>> My Isabelle has started peeing in the hall again. She undoubtedly has
>> another UTI.
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>
> Phil
> They tested the urine last year and did find bacteria and blood in the
> urine - no word about crystals.
What about WBCs? How was the urine collected last year? Since you
mentioned getting a sample with a "collection kit" for tomorrow, I assume
last year's sample was also collected via voiding rather than cystocentesis-
directly from the bladder. Voided urine, especially from females is usually
contaminated with bacteria that normally inhabit the distal and external
urinary tract. Samples obtained via voiding will almost always test
positive for bacteria whether the cat has a UTI or not.
Blood in the urine doesn't mean she has an infection, either. Bleeding can
be caused by mucosal inflammation or by tearing the bladder mucosa from
straining to pee. Inflammation in the bladder causes a nervous sensation
that mimics the feeling of a full bladder. She could be straining to pee
because the nervous impulses are constantly stimulated, so, she feels like
she has to pee whether her bladder is full or empty. There are other causes
of blood in the urine but they don't apply to your cat.
At that point she was on dry food. Since
> then I have added wet food to her diet and severely limited the amount of
> dry she gets. This was done to get her to dump the whole lot of excess
[quoted text clipped - 5 lines]
>
> What makes you think it's FIC and how is that diagnosed and treated?
Because the symptoms you mentioned are classic symptoms of FIC- and not a
UTI. FIC is usually self-limiting, so its difficult to tell what treatment
really works. FIC is probably caused by a defect in the glycosaminoglycan
(GAG) layer that coats the bladder wall and allows urine to penetrate the
urothelium and cause inflammation. An *all* canned diet will certainly
ameliorate her symptoms. The increased water intake results in a higher
urine volume and dilutes the noxious substances in the urine. Increased
water intake also results in more frequent urination which reduces the
amount of time that urine is in contact with the bladder wall. Frequent
urination also eliminates tiny crystals before they can grow and irritate
the bladder.
A GAG supplement (Cosequin, Adequan, Elmiron/Cartrophen [pentosan
polysulfate sodium]), might help heal and repair the bladder lining.
Amitriptyline might also help. In addition to reducing stress, amitriptyline
has some analgesic properties.
> I'm really not sure how old she is. She was found outside as a stray and
> they guessed at her age. Based on that guess she's probably 4 or 5.
The incidence of UTIs in cats 4-5 years old is about 1%!
> I'll be getting a urine sample up to the vet tomorrow - got the collection
> kit today.
If you're planning to have the urine examined for bacteria or cultured,
don't waste your time trying to get a sample. Voided urine makes a poor
sample because its almost always contaminated with bacteria that normally
inhabits the distal urinary tract. Have your vet obtain a sample directly
from her bladder (cystocentesis). I'd bet you donuts to dollars it'll be
sterile!
Phil.
Wendy - 01 Dec 2005 12:01 GMT
>> They tested the urine last year and did find bacteria and blood in the
>> urine - no word about crystals.
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> amitriptyline
> has some analgesic properties.
Dang! and I gave away an almost full bottle of Cosequin that I had purchased
for Tigger to a needy old cat with arthritis. Oh well at least the old boy
might be feeling better. He was having considerable pain from what I
understand.
>> I'm really not sure how old she is. She was found outside as a stray and
>> they guessed at her age. Based on that guess she's probably 4 or 5.
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>
> Phil.
I thought I had read that the stress of taking the cat to the vet to get a
sample can alter the ph of the urine which can skew the results which is why
the vet has the sample collected at home to begin with. Oh well, whatever.
Voided urine will show the presence of blood right? It's a starting point at
any rate. I need something to back up the fact that I know there is
something up with her. Whatever it was a year ago is back and I need to get
it addressed. I've already aggrivated the cat getting the sample. Might as
well waste my money and get it checked.
The vet also said that if we put her on prescription food it wouldn't work
if she ate any of the other cats' food. Is that true? It's nigh on
impossible to guarantee she won't get any other food at all. She's quite
good at finding the very last piece of food laying around anywhere. If one
of the others spills a piece on the floor she'll find it if Diego doesn't
get to it first.
W
BV>
Phil P. - 02 Dec 2005 09:50 GMT
> I thought I had read that the stress of taking the cat to the vet to get a
> sample can alter the ph of the urine which can skew the results which is why
> the vet has the sample collected at home to begin with.
You're missing the point. If you're looking for a UTI, you shouldn't use
voided urine because its contaminated with bacteria.
Wendy - 02 Dec 2005 11:56 GMT
>> I thought I had read that the stress of taking the cat to the vet to get
>> a
[quoted text clipped - 4 lines]
> You're missing the point. If you're looking for a UTI, you shouldn't use
> voided urine because its contaminated with bacteria.
I thought you said it was unlikely she had an infection and more likely it
was FIC or I suppose she could have crystals. Well I'll see if they find
anything and go from there. I have no problem taking her up to the vet for a
sterile sample if necessary.
I take it you have no opinion about my original question whether the SD
hairball lite dry food could have anything to do with this flare up of what
ever she has?
W
Phil P. - 02 Dec 2005 12:28 GMT
> I thought you said it was unlikely she had an infection and more likely it
> was FIC
That's what I said. But you said "she undoubtedly has another UTI". I
simply pointed out that voided urine is contaminated with bacteria that
normally reside in the distal and external urinary tract and can lead to
false results.
or I suppose she could have crystals. Well I'll see if they find
> anything and go from there. I have no problem taking her up to the vet for a
> sterile sample if necessary.
Why not just do it the right way the first time?
> I take it you have no opinion about my original question whether the SD
> hairball lite dry food could have anything to do with this flare up of what
> ever she has?
I already answered your question in my first post: "Dry food certainly can
exacerbate symptoms of FIC in cats that are predisposed to it."