Dealing with a urinary blockage

maxthecat89

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First time poster and cat owner here. I apologize ahead of time for the long post. The stress of my situation is getting to me.

About two weeks ago we noticed that our 2 year old, male Siberian cat(picture of him in my profile pic) started to lick his privates a lot more often than normal and he would let out frustrated growls. We thought that the issue may have been fleas or maybe he hurt himself somehow when he was playing since he was eating/peeing/pooping/playing just fine. We took him to our vet and they told us he had a partial blockage and that they found crystals in his urine and his xray came back showing no stones present, but a very foggy bladder. They wanted to keep him overnight to insert a catheter and flush him out.

The next day I give them a call in the morning and they told me that he is doing well but that they want to keep him until 5 pm to be sure. When i finally went to pick him up they gave me antibiotics and a sample of some Hills Prescription diet c/d wet food and sent me on my way with him. As soon as we got home he was back to his normal self and going about his business as usual. He even took to the same wet food instantly. This really didn't comfort me because, besides the random aggressive licking, he never acted as if he was in pain. He continued to pee, but the clumps seem to be a little on the small side for him. Each clump was about the size of an egg. All looked like it was going well.

Four days later on Saturday, we had a few people over, he hid most of the day and a later that day when everyone left he came out and I noticed that he tried to pee in his litter box but he ended up just sitting in there for 5 minutes before jumping off and letting out a tiny growl. The litter was completely dry. I had to call the emergency vet because our regular vet's office was closed and they told me to bring him over immediately. As i was getting his carrier ready, I noticed that he attempted to pee again, but this time on our futon. Same result. I got to the emergency vet at 8pm and was there until Sunday 5am. The vet came out and told us he was completely blocked this time. She had two vials. One with a white mucus and the other with a sample of his urine that had so many crystals in it that it looked like a snow globe. I was devastated. I felt like i had failed because I let this happen to my little buddy. The vet assured me that I was taking good care of him and that these things just happen sometimes. After that, they gave me pain killers and anti-spasm meds and sent us on our way with him. When we got home, he was very wobbly, but extremely hungry. So much so that he ate 3 straight cans of the c/d wet food(the smaller stews, not the large pate). The next few days he was peeing 4 times a day. It was actually hard to keep up with him! I religiously gave him his meds, which he hated, but seemed to help him out a bit.

This is where I need help because I don't know if its a genuine issue or if i'm just being extremely paranoid.

We finished off the last of his meds two days ago and since then he seems to be peeing less, but still about twice a day and in large amounts. Yesterday morning caused us to get into a bit of a panic because we noticed that he was clenching a bit when he peed and then later in the afternoon, he peed again but this time he went on one of our dining room curtains. I removed the curtain, cleaned the area and placed one of his litter boxes over the spot to see if he would go there. I caught him at about 2am (yeah..haven't slept much the past two weeks...) using the box but when he initially jumped in, he growled for a second, clenched a few times as he peed a solid stream and peed for about 30 seconds before jumping out. He hasn't peed since, but he ate a full meal this morning and has been passed out since.

Now that my long-winded history lesson is out of the way, does it sound normal for a cat recovering from a blockage to regress a bit and pee outside of their litter box?

Any help would be appreciated as I am so new to having a cat. I love him to death, but it scares me that he shows no signs of when he isn't feeling good until he has to be rushed to the vet. He looks relaxed and happy most of the time I just can't shake the anxiety that i feel from the whole situation. He is an amazingly good boy and he doesn't deserve to be in pain.

A few more things.

As stated above, he has been eating Hill's Prescription c/d stress wet food, exclusively, for two weeks now at a rate of 3 cans per days. I supplement the food with filtered water.

He has water dishes all over the house that get refilled multiple time a day, and I just got him a water fountain which is cleaned daily.

He has two litter boxes

We are trying to reduced stress levels by not having anybody over the house for a while.

I've been paying attention to him and playing with him as much as possible.
 

hellomisskitty

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My answer is "yes". A reason he may be peeing outside is box is that he associates it with the pain he was in when he had his blockage. You can try a few things:
-move the location of the boxes
-new boxes all together...different shape, different color etc.
-new type of litter

Hopefully, these things will stop the association of pain with the litter box. It sounds like you've done your research and are covering all the bases in managing this issue. The only thing you may want to consider adding would be a Feliway diffuser which may help with stress levels:


I'm sorry you and your boy are dealing with this. I've been through this and I know how terrible and stressful it is but this is a condition that is manageable and you will get thru this [emoji]10084[/emoji]️
 

hellomisskitty

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hellomisskitty

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Another thing I just thought of is to make sure you are cleaning any areas where he peed outside the box with an enzymatic cleaner like Nature's Miracle. These cleansers break down the proteins in a cat's urine that regular cleansers do not. If the proteins are not broken down, the cat can still smell them and they will continue to use that place to urinate:

http://www.natures-miracle.com/products/pet-odor-stain-removers/original-pet-stain-odor-remover.aspx

You can purchase this at most pet stores and even Whole Foods.

Please do not feel bad or guilty. You are doing a great job in taking care of your boy [emoji]10084[/emoji]️
 
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maxthecat89

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Another thing I just thought of is to make sure you are cleaning any areas where he peed outside the box with an enzymatic cleaner like Nature's Miracle. These cleansers break down the proteins in a cat's urine that regular cleansers do not. If the proteins are not broken down, the cat can still smell them and they will continue to use that place to urinate:

http://www.natures-miracle.com/products/pet-odor-stain-removers/original-pet-stain-odor-remover.aspx

You can purchase this at most pet stores and even Whole Foods.

Please do not feel bad or guilty. You are doing a great job in taking care of your boy [emoji]10084[/emoji]️
Thank you for all of your replies. I feel better discussing this with someone who has been through this before. I will definitely be trying all of your suggestions. It's very draining to not know if or when he will become blocked again.
 
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maxthecat89

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Thank you for all of your replies. They are truly appreciated. I will look into the items you suggested.

I'm trying not to feel guilty. The anxiety I am feeling over this is almost unbearable.
 

hellomisskitty

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I can completely emphasize with how you are feeling. My Kitty had a bout with crystals almost two years ago and I still vividly remember how traumatic it was for me and my poor Kitty. It does get better but I admit I'm still hyper vigilant about potty habits. But over time, the heightened anxiety I had during the emergent phase did get better. A history of crystals is a condition you will always need to manage but you will get into new routines and a new "normal". You are attacking this at all the angles: dietary, environmental and behavioral and you are way ahead of where I was so soon after the the initial episode.

If you are ever concerned, don't ever hesitate to contact your vet: that is what they are there for [emoji]10084[/emoji]️
 
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