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It's a natural fact that every mammal has to pee. Eating, you can hold off for a few days, pooping is optional (for a while anyway), but peeing is right up there with breathing on the list of things you just gotta do each and every day. So when something happens to stem the flow of pee, trouble ensues - and fast.
Managing these cases medically can go way beyond relieving the obstruction in some cases. First priority is fixing the plumbing problem: getting pee to flow. This is usually done with anesthesia and a catheter to get the obstruction out of the way. Managing all the havoc wreaked by the toxins is next. This can necessitate some fancy medical dancing as we try and put all the genies back in their bottles. Disorders of deadly potassium, elevated renal values and severe dehydration can mean days in the hospital, even long after the pee is flowing again. It can get complex, expensive and can wear down even the most committed of owners for the really medically complex (and expensive) ones.
Our knowledge of contributing factors and therapies has surely changed and improved, but some days I feel like I am handling these cases the same way today as we did when I was a veterinary technician 20 years ago. Today cats with this disease do go home and get better, and even for the tough cases we can prevail and we have some tricks up our sleeve. Someday, science will provide an answer. I just want some means to prevent this disease in the first place, or some surefire way to treat it. I hope the future holds some promise, but I am not holding my breath. Or, well...you know.
My cat currently has a blockage. Last year he was peeing blood and I rushed him to the vet. The cat had a slight urinary blockage that they were able to clear out without too much cost. However now, we have one yet again. This time it's more serious and has to be removed via catheter. The hospital called me, good news they removed it! Bad news, it was a seriously complex obstruction and she told me surgery might be in the near future. I spent half my care credit on this and the surgery costs more than the other half. I know the cause of these obstructions. It's stress. I spoke to the vet and basically, he can be prescribed a urinary diet and prozac for the stress. I feel like I failed him as a cat mother and my bank account is paying for it.
He was acting off Saturday night and licking his bits and growling I didn't think much of it and went to bed he seemed fine, at 4am he woke me up crying and wailing in pain. We rushed him to the emergency vets, they explained he had a uti and potentially blocked. They claimed he managed to pee so he was sent home with anti biotics.
The whole day he was crying in pain, sad, low energy, he wouldn't eat or drink and he tried continuously to use the litter tray but couldn't, I knew he was declining and in pain. It broke my heart to see my healthy boy so sad. We took him back that night to the vet and they explained his soft bladder earlier in the morning had become rock hard and they couldn't do anything for him but surgery. It was explained this would be his life going forward with surgeries and potential blockages moving forward. We choose to put our boy out of pain that night. I cuddled and patted him for comfort and told him how much I loved him. I was with him when he crossed rainbow bridge, I held his paw and patted him as they sedated him and made sure I was the last thing he saw as he closed his eyes for the final time. R.i.p my angel. I'm devastated you left us under terrible circumstances ?
This disease is absolutely horrendous and devastating. With my little guy, it started about two years ago when he started going in and out of the litter box while howling. I didn't know what was wrong so I did some googling and read about obstructions. He went to the vet and got unblocked but I didn't know it would likely be a recurring thing.
He was eventually diagnosed with feline idiopathic cystitis. We tried everything and spent money we didn't have (both 22 at the time this started). We tried the special diets, removing all stress triggers, water fountains. But this issue just seemed to happen at random. He could be the happiest little cat one minute and the next minute, blocked. There was no rhyme or rhythm.
My guy didn't get complete blockages each time he had a flare up of cystitis. Even when he wasn't blocked, he was always in discomfort when peeing. The blockages happened three times in total. We had been told before about perineal urethrostomy (PU surgery). This was supposed to correct the issue by widening the urethra and making more space for him to pee. I thought at first I would never put him through it.
However, I did some research and found that it could be a worthy option for my boy. He's 4 years old so he could still have plenty of life left. So I made a tough decision, which was either euthanasia or PU surgery and decided to go with the surgery. This was an absolute last resort, and I knew that if he was suffering or it didn't work, that I would take the final step.
He had his surgery over a week ago now. He was sent home the evening of the day of his surgery, as he was being a naughty boy and attacking the vets. Recovery has been rough - moreso for us, than for him. He doesn't seem to be in discomfort, apart from wearing the cone. (We got a soft type one on Amazon that was comfier for him). He's been peeing well and in another week he'll get his sutures out.
But yeah, it's been stressful as anything for us just because of constantly watching him, checking the wound, watching to make sure he's peeing and making sure he doesn't climb or hurt himself. I'm too afraid to leave him alone too so I've barely left the house.
Anyway, all I could do is hope with all my might that this works out, as it has so far, and for anyone whose cat is suffering with blockages, it's worth considering PU surgery. It depends on the individual circumstances, like the cat and his/her age and health, financial circumstances and more. So it might not be for everyone. But it does work for some, and I'm hoping that for my little guy, he'll be one of the success stories.
I sit here today still in disbelief that our little lovebug is gone way too soon. He was not even 5 years old. His first blockage happened in April 2023. I noticed him squatting all over the yard like he was trying to mark his territory . I chased him around in the rain and brought him in thinking he would stop once he was in the house. He kept doing it so the next day were able to get to the vet where they said that he was blocked and had crystals but they said we caught it early. I spent money I didn't have to unblock him and fed him the prescription food and a month later he checked out clean with no more crystals but he would have to be on the prescription food for life. Fine I said, as long as he is better. Little did I know there is no "better" with this. I monitored him every single day to make sure he peed and found him a few times straining in the box but then back to normal within a few hours or a day. So I thought he would be ok as long as he kept on the food, which I even made into soup every day to make sure he got enough water. I researched this relentlessly trying to find any way to help him even more and stumbled onto this site. I had no idea that this was such a problem as the vet never says this is a possibility when you have a male cat neutered even though they know this can happen. I worried every single day and I'm sure he was stressed out every day as well. On December 22, 2023, he was howling in pain every time he tried to move so I knew something was seriously wrong. Called the vet to bring him in. Before we got there he started vomiting and leaking blood I thought something had ruptured. By the time we got to the vet his bladder had miraculously emptied completely and they said he wasn't blocked he must have an infection. Great I said, that's something I can deal with. They gave him antibiotics and after a few days he seemed happier than he was before all this. But three weeks later he was back to not peeing, but not crying. So I thought maybe another infection, but then hours later was peeing normally. Then on January 26, 2024, I woke up to him hiding in the corner next to the litter box, then crawling in and out trying to pee. I looked at him and he gave me the saddest look I ever saw and I knew it was bad. Back to the vet and they confirmed he was blocked again and his bladder was at the risk of rupturing. They gave me the option of trying to unblock him again but warned it could be difficult or impossible due to the fact that it had already been done before. Then after that there is the option of PU surgery which they told me is extremely painful and I just couldn't put him through more pain than he already went through in his short life. It was the hardest thing I ever had to do but it was time to make a decision for him and not for me and the look in his eyes told me he was tired and done with it all. I was by his side until he took his last breath. His pain is now gone but ours is just beginning. I'm going through a range of emotions still, relief that he is no longer in pain or stressed over it, sadness that there will be no more meows, chirps, or head bumps from our beautiful green eyed mini panther, and anger that so many people have to go through this with uncertainty and no answers. They need to do more research and come up with a better management plan so more people don't have to go through this immense pain of a pet gone way before their time. "Here's some special food and hope for the best" is just not enough. RIP my sweet boy.
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