has anyone had experience with an inflamed bladder?

stevie_rae · Jul 6, 2012

Hi all!

Noticed my 1 year old kitty Nox was straining in his litterbox with nothing coming out. Thinking his uretha may be blocked I quickly got him to the vet. His bladder was empty but apparently it was inflamed, making him think he had to go use his litter. He got an anti-inflammatory shot and put on Meloxicam/Metacam (anyone familiar with this medication?)

Got a urine sample done and results came back this afternoon. They were brief on the phone saying that his bladder was still inflamed wanted him in tomorrow for another anti-inflammatory shot, and that he had damage to his urinary tract and urethra. I had never heard of this before, and am not sure what would of caused this?
He is on a high quality wet food diet, is slim, and drinks a lot of water.

If anyone has any information about any of this or any experience please let me know

violet · Jul 6, 2012

One of mine had that. We made quite a few emergency trips to the vet (because the symptoms of a cat blocked by stones or crystals or suffering from a very painful allergic reaction are identical). Eventually, going by the test results and a food diary (I was rotating foods at the time) , I was able to figure out what he was reacting to and after that there were no more vet trips for this problem.

However, please take my advice and schedule your baby for an ultrasound and any other test your vet can recommend that is designed to find hidden, hard to diagnose problems.

Stones that don't show up on X-rays are always one possibility. Other possible problems include anatomical abnormalities that also don't show up on other tests. (The baby of a friend of mine had that and thank God the problem could be surgically corrected.)

Food allergy can be a very important cause of painful bladder problems in cats and humans.

I would have to say, if you are feeding fish based foods, tuna, seafood, salmon, cod, whatever, anything fish based, that should be the first thing to stop (feeding). And with any luck, it just might solve the problem.

A pretty good article for some information

http://manhattancats.com/Articles/FLUTD.html

finnlacey · Jul 6, 2012

Yes we are having the same issue with my sister's cat Midnight. She was born with one kidney smaller than the other and never had any problems until last year but as she's getting older, it's tougher to deal with. She's 16 or probably more close to 17. Their kidneys are usually very overworked at this age. NO fish as Violet said, it's just too bad for them. The phosphorous puts a strain on their kidneys.

ldg · Jul 6, 2012

In our Tuxedo, X-rays showed nothing, ultrasound showed nothing. He needed a high resolution MRI to see the tiny stone embedded in his bladder wall. It needed to be surgically removed. Of course, this is rather unusual.

Vibes for you and your boy! :vibes:

stevie_rae · Jul 6, 2012

Thanks for the advice guys. Took him back this morning got him a shot of antibiotics. He has a small bladder as it is so it may be prone to infection. They said one more dose of meloxicam and another urine analysis test in 2 weeks to make sure all has cleared.
I would love to get an X-ray and ultrasound done and I will if this flares up again / doesn't resolve. I plan to get it done regardless after I graduate university at the end of this year.
This problem has cost me $400 in the past 2 weeks. All my savings

trust me I'd do anything he needed but am only going to do what needs to be done until I'm in a better place financially.
He has been urinating fine today, no straining, no pain and is eating and drinking normally. So hopefully this is the end of this chapter!!
Thanks for all your advice. I will write again in 2 weeks after his final urine analysis is done!

carolina · Jul 6, 2012

Please, please spare him from Meloxicam/ Metacam....

From the FDA:

http://www.fda.gov/AnimalVeterinary/NewsEvents/CVMUpdates/ucm231254.htm
FDA Announces Addition of Boxed Warning to METACAM[emoji]174[/emoji] (meloxicam) Labels

October 27, 2010

The Food and Drug Administration (FDA) announced today the addition of a boxed warning to the label of two METACAM[emoji]174[/emoji] (meloxicam) products. The drug’s manufacturer, Boehringer Ingelheim Vetmedica, Inc. (B.I.V.I.), changed the label to include:

WARNING

Repeated use of meloxicam in cats has been associated with acute renal failure and death. Do not administer additional injectable or oral meloxicam to cats. See Contraindications, Warnings, and Precautions for detailed information.

The label change affects:

METACAM[emoji]174[/emoji] Solution for Injection, under New Animal Drug Application (NADA) 141-219; and
METACAM[emoji]174[/emoji] Oral Suspension, under NADA 141-213.

Boxed warnings on prescription drug labels highlight for prescribers certain contraindications or adverse drug events, especially those that may cause death or serious harm. A contraindication occurs when the risk of using the drug in a patient outweighs any benefit. An adverse drug event, also called an adverse drug experience, occurs when there is an undesired side effect associated with the drug, or when there is a lack of effect (the drug does not do what it is supposed to do).

FDA asked B.I.V.I. to add the boxed warning based on FDA’s review of reported adverse drug events for METACAM[emoji]174[/emoji]. FDA identified many cases of kidney failure and death in cats associated with repeated use of METACAM[emoji]174[/emoji].

METACAM[emoji]174[/emoji] Solution for Injection is approved for one-time use in cats before surgery to control postoperative pain and inflammation associated with orthopedic surgeries, spays, and neuters. In the United States, the safety and effectiveness of more than one dose of METACAM[emoji]174[/emoji] Solution for Injection has not been shown in cats for any condition.

METACAM[emoji]174[/emoji] Solution for Injection and METACAM[emoji]174[/emoji] Oral Suspension are approved in dogs to control pain and inflammation associated with osteoarthritis. METACAM[emoji]174[/emoji] Oral Suspension is approved for dogs only. No safe and effective dose of the oral suspension is approved for cats.

FDA is aware that some veterinarians prescribe or use METACAM[emoji]174[/emoji] in an extra-label manner. When an approved drug is used in a manner other than what is stated on the label, it is an extra-label (or “off-label”) use. Under certain circumstances, veterinarians are allowed to use a drug in an extra-label manner. The new boxed warning on the METACAM[emoji]174[/emoji] labels helps inform veterinarians of the serious risks associated with extra-label use of meloxicam in cats.

http://www.metacamkills.com/

stevie_rae · Jul 6, 2012

I've just been looking into Mexicam and am now very cautious. He seems fine on it so far. The vet said I could give it to him for another few days but I am going to stop after his dose tonight.

jennyr · Jul 7, 2012

I refuse to allow my vet to give any of my cats metacam. The problem that it is a highly effective pain reliever but has been associated with enough deaths from kidney failure in cats for the FDA to withdraw approval for its use, even as a one-off dose. Some vets will still use it though. There are other pain/anti-inflammatory meds like Tolfedine that can be given without the same high risk, though any pain relief in cats should be used sparingly and mostly for only 3/4 days. That is what my vet gave my Bonaparte following a bladder operation for stones earlier this year, and he recovered fine, though he must have a low calcium diet including low calcium water from now on. TAlk to your vet again and see what he says.

has anyone had experience with an inflamed bladder?

stevie_rae

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violet

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finnlacey

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ldg

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stevie_rae

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carolina

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stevie_rae

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jennyr

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