1088. An old cat in Turkey has bladder stones

TOA PAYOH VETS toapayohvets.com Date:   20 August, 2013     Focus: Small animals - dogs, cats, hamsters, guinea pigs, turtles & rabbits   Blood in the urine of a Turkey's cat   Dr Sing Kong Yuen, BVMS (Glasgow), MRCVSDate:   20 August, 2013   toapayohvets.com  Be Kind To Pets Veterinary Education Project 2010-0129   EMAIL TO DR SING DATED AUG 18, 2013Hello i am a vet doctor from Turkey and i was searching some info about stones of cats also found you in internet.  I'll appreciate if you can help me about this x-ray. My patient has a blood urine and she has some stones in her bladder. She is 12 years old. I begin to give her hills c/d from today and pills as must be. But I don't know really whether she needs an operation or wait to see the results of c/d food for a while, or what i have to do more? What do you think about this fact and type of stones? (like struvite or?) Thank you. Best regards Dr H EMAIL REPLY FROM DR SING DATED AUG 19, 2013 Thank you for your X-rays. It is hard to know what type of stones are present in the bladder. The spikey ones look like calcium oxalate but you cannot base the composition of stones on X-rays. It must be done on stone analysis. Have you done a urinalysis for the urinary crystals? The only solution is to perform surgery to remove the stones as they are too large and many. In my opinion, the C/D  prescription food for cats is not meant to dissolve struvite urinary stones but to prevent stone formation. Anaesthesia is risky in very old cats and so you have to let the owner know.  ------------------------------------------------------------------------ EMAIL TO DR SING DATED AUG 20, 2013 i am sorry that i disturbed you and thanks a lot for your quick response.. yes spikes are look like calcium i have told the owner about complication with anesthesia and they don't want the operation..i didn't make a urinalysis for the crystals by the way so i will do tomorrow.. is there another choose except c/d? or what to do more if the owner doesn't want the operation? Need your advice thanks..   EMAIL REPLY FROM DR SING DATED AUG 20, 2013 If the owner does not want the surgery, this is the owner's choice. 1.  The vet must record his advice to perform surgery in writing to the owner to prevent misunderstanding from family members and friends who may not be aware of the owner's choice. 2.  Regular urine and bacterial cultures and antibiotic sensitivity tests when there is haematuria and infections 3. Blood test to screen the health esp. kidney function when there is vomiting. 4.  Prescription of antibiotics when there is haematuria may be the only treatment in this case.   5. Do you have a ventral-dorsal view of the bladder?   Updates will be on this webpage: www.sinpets.com/F6/20130819bladder_stones _cat_Turkey.htm More info at: Dogs or Cats To make an appointment: e-mail judy@toapayohvets.com tel: +65 9668-6469, 6254-3326 Toa Payoh Vets Clinical Research

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