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Urolithiasis disease

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The term "urological syndrome" refers to a number of diseases that affect the lower urinary tract in cats (including the formation of stones in the bladder, urethral plugs, infections, cystitis, etc.).

Such diseases are indicated by frequent, intense attempts to urinate, often with blood being detected in the urine, or urinating outside or near the tray. This problem can occur periodically in any cat, regardless of age or gender. Especially difficult and obvious it appears in cats, because it can lead to blockage of the urinary tract and interfere with the normal passage of urine.

What can cause lower urinary tract infections in cats?

There are several reasons:

• Idiopathic cystitis in cats is the most common cause of lower urinary tract infections in cats. This is a form of aseptic inflammation of the bladder wall. Its cause is unknown, but stressful situations can provoke its development, while the symptoms are similar to those observed in people with cystitis.
• Struvite and oxalate crystals. Nutrition can affect crystal formation in sensitive cats.
• Struvite and oxalate stones. The crystals can aggregate and form stones, causing discomfort and, potentially, obstruction / obstruction of the urinary tract.
• Urethral plugs. Mucus and struvite crystals may aggregate and form a plug. The plug may move down the urethra, causing a dangerous blockage.

What symptoms should I look for?

Common symptoms of diseases of the lower urinary tract are:

• Blood in urine
• Strenuous posture when urinating
• Frequent visit to the tray
• Urination in the house or in unusual places
• Anxiety, attempts to hide, refusal of food

How can proper nutrition help?

Your veterinarian can prescribe medication and recommend a special diet for your cat, since a proper diet can help your pet recover faster.
• To help your cat feel better without surgery, proper nutrition dissolves struvite urolites
• In order to stimulate your cat's appetite and speed up its recovery, proper nutrition has an excellent taste that your pet will like.
• To help reduce discomfort in the case of idiopathic cystitis in cats, proper nutrition contains large amounts of omega-3 fatty acids
• To maintain normal weight in your obese or overweight cat, proper nutrition contains lower amounts of fat and energy, higher fiber and high levels of L-carnitine

Reduces the recurrence rate of formation of struvite and oxalate stones, thanks to a controlled pH (6.2-6.4), and is suitable for long-term feeding.

The range of diets for effective and quick correction of diseases of the lower urinary tract of cats

Hills offers a wide range of Prescription Diet dry and canned foods designed specifically to help you quickly restore your cat's health in case of lower urinary tract diseases. Recommend diet with / d Multicare Feline. According to research, it dissolves struvite urolites in just 14 days.

Royal Canin offers Urinary S / O High Dilution dry and canned diet food. It also contributes to the rapid dissolution of struvite stones. A Royal Canin study showed that 17 days are enough to dissolve struvites.

  • The feed has excellent taste.
  • Helps reduce discomfort
  • They help control the frequency of occurrence and relapse of the formation of crystals and stones.
  • Suitable for long-term feeding.
  • Helps control weight in overweight or obese cats

What do you need to do as soon as you return home after visiting a veterinarian?

Increase water consumption

Your cat’s increased water intake will help reduce the incidence of lower urinary tract infections. The more urine your cat produces, the less likely it is to form crystals or stones.

Here are some tips to keep your cat drinking more:

  • Pour water into several bowls and arrange them around the house.
  • Experiment with bowls of different depths and shapes.
  • Soak feed
  • Make sure your cat is happy
  • Avoid stressful situations in your cat's life - this will help maintain a healthy bladder.
  • Create your cat a comfortable environment (toys, beds, claws).
  • Cats love highly placed "watch points."
  • Cats need nooks where they can feel safe.
  • Keep the tray clean.
  • Talk to your cat more often.

Atypical longevity with a severe diagnosis

Today I want to tell you the story of the cat Barsik. A simple purebred cat, striped, the phenotype of “European Shorthair Cat”, castrated about a year, - in short, a cat, of which there are many ...

What is remarkable about the life story of Barsik?

This cat lived for 19 years, and all these years, by the will of fate, he was under my supervision. Why is that? Yes, everything is simple - he lived in our entrance to the floor above me. And I, as a doctor, was always “at hand”. True, the owners of Barsik did not abuse it at all.

For me, Barsik and his owners were always, so to speak, exemplary - treatment on time, discussing and helping me and the cat without unnecessary hassle, strict adherence to appointments, responsiveness and trust ... In short, all that a private practitioner dreams of.

And, most importantly, I could completely track the entire history of the cat’s life and illness, which gave me a lot of food for thought and finds, which were then reinforced more than once by practice.

First meeting - by ambulance

The first acquaintance with Barsik happened when he was a year and three months old. It was then that Barsik had the first attack of the urological syndrome of cats - urine stopped flowing through the cat's sandy urethra. The cat could not write. This was accompanied by severe painful spasms of the urethra and urges to urinate, the cat was very hard pressed and suffered. Uremia also grew rapidly. Here the owners of Barsik remembered me. Fortunately, I ended up at home, and everything I needed for catheterization was with me. After some time, the urinary catheter was placed, the necessary procedures were performed, and Barsik clearly felt better. But this is only first aid.

With a hemmed catheter, Barsik passed for 3 days. These days were not easy for him and his owners: injections and pills, an “Elizabethan” collar that interferes with normal drinking and eating (it’s possible, but you need to adapt again), urine dripping from the catheter (the lid prevents constant outflow, and the diaper, which, of course, you can put it on, it catches the catheter and its tip can scratch the wall of the bladder) and the general condition of the “patient” is not sugar ...

After removing the catheter, Barsik needed my effective “hands-on” help only once - after removing the catheter the bladder did not want to contract itself and again was full of urine the next day. Because of this, the cat again could not pee, although the urethra was passable. The problem was solved by massage of the bladder, which the owners themselves, without the proper skill, to do is still dangerous.

The disease receded - we continue to treat

Then there were regular urine tests, diet food, courses of injections and pills, but Barsik did not experience a similar acute urinary retention leading to catheterization for the next 11 years. And only at the age of more than 12, Barsik again needed my help with the catheter.

Why? Yes, it’s just that a lot of his problems have accumulated in the family, and Barsik, with the need for constant attention to him, diet and control, has faded into the background. But the insidious disease did not doze off and reminded itself of itself with a new attack, with which we had already habitually and quickly dealt with.

This and similar cases answer the question: “How long can a cat with urolithiasis live if his first attack happened at a fairly young age?”

The answer is: for a long time, if the owners take care of the pet and adhere to the doctor's prescriptions.

What are the frequent clinical manifestations of urolithiasis?

I want to pay special attention to another observation.

If a cat with a predisposition to urolithiasis does not feel the love and attention of the owners (reasonable, of course, not “heart-rending”), if the patient often experiences loneliness, anxiety, fear and other destructive feelings, then such cats often give out repeated bouts of acute delay urine and carry them harder.

Why it happens?

A cat in stress drinks less water and spends more water on vital activities. Increased respiration causes additional evaporation of water, internal metabolic processes in stress also need additional “water supply”. Therefore, the release of water into the environment is sharply reduced.

The concentration of urine increases, and with a predisposition to this, in the urine the corresponding salts begin to precipitate in huge quantities (for example, tripelfosphates, or struvites, in an alkaline environment, calcium oxalates in an acidic environment). Sand forms, which accumulates in the bladder, or, if there are already stones in the urine, then they are centers of crystallization, and new layers of minerals grow on them.

Veterinarians note a direct relationship between stress in cats and attacks of idiopathic cystitis, i.e. bladder inflammation for no apparent reason. My practice is also replete with such observations.

So, with cystitis in the urine flakes of the epithelium of the mucous membrane of the bladder, white blood cells and fibrin filaments appear. All this sticks together the sand located in the urinary bladder of cats with urolithiasis into dense plugs, with which the urethra is clogged. So begins the urological syndrome of cats - a condition of acute urethral obstruction and impaired urine outflow.

How to prevent acute urinary retention - urological cat syndrome

If you have a cat with a predisposition to urolithiasis, then you can help him avoid attacks of acute urinary retention in the following ways:

  • Monitor your cat's diet to avoid increased formation of unwanted salts. A doctor will recommend a diet for you based on a urine test. Remember that not all diets are equally suitable for all cats. The selection takes place together with the doctor often in several stages. Have patience and perseverance in dealing with your tailed gourmet.
  • Control the weight of the cat, because obesity shifts the metabolic processes in the direction of increasing the formation of undesirable salts in the urine.
  • To control the water balance of the cat, preventing dehydration or insufficient water consumption due to external reasons (rare change of water in the bowl, poor water quality, etc.)
  • Avoid stress for the pet, especially if it is fearful not socialized or, on the contrary, reacts too subtly to your “upset feelings”. I noticed that problems in personal and family life or at work with the owners are often a greater source of stress for cats than crowds of noisy and unceremonious guests. This is reflected in cats not only in urine tests, but also in blood tests with a very characteristic clinical picture.

How to identify and prevent urolithiasis, how to understand the condition of your pet and its needs? Is it possible for the owner of the cat? Or does this require a super doctor for "super money"?

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