Posted on 22nd, May 2017
|THE PET HEALTH LIBRARY
By Wendy C. Brooks, DVM, DipABVP
Educational Director, VeterinaryPartner.com
Feline Lower Urinary Tract Disease (FLUTD)
The diseased lower urinary tract yields the same collection of symptoms regardless of cause.
The Trick is Determining the Cause
The urinary bladder, urethra, and urinary opening all constitute the lower urinary tract. It makes sense that effective treatment requires knowing the cause of the symptoms. The problem stems from the fact that just about any inflammatory condition in the feline lower urinary tract creates the same collection of signs. Tumor, infection, bladder stone, and even idiopathic cystitis all create the same clinical picture. Sorting out the causes requires some testing and what kind of testing depends largely on the age of the cat and its past history.
What are the Possible Causes of these Symptoms in a Younger Cat?
It turns out that average age for a cat with these symptoms is only four years (quite young). A few such cats will have a true bladder infection and will need antibiotics and 15-20% of cats will have a metabolic bladder stone that needs to be either surgically removed or dissolved with diet depending on what type of stone they have. Obviously these cats who have definable diseases with specific management need to be identified and treated accordingly. The lion's share of cats, however, seem to have a stress-related syndrome called idiopathic cystitis which requires a more in depth lifestyle change. Male cats can actually develop a life-threatening urinary obstruction. These are the common causes of lower urinary tract symptoms in young and middle aged cats:
If your cat is not in an emergency state, some tests will be needed to rule out stones and infection. Expect some kind of imaging of the bladder to be needed (usually a radiograph) and a urinalysis.
If your cat is male, producing no more than a few drops of urine when he strains, and especially if he is listless and/or vomiting, seek veterinary care immediately. Urinary blockage is almost exclusively a male cat situation.
If you are not sure if your cat is able to pass urine,
assume that an emergency could be present and call your veterinarian’s office at once.
If we separate out the cats that are 10 years of age or older from this group, we get a different statistical picture. Urinary tract infection becomes the most common condition and often the infection extends to the kidneys, requiring a long course of treatment (6-8 weeks). Bladder tumors become more of a concern and urinary incontinence can be seen. Idiopathic cystitis that is such a common cause of these same symptoms in younger cats is rare in older cats, even if the same cat had the problem when younger. For cats over age 10 years, these are the common causes of lower urinary tract disease:
For these cats, we will want to start with not only a urinalysis but likely a urine culture as well because we want to get the antibiotic exactly right especially if the course of treatment is going to be long. Blood work will be needed to assess kidney function since kidney insufficiency is in two-thirds of cases. It may also be prudent to perform imaging (ultrasound or radiography) to check for stones or tumors.
Lower Urinary Tract Symptoms are Not Specific to a Particular Disease
Feline lower urinary tract disease is a syndrome that has many causes. Your veterinarian will guide you as to appropriate diagnostic recommendations.
Date Published: 1/1/2001
Date Reviewed/Revised: 04/05/2017
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