Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

Looking for an opinion regarding my 5 year old tabby, female…

Customer Question
Hi! looking for an opinion...
Hi! looking for an opinion regarding my 5 year old tabby, female feline. She started running in and out of litter box and would stay for a couple of minutes with barely discharging much pee. The amount was about a thumbnail amount.This started on this past,Tuesday. She went in her carrier on a white towel. Shows blood in it. I had taken her to a local vet. They examined her, 10 lbs, her temperature was within the limits of 99-102, took a urine sample and is doing a urine culture, Will take 24-72 hours before I get the results. They want to see if any bacteria would grow.In the mean time they tell me its a inflammatory bladder, her bladder wall is thick, no pee in her or minimal. Gave me Onsior to administer daily for the next 3 days. The vet thinks it stress related since I have 2 other cats. Thank you for your time. Should have any questions for me, feel free to drop them by me. Greg
Submitted: 4 months ago.Category: Cat Veterinary
Show More
Show Less
Ask Your Own Cat Veterinary Question
Answered in 2 minutes by:
12/14/2017
Cat Veterinarian: Dr. Kara, Veterinarian replied 4 months ago
Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 18,137
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
Cat Veterinarian: Dr. Kara, Veterinarian replied 4 months ago

I am sorry to hear that Tigress isn't herself with blood in her urine, increased frequency of urination and urinating small amounts, with obvious discomfort.

It appears that she has had a bit of appropriate testing done, and you are waiting on results of a culture. It sounds like so far there are signs of inflammation present, thus the prescription of Onsior (a nonsteroidal anti-inflammatory that may improve her comfort level).

Ultrasound would allow evaluation of the architecture of her kidneys and bladder wall, and allow visualization of some calculi that are not visible on normal radiographs, but can be seen on ultrasound. If she is not coming along I think an ultrasound would be a great idea.

However with your description of her symptoms and normal test results so far I suspect that she may have a condition called interstitial cystitis. Interstitial cystitis is an inflammation of the bladder wall that we think is worsened by stress. The primary condition we are having trouble pinning down.

We do know in these cats however that the mucous layer that protects the bladder wall from urine (which is a mucous membrane irritant) seems to be faulty. So glucosaminoglycans (like adequan) are postulated to help as they are a building block for this mucous. It isn't something that the drug companies can advertise or label the drug for as they would need to do extended testing and trials and there simply aren't enough cats affected to make this worthwhile for them. This is something we do for these cats as we have some anecdotal evidence (reports from other veterinarians that have tried it) that it works. You can give her oral glucosamine supplements like Cosequin.

Omega 3 fatty acids are natural anti-inflammatories that are important for healing and mucous membrane and skin health. I recommend an omega 3 fatty acid dose based upon the EPA portion (eicosapentanoic acid) of the supplement as if we do that the rest of the supplement will be properly balanced. Give her 20mg of EPA per pound of body weight per day. For example an 8 pound kitty could take 160mg of EPA per day.

Omega 3's and glucosamine/chondroitins can work synergistically and improve bladder wall health as well as reducing inflammation. They can take several weeks to see full improvement but some cats do very well with them alone. They are available over the counter.

Likewise we know that by decreasing stress these cats do better and have less episodes in the long run.

Encouraging play behavior and exercise is a natural way to relieve stress. Fishing line toys for her to chase, hiding treats for her to "hunt down" in cat trees or kitty condos can be fun for her too. Perhaps building an outdoor enclosure on a patio or porch so she can go out safely could help.

I recommend Feliway too as a stress reliever, especially if we believe that there are other pets in the home or outdoor animals that are causing her stress. This is a synthetic analog of a calming pheromone that cats use to mark things as safe or home. You can also continue also use a homeopathic called Rescue Remedy drops along with Feliway to help with stress. If your other cats ingest it it won't hurt them.

Zylkene is another supplement that may help relieve her stress and thus decrease her symptoms. Here is a link if you's like to read more about it: http://vetoquinolusa.com/Products/Behavior/index.html

Amitriptyline or fluoxetine are prescription medications that are very good at relieving anxiety in some cats, so we can use one of these medications as well if supplements aren't enough.

Increasing water consumption helps by diluting the urine, thus decreasing its irritant effects. You should feed her primarily canned food, and add chicken broth or warm water to increase fluid intake further. Kitty drinking fountains can be very beneficial to get her to drink more. She may play in the water, so I recommend putting it on a water proof matt. I know this is messy but play relieves stress too, so I would let her play in it.

I can tell you I have one patient that did very well for a number of years on amitriptyline, glucosamine/chondroitins and omega 3 fatty acids. The owners reported that she was a new cat on this regimen.

Your veterinarian is doing the right things by testing to make sure there isn't an infection, and can look for hidden calculi or a mass if her symptoms continue with an ultrasound. Those things should be ruled out first.

In some cases though we are left with a stress driven illness and then we must do our best to change things and relieve stress.

Please let me know if you have any further questions.

Ask Your Own Cat Veterinary Question
Cat Veterinarian: Dr. Kara, Veterinarian replied 4 months ago
Hi,
I'm just following up on our conversation about Tigeress. How is everything going?
Dr. Kara
Ask Your Own Cat Veterinary Question
Cat Veterinarian: Dr. Kara, Veterinarian replied 4 months ago

Hello, I wanted to make sure that you didn't have any further questions for me, and I'd like to know how things turned out for your kitty. If you could give me an update that would be great, thank you, ***** *****

Ask Your Own Cat Veterinary Question
Was this answer helpful?
Ask Dr. Kara Your Own Question
Dr. Kara
Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 18,137
18,137 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

3,928 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,753 satisfied customers

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

Dr. Bruce

Dr. Bruce

Veterinarian

4,473 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

3,557 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,072 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,883 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
Lost connection. Cat can't pee? Kidney decline. Been giving
Kidney decline. Been giving her subcutaneous fluids once a week. Today first time trouble. Crouching but nothing comes out. … read more
DocPaul
DocPaul
Doctoral Degree
709 satisfied customers
18 year old cat with early stage kidney disease. He has
18 year old cat with early stage kidney disease. He has loose stools today with some bright red blood in them. … read more
Dr. Joey
Dr. Joey
Veterinarian
Post-Doctoral Degree
1,710 satisfied customers
My cat currently has kidney stones. We already took her to
My cat currently has kidney stones. We already took her to see the vet and he said to try changing her diet. She doesn't like wet food nor broths. Seems that she only likes to eat dry food. She never … read more
Dr Mick
Dr Mick
13 years in general practice
Doctor of Veterinary Medicine
7 satisfied customers
What is the treatment protocol for a kidney infection - old
what is the treatment protocol for a kidney infection - old cat 18 yrs, excellent health history until about a year ago - … read more
Dr. Dan
Dr. Dan
Veterinarian and practice owner
Doctoral Degree
5,375 satisfied customers
We've been treating Buddy for kidney disease by feeding him
We've been treating Buddy for kidney disease by feeding him royal canin renal food mixed with his canned food and he always has dry food out. I mix water with his canned food mix and he likes to eat i… read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
676 satisfied customers
My cat has advanced kidney disease. He's been in orbax for
My cat has advanced kidney disease. He's been in orbax for 3weeks for kidney infection. He now has diarrhea. Wonder if it's the kidneys or the meds? … read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
676 satisfied customers
Hei is 13 and has kidney failure. He has been getting fluids
hei is 13 and has kidney failure. He has been getting fluids every other day and this week every day. Noe he has completely stopped eating and drinking. what can I give him t make him eat and drink wa… read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
My aging part-Siamese, female cat has kidney problems. She
My aging part-Siamese, female cat has kidney problems. She drinks huge amounts of fresh water all day. The vet prescribed a med but she won't swallow the pills. He told me that the anesthetic might ki… read more
DocPaul
DocPaul
Doctoral Degree
709 satisfied customers
What are the risk factors for a car developing kidney
What are the risk factors for a car developing kidney disease? Is there research that shows a causal relationship between the size of the cat and increased/decreased risk of dysplaysia? I'm asking bec… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My cat is on Calcitriol and Benazepril for kidney failure
My cat is on Calcitriol and Benazepril for kidney failure since December 2016. I give him Miralax and have worked up to giving him a teaspoon twice a day. I took him to the vet because he couldn't poo… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,099 satisfied customers
He was diagnosed with chronic kidney failure about 2 months
He was diagnosed with chronic kidney failure about 2 months ago but he is still eating and drinking fine although very picky about his food now. … read more
CalCatDoc
CalCatDoc
veterinarian
Doctoral Degree
511 satisfied customers
My 5-year old dog, Vixen, was diagnosed with chronic kidney
My 5-year old dog, Vixen, was diagnosed with chronic kidney failure, last Saturday, 3/4/18. Her Creatinine count was 8.4. However she was still acting fine. Still drinking water but stopped eating. Sh… read more
DocPaul
DocPaul
Doctoral Degree
709 satisfied customers
He is 17 and of course has kidney problems and is blind.
He is 17 and of course has kidney problems and is blind. Still eating And drinking but starting spinning 4 times each time he sits down? … read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
676 satisfied customers
Kidney disease. Creatinine 10.7. Posible lily toxicity. See
Kidney disease. Creatinine 10.7. Posible lily toxicity. … read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
676 satisfied customers
My 15 year old Siamese has stage 3 kidney failure. Is it
My 15 year old Siamese has stage 3 kidney failure. Is it fair to get treatment and how long would she live? She is a small cat and is now 5 lbs seven ounces. Last June she was 7 lbs. That was the most… read more
DocPaul
DocPaul
Doctoral Degree
709 satisfied customers
What are the symptoms for kidney problems in papillions. i
what are the symptoms for kidney problems in papillions. i have chester who weighs 13 lbs. and he will be 4 in may. last year he had some crystals but wasn't a problem… read more
Dr. Gary
Dr. Gary
Cat Veterinarian
Doctoral Degree
3,928 satisfied customers
My cat has kidney disease and eats prescription food and a
My cat has kidney disease and eats prescription food and a little while after eating he then he barf up some food sometime liquid and food at the same time I don't know wath to do can u help me please… read more
Rebecca
Rebecca
Cat Veterinarian
Doctoral Degree
3,557 satisfied customers
She has been diagnosed with kidney failure. She was
she has been diagnosed with kidney failure. She was overweight & now is skinny The vet recommended the Hills kidney care cat food, but she doesn't like tat, but she loves real Tuna & will eat that. I'… read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,051 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