We brought Mila, my 7 year old mixed domestic savannah chausie female spayed kitty, early this morning for emergency attention because she was moaning and groaning in pain last night and could hardly move. Prior to this morning she had been seen two weeks ago at the same emergency clinic and her primary vet. Both determined she had crystals and a UTI and prescribed medication which we’ve been giving as instructed along with keeping her on the strict urinary care diet from hills c/d.
She tried yesterday and this morning to use the litter box but was unsuccessful in relieving herself so we had to treat it as if she was experiencing a blockage which you know is very dangerous.
The Dr. was able to express Mila’s full bladder and found no blockage there, but said Mila was in a lot of pain while undergoing the procedure. She did not feel any stool so Mila is not considered to be constipated, but a good sized stone or crystal was visible during the ultrasound.
The Dr. strongly believes Mila still has a UTI and wants to get that under control first, so we were given the following medications:
Pradofloxacin (antibiotic)
Prazosin (for urethral spasms)
We were also instructed to increase the dosage of the Gabapentin from 0.3ml every 12 hours to 0.5ml every 8 hours since it didn’t seem to be doing enough in terms of managing Mila’s pain. She was previously on buprenorphine for pain but we were concerned that it was constipating her.
We need to bring Mila in as soon as possible to perform another urinalysis and culture as was recommended by the Emergency clinic. This was recommended to determine whether or not the bacteria from the UTI has spread to Mila’s kidneys.
We chose to decline those diagnostics at the emergency Clinic today as they were going to charge an additional $800 for an already expensive treatment and we felt more comfortable going through our primary vet for Mila (the diagnostics will cost a fraction of what emergency quoted.)
I want to do everything I can for Mila but we are now in the hole nearly $2k at the point between the two emergency visits and the primary vet visit, so wanting to know what is necessary now Vs. what can be phased in.
I hate seeing her in pain and I’m just worried that she isn’t improving.
Good morning-
Im sure you are getting her into see your vet right away. I would have a very in depth conversation regarding your budget and what you expect as well as your concerns and Mila’s overall comfort level. Years ago one of our cat’s had a urinary blockage and I do remember him being kept for a few nights, catheterized, and surgery to remove the blockage and Rx cat food for the remainder of his years. And it was expensive, and it was a long recovery, but he did well. I hope Mila does too.
Thanks Sarah! We’ve been acting with urgency and Mila is finally starting to improve – she was given a stronger antibiotic to tackle the UTI in addition to the pain and urethral spasm medications. It seems to be the right cocktail, allowing Mila to urinate without strain. I never thought I’d be so happy to watch her go! haha. After her most recent visit to the vet this past Monday, they confirmed no blockage, no stones, and a smaller less full bladder! Good girl Mila! We are waiting on the urine culture results which will tell us exactly what type… Read more »