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Hello, JACustomer. I have been a Veterinary Nurse for over 15 years and would be happy to help you today. I'm reviewing your question right now.
1) Is the vet showing you each time how to express the bladder when you go in? That is, are they showing you what to feel for?2) Can you explain what procedure you're using/how they taught you?3) How is the kitten otherwise feeling?
My preferred method of bladder expression I'll both explain and attach a video for. It may help to try to go longer than 3x daily so the bladder is large enough to feel. On a 4 month old kitten, you're searching for something that should be between the size of a pecan and a walnut. Bear in mind that there is nothing else in the lower abdomen that you will harm by pressing gently, so if you find something you believe to be the bladder don't hesitate to firmly grasp and apply gentle pressure. You'll have to use trial and error to figure this out at home.I am predominantly right handed and prefer to restrain the cat with my right and express with my left. To do this, I scruff the feline gently with my right hand and lay their abdomen over my left arm. When possible, I try to get their back legs splayed into my open left hand, I can always move them down later. This is both a supportive position for the cat and its an easy position for expression because the bladder falls forward nicely with gravity.From there, I find the pelvis and search inward and upward slightly. With enough practice, you'll find the bladder almost immediately. As mentioned, there's nothing you'll hurt in the lower abdomen where the bladder is located by applying gentle pressure. Don't be afraid to search, that's going to be your best bet for success. The pressure needed to fully express a bladder will often be akin to squeezing a ketchup packet, if slightly more for cats who have some spincter tone.There's also a useful video here: https://www.youtube.com/watch?v=X2M0Q3m795cI’ll be standing by if you have other questions. Let me know if I can help further.
Also, if you aren't feeding a moist food, I would do this at least for the next few days. It will result in more fluid in the bladder so that you can better feel it.
Try cleaning this liquid up with a white tissue or paper towel. If slightly yellow, this could be urine. Are his genitals wet?If he had just eaten dry cat food, the cat food should have come up with the vomit.
This will certainly be something to look for in the future. Some cats do regain their ability to urinate on their own.Struggling is normal. Kittens want to be allowed to do what is most comfortable for them. Sitting still for a bladder expression is seldom it...and we see this in adult cats too.How long has it been since his bladder was last expressed?
Try to hold the back end lower than his head, this will encourage the bladder to come down into your hand instead of further up into the abdomen. There's not great deal of movement available to the bladder, but we do want it to fall directly into our hand each time we attempt expression, if its possible.
The bladder should be palpable by this point. You may need to take him in again for expression. This time I would insist that the vet first check the presence of the bladder and then show you how to find it and express it. Alternately, offer canned food and wait a few hours before trying again. The bladder needs to be expressed at least twice daily.
I'll contact customer service for you.
Excellent news. Perhaps this was the fluid that you had noted. If he's able to empty it himself, he may be coming to a point of regaining the ability. Let's hope!
Yes, they should reach out to you soon. I believe you'll hear from them via email.