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CriticalCareVet, ER/ICU Specialist
Category: Cat
Satisfied Customers: 63982
Experience:  Emergency and Critical Care Specialist
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My female Siamese cat has had a urine wet rear for the last

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My female Siamese cat has had a urine wet rear for the last month and the whole rear area looks too pink/red to me. She is a completely indoor cat, not on any medications, but is a bit "fluffy" at 17lbs. 2 week ago I carried her to the vet to be checked out. Her X-ray revealed no stones/crystals, but she had a slight temperature so they gave her a 2-week antibiotic shot just in case she had a urinary tract infection. Beyond that, they were able to poke and prod very little, because she is one of those cats that takes 2-3 people to handle when at the vet.

After two weeks, it still seems like she is peeing on herself somehow. She is not lethargic, has a normal appetite, isn't dragging her bottom on the floor, and goes to the litter box regularly. The couple of times I've tried to gentle wash her, there has been clumps of shed, soggy, fur loosely stuck in the folds of her vagina. Could it be she's just overweight to the point of the urine getting trapped or is there something more serious going on?
Submitted: 5 years ago.
Category: Cat
Expert:  CriticalCareVet replied 5 years ago.
Welcome to JustAnswer! I am a licensed veterinarian and would be glad to help!

Primary urinary incontinence is really not that common in cats, in fact - it is quite uncommon.

Based on the history you report above, as well as the age of your cat, a common cause to consider would be Idiopathic Sterile Cystitis (LINK HERE)

Other causes which can not be ruled out based on history alone:
- Urinary tract infection
- Associated kidney disease

Kidney disease would be less likely as would diabetes at this age - but can not be ruled out on history alone.

Typically in these cases, aside from x-rays, it really would be a good idea to have the urine evaluated.

Aside from a good examination, a urine sample (Urinalysis -
LINK HERE and possibly Urine Culture - LINK HERE) are performed helping to differentiate the causes listed above.

Even overweight cats rarely have this problem and for this reason, before just calling this a weight issue, or moreover urinary incontinence (uncommon) I would have a urine sample evaluated.

I hope this helps!
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