Cat blockage, help?

christine s

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So my 2 1/2 year old male short hair, Rorschach, has been battling a urinary blockage. We'd been out of the house overnight on tuesday (we are in the process of moving) and luckily we seem to have got back just in time Wednesday because I noticed my boy spending an awful lot of time crouching in the litter box right when we arrived home. He was alert and purred when I pet him, but kept going back to the litter box. I changed everything to make sure it was clean and to his liking, watched him try to go for five minutes with nada and then whisked him off to the emergency vet. They said he was completely obstructed but it must not have been for too long, his labs were okay (though they didn't do creatinine for some reason, but potassium and BUN were normal).

This is my first time having a male cat with this issue (and this is my sixth male cat), but I was aware of it from friends, and he unfortunately (I now realize) fits a lot of the risks. Stress at home with the packing for a move, he's a bit overweight, eats primarily dry food, neutered, indoor cat etc.

After a catheter and fluids, he was discharged 36 hours later, yesterday morning, "peeing like a champ" according to the vet tech. The vet said he had the 'idiopathic' type of blockage with no obvious cause (urine pH 6.5, no crystals, at least none mentioned by the vet, no kidney stone on X-ray). He got pain medicine and something to help with spasms which I gave him right when we got home yesterday.

And all day yesterday he peed in little fits and bursts, not nearly the big solid litter clumps he usually makes, but I figured he was sore and read online he might just go like that for a couple days while his urethra was inflamed from the cath, he was certainly going frequently. Then last night it got bloody (it had never been bloody, even at the vet) and slowed down to drops, and he started dribbling when he wasn't in the litter box. I gave him his medicine a bit early to help him relax and monitored him closely. Since he was still going only a few drops, I called the vet this morning. They didn't seem too worried and said as long as he was going and he wasn't lethargic or yowling, I shouldn't be too worried, especially because he's been eating well (he's been getting frequent small bowls of the prescription wet royal canin with water mixed in, and licking the bowls clean).

Since he was still not going more than a few drops by mid morning I asked if I could bring him in just to have someone feel his bladder or maybe teach me how to do it. They let me come in, free of charge, but wouldn't even let me watch (they never let me back to see anything they did on him during his hospitalization). They told me his bladder was okay, that he shot out some urine when they felt it, but they couldn't teach me to do it because I could rupture his bladder if I did it wrong or he was obstructed.

Anyway, long story, I'm just nervous. The vet made me feel like I was being too paranoid but Rorschach's still not acting like himself, like he's trying to isolate, and he's still peeing only little bits if at all. i don't want him to reobstruct. I hate that we're moving right now. Does anybody else have any experiences like this or any advice on what I can do?
 

mrsgreenjeens

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First off, don't let your Vet intimidate you.  You have every right to worry.  I'd be upset too.  However, now that you've been back for that follow-up and they still say everything is ok, maybe you feel a little better? 

Fortunately, I've never had a cat with these issues, so all I can do is direct you to this article, which  I think is very helpful:  http://www.thecatsite.com/a/feline-idiopathic-cystitis-how-to-improve-your-cats-quality-of-life

Good luck on the move!  Hopefully it'll be over soon and you and your little guy can get back into a normal routine, which should help immensely with this issue.  In the meantime, try some of those stress reducers in that articles referenced in the main article
 

hellomisskitty

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I agree. Don't let the vet intimidate you: Urinary blockages are serious and you are Rorschach's guardian and advocate. My girl had an episode with crystals and it was terribly stressful for her and me. Two years later, I still closely monitor her potty habits. Though my girl's issue was different in origin, I do remember it taking close to a week before Kitty was clearly feeling and acting normal.
I know you are mid-move but here's a TCS article about moving a cat to a new home that might help make the move a little less stressful on Rorschach[emoji]10084[/emoji]️
 

mrsgreenjeens

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@HelloMissKitty, is this the article you mean?
[article="33377"]How To Move With Your Cat To A New Home In A Safe Way  [/article]
 
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christine s

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Thank you for the article! And I did feel better right after going to the vet, but hours out, the anxiety is increasing again as he goes to the litter box and produces either no urine or quarter-sized little bits. But he also just ate some cat food/water so I guess he's not doing too poorly?

I'm still going to be watching him closely regardless. We're due to move him on Tuesday and it's a five hour drive. We have something to help him relax in the car that shouldn't interfere with the antispasmodic medication.
 

missmimz

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Get him off kibble ASAP! The primary cause of urinary issues are kibble-fed cats, which are chronically dehydrated and thus end up with urinary issues. Wet or raw food, high protein low carbs. Buy a water fountain to encourage drinking, too. 
 
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christine s

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Yeah, we already had a water fountain, but did have him on mostly dry food. He always peed so well! But I have getting the royal canin SO wet food now, and have been mixing it with water. As an update, he's still going in tiny little dribbles and going back and forth to the litter box, but he's acting okay otherwise. He played with his fishing toy today and has been eating the wet food well. All I want for Christmas is for my cat to pee!
 
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