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cat peeing blood -- vets stumped

post #1 of 14
Thread Starter 
My cat doopy has been peeing blood for more than a month--lots of it. She has had several ultrasounds, a contrast x-ray, and a cystoscopy, plus tons of blood, urine workups. There are masses on her kidneys, but there is no blood supply to them, so they are probably not cancerous; there is some abnormality in her bladder, but they have no idea what it is; biopsies from her kidneys and bladder have all come back inconclusive, due to small size of samples. Her blood and urine always test normal, and her hematocrit level (for anemia) is about one point below normal. she is on an iron supplement.

Her most recent tests were done at a veterinary teaching hospital, and they're stumped as to what's going on with her, and recommend exploratory surgery. She's 11 years old; my regular vet is hesitant at putting her through this, esp. since no one has any idea what it is--and it being a teaching hospital, they're always amped up to do surgery. AT the same time, it's the only next step. (oral steroids did not work--the only thing that stopped the bleeding was a post-surgery dose of meloximin, which has too many risks to give her on a regular basis)

The blood is really alarming--her urine (she pees in a box with no litter in it) is dark red--there seems to be as much blood as urine. She herself seems to feel ok much of the time (eats, wants to go outside sometimes), but she has bad days.

My main question: has anyone ever experienced this kind of chronic bleeding with your cat?
and/or have people had luck with exploratory abdominal surgery?

(sorry to go on so long but it's a complex situation and I wanted to give all the info I have)

Thanks--
post #2 of 14
I wish I could offer some helpful advice. All I can do is send vibes and prayers.
post #3 of 14
I don't have any advice but I'm sending some mighty big vibes.
post #4 of 14
That sounds like a nightmare. I guess I'd look at it this way - have you exhausted all other options you can think of? If so, I'd go for the surgery.
post #5 of 14
For what its worth, I had kind of the same problem when I was much younger. Everytime I was very active I'd have bloody urine, (playing tennis, etc.). Most all the other times I was fine, nothing, everything was clear, again when I'd be very very active it would start again. Then stop I only knew I had this when I was very active. All tests were negative. Xrays all negative. The doctor said he'd have to see me while I was bleeding to find out where it was coming from, I finally did, we had to call the doctor to rush to his office to take a look with a scope. He found out what kidney it came from but didn't see the cause, I had to go in for an exploratory, it was a kidney stone that didn't show up on xrays and I guess it was in a spot that was hidden. I hope you find the cause, good luck and Prayers and for doopy.
post #6 of 14
I had a 12 year old 25lb cat that his started happening to and I took him to two different vets. Nobody could figure out what was wrong with him. All the vets kept telling me is that it was possibly a UTI. Anyway after going through this for some time we finallly found out he was going through slow kidney failure. The vet said we could prolong his life for maybe a year by giving him IV fluids everyday, but I couldnt put him through that and make the last of his life misarable. As much as it killed me I had to put him down. This was last year and to this day I miss him like crazy he was my first baby.
I hope this is not the case with your kitty and they find what is causing it. I myself wouldnt not opt for surgery at a vet school, I would be to worried.
Good Luck. I hope it works out.
post #7 of 14
Thread Starter 
Thanks for the replies and good vibes.

Bobbee: I'm so sorry you had to put your cat down. How did you find out he had slow kidney failure? Did the levels just gradually drop?

As for Doopy: The specialist (internist) I've seen is currently treating her condition as bladder inflammation of unclear/unknown cause; he does not recommend exploratory surgery. He's put her on Elmiron and Amitryptiline, and she seems to be showing some improvement -- there is a bit less blood in her urine and most of the time she is acting very much herself--sleeping on the bed instead of hiding in a closet, wanting to go outside, etc, even playing.

It's just been about a week. I will update after she's had more time on these meds--maybe her experience will be helpful to anyone else with mysterious feline bladder issues.

Thanks again.
post #8 of 14
Hello there

I have been experiencing the same problem now for some time, my 14 yr old cat has had urinary tract infection symptoms on and off for the last 2 years. She has been given all types of antibiotics which helped at the time but the same problem kept coming back worse each time and resulting in blood in her urine. This occurs now most of the time. An ultra sound was performed and it was found she had a thickening of her illium and polyps in her bladder. No one can do a biopsy to confirm if it's cancerous but lesions in the liver seem to confirm it maybe. Anyway the polyps in her bladder are causing the bleeding, I have been advised that there has not been very good results on medications to help this issue however she is currently on a steroid to aid in stimulating her appetite and a antidepressant called endep as an anitinflammitory. It seems to be working. I am also giving her CoQ10 and cranberry capsules to also provide additional antiinflamitory and antibacterial defences. So far so good. I believe I am providing palliative care now though, as long as she is not peeing blood and having pain in going to the toilet it's the best I can hope for.

I hope this may help you
post #9 of 14

Hi, so glad that you have all posted your experiences :)

 

I have been having the same problem with my now 16yo boy and it has been on and off for a couple of years. He is going to the toilet frequently and peeing small amounts of blood. He has recently got extremely fussy with food (he used to be a four legged insinkerator) and now barely eats.

 

We have done all manner of blood tests, xrays, ultra sounds, given antibiotics, anti-inflamatories, tried msm ... Julsug, I will ask my vet about the steroids to get him eating, and endep as well.

 

I also feel that I am currently providing palliative care. He spends most of the day sleeping now. He purrs rapturously when i go an hang out with him. He is my *everything*; I just don't want to put him through any more stress and poking and prodding and if it comes down to it, I'll have him put down. The vet is pretty good, she will come here so I don't have to put him through a trip over to the surgery.

 

Anyway, I just wanted to say thanks to everyone.

 

xoxox

post #10 of 14
My Bonaparte was peeing blood in January and had several procedures including having a catheter fitted to try to flush his system out. Eventually his pee was more blood than urine and he was doing it all over the kitchen floor one evening. I rushed him in and he had surgery that found several large stones in his bladder, that hadn't shown up before. Since then he has been absolutely normal. It is such a scary thing to see, and even more when they can't find the cause. Many vibes that you get it sorted successfully.
post #11 of 14
Quote:
Originally Posted by GeraldineC View Post

Hi, so glad that you have all posted your experiences smile.gif

I have been having the same problem with my now 16yo boy and it has been on and off for a couple of years. He is going to the toilet frequently and peeing small amounts of blood. He has recently got extremely fussy with food (he used to be a four legged insinkerator) and now barely eats.

We have done all manner of blood tests, xrays, ultra sounds, given antibiotics, anti-inflamatories, tried msm ... Julsug, I will ask my vet about the steroids to get him eating, and endep as well.

I also feel that I am currently providing palliative care. He spends most of the day sleeping now. He purrs rapturously when i go an hang out with him. He is my *everything*; I just don't want to put him through any more stress and poking and prodding and if it comes down to it, I'll have him put down. The vet is pretty good, she will come here so I don't have to put him through a trip over to the surgery.

Anyway, I just wanted to say thanks to everyone.

xoxox
this is going to sound like a stupid and redundant question.... Sorry about that.... But you have tested your boy for crystals, right? The fact that he is going to the pan frequently and peeing small amounts is allarming (not that the other cases aren't) to me.... This sounds to me like your boy can be now dealing with a blockage.... I understand he has been dealing with inflammation for a very long time, but this recent change of symptoms are not to be dismissed.... A Blockage can be lethal.... Let alone excruciatingly painful.... Please take your kitty to the vet asap.... vibes.gif
post #12 of 14

Thanks so much for your kind thoughts. It's defintiely not stones, we have checked and checked him over the years. Kidney failure is more of a likelihood for us right now.

 

I have one small bit of info though that may help others ... My vet suggested Periactin tablets to stimulate his appetite and it worked! He's now eating and drinking again (though we are still moving to the inevitble). Periactin are an over the counter (here in Australia) anti-hystamine (for humans); they are a 4mg cyproheptadine hydrochloride; here is Oz they sell for about $5 for a pack of 100. Anyway, the vet said give him half a tab once a day and it has worked well; he is eating a drinking well. Hopefully this will help someone somewhere

 

xoxox

post #13 of 14
Quote:
Originally Posted by GeraldineC View Post

Thanks so much for your kind thoughts. It's defintiely not stones, we have checked and checked him over the years. Kidney failure is more of a likelihood for us right now.

I have one small bit of info though that may help others ... My vet suggested Periactin tablets to stimulate his appetite and it worked! He's now eating and drinking again (though we are still moving to the inevitble). Periactin are an over the counter (here in Australia) anti-hystamine (for humans); they are a 4mg cyproheptadine hydrochloride; here is Oz they sell for about $5 for a pack of 100. Anyway, the vet said give him half a tab once a day and it has worked well; he is eating a drinking well. Hopefully this will help someone somewhere

xoxox
Hi Geraldine -
Sorry to bug you with this.... I don't mean stones.... I mean Crystals - it is different. I mean Crystals as in Struvite Crystals. The reason why I am concerned is this:
Quote:
He is going to the toilet frequently and peeing small amounts of blood. He has recently got extremely fussy with food (he used to be a four legged insinkerator) and now barely eats.
If this is a recent development, please, please have his urine tested for crystals - it doesn't matter what was done before.... The fact that he is going frequently and not able to pass urine as he should means he could have developed a blockage - that is different than kidney stones - we are talking about the urinary tract here.... This might be related, but might be totally unrelated to what he has had in the past....
All the best to your little one and to you too hugs.gif
(sorry I am being a pain blush.gif)
post #14 of 14

Hi, no problem, I understand, but yes, we have had his urine tested for crystals .... many times over the years ... that has always been done, and nothing. As i said, we have run many tests ... he falls into a category of idopathic cystitis ... basically, unknown causes ... some of the other owners above will know about this as well.

 

thanks

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