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Sophia | 5 years ago
Hi Dr. Mag, I Came Across Some Of Your Videos On YouTube And That Brought Me …

Hi Dr. Mag, Gatsby and I need your help.
I came across some of your videos on YouTube and that brought me to your blogs and finally here to Pawbly.com I feel so fortunate to have found your videos you seem so knowledgeable and more importantly empathetic. The care you have for animals truly shines through. I feel so helpless When it comes to my little guy Gatsby. He is 8 years old and has been very healthy all his life, But within the last six weeks we have been experiencing some urinary issues. I did think he had a blockage because he was unable to urinate for close to 24 hours, he seemed lethargic and did not want to eat. I took him to the vet first thing in the morning and he was given an x-ray which did not show any signs of kidney stones. He was given fluids under the skin, an antibiotic shot and sent home with 5 days dosage of Prozasin. The vet diagnosed him with feline lower urinary tract disease, yet he did not take any urine samples because he said that Gatsby’s bladder was very small and he was unable to collect a sample. He did not take any blood either. Within a couple days Gatsby was again exhibiting the same symptoms so I asked around for personal referrals and took him to a different vet. This vet said the same thing, Gatsby’s bladder was very small, but he kept him for a few hours to collect urine and did perform blood analysis and lab work. This was a Saturday and the vet suggested I switched him to a prescription urinary diet and informed me I would receive lab results that Monday. When the vet called all of his lab work came back clear, no infection, no signs of crystals, no signs of cystitis, kidneys functioning properly and he does not have diabetes. The vet suggested I keep him on a prescription diet and suggested that he lose weight because he is a big boy at 15 pounds. This was about a month ago and Gatsby has had two more episodes since. He is licking himself a lot. He travels to his box many times and is only producing small dots of urine, he has on a handful of occasions exhibited inappropriate urination, but only during these flareups which tend to last 2 to 3 days. I’ve called the vet to discuss Gatsby’s condition and his solution is to have the surgery performed. I have read a lot of literature, watched a lot of videos and have taken him to two different vets to try and find answers and help for him. It hurts me to see him struggling. He is on a wet food only diet, I do not feed him any dry food or dry treats. I have tried a urinary health chew which he receives once a day. I have noticed that he has not been drinking water as he used to prior to these episodes. I have a water fountain for him I’ve tried fresh water in different types of bowls, I’ve tried water with ice, he’s just very resistant to drinking water now. Any advice or guidance you can provide would be greatly appreciated.

2 Responses

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  1. Krista Magnifico

    Hello,
    I think part of the problem is that no one is really sure of his diagnosis. Straining can look like a lot of other things too. I always check the gi system and the urinary system for a cat displaying litter box issues. What that means is that I do a rectal exam. I check the colon the feces (send to the lab) and anal sacs. I also check a urine sample. I even do a urine culture and sensitivity of I can’t find the source of the problem. I think your diet plan is good but I would also encourage play and exercise. It helps the gi system and the weight loss which always helps the urinary system. Think of it like a “whole cat” approach to finding out what is wrong. The other piece of advice I have is to find a feline only practice. I just think they do a better job with cat issues when people feel they haven’t gotten the answers they need at a general vets office. Don’t give up! Your cat is trying to tell you there is a problem. Keep digging! Good luck. Let me know what happens.

    1. Sophia Post author

      Thank you Dr. Mag for your response! I forgot to mention that the first vet did do a rectal exam and he said that he cleaned out the buildup from his anal sac. I know there is a better term for it but I don’t have his paperwork in front of me. But he did show me What was cleaned out and he said the color and look of it was fine. I really like that suggestion of an all feline facility. Yes you’re right I have to do better with play and exercise he does have a harness and leash but will just plop on the floor lol, We did live in a different home and for the six years of his life he was able to go outside and play. He is now strictly an indoor cat. I am always so fearful of a blockage because I know how fatal it can be. Can you give me some peace of mind and let me know what signs I should look for to signal that it is a true emergency because like you said the symptoms tend to overlap and I don’t want to overexaggerate yet miss critical signs because there is a thin line.

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Nicole | 5 years ago
I Have A 12 Year Old Female Cat. She Was Obese For Several Years. I Managed To …

I have a 12 year old female cat. She was obese for several years. I managed to get weight off of her a few months before these issues. There has been a lot of urination outside of the box. The urination has been going on a long time and initially I thought it was behavior because I adopted a rescue dog in October 2018 she hasn’t been thrilled about the dog. Right around the time my cat turned 12 she started with the urination… February or March.

In the last couple of weeks her thirst increased significantly. Also just laying on her side on the floor, not wanting to be in her bed or on the furniture. She’s losing weight /muscle mass and she is hoarse. She is still eating, I had to coax her a bit one day so I made chicken broth from drumsticks she’s been drinking a good amount of the broth and ate chicken and her canned food. She’s actually been gulping the food down.

I can’t tell if this is kidney related or diabetes. I have not noticed bad breath. I am in a real bind and need to figure out what else to do for her till I can get money for a vet.

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  1. Laura

    Inappropriate urination is often the first noticeable sign something is wrong. Increased thirst means this has been going on long enough to be a total body problem. I would put a lot of effort into getting her seen sooner than later…going too long can and will cause further damage to her already very sick body.

    (Dr. M told me bad breath is kidneys. Expect a full urinalysis and bloodwork, plus the possibility of subcutaneous fluids and prescription diet.)

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Michelle | 5 years ago
Blocked Cat Cannot Urinate After Catheter Treatment. Brought Our Boy (age 6) To The Vet Friday 9/13/19 He …

Blocked Cat Cannot Urinate after catheter treatment. Brought our boy (age 6) to the vet Friday 9/13/19 He was totally blocked. Vet did catheter and IV overnight. Showed great improvement. Still a bit slow to urinate but peed beautifully (on the toilet bowl–yes he often does this). Vet wanted to keep him for observation while we were at work, but again his urination was only dribbles. He’s back at the vet for 2nd night of overnight catheter again. Any insight?? Vet is saying the slow urine stream/lack of urine is due to inflammation. Then how did he pee so beautifully on Wednesday? Very confused, frustrated, and want our baby back home! Any help or insight would be greatly appreciated Thanks.

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  1. Sarah

    Good morning-
    The one time that we had this with one of our cats was many years ago. I wish that the vet we saw them (not who we now see) had kept him for observation and sent us home with better instruction. We ended up having an extremely costly surgery and luckily no recurrence after that. I also researched and changed our litter and we did a diet change. I feel that if our vet at the time had given us better instruction after the first occurrence, as well as had kept him overnight to make sure he was ready to go home, we may possibly have been able to avoid the second visit. I would talk to the vet you are seeing. Ask about diet and litter recommendations. There is a good Rx catfood. Ask for advice on early warning signs to look for. Best of luck.

    1. Michelle Post author

      Thank you. Yes, we are now aware of early warning signs and diet has been changed to Rx cd wet food only. The problem now is that Sebastian can’t seem to urinate more than tiny amounts at a time. Vet keeps saying the cause is inflammation, but he’s had catheters on/off for a week now and is getting meds… Why can’t he urinate??? Vet says cath goes in with no problem and urine at that point is clear. He’s stressed at the clinic and that can’t be helping matters. Thanks again.

  2. Michelle Post author

    Thank you. Yes, we are now aware of early warning signs and diet has been changed to Rx cd wet food only. The problem now is that Sebastian can’t seem to urinate more than tiny amounts at a time. Vet keeps saying the cause is inflammation, but he’s had catheters on/off for a week now and is getting meds… He’s stressed at the clinic and that can’t be helping matters. Thanks again.

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Barbara | 6 years ago
I Have A Cat 10 Years Of Age, Flash. He Had A Tumor That Was Detected After …

I have a cat 10 years of age, Flash. He had a tumor that was detected after he chewed on his privates and was unable to pee. I took him to the vet and was told they had to remove tumor and his male parts. So after spending about 1500.00, a discount because I also had my other cat that cost 500 for shots and fixing and chipped. After about two months my cat once again had issue peeing. I am now told it will cost another $2000 to do another surgery where they will make a knew opening. I am at ends wit because I can’t do another $2000 when thinking the first surgery was to fix the issue. Was something not done correctly the first time? All I am told is that he heals too fast and the tissue is weak and can’t maintian an opening to pee needing a new one.

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  1. Krista Magnifico

    Hello,
    I’m sorry but I am not quite sure what is going on here. I think that I would recommend that you get a second opinion from a feline specialist or a vet your friends or family recommend. Or go back to your vet and ask for assistance in exposing what’s going on and why?
    I think you need some clarification before making any big decisions. In the meantime you can ask about intermediate palliative care. Please keep me posted on progress and good luck!

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Pawbly | 6 years ago
My 10 Yr Old Maltese Was Laying On My Bed. When I Took Her Off…

My 10 yr old Maltese was laying on my bed. When I took her off of it the area she was laying on was very wet. Not urine wet. There was no odor. But I could feel the wetness and see where it stained. Although it was very light. Her body wasn’t wet. I know that it wasn’t from anything else. She was showing signs of being nervous when I first put her there. It’s very confusing.

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  1. Jennifer Taylor

    I would watch carefully to see if you continue to notice “wet spots” where she lays. My dog has Spay-Induced Incontinence, she leaks urine when she is sleeping. It is often odorless as well as my girl also has a condition where she does not concentrate her urine. If you continue to notice these wet spots a trip to the vet would be warranted to see if there is a medical cause and treatment. Best of luck!

  2. Laura Kyle

    I agree with Jenn. It sounds like urine to me. Sometimes when urine is dilute it has very little odor. At 10years old, I would definitely recommend some baseline bloodwork and a urinalysis.

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Sharon Kim | 6 years ago
My Male Cat Has Trouble Passing Urine Today, Went To The Vet And Was Diagnosed…

My male cat has trouble passing urine today, went to the vet and was diagnosed with idiopathic cystitis. He’s not completely blocked only passing tiny dribbles of urine. Was prescribed an anti inflammatory, pain meds and new wet food. He’s been drinking lots of water and not eating since we got back from the vet. I’m worried about him. Was told to wait and see and then come back if no change or symptoms worsen. He’s been hiding under the bed no improvement. Won’t eat. We have some calming spray and topical drops coming in the mail soon just to see if that helps with any stress. Would love to hear anything you can contribute.

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  1. Krista Magnifico

    Hello,
    For cases like this when I have a very worried and devoted parent I ask them if they would like to learn how to palpate their pets bladder to be better able to monitor at home and also to give sq fluids to keep the bladder as flushed as possible. If you can afford it hospitalize your cat for iv fluids and have them monitor. Then I recommend you switch to a urinary formula canned food and maybe even add water. Also products like cranmate or dasaquin might help. Ask about what you can do at home. Ask about pain management and follow up urinalysis. Ask your vet to be as personally invested in your cats health as you are. If they aren’t find a different vet. Try a cat specialist. Good luck.

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Holly Hood | 6 years ago
I Have 3 Cats And Have Some Litter Box Issues. I Used To Have The…

I have 3 cats and have some litter box issues. I used to have the covered boxes, but noticed that one of the cats was peeing outside the box. So I removed all of the lids. The problem seemed to stop, but then started again on occasion. I bought larger boxes, (I have three of them) and the issue still occurs. I finally discovered it was my cat with colitis. She does pee in the box, but gets so close to the edge or stands instead of squats that it goes outside the box. Is she doing this because of the colitis or a behavior issue? perhaps higher sided boxes would help? I keep the areas lined with pee pads, but they are no match for cat urine. Suggestions?

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  1. Sarah

    Hi?
    I would try a box with higher sides. I would also discuss this with my vet to make use it isn’t related to the medical issue.

  2. Laura

    I agree with Sarah – get a box with higher sides. You should have 4 for that number of cats, anyway, so it’s a good time to pick that up.

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Lauren Hall | 6 years ago
My Male Approx. 8 Yr Old Cat’s Blood And Urinalysis Came Back With Some Abnormal…

My male approx. 8 yr old cat’s blood and urinalysis came back with some abnormal results. He has a little blood (+1 according to vet’s scale) and protein (+2) in his urine. However, we ruled out kidney failure/issues. He has passed a stone in the past and had noticeable blood then, but the vet is saying he doesn’t know if that’s the cause now and wants to treat it as idiopathic cystitis, thus no known cause = no set treatment.
For various reasons, I have had suspicions that my vet is not acting honestly in all regards (from severe misdiagnosis, offering unnecessary treatments as only options, and charging me for services that I wasn’t asked/ told about) but will be moving in a month so will see a new vet anyway.
For now though, I want to address any possible issue before the move seeing as stress may worsen it. So this vet is saying since they don’t know what the cause of the test results is but want to give me various antibiotics and meds to treat all possible causes. But he himself said that the medicine he’d put me on (Orbax, 10 day supply) has less expensive alternative options but “they don’t have flavoring so it’s harder to get cats to take them” and I’d have to potentially give it 2x a day instead of 1x. But I don’t care how often and I honestly don’t care how much it costs, but I really care that my vet is acting in the best interest of my cat NOT prescribing just because he can. What’s more, Feline idiopathic cystitis seems to be diagnosed by things he didn’t do as he didn’t culture the urine (and said he doesn’t want to because it’s only 50% accurate), didn’t x-ray, and didn’t ultrasound (source:
https://icatcare.org/advice/cat-health/feline-idiopathic-cystitis-fic).
Based on the urinalysis results and clean blood work, has anyone had any similar experiences that could be a cause? I’d rather not put my cat on antibiotics he doesn’t need and potentially mess him up more… especially if proper steps of diagnosis haven’t occurred. Any advice would be very, very appreciated!

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  1. carrie Urquhart

    If he’s passed a stone before it’s likely he may have another. Male cats have a really hard time passing stones or crystals since their opening it very small. Was the cat showing signs of a uti, or was this routine labs? Do you know if they looked at the urine to check for crystals? Sometimes it could be an infection and a round of antibiotics clear it up, but id be weary of that diagnosis if they didn’t look at it under a microscope.

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Pawbly | 7 years ago
My Boykin Spaniel, Georgia (will Be 1 Year Next Month) Has Just Started Vomiting Yellowish…

My Boykin Spaniel, Georgia (will be 1 year next month) has just started vomiting yellowish color bile. She also has very foul smelling, dark urine. She eats and drinks very little at the time. Could the bile and dark urine be from something she ate recently, or something more serious going on? Any suggestions?

2 Responses

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  1. Sarah

    Hello? I would call the vet. Seeing as she is almost a year and her annual exam and shots are due soon, they may even squeeze everything into one visit for you. But the fact that there seems to be something going on needs to be addressed/assessed by your vet.

  2. Anonymous

    The combination of things makes me worry. Please get her in today.

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Shiria | 7 years ago
Does Reflux In Premature Kittens Exist? I’m Asking Because We Got 4 Tiny Premature Kittens Yesterday…

Does Reflux in premature kittens exist?
I’m asking because we got 4 tiny premature kittens yesterday with their mother. She didn’t have milk when the were born, so the little ones were bottle fed/syringe fed the 2 days before they came to us.. However since she still showed interets in her babys they stayed with her. They had around 70gram according to their owner. When they arrived, they were cold and crying. One died a few minutes after they arrived, despite slowly warming up. It had tiny bits of milk in its nose.
(they were fed ca. 60 minutes earlier)

When they were finally warmed up two were drinking, one was fed with a syringe. All were urinating normally, one had a bit of bowel movements (yellow and soft). I placed them to their mother who was very worried about her babies and cuddled around them immediatly. She had a heat pad below her box to help keeping the temperature. She was extremly nervous, so I left her alone for the time being.
When I looked after them for the next feeding, the second one was dead. Milk around nose and mouth. I checked for cleft palate, but there was none visible.
The other two also showed no signs of a cleft palate. However, they felt cold again despite lying on their mothers belly.

I warmed them up again and this time I didn’t put them back – as it seemed that the despite mother and heat pad below they could’t keep their temperature. So they stayed in the box we use for raising kittens.

One was drinking, one was not. The none drinking was tube fed. When I looked after them a ca. 15 minutes later the non drinking one hat milk running out of its nose and mouth. I cleaned it immediatly and it started breathing again – but I guess it still got something in its lungs, as it died a few minutes later.

The remaining one was now warm, still urinating normally and drinking. But it couldn’t settle down. It was always crying and seemed restless. The next two feedings went normally – as dfar as that is possible with such a tiny one. When I wanted to feed it in the late evening I found it dead – a bit of milk running out of nose and mouth. It was the smalles one of them with only 67 gram.

I’m very worried that I did something wrong… They were not the first babys I bottle fed (or syring fed/tube fed). But it’s not like I’m very experienced… Usually the ones I get are at least full term… I only had one premature Baby before, that also died after 2 days. It had only 53 gram when being born – but it was with me since birth.
None of the babyies I cared lost as much milk through their nose – and especially not their mouth. The only ones that did this, had a cleft palate. The healthy babys may choke at some milk at the beginnig when they try to figure out the bottle – and may show a bit milk at their nose when doing so – but they never showed those problems. They were fine later,

These ones died more or less immediatly after I took them in – and that’s why I’m asking myself, if I did something wrong – or if I should do something different next time – as all of them showed milk at nose and mouth. The third one looked like it had spit our everything it drank earlier and the last one also had more than just a drop outside of nose and mouth. I only fed tiny amounts – ca. 1ml each feeding, to get them started, was that still too much? The previous owner said nothing about problems with feeding – and I used the same milk as them.

It seemed all aspirated milk because it came back out of their stomach (reflux).
I know reflux is not unusual in human preemies – but what’s with cats and is their a way to avoid that? (If that’s the reason for their problems at all). But if not why came the milk back up?

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  1. Sarah

    Good morning. I’m so sorry that you had this experience. While I cannot truly answer your question about reflux, I just wanted to say that the fact that you cared so much and tried so hard does not go unnoticed. Thank you so much for trying?