Wednesday, May 27, 2015

2170. Video production for a FLUTD cat in Singapore


  draft for intern to produce a video




Recurring Feline Lower Urinary Tract Disease in a Cat in Singapore
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
D
ate:  28 May, 2015




HOOK
Dysuria, pollakiuria and haematuria
Recurrence of above signs after a vet has successfully cured him. Why?
(VIDEO FOOTAGE OF CONSULTATION TO TOA PAYOH VETS)

TITLE








THEME
Feline Lower Urinary Tract Disease in a cat in Singapore's apartment









INTRODUCTION
Pollakiuria, Dysuria and Haematuria can be present in the Feline Lower Urinary Tract Disease cases as follows:

1. Feline Interstitial Cystitis
2. Urethral Obstruction
3. Bladder stones
4. Other conditions such as parathryoid hormones


MIDDLE


Case  5-year-old male neutered cat had recovered from FLUTD after treatment by Vet 1 three months ago but now, same clinical signs of dysuria and going to the litter box many times again.  "Did you see blood in the urine?" I asked the mother and adult son. "Can't see as he goes to the litter box to urinate!" she said.




Diagnosis
Physical exam.  Bladder pain and enlargement, bladder pain and size, genital area for uethral plug and inflammation

Urine test. pH, SG, crystals, bacteria, red and white blood cells, protein
Blood test    Urea & Creatine. Phosphorus and calcium. Leucocytosis.
X-ray. Kidneys, bladder to urethral opening views
Ultrasound


Treatment
Drip
Pain control
Antibiotics
Catherisation
Surgery - cystotomy and perineal urethrostomy






Prompt treatment advised. Kidney failure or infections.

Prompt veterinary treatment - stabilise and pain control with
Diet  - wet food, good quality protein

Environment - Litter boxes, water intake, multi-cat household, change of diet or environment, male neutered cat

Follow up and regular urine tests at half-yearly are rarely done by the owner.













In this cat, painkiller and antibiotics were given. No urine or blood test or X-rays of the bladder and kidneys to lower medical costs this time as Vet 1 had done the first 2 tests 3 months ago and hospitalised the cat for 5 days.

There was no pain or swelling in the kidneys which were not palpable. No painful or swollen bladder. No inflamed genital area or swollen purplish penis. Therefore, I would not push for the tests now.

Overall, this cat could pee but frequently and with difficulty. Blood in the urine could not be ascertained as the cat peed in the litter box.

FOLLOW UP ON DAY 3
The owners were happy as the cat was now "not moody".  He was affectionate again and could pee with lesser difficulty. The mum had no complaints. Two litter boxes and separated sleeping rooms at night. This cat sleeps in mum's bedroom which has a bathroom where the litter box is. As for the new C/D diet, not eating. I advised slowly add 5% and hand feed. It will be successful if the owners persevere.  Ideally, it would be best to test the urine for struvite or oxalate crystals, but in real life, the costs need to be lowered as much as possible.

 




 


CONCLUSION
Recurrence
Diet - struvite or calcium oxalate?
Look into Environmental Factors such as Stress.  One more litter box than number of cats in the household. Privacy quiet area. Bullying.

USUALLY SEEN IN
Male neutered cat
High rise indoor living
Dry cat food

Multiple cat household (bullying, shares litter box, food and water bowls)











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Setting
Singapore - busy hectic city living for people






















Other cases
A 7-year-old cat has bladder stone
http://2010vets.blogspot.sg/2013/02/1303-bladder-stone-in-7-year-old-cat.html


A 12-year-old cat in Turkey has bladders stones
sinpets.com/F6/20130819bladder_stones_cat_Turkey.htm



FLUTD in a male neutered cat

http://2010vets.blogspot.sg/2013/07/1029-flutd-in-young-male-neutered-cat.html


Case studies
1. A bladder stone cat followed up 79 days after surgery. No recurrence on C/D diet but no time for even one monitoring.
2. Urethral obstruction in a male neutered cat recurred 50 days later
bekindtopets.com/stories/20130301cat_bladder_stones_toapayohvets.htm

Prompt treatment of urethral obstruction means faster recovery this time- recurring FLUTD in a 3-year-old male cat. Feeding C/D only no recurrence.
kongyuensing.com/folder5/20130116Recurring_FLUTD_cat_3years_toapayohvets.htm



Cairo cat has stone-packed bladder
http://2010vets.blogspot.sg/2014/12/email-from-cairo-cat-with-flutd-part-2.html


Urethral obstruction cases
http://www.asiahomes.com/singaporetpvet/0707cat_urolithiasis.htm

Perineal urethrostomy as a final resort for recurrent urethral obstruction




Feline Lower Urinary Tract Disease in Cats in Singapore
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
D
ate:  28 May, 2015

2015 cases
May 2015  Recurring dyshagia and pollakiuria in a 5-year-old male neutered cat
http://2010vets.blogspot.sg/2015/05/video-production-for-flutd-in-cats-in.html

May 2015. A young cat still has haematuria after discharge by Vet 1
http://2010vets.blogspot.sg/2015/03/1157-kidney-disease-flutd-cat-passes.html
Painful kidneys
http://2010vets.blogspot.sg/2015/05/an-old-cat-has-painful-kidneys.html


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A cat has bladder stone
http://2010vets.blogspot.sg/2013/02/1303-bladder-stone-in-7-year-old-cat.html


A 12-year-old cat in Turkey has bladders stones
sinpets.com/F6/20130819bladder_stones_cat_Turkey.htm
 

FLUTD in a male neutered cat
http://2010vets.blogspot.sg/2013/07/1029-flutd-in-young-male-neutered-cat.html

Case studies
1. A bladder stone cat followed up 79 days after surgery. No recurrence on C/D diet but no time for even one monitoring.
2. Urethral obstruction in a male neutered cat recurred 50 days later
bekindtopets.com/stories/20130301cat_bladder_stones_toapayohvets.htm

Prompt treatment of urethral obstruction means faster recovery this time- recurring FLUTD in a 3-year-old male cat. Feeding C/D only no recurrence.
kongyuensing.com/folder5/20130116Recurring_FLUTD_cat_3years_toapayohvets.htm



Cairo cat has stone-packed bladder
http://2010vets.blogspot.sg/2014/12/email-from-cairo-cat-with-flutd-part-2.html


Urethral obstruction cases
http://www.asiahomes.com/singaporetpvet/0707cat_urolithiasis.htm


 


BE KIND TO OLDER DOGS & CATS --- GET TUMOURS REMOVED EARLY --- WHEN THEY ARE SMALLER.  More case studies, go to:  Cats  or  Dogs

Make an appointment with your vet. Or tel 6254-3326, 9668-6469 for an appointment to discuss health screening for your senior companion. Or e-mail judy@toapayohvets.com your requirements. 



Copyright © Asiahomes
All rights reserved. Revised: May 28, 2015
Toa Payoh Vets

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