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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 25556
Experience:  University of California at Davis graduate veterinarian with 44 years of experience.
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I'm fairly certain my bangal cat has a urinary track

Customer Question

Hello,
I'm fairly certain my bangal cat has a urinary track infection. Can I use clindamycin to treat it. If so, what is the dosage?
Submitted: 1 year ago.
Category: Cat Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.

A bacterial urinary tract infection in a young male cat is very uncommon. If your male is stranguric - frequent attempts to urinate little or no urine - and licking his penis a lot - he's more likely to suffer from idiopathic cystitis - a dangerous disorder because these cats can develop blockage in their urethra due to a mucoid/gritty material produced by the irritated bladder lining. If you haven't seen Koa urinate and/or there's little or no urine in his litter box you mustn't hesitate to have him attended to by his vet. A blocked cat will go into renal failure within just 36 hours. Please respond with further questions or concerns if you wish.

(To answer you directly, clindamycin is not a first-choice antibiotic for a UTI in cats. I would dose it at 5-15 mg/lb once daily for skin and dental infections for up to 14 days.)

Customer: replied 1 year ago.
He is urinating. Do you still think he has blockage?
Customer: replied 1 year ago.
Also, this has been going on for a few months.
Expert:  Dr. Michael Salkin replied 1 year ago.

Thank you for the additional information. He's not blocked if he can pass urine. I might detect that gritty material in his urethra if I catheterized him, however. In any event, he needs to see his vet who can obtain urine by cystocentesis (percutaneous aspiration of urine through Koa's abdominal wall), perform a urinalysis looking for the tell-tale signs of infection - the presence of bacteria and/or elevated numbers of either red or white blood cells - and then either prescribe a broad spectrum antibiotic such as potentiated amoxicillin (Clavamox) or order a bacterial culture and sensitivity on the urine in order to determine the very best antibiotic to prescribe to Koa. If no infection can be found, treatment for idiopathic cystitis might include diluting his urine with supplemental fluids administered subcutaneously, feeding nothing but wet food, or both. Systemic analgesics are often prescribed as well.

Urinary stones (uroliths) are another consideration and are detected by X-rays or ultrasound.

Please continue our conversation if you wish.

Expert:  Dr. Michael Salkin replied 1 year ago.
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Michael Salkin