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Cat Lovers - Deadly FUS - Info all Cat Owners should read!
The Home Vet Website ^ | 1/5/1998 | Dr. Jeff

Posted on 02/24/2003 7:31:25 AM PST by Tunehead54

Cat lovers please go over this - my cat (4 years old)went from healthy to near death in less than 24 hours! We noticed (he's an outside cat) he didn't show for dinner - unusual. When I found him under a shed I thought he was dead and even got my wife to hold the light as all I could see is his tail and hips. When I dragged him out he was "out of it" but breathing! Bang out the door ... off to the vet.

Apparently neutered males are more susceptible to this. Please bump this because I'm not going to put it in Breaking News even though it was news to us. Ping any cat friends please.

Only $500 for an overnight stay at an emergency vet place plus over the weekend at our regular vet - I'm expecting another $400 minimum.

Sure wish our vet had mentioned a diet when we had our guy neutered. Whatever the "correct" cat food costs its go to be cheaper than this weekend's festivities.

Probably most important is feeding your cat properly. Shouldn't be all dry food and most brands have a special variety for urinary tract health. I'll know more when I get back from the pet store.

Thanks for listening,

Charlie

BTW the article is just one of many but my wife thought it was a good summary of the problem.


Feline Cystitis [or Feline Urologic Syndrome, Feline Lower Urinary Tract Disease]

Contents

What Is Feline Cystitis?

What Causes Feline Cystitis?

Are Bloody Urine and Straining to Urinate the Main Problems?

How Is Cystitis Treated?

How Long Is Treatment Continued?

Can Cystitis Occur Again?

Are There Ways to Prevent Recurrence?

What Complications May Occur Due to an Obstructed Urethra?

My Male Cat Has Had Several Urethral Obstructions. Can This Be Prevented?

Copyright ©1996 HomeVet

What Is Feline Cystitis?

The term "cystitis" literally means irritation of the urinary bladder. Although this term is rather general, there is a common form of cystitis that occurs in male and female cats. This disease is also known as Feline Urologic Syndrome (FUS) or Feline Lower Urinary Tract Disease (FLUTD). It affects the bladder (not the kidneys), resulting in the production of tiny crystals and bloody urine. The cat often urinates much more frequently than normal, usually with the passage of only a few drops of urine. This can be confused with constipation. Many cats will urinate in places other than the litter box due to the irritation of the bladder wall, Hard cool surfaces such as tile floors, counter tops, sinks, and bathtubs are often used. They should not be punished for doing so.

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What Causes Feline Cystitis?

We are not completely sure of the cause of this problem. Bacterial infections are the most common cause of cystitis in dogs and humans, but most cats with cystitis do not have bacteria in their urine. Neutering of male cats has been proposed as a potential cause, but this has been disproved as an initiating factor. Dry foods may not initiate, but will aggravate the problem after it begins. This is because of the higher mineral content (ash) and lower water content of dry foods. A herpes virus has also been incriminated. Despite extensive research, the cause remains elusive.

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Are Bloody Urine and Straining to Urinate the Main Problems?

Most cats with cystitis exhibit blood in the urine and discomfort in urinating. The discomfort is usually mild but can become much worse if it is not treated. Some cats may develop stones in the bladder which can be surgically removed, or dissolved with a special diet. Male cats may develop enough crystals in the urethra (the narrow tube carrying urine out of the body) to cause an obstruction. This obstruction prevents elimination of urine from the bladder. If the obstruction is not relieved within 48 hours, most cats will die from kidney failure and the retention of toxins that were not removed by the kidneys. Because the urethra is relatively larger in the female cat, the emergency posed by complete obstruction is almost always found in male cats.

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How Is Cystitis Treated?

Each cat with cystitis is treated according to the changes in the urine (pH, crystals, bacteria, blood, etc.), the type of crystals present, the presenting clinical signs (straining, increased frequency, etc.), and the presence or absence of a bladder stone or urethral obstruction. The first line of treatment is always to increase water consumption, decrease minerals in the diet and decrease stress. This is accomplished by eliminating dry food, and mixing water in with the canned food (which is preferably a food which promotes an acidic urine pH) If neither a bladder stone nor urethral obstruction is present, proper medication will generally relieve the discomfort. A urinalysis is necessary to determine the proper medication. A special diet will help to dissolve crystals in the urine and hasten recovery. If the cat has an obstruction of the urethra, a catheter is passed into the bladder while he is under a short-acting anesthetic. The catheter is frequently left in place for about 24 hours. The cat is discharged from the hospital when it appears unlikely that obstruction will reoccur, usually 1-2 days later. If he is experiencing kidney failure and toxemia, intravenous fluids and additional hospitalization are needed.

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How Long Is Treatment Continued?

Following initial treatment, you will be asked to return the cat in 7-10 days for a recheck of the urine. This is very important because some cats will appear to feel much better, but the urine is still bloody or contains crystals. If medication is stopped based on how the cat appears to feel, treatment may terminated prematurely and a relapse will probably occur.

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Can Cystitis Occur Again?

After one episode of cystitis, a cat is predisposed to recurrence. This is due to both systemic and environmental factors. This is the primary reason that an appropriate diet should be fed in the future.

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Are There Ways to Prevent Recurrence?

Two things should be done to help prevent recurrence.

1. The most common type of crystals present in the urine are called struvite. These are dissolvable in acidic urine. Therefore, acidification of your cat's urine can be a significant means of prevention. It has been shown that environmental stress can produce the opposite of acidic (alkaline) urine. This is why cases of feline cystitis are associated with stress, e.g. travel, new pets, new people etc. Several special foods are available which acidify the urine. However, if your cat's crystals are not struvite, acidification may actually make recurrence more likely. Therefore, if at all possible, the crystals in the urine should be analyzed for their composition. This is the most important step in preventing future problems..

2. Restrict the cat's intake of dry cat food. Though dry foods do not cause cystitis, several studies have shown that the cat's total fluid intake is decreased when dry diets are fed. When the fluid intake is decreased, the urine is more concentrated with minerals and other materials that can cause future episodes of cystitis. Canned foods can result in increased fluid intake and more dilute urine. However, we know that many cats do not like canned food and that there are several distinct advantages to feeding dry food. Therefore, if there have been only a few infrequent episodes of cystitis, these other factors may be more important..

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What Complications May Occur Due to an Obstructed Urethra?

The most common complication of a urethral obstruction is bladder atony. Atony means that the muscles of the bladder wall are unable to contract to push out urine. This occurs when they are stretched to an extreme degree. Not all cats with obstructions develop atony. If this occurs, longer hospitalization is necessary. The muscles will nearly always rebound and become functional again, but this may take several days to over a week. Another complication that occurs occasionally is kidney damage. Although feline cystitis does not directly affect the kidneys, if the bladder becomes extremely enlarged, urine may backup into the kidneys and create enough pressure to temporarily or permanently damage them. If this occurs, prolonged hospitalization will be necessary to treat the kidney damage. However, with aggressive treatment, most cats will recover their normal kidney function. It should be noted that both complications, bladder atony and kidney damage, are the direct result of the bladder becoming extremely enlarged. Both problems may be prevented by prompt recognition of the problem and prompt medical care.

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My Male Cat Has Had Several Urethral Obstructions. Can This Be Prevented?

Male cats that have more than one urethral obstruction can benefit from a surgical procedure called a perineal urethrostomy. The purpose of this is to remove the narrow part of the urethra that is the typical site of the obstruction. Although this prevents future obstructions, some of these cats will still have an occasional recurrence of cystitis, though usually not as severe. This surgical procedure is also performed if the urethral obstruction is so severe that normal urine flow cannot be reestablished or if there are permanent strictures that develop in the urethra. Surgically changing the cat's urethra makes him more prone to bacterial infections in the bladder and bladder stones. Therefore, this surgery is only recommended if other means of prevention or treatment are not successful. However, the complications associated with the surgery are not life-threatening like urethral obstructions, so the surgery generally offers a significant benefit for the cat that really needs it.

Please note: The information provided here is meant to supplement that provided by your veterinarian. Nothing can replace a complete history and physical examination performed by your veterinarian. - Dr. Jeff


I greatly value your feedback. Please let me know what you think of this site and what you would like to see on it. drjeff@homevet.com

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Last modified at 7:42 PM on 1/5/98.

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TOPICS: Announcements; Culture/Society; Miscellaneous
KEYWORDS: catlist; disease; felinecystitis; flowerurinarytract; furologicsyndrome; fus
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To: Tunehead54
Your poor kitty was in miserable shape. We had the same problem and by the time we realized something was wrong, our little darling was leaning up against the wall, unable to move and crying in pain. They had to sedate and catheterize him to empty his bladder. From that day on we have fed him only Science Diet dry food. It also makes for an odorless litter box because the food isn't full of fillers.

Good luck, hope the vet bills aren't a big setback for you.

61 posted on 02/24/2003 8:59:20 AM PST by Trust but Verify
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To: Hodar
However, in the city, the pet is what enthusiastically welcomes you home everyday.

I wish. If that's the standard, our cats aren't pets. When we get home, they either blow past us in the doorway to get out, or just stay asleep. :)

62 posted on 02/24/2003 9:01:36 AM PST by Steve0113
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To: mg39
Those who question feeding pets good food are sadly mistaken. A pet is an animal who depends on YOU for their health and well-being. When you choose to adopt a pet, you are responsible for their lives, and that means feeding them decent, healthy food.


Well said. Grey-Grey (younger)but cute.


63 posted on 02/24/2003 9:01:51 AM PST by Tunehead54 (Support our President! Support our Military! Support the USA!)
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To: GovernmentShrinker
You are correct. Unfortunately, my vet told me this option AFTER I shelled out all the money. My big boy has other medical issues too, so I'm afraid that the next round of emergencies, I'll have to way the cost variable to his age. Something I've never thought I'd have to do. Here is my big boy...


64 posted on 02/24/2003 9:04:26 AM PST by rintense (Go Get 'Em Dubya!)
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To: George W. Bush
I'm sure you love your cat but you're spending far too much here.

I wish I had a snappy response to this. I have several cats and do not have $900 to spend on them. I wish I did, because I lost a favorite last year. Cats and dogs contribute to the mental health and happiness of my family. They earn their keep.

65 posted on 02/24/2003 9:06:02 AM PST by js1138
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To: rintense
Love the kitty pictures.
66 posted on 02/24/2003 9:07:15 AM PST by George W. Bush
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To: js1138
I wish I had a snappy response to this.

I shouldn't have stated my point in such judgmental phrasing.

[Open mouth, insert foot, chew, swallow.]
67 posted on 02/24/2003 9:09:23 AM PST by George W. Bush
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To: twyn1
"Weight control food" can also make WEIGHT worse, per recent veterinary research, which mirrors recent research on the contributions of low-fat high-carb diets to human obesity. Try putting fatso back on regular food and see if it helps.
68 posted on 02/24/2003 9:15:51 AM PST by GovernmentShrinker
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To: GovernmentShrinker
unfortunately fatso is the one with the FUS problem, so he can't do regular food -- might try Science Diet for Urinary Health
69 posted on 02/24/2003 9:19:29 AM PST by twyn1 (God Bless America !)
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To: Trust but Verify
Your poor kitty was in miserable shape ...
Good luck, hope the vet bills aren't a big setback for you


You're right - miserable when I found him. Still amazing how fast this can build up. Seemingly Ok at breakfast - though he didn't eat much and then dying by 8pm!

My wife thought she heard our cat mew while walking to pick up our son from school (close by) but didn't see him. I'm glad she insisted something must be wrong cause it was two hours before we found him - I'd even done a drive through the area hoping I wouldn't find anything!

70 posted on 02/24/2003 9:19:33 AM PST by Tunehead54 (Support our President! Support our Military! Support the USA!)
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To: George W. Bush
I shouldn't have stated my point in such judgmental phrasing.

[Open mouth, insert foot, chew, swallow.]


A very gracious apology - I'm sure accepted by all.
71 posted on 02/24/2003 9:23:23 AM PST by Tunehead54 (Support our President! Support our Military! Support the USA!)
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To: Tunehead54
Bump for later, male neutered cat with no problems so far (Iams- won't touch anything else).
72 posted on 02/24/2003 9:24:07 AM PST by budwiesest
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To: rintense
Oh he's a gorgeous cat !! -- looks a little like our middle boy, Quincy (Rocky's brother) -- I'd post some pictures but I can't find a good (free) server that allows links to here

I know what you mean about "cost vrs. age" -- one reason we spent the money on Rocky is he's very young, was not even 4 when he had these problems -- you might also consider how much trauma it puts a older cat thru' to be "hospitalized" -- we had an 13 yr. old female in suspected kidney failure, took her in to have her put to sleep, but the vet wanted to monitor her so we agreed to leave her overnight, when we came to pick her up the next day, she was almost dead, the dogs barking and the lights on all night freaked her out and she was a mess -- she died at home a few hours later -- my kids saw what she went thru' and it really upset them -- I was NOT happy with the vet and would never allow an older cat to go thru' that torture again

73 posted on 02/24/2003 9:27:47 AM PST by twyn1 (God Bless America !)
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To: George W. Bush
I have a friend whose neutered female cat absolutely refuses any people food (steak, chicken, whatever) and will eat only one brand of very cheap cat food even when offered the priciest foods but she is healthy

My Tessio is the same way she has no desire for people food even on Thanksgiving she was not interested in that turkey. She like the dry food. I had stopped giving my cats the wet food because they kept puking it up. Should I include some in their diet?

74 posted on 02/24/2003 9:27:49 AM PST by angcat
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To: Tunehead54
My sister's cat is Gregio that is grey in Italian. He is just like yours.
75 posted on 02/24/2003 9:28:43 AM PST by angcat
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To: George W. Bush
..(S)ometimes these can be an opportunity to teach young people about life and death and love and being committed to the renewal of life and love as well.


As my older brother once advised: "That's what hamsters are for!"
76 posted on 02/24/2003 9:29:42 AM PST by Tunehead54 (Support our President! Support our Military! Support the USA!)
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To: Tunehead54
Mr Tuck, my beloved male Siamese, had had problems in the urinary department also. When I first got him we were in and out of the vet all the time. I discovered that taking him totally off dry food really helped. I give him Science Diet canned food with a lot of water added. His dinner looks almost like a serving of soup. I found that by doing this I could get him to drink more water which has been a big help for with his bladder. My vet. also gave me a prescription of cortisone for bladder inflammation. He will lick a lot when he start to have a flare up and I give in a half a pill as soon as it starts. I have found that by getting on it early will stop the problem in it's tracks. He has not had an infection for almost three years which is really a miracle.
77 posted on 02/24/2003 9:31:29 AM PST by foolscap
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To: Tunehead54
Oh, yes, believe me, we don't go to that vet anymore! That was years ago.
78 posted on 02/24/2003 9:31:52 AM PST by texasbluebell
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To: George W. Bush
At some point, one reaches a limit as to the cost of animal care.

But pets are not livestock on a farm. They are members of the family and one gets quite close to them. Dogs and cats more than any other animals are capable of drawing closer to many human beings than human beings are capable of drawing close to each other.



"Eulogy of The Dog
By: George G. Vest


Gentlemen of the jury, the best friend a man has in this world may turn against him and become his enemy. His son or daughter whom he has reared with loving care may prove ungrateful. Those who are nearest and dearest to us---those who we trust with our happiness and our good name---may become traitors to their faith. The money that a man has he may lose. It flies away from him, perhaps when he needs it most. A man's reputation may be sacrificed in a moment of ill-considered action. The people who are prone to fall on their knees to do us honor when success is with us may be the first to throw the stone of malice when failure settles its clouds upon our heads. The one absolutely unselfish friend that man can have in this selfish world---the one that never deserts him, the one that never proves ungrateful or treacherous---is his dog.


Gentlemen of the jury, a man's dog stands by him in prosperity and in poverty, in health and sickness. He will sleep on the cold ground where the wintry winds blow and the snow drives fiercely, if only he can be near his master's side. He will kiss the hand that has no food to offer, he will lick the wounds and sores that come in encounter with the roughness of the world. He guards the sleep of his pauper master as if he were a prince. When all other friends desert, he remains. When riches take wings and reputation falls to pieces he is as constant in his love as the sun in its journey through the heavens. If fortune drives the master forth an outcast in the world, friendless and homeless, the faithful dog asks no higher privilege than that of accompanying him to guard against danger, to fight against his enemies. And when the last scene of all comes, and death takes the master in its embrace, and his body is laid away in the cold ground, no matter if all other friends pursue their way, there by his graveside will the noble dog be found, his head between his paws, his eyes sad but open in alert watchfulness, faithful and true even to death.

Compiled from eye witness accounts of a trial summary delivered by George Graham Vest in 1870 at the old courthouse in Warrensburg, MO during a trial about the shooting of a farmer’s dog named “Old Drum” by a neighbor. "


79 posted on 02/24/2003 9:32:13 AM PST by ZULU (You)
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To: Tunehead54
Your welcome. Just keep flushing his kidneys with ample supplies of clean water and make sure he has a clean litter box. He'll be ok.
80 posted on 02/24/2003 9:34:17 AM PST by Lee Heggy ("A Frenchman's home is where another man's wife is." M. Twain)
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