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still straining in litterbox

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Justin L - 24 Nov 2005 15:58 GMT
Hi,

I picked up Elwood yesterday from the vet. They said he urinated on
his own, but was still straining so they prescibed him Valium to help
with the pain.
He is eating & drinking but  still having a hard time in the box. He
goes in and makes a grunting sound, and very small amounts of urine
come out. I can tell it is starting to get to him, and I really don't
want him to stress himself out and get a block again.

Is this to be expected during recovery?
Is it normal to prescribe Vlium for this?
He is also on an antibiotic, and an optional appetite stimulant.
No More  Retail - 24 Nov 2005 19:35 GMT
Justin  is it valium or diazepam the generic form for it.  How much is the
dosage?

 I wonder if the vet knows that it can cause problems urinating.  I have a
cat on diazepam 2mg x2 a day for epilepsy.   Valium is a drug that has to be
careful monitored in cats it can cause liver dysfunction and kidney damage.
Full blood works are needed often specially liver enzymes test

valium side effects
More Common Side Effects:
Drowsiness, fatigue, light headedness, loss of muscle coordination.

Less Common Side Effects:
Anxiety, blurred vision, changes in salivation, changes in sex drive,
confusion, constipation, depression, difficulty urinating, dizziness, double
vision, hallucinations, headache, inability to hold urine, low blood
pressure, nausea, over stimulation, seizures, skin rash rage, sleep
disturbances, slow heartbeat, slurred speech, tremors dizziness, yellowing
of skin and eyes.

the generic form diazepam have about the same side effects

> Hi,
>
[quoted text clipped - 9 lines]
> Is it normal to prescribe Vlium for this?
> He is also on an antibiotic, and an optional appetite stimulant.
Justin L - 24 Nov 2005 20:49 GMT
>Justin  is it valium or diazepam the generic form for it.  How much is the
>dosage?

She told me it was Valium, but the pill bottle says Diazepam. I have
to give him 1/2 pill three times a day. The pills are 2 mg. doses.
Thanks for the side effects, I wonder if the vet even knows this..

>  I wonder if the vet knows that it can cause problems urinating.  I have a
>cat on diazepam 2mg x2 a day for epilepsy.   Valium is a drug that has to be
[quoted text clipped - 28 lines]
>> Is it normal to prescribe Vlium for this?
>> He is also on an antibiotic, and an optional appetite stimulant.
No More  Retail - 24 Nov 2005 20:51 GMT
what antibiotics and appetite stimulant  both those can have major side
effect

>>Justin  is it valium or diazepam the generic form for it.  How much is the
>>dosage?
[quoted text clipped - 39 lines]
>>> Is it normal to prescribe Vlium for this?
>>> He is also on an antibiotic, and an optional appetite stimulant.
Justin L - 24 Nov 2005 21:17 GMT
>what antibiotics and appetite stimulant  both those can have major side
>effect

The antibiotic says Amoxi-tabs, and the appetite stimulant is
Cyproheptadime.
I have not given him the appetite stimulant because he is eating good.

>>>Justin  is it valium or diazepam the generic form for it.  How much is the
>>>dosage?
[quoted text clipped - 39 lines]
>>>> Is it normal to prescribe Vlium for this?
>>>> He is also on an antibiotic, and an optional appetite stimulant.
No More  Retail - 24 Nov 2005 21:39 GMT
another name for Amoxicillin
http://www.pfizerah.com/PAHimages/compliance_pdfs/US_EN_A5_compliance.pdf

diazepam
http://www.animalhelp.com/pets/rxdetail.cfm?drug=245

I would make a phone call back to the vet tomorrow  and let him know the
kitten is still having problems.  Is the cats stomach area  bloated  where
it may feel like the bladder is over full.

I am wondering if they did not get all the blockage out or it might have
reoccurred

>>what antibiotics and appetite stimulant  both those can have major side
>>effect
[quoted text clipped - 50 lines]
>>>>> Is it normal to prescribe Vlium for this?
>>>>> He is also on an antibiotic, and an optional appetite stimulant.
Justin L - 25 Nov 2005 01:23 GMT
>another name for Amoxicillin
>http://www.pfizerah.com/PAHimages/compliance_pdfs/US_EN_A5_compliance.pdf
[quoted text clipped - 4 lines]
>I would make a phone call back to the vet tomorrow  and let him know the
>kitten is still having problems.

Yes, I plan on it.

>Is the cats stomach area  bloated  where
>it may feel like the bladder is over full.

It doesn't feel too bad too me, but I am not a vet. The good news is
that he is cheerful and affectionate (except when he tries using the
litter box) So I am hoping he is just a little uncomfortable and
nothing serious. What bugs me is not knowing what is going on.

<snip>
whitershadeofpale - 25 Nov 2005 01:55 GMT
> >another name for Amoxicillin
> >http://www.pfizerah.com/PAHimages/compliance_pdfs/US_EN_A5_compliance.pdf
[quoted text clipped - 6 lines]
>
> Yes, I plan on it.

sorry, I misunderstood, he's having a wee wee problem

best to ya's!
cybercat - 26 Nov 2005 19:19 GMT
> >Justin  is it valium or diazepam the generic form for it.  How much is the
> >dosage?
>
> She told me it was Valium, but the pill bottle says Diazepam. I have
> to give him 1/2 pill three times a day. The pills are 2 mg. doses.
> Thanks for the side effects, I wonder if the vet even knows this..

Justin--get your cat out of there. This vet is a moron.
whitershadeofpale - 25 Nov 2005 00:25 GMT
> Is this to be expected during recovery?
> Is it normal to prescribe Vlium for this?
> He is also on an antibiotic, and an optional appetite stimulant.

give your cat a warm enema
Phil P. - 25 Nov 2005 08:04 GMT
> Hi,
>
[quoted text clipped - 7 lines]
>
> Is this to be expected during recovery?

Two of the possible complications of a urinary tract obstruction are
urethral damage or spasms and/or damage to the bladder detrusor muscle from
overdistention.  When the bladder becomes overdistended and remains
stretched for any length of time the tight junctions between the muscle
fibers loosen up and separate a little. These little gaps between the muscle
fibers interrupt the wave of motor nerve impulses across the bladder wall
that control bladder contraction.  So, even though the obstruction has been
removed, the cat can't voluntarily contract his bladder and urinate.

One way to determine if the detrusor muscle has been damaged is by
expressing the bladder manually (don't do it yourself - ask your vet show
you how).  If he has a good urine stream when his bladder is expressed, that
means he doesn't have any outflow obstructions and his urethra is intact
and that his problem urinating is probably the result of a damaged detrusor
muscle. If the stream is weak he could still have a partial obstruction (or
recurrence) or urethral spasms.

Unless the bladder was severely overdistended for any length of time, the
tight junctions between the muscle fibers should tighten up and return to
normal and he should be able to contract his bladder and urinate on his own
again.  I don't know how long it will take before he's urinating
normally because I don't *if* or how badly the detrusor muscle has been
damaged.  *If* the detrusor muscle has been damaged, you're probably going
to have to keep his bladder empty so that the tight junctions can reform-
which means either expressing his bladder manually or using a urinary
catheter. Both carry risks: catheterization can damage the urethra and/or
cause inflammation and dysuria as well as introduce bacteria into the
urinary tract.  Expressing the bladder can also damage the bladder.  The vet
must be sure that the bladder wall is intact before applying pressure.

> Is it normal to prescribe Vlium for this?

Yes- because valium seems to help relieve urethral spasms which are fairly
common after the removal of an urethral obstruction.  That might be all
that's necessary- I sure hope so- even though I don't like to use valium in
cats because it can crash a cat's liver.

If his urethra is intact and he doesn't have spasms or a partial
obstruction, and his urine stream is strong when his bladder is expressed,
you might want to speak to your vet bethanechol- it increases detrusor
muscle tone. I'm not crazy about bethanechol but it does work and its
immeasurably less stressful for the cat. Bethanechol seems to work much
better if therapy is begun after a few days of keeping the bladder empty- at
least that was my impression with our cats.

> He is also on an antibiotic, and an optional appetite stimulant.

An antibiotic is a good idea since he was probably catheterized.  Hang on to
the appetite stimulant because if your vet prescribes bethanechol- you're
gonna need it. ;)

Best of luck,

Phil
tracyrose@gmail.com - 25 Nov 2005 17:37 GMT
Valium and Diazepam are exactly the same thing. Diazepam is the generic
name of the drug.
Alison - 26 Nov 2005 20:29 GMT
--
> Hi,
>
[quoted text clipped - 9 lines]
> Is it normal to prescribe Vlium for this?
> He is also on an antibiotic, and an optional appetite stimulant.>>

   Kim was given a Rymadil (sp) shot for her pain and it was very
effective.
It's not good for liver long term but any drug has side effects. AFAIK
in  the
UK, they don't tend to give Valium for  FLUTD as a standard practise.
Alison
 
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