5 year old cat with recent urinary obstruction post surgery

redsox79

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Hello all,

I have a 5 year old himayalan boy who is our loving little teddy bear.  He's never had any health issues until recently.  3 weeks ago, his behavior changed in the span of two days.  There were no changes around our home but he woke me up one night yowling and peeing on the middle of the floor.  He then went to sleep, and the next day he was walking stiffly and not friendly.  I watched him closely and later in the day saw him sitting up leaning back and dribbling urine.  Upon inspection it was blood-tinged and his belly was firm.  We immediately called our vet who wouldn't see him until the next day, so we called around until we found one who was open later and would see him immediately.  There, we found out he was badly obstructed.  He was checked in for a few days and given a catheter and flushed for a few days.  His labs that stay came back with creatinine of 8.  Xrays showed calcium oxalate stones in both his kidneys and bladder.  He underwent surgery to remove the bladder stones, came home after another few days.  He did well at home the next couple of days and then it started all over again.  He rapidly got sick and I took him back, to be told he had re-obstructed.  He was checked in again and given another catheter and flush for four days.

Since then he has been home and on a special diet.  Since then he has also been yowling when peeing, licking himself every time, pees about every two hours all day, and is peeing anywhere and everywhere.  Because of this he has had another urine sample turned in a few days ago, and we were told that he still has large amounts of crystals in his urine.  We are now ~$3k into treatment and cannot afford to do much more, especially with no guarantee that he will do better.  The vet has told us that the next step is urethral surgery.  We have gone through ups and downs thinking we lost him and then thinking he'd be ok and now again worrying sick.

On to my questions: how long can we expect him to be in pain and still have crystals like this?  Does this mean the diet is not helping at all, or will it take much longer?  In the meantime, can anyone suggest how to make him comfortable?  Is this how it will be the rest of his life?  Is there anything else we can try to help him through this?  (Today we've had to move him into a small room to prevent destroying the house - we rent and have been scrubbing as much as we can but as it is the smell is very strong from so much urine.)

Thank you for reading.
 

rlavach

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Aww, I can feel for you & your kitty. I have a kitty that blocked twice in the past. The problem is every cat is different & the combination of cat + vet + treatment yields a different result in every case. I can share my views

On to my questions: how long can we expect him to be in pain and still have crystals like this?  That's hard to say. A good flushing should remove those currently present, but its concerning that they returned so quickly. What food is he being fed now? Hills S/D is often given to help break down crystals for a month after surgery

Does this mean the diet is not helping at all, or will it take much longer?  It can definitely take time & it is common for them to reblock in the days immediately after. Is his food all wet? That is very important. Also, mix in as much water into the wet food as he will tolerate. If he's having dry food, is it possible to switch to all wet? Don't add water to dry food, it can breed bacteria.

In the meantime, can anyone suggest how to make him comfortable?  I don't think you mentioned what medicines he's been given. Pain meds? Anti-spasm meds? Those are common & effective. Also calming treats or Feliway plugs to help reduce stress in the home.

Is this how it will be the rest of his life?  Most likely not, but he will be sensitive. My boy hasn't blocked since, but he's had cystitis (inflammation of the bladder) 3x. It is something to constantly watch.

Is there anything else we can try to help him through this?  Lots of hugs & cuddles, his favorite blankets & toys. If there are other pets in the home that he doesn't get along with, it would be smart to separate them.
 
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