Blocked bladder, Urethra/bladder Spasm, catheter round 2 within 3 days... Help!

stacey boehmer

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Hi everyone! I know there was a similar thread by Spencer's Mom from 2013 but I wanted to see if anyone had other advise for my sweet boy. 

I am at a loss and absolutely heartbroken. My sweet kitty Milo (6 1/2 yrs old) is not looking too promising that he is going to over come this as of last night. We rushed him to emergency on Sunday night after watching him very closely over 12 hours and noticing he wasn't able to urinate and suddenly in pain to the touch with a full bladder. He was still very alert and semi mobile so they said we likely caught it fast. My husband and I are both animal scientist and have advanced degrees in animal physiology so we knew to get him in asap. We are also familiar with UTI's, as one of our other cats had it last year but this is obviously different. 

Milo's initial blood work showed his creatinine level at 10.63 and his potassium was also very high. Obviously extremely dangerous. We did xrays to check for stones and he's clear. As soon as they placed the catheter in Sunday night he immediately started improving - his creatinine was 2.1 by yesterday (Tuesday) morning and his potassium was normal. Yesterday they decided to remove the catheter to hopefully send him home today based on his recovery and labs. Our fear of a relapse happened when the vet called at 10pm and said he was straining to urinate again only achieving dribbles after he was normal all day, his bladder was firming up and the Dr. was concerned that he was re-blocking. She thought another catheter would be the right thing and we agreed that we want to give him the best shot. She mentioned this morning that she thinks his urethra and/or inside lining of his bladder is spasming (which I read via different posts/thread seems pretty common) so she put him on a new med last night to hopefully relax the spasms and the inflammation/irritation. 

He seems to be on a similar road as many of you have mentioned in other posts so I'm hopeful but so scared - my question is: Did anyone else have their kitty relapse within 12 hours and re-block needing another catheter that fast?? AND if so DID the second catheter work and your kitty recovered well? We are absolutely worried sick about him and emotionally drained as you can imagine, I cannot imagine my life without him right now BUT I refuse to let my sweet boy suffer. His quality of life is too important to me. He is not eating for the vet but I have been making multiple trips a day to sit with him and he eats great for me so I'm not worried about his eating. Just the re-blocking - we are just at a lost with what to do to help him.

Hopefully someone can shed some light and encouragement that there is hope. He is at a specialty emergency critical care hospital so I trust that he's in good hands. They said it can be common for a fast relapse but weren't really expecting it... then it happened. We just don't know if this is a problem that will be chronic and he will continue to block and suffer since this seems so bad. This is his first ever episode of him being sickly! He's in good spirits, walks around and holds his head up high.  Thanks in advance!  
 
 

red top rescue

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It isn't unusual for a cat to reblock early on.  Often is is just swelling from the trauma of being blocked and catheterized in the first place.  Sometimes it takes a shot of steroids to reduce the inflammation and give him time to heal.  Also, if he is producing crystals, they are like microscopic shards of glass and can be irritating him.  If they flushed his bladder after he was catheterized the first time, which is normal procedure, he should not have any crystals yet, so it is probably just swelling and inflammation.  Once you get him through the acute phase and get him on proper food (it doesn't have to be a vet diet, in fact you can probably do better by using a very simple diet of EVO 95% chicken & turkey, which is grain free, fruit free, and basically what a cat would eat in the wild.  It is also low phosphorus  according to the chart on Dr. Pierson's web site (http://www.catinfo.org/?link=urinarytracthealth).  Sometimes it takes a few weeks to get them completely healed but I would expect your cat to do well once you get through this episode.
 
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