visual examination. Also was the SG done with a test strip or with a refractometer. The refractometer is more accurate than the test strips.
 
Tuxedo Mom said:
Ultrasounds tend to be better at imaging soft tissue problems than x-rays.

My Tuxie (GA) had an enlarged bladder and even though he peed a LOT there was always urine in the bladder. I had a cather drain one time and they removes 2 CUPS of fluid (weight 1 pound!!) . He had peed decently shortly before going to the vets. An U/S would show if the bladder seems unusually enlarged.


ETA Tuxie did get UTIs fairly often after his FD diagnosis, but the ABs always worked quickly at treating the problem.
Click to expand...

She did the ultrasound. Said bladder inflammed.
I wish meds would work. It kills me to see him like this. Plus I am barely sleeping cause watching him. I am so tired now.
 
Tuxedo Mom said:
Question??

Do you have the test results from the urinalysis....sorry if it is posted elsewhere.

Especially the PH and specific gravity and whether they saw any struvite fragments in the urine on visual examination. Also was the SG done with a test strip or with a refractometer. The refractometer is more accurate than the test strips.
Click to expand...

Ph was 6 on sat n like a 5 on tuesday.
Dont know what SG is.
Dont know about how
 
Darnell & Sprocket said:
To check for stones.
Click to expand...


They should have shown up on the U/S

"
Most bladder stones are visible on radiographs (x-rays) or an ultrasonic bladder examination. These diagnostic imaging techniques should be performed on cats that show signs of abdominal pain or have recurrent episodes of hematuria or straining.

Some bladder stones are radiolucent, or are not visible on radiographs, because their mineral composition does not reflect x-ray beams. They can be detected by an ultrasound examination or with 'contrast radiographs' a specialized technique that uses dye or contrast material to outline the stones within the bladder."

https://vcahospitals.com/know-your-pet/bladder-stones-in-cats


ETA A good article on bladder stones.

http://exclusivelycats.blogspot.ca/2015/06/bladder-stones-and-stone-removal.html
"
How are bladder stones diagnosed?
Radiography or ultrasound studies are the most effective way to diagnose a bladder stone. In

Ultrasound image: One large stone in a cat bladder
some cases, we identify bladder stones when taking an x-ray for an entirely different reason. Some stones are more likely to be seen on an x-ray than others. Calcium oxalate stones are much more visible on x-ray than struvite stones (about 80% of cases involving oxalate stones can be seen on x-ray). Struvite visibility is dependent on how much calcium phosphate is contained in the stone. Urate stones are poorly visible on x-ray, and urohemoliths (stones that form from blood) are not visible on x-ray or ultrasound at all. In some cases, a special dye may be passed into the bladder through a catheter in order to try to visualize radiolucent stones (stones that do not show up on x-ray). This technique is called double-contrast cystography.
"
 
Last edited:
Tuxedo Mom said:
They should have shown up on the U/S

"
Most bladder stones are visible on radiographs (x-rays) or an ultrasonic bladder examination. These diagnostic imaging techniques should be performed on cats that show signs of abdominal pain or have recurrent episodes of hematuria or straining.

Some bladder stones are radiolucent, or are not visible on radiographs, because their mineral composition does not reflect x-ray beams. They can be detected by an ultrasound examination or with 'contrast radiographs' a specialized technique that uses dye or contrast material to outline the stones within the bladder."

https://vcahospitals.com/know-your-pet/bladder-stones-in-cats


ETA A good article on bladder stones.

http://exclusivelycats.blogspot.ca/2015/06/bladder-stones-and-stone-removal.html
"
How are bladder stones diagnosed?
Radiography or ultrasound studies are the most effective way to diagnose a bladder stone. In

Ultrasound image: One large stone in a cat bladder
some cases, we identify bladder stones when taking an x-ray for an entirely different reason. Some stones are more likely to be seen on an x-ray than others. Calcium oxalate stones are much more visible on x-ray than struvite stones (about 80% of cases involving oxalate stones can be seen on x-ray). Struvite visibility is dependent on how much calcium phosphate is contained in the stone. Urate stones are poorly visible on x-ray, and urohemoliths (stones that form from blood) are not visible on x-ray or ultrasound at all. In some cases, a special dye may be passed into the bladder through a catheter in order to try to visualize radiolucent stones (stones that do not show up on x-ray). This technique is called double-contrast cystography.
"
Click to expand...


No brain cells to read sorry.
Tested at +2.9 & 243
He was 182 at amps.
He wont eat at all. Gave his fav flavor.
Worried. 3 hrs after meds n he is still wobbly m has not slept.
Me either.
 
My civie had idiopathic cystitis episodes. In addition to what meds you have been given, he was given Cartrophen which can help bladder inflammation, and the prazosin that Kris mentioned, Cartrophen is normally used for arthritis in Canada and in the US they have Adequan instead. Not sure if it has the same properties as Cartrophen. Glucosamine sulfate (Cosequin) may help. I also had Feliways going. The mafority of cystitis kitties are the nervous kind like my guy was. Some even need Prozac.

On the topic of food, lowering the phosphorus may help, as well as adding water if you are not already. Fancy Feast is rather higher in phosphorus.

Sending many healing vines for Sprocket. Cystitis is very stressful on the bean. :bighug:
 
Wendy&Neko said:
My civie had idiopathic cystitis episodes. In addition to what meds you have been given, he was given Cartrophen which can help bladder inflammation, and the prazosin that Kris mentioned, Cartrophen is normally used for arthritis in Canada and in the US they have Adequan instead. Not sure if it has the same properties as Cartrophen. Glucosamine sulfate (Cosequin) may help. I also had Feliways going. The mafority of cystitis kitties are the nervous kind like my guy was. Some even need Prozac.

On the topic of food, lowering the phosphorus may help, as well as adding water if you are not already. Fancy Feast is rather higher in phosphorus.

Sending many healing vines for Sprocket. Cystitis is very stressful on the bean. :bighug:
Click to expand...

Thanks. We are on way now.
I put water in food now. Will get some cosequin. He eats more proplan than fancy feast now. Friskies some too. Urinary tract formula for proplan too.
The vet mentioned prazosin before too.
Vet said stress related too. We live near air force base too so probably doesnt help. He will probably need somethig to chill him too
 
3rd update: leaving ER vet. He is coming home. No obstructions. Still inflamed bladder and blood cells in urine but only changing acepromezine to gabapentin for pain& neurological. He needs to chill more but without sedation. He will probably need the gabepentin long term. Now he wants to eat. Gave him @ 1tbsp of young again zero dry food in waiting room before we left since he missed 2 meals. He ate it well. Will check bg when home n feed a litte to tide him till pmps
 
Glad to hear Sprocket is eating. I'm also glad the vet switched Sprocket off of acepromezine. It sounded vaguely familiar to me. While it was once thought to be helpful for anxiety in animals, it actually doesn't relieve anxiety and for some animals it has the opposite effect. (Take a look at the description in Wiki.) Gabapentin is good for neurological pain.

You might want to consider some of the additional suggestions that Wendy noted -- Feliway diffusers or possibly Prozac. If airplane noise is an issue, would music help?
 
:bighug::bighug::bighug:

Glad he is eating for you, sending vines.

I like Siennes suggestion of playing music to detract from the airplane noise, we used to live near the flight path to Heathrow airport, when George came to live with us he was very nervous at first, so we used to leave the TV on for him it seemed to help him calm down.
 
Darnell & Sprocket said:
She did the ultrasound. Said bladder inflammed.
Click to expand...
Did the US include looking at the kidneys?
Is the vet who did the US qualified for diagnostic US?
The vet I worked for had an US sounds but one one vet was qualified to diagnostics. The other vets used the US machine to to do a Cystocentesis, that use the US image to guide inserting a needle in the bladder in order draw a sterile urine sample.
Also, did the latest vet look at the urine under a microscope? Was any bacteria seen? Not that if a sterile sample was not obtained, the urine sample would likely be contaminated with bacteria.
 
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