Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

Cat Veterinary
This answer was rated:

My 3 yr old male cat Alex came home last thursday with a

limp, flaccid hanging tail. He...
My 3 yr old male cat Alex came home last thursday with a limp, flaccid hanging tail. He also had urinary retention. I took him to the vet who cathetarized him and started him on analgesics and antibiotics. He also had constipation. On reaching home (the same evening) he pulled out the cathetar. For the next 2 days the vet had to perform cystocenteses to draw out the urine. On 4th day he developed ascites. The vet performed performed an abdomenocyntesis and put in a cathter. For the next day and a half he was fine. Eating and drinking normally. Then on day 6 he pulled out the cathetar again. Again he developed urinary retention and stopped eating. The tail is still flaccid. His blood and urine tests were done twice. Liver and renal function tests were normal. Hemoblogin was fine but leukocytes were very high. Lease advise as to what should be the next course of action.
JA: I'm sorry to hear that. Did Alex have a fall?
Customer: I don't know he came home after 3 days
JA: Is there anything else the Veterinarian should be aware of about Alex?
Customer: Like what?
Show More
Show Less
Ask Your Own Cat Veterinary Question
Customer reply replied 12 months ago
He still can't pass stool and urine
Answered in 2 hours by:
11/25/2016
Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 17,141
Experience: Over 20 years of experience as a veterinarian.
Verified

Hello, I'm Dr. Kara. I have over 20 years of experience as a veterinarian and I'd like to help. Please give me a moment to review your concerns.

Ask Your Own Cat Veterinary Question

This sounds like Alex has damage to his spinal cord, which is a soft tissue structure and so this won't show up on radiographs. He may need an MRI to fully diagnose his condition and give you an idea of whether he can be expected to improve.

Since he goes outdoors the most common cause of these symptoms is a tail pull injury or tailhead trauma.

This occurs when a cat falls and lands on his tailhead/back of the pelvis or the tail gets caught (by another animal or a car) and pulled hard enough that the caudal spinal cord is stretched. Sometimes the nerves are just stretched, but in some cases they break and when that happens the damage can be permanent. Cats may not show the full extent of their injury for several days as secondary inflammation and nerve death occur. Treatment is with steroids. My concern is that he is not responding and he is having trouble controlling his eliminations, that means prognosis for improvement is very guarded.

The other possible causes of his condition are an intervertebral disc protrusion putting pressure on his spinal cord, a blood clot, granuloma (can be inflammatory or from a parasite encysting there) or mass/tumor within the spinal cord canal which places pressure on his spinal cord.

If it hasn't been done I highly recommend that he be tested for feline leukemia and feline immunodeficiency virus which predispose to cancers, and the toxoplasmosis parasite.

I think that he likely needs to either be hospitalized and have his catheter replaced as chronic urinary retention can lead to back pressure on his kidneys and kidney failure. He may need warm water enemas to remove impacted stools too if he cannot pass them on his own. An elizabethan collar (lampshade collar) needs to be placed so he doesn't continue to remove his catheter.

If this is indeed a spinal cord injury it may take weeks to months to heal, and they can get worse before they get better as inflammation after the injury sets in. If you wish to continue treatment you need to be prepared for him needing long term nursing care and that he may never get better.

Given that you may want to discuss further testing with your veterinarian as well as referral to a veterinary neurologist for an MRI.

Best of luck with Alex, please let me know if you have any further questions.

Ask Your Own Cat Veterinary Question
Customer reply replied 12 months ago
Thank you Dr. Kara for your valuable advice. I took him to the vet again today. He did some x-rays which, as you very correctly pointed out, were not very helpful in indicating the spinal/nerve injury. However, there was no fractured or dislocated bones or joints. He has started him on corticosteroids and replaced his cathetar. As far as MRI and CT scans are concerned, unfortunately Alex and I reside in Pakistan where such facilities are not available for animals/pets. In case there is anything else you could tell us to improve his condition, I would be most grateful.

I understand that availability of advanced imaging is an issue in some places, my apologies for recommending something that isn't possible where you live.

The cornerstone of treatment of possible (very probable in his case) nerve damage then is anti-inflammatories (steroids) and probably antibiotics in his case to prevent a urinary tract infection since with a catheter bacteria have easier access.

A urinary catheter is essential for your fellow both because we do not want back pressure on his kidneys and because we want to keep the bladder small and not allow it to get overstretched. That could cause difficulty regaining function even should his nerves start to function again.

Then time to see what sort of progress he can make.

Ideally we would see some improvement in the next 4-6 weeks. Rarely we can see progress as far as 3-4 months out but most of the time if they are no better in 4-6 weeks odds are very against him ever regaining function. At that point you would need to consider what his quality of life is or will ever be.

Ask Your Own Cat Veterinary Question
Customer reply replied 12 months ago
Thanks again Dr. Kara for your valuable input. However, I think you might have misunderstood Alex's condition. He is not incontinent. On the contrary, his urinary and anal sphincters seem to be closed tight resulting in urine and fecal matter retention. He does have some bowel movement though probably due to the paristaltic wave. The urinary sphincter is the real problem area as he cannot pass urine. This is also evident from the fact that yesterday the vet passed the cathetar while he was awake and not sedated. He didn't protest at all! Could you please guide us in light of these facts?

No, I understand that he is retaining urine and unable to pass it normally. There is a whole complex of nerves and processes that go into allowing the bladder sphincter to open, the urethra to relax and the bladder musculature to contract to force urine out. Damage or loss of function, or a miscommunication between any of those nerves leads to an inability to urinate normally. That can lead to incontinence and dribbling urine or it can lead to a kitty that either cannot feel a full bladder or cannot relax his bladder sphincter or urethra and initiate a urine stream.

The same sort of thing applies to passing stools.

I think in your fellow's case he cannot feel his full bladder or stool building up in his colon, and I suspect the nerves that control the ability to relax and allow the initiation of urine release are affected. Stool is a bit easier and that can sometimes get pushed out if there is enough pressure building up from a large amount of stool and the stools are soft enough.

The loss of nerve function leads us to where he is now. We need to hope that the nerves can begin to function again, and in the meantime keep him catheterized and use enemas or suppositories as needed to keep the muscles in his bladder and colon from becoming stretched beyond recovery.

Time and steroids are his best hope, but like a paralyzed person those nerves may never regenerate in which case he would need to be catheterized forever.

Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 17,141
Experience: Over 20 years of experience as a veterinarian.
Verified
Dr. Kara and 87 other Cat Veterinary Specialists are ready to help you
Ask your own question now
Ask Dr. Kara Your Own Question
Dr. Kara
Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 17,141
17,141 Satisfied Customers
Experience: Over 20 years of experience as a veterinarian.

Dr. Kara is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Gary

Dr. Gary

Cat Veterinarian

3,924 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,739 satisfied customers

UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management

Dr. Bruce

Dr. Bruce

Veterinarian

4,343 satisfied customers

15 years of experience as a small animal veterinarian

Dr. Scott

Dr. Scott

Veterinarian

3,998 satisfied customers

15 years of small animal, equine and pocket pet experience in medicine and surgery.

Rebecca

Rebecca

Cat Veterinarian

3,330 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,070 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,834 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
My 13 yo cat has kidney/liver failure, hyperthyroidism and a
My 13 yo cat has kidney/liver failure, hyperthyroidism and a grade 4 heart murmur. She only weighed 5.5 lbs when younger but now is eating but vomiting, twitching and I'm afraid she is suffering. Is t… read more
Dr. Beth
Dr. Beth
Veterinarian
Doctor of Veterinary Medicine
231 satisfied customers
My cat is in stage 4 of kidney failure and is 18 years old.
Good Morning, my cat is in stage 4 of kidney failure and is 18 years old. Is it time to euthanase … read more
Dr Scott Nimmo
Dr Scott Nimmo
337 satisfied customers
My son died on December 18, 2016 of complications of Kidney
My son Sam died on December 18, 2016 of complications of Kidney failure and his cat Dolly Boy is a 10 year old Cornish Rex. Dolly stopped using the litter box to poo about two weeks ago. This was a gr… read more
Dr. Beth
Dr. Beth
Veterinarian
Doctor of Veterinary Medicine
231 satisfied customers
Just discovered he has stage 2 kidney disease, because he
Just discovered he has stage 2 kidney disease, because he stopped eating (nausea and mouth ulcers). He is on fluid therapy and famotidine, but not eating, so I am syringe feeding him. He went without … read more
Dr. Beth
Dr. Beth
Veterinarian
Doctor of Veterinary Medicine
231 satisfied customers
Stage 2 kidney disease maybe, will not eat and nausea. Gave
stage 2 kidney disease maybe, will not eat and nausea. Gave cerenia. Now drooling and lethargy … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,252 satisfied customers
My cat is 15 years old, she either has a kidney infection or
My cat is 15 years old, she either has a kidney infection or kidney stone. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Simple question-- Sweet cat, 13 yrs old, end stage kidney
Simple question-- Sweet cat, 13 yrs old, end stage kidney disease, will be put to sleep in my home by a DR either tomorrow or Tuesday. I would like for her t o be "out" sedated for the procedure. Coul… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
He's kidneys are failing. Is there anything I can do?
He's kidneys are failing. Is there anything I can do? Looking for a miracle. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Garfield has diabetes and kidney disease. He was receiving
Garfield has diabetes and kidney disease. He was receiving fluids but did not have any for 10-12 day. Then he was given about 1 1/2 or 2. He does not seem to feel well. He is not eating but he has had… read more
Dr. Denise
Dr. Denise
Veterinarian
Doctor of Veterinary Medicine
357 satisfied customers
My cat has a recurrence of kidney stone symptoms. Can I get
My cat has a recurrence of kidney stone symptoms. Can I get a prescription for Science Diet s/d cat food? If I go through the normal vet Id have to pay for an office call and xrays. She had this two y… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
What would cause one of my cat's kidneys to shrink and the
What would cause one of my cat's kidneys to shrink and the other to enlarge with only part of it normal kidney tissue?… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
Our cat was diagnosed with kidney disease that can be
Our cat was diagnosed with kidney disease that can be treated with special food. She might have arthritis. She needs a few teeth pulled. Recently she's not as social. Her weight is stable. She's shedd… read more
Dr Scott Nimmo
Dr Scott Nimmo
337 satisfied customers
She's been diagnosed with chronic kidney disease. I just
She's been diagnosed with chronic kidney disease. I just bought a new flea med for her, Cheristin. Is it considered safe for her condition? … read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,046 satisfied customers
Chronic kidney disease, 16 yr old feline, Baci, Weighs 8
Weighs 8 lbs, drinks a lot, he likes water mixed with his wet food… read more
Dr. Andy
Dr. Andy
Medical Director
Doctoral Degree
4,739 satisfied customers
Chronic diarrhea for 8.5 years. Liver, kidney, and thyroid
chronic diarrhea for 8.5 years. Liver, kidney, and thyroid test okay, he's had full blood work ups, ultrasound, and surgical investigation, everything comes up normal, but his diarrhea is horrible sme… read more
divealot1
divealot1
DVM
6 satisfied customers
Possible kidney stone? Sitting weird, licking genitals and
Possible kidney stone? Sitting weird, licking genitals and obviously uncomfortable … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My cat is almost 17 and has stage 2 kidney disease. A year
My cat is almost 17 and has stage 2 kidney disease. A year or so ago she had a partial thyroidectomy to resolve her one-sided hyperthyroidism. 2 weeks ago her long standing chin acne became swollen an… read more
Heather Stout
Heather Stout
Veterinary Technician Program
13 satisfied customers
My cat was recently diagnosed with kidney issues and is now
My cat was recently diagnosed with kidney issues and is now having issues walking. Can anything be done to help him? … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,649 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x