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

[Fledge]

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]

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]

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]

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