My indoor only cat Jonny is getting urinary blockages over and over, and might be put down

Fledge

New member
Jul 21, 2022
2
0
First time the emergency vet cathetered him to clear the blockage, they said it's idiopathic cystitis (unknown cause) and sent him home with Prazosin and Pregabalin. After a week of dribbling urine and looking uncomfortable he was obstructed again, so we brought him back and they did the same thing. Now he's at home and he's blocking again, after thousands in expenses my Dad is already talking about just putting him down, I'm so scared for my little boy. 😞

At home I've already isolated him in a room from any stressors, put in a water fountain, a Feliway diffuser, sprayed calming spray, put in a new litter box with a new brand of litter, put him on prescription urinary canned wet food, hand syringed water, vacuumed and put in fresh blankets every day, sprayed around the house to keep other animals away, even tried homeopathic stuff like apple cider vinegar, marshmallow root, electrolytes, etc., nothing seems to work. He was constipated last night and hasn't eaten since yesterday, along with some very subtle involuntary spasms (now I'm worried he might have hyperkalemia).

What more can I do? 😞 I want to avoid perineal urethrostomy if it can be helped, but we just can't go on like this. Is there anything I could be missing? I'm thinking maybe trying a different vet with different treatment protocols, but that's all I can think of at this point.
 

KittyJ

Moderator
Staff member
Apr 27, 2021
446
636
I suggest you get a second opinion first.

I'm so sorry this is happening and I truly hope your cat doesn't have to be put down.
 

Luna Bella

New member
Apr 23, 2023
19
26
It sounds like you are doing everything possible for your beloved cat. Is there any naturopathic/holistic vets in your area that you can go to for a second opinion? I've found that sometimes the alternative medicine vets have treatments that conventional vets do not use. I'm hopeful you will find a solution soon to help your cat get better.
 

Gizmoandsooz

Member
May 1, 2023
59
67
First time the emergency vet cathetered him to clear the blockage, they said it's idiopathic cystitis (unknown cause) and sent him home with Prazosin and Pregabalin. After a week of dribbling urine and looking uncomfortable he was obstructed again, so we brought him back and they did the same thing. Now he's at home and he's blocking again, after thousands in expenses my Dad is already talking about just putting him down, I'm so scared for my little boy. 😞

At home I've already isolated him in a room from any stressors, put in a water fountain, a Feliway diffuser, sprayed calming spray, put in a new litter box with a new brand of litter, put him on prescription urinary canned wet food, hand syringed water, vacuumed and put in fresh blankets every day, sprayed around the house to keep other animals away, even tried homeopathic stuff like apple cider vinegar, marshmallow root, electrolytes, etc., nothing seems to work. He was constipated last night and hasn't eaten since yesterday, along with some very subtle involuntary spasms (now I'm worried he might have hyperkalemia).

What more can I do? 😞 I want to avoid perineal urethrostomy if it can be helped, but we just can't go on like this. Is there anything I could be missing? I'm thinking maybe trying a different vet with different treatment protocols, but that's all I can think of at this point.
Take him to the vet he's blocked
 

SebastianB

New member
Apr 25, 2023
4
0
Emergency hospitals has a tendency to over diagnose by recommending surgery for something that can eventually clear up. Cystitis is manageable at home in most cases and can in fact clear up as quickly as it started. I’d recommend finding an experienced Vet for a second opinion. Do you have any Cat only Vets where you live?
 

Gizmoandsooz

Member
May 1, 2023
59
67
Emergency hospitals has a tendency to over diagnose by recommending surgery for something that can eventually clear up. Cystitis is manageable at home in most cases and can in fact clear up as quickly as it started. I’d recommend finding an experienced Vet for a second opinion. Do you have any Cat only Vets where you live?
What a stupid comment.

When your cat is blocked it can be fatal if you try to stuff around at home with home remedies.

UTI's are just that. Blockages.
If you decide to leave it your cat will die.
 

SebastianB

New member
Apr 25, 2023
4
0
What a stupid comment.

When your cat is blocked it can be fatal if you try to stuff around at home with home remedies.

UTI's are just that. Blockages.
If you decide to leave it your cat will die.

Can you point out where I wrote “ home remedies”?
I can point out where I wrote “experienced vet” and “second opinion” and heres why - a perineal urethrostomy costs about $6000 with the additional risk of anesthesia and a success rate of around 10%.
A felines urinary tract is complicated and an infection can happen anywhere along the entire lower tract, they don’t all end In blockages and result in surgery.

I’m new to the forum - I know a lot about cats, ive dealt with just about every feline illness imaginable, I don’t appreciate rudeness as a reaction to my helpfulness.
 

SirMeow

Administrator
Staff member
Nov 25, 2021
441
501
@SebastianB clearly you're not a spammer, so I've turned off the post approval for you early.

Unfortunately, I don't know anything medically related, to give an opinion about what to do about this problem. All I can say, is that if it was my cat, I'd just do whatever the vet recommends and hope it all works out. Sounds like quite a serious problem.
 

SirMeow

Administrator
Staff member
Nov 25, 2021
441
501
@Mars Any idea on what to do for this problem?

@Fledge It's approaching two months since you posted or even logged in, so do you have an update for us? We're all concerned here about the welfare of your cat.