- Joined
- Dec 21, 2021
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Hi,
Apologies in advance for the novel, but it's been a long and hellish journey and I'm lost at this point on how to proceed.
On 12/4 My 2 year old Cat Milo developed a urinary blockage. Noticed he was trying to go everywhere which he's never done, then found he was unable to produce urine. This was late on a Saturday night, so I rushed him to the ER, they confirmed he was blocked and administered catheter that night. They said he unblocked easily, and catheter was going to stay in place for 24 hours. The next day, he was doing fine and they called me later that afternoon to tell me he'd managed to pull out his catheter, so they replaced it and he stayed an additional day. During the first flush out, they noted sediment in his urine and said it was most likely a combination of crystals, mucous, and sludge. No bladder stones were found. He was released on the afternoon of 12/6.
I brought him home expecting him to be normal, and was confused when he was able to pee, but only in small amounts. Contacted them, and they assured me it was normal and as long as he was peeing there was no concern. I gave him gabapentin and prazosin twice daily. On 12/7 he stilled seem to be off and in visible discomfort. Took him to my local animal hospital who checked his bladder, and said it felt a little firm, but still had a general softness to it. On 12/8 he was curled up in a pile of dirty laundry burying his face and crying while he painfully expressed urine, he was totally lethargic, leaking, and licking himself and crying constantly. I took him back to my local vet again who said his bladder was rock solid and they proceeded with a catheter. They flushed him out and found no signs of obstruction. Doctor said this was unusual and that they believe he just had excessive inflammation. She did some sort of laser treatment on him to reduce inflammation, prescribed onsior, and he was to return on 12/9 & 12/10 for additional laser treatments. This was a different doctor.
On 12/9 he seemed to be peeing better than he had. I took him back that afternoon for laser treatment and the vet tech said he felt firm. He saw another different doctor, and he was concerned. Said his bladder was totally full. I was so confused since it seemed like he was doing better. He wanted to do catheter, I explained he'd already had 2 done in the past few days and he's able to pee on his own,but only in small amounts. I asked if he was concerned if he could make it through the night which he wasn't and took him home. The next morning,12/10 same deal. He seemed okay and affectionate, eating, just not peeing much at once. Took him back and doctor insisted his bladder was full, and pushed to do a catheter. Said if he met any resistance whatsoever with catheter, we may be looking at PU surgery. Catheter went in smoothly with no issues, drained him, and kept catheter in for the day. Once again, no source of blockage was found. He said he believed he had both inflammation and his bladder had overstretched and the muscles had become weak. He was sent home, and returned on 12/11 and his bladder was smaller. He prescribed medication including Gabapentin, Prazosin, Buprenorphine, and a special order medicine called Phenoxybenzamine. He's been on everything since 12/11 with the exception of Phenoxybezamine which he started on 12/16. He's also on Royal canin SO since 12/9.
I took him out of concern on 12/15 as he had jumped up on the counter and in hindsight think he must have whacked himself, but he was crying like I'd never heard. A different vet working checked his bladder and said it felt tiny. She said his penis did look irritated/bruised and asked if he was licking. I said I had noticed him licking a bit. She said to just monitor and he continued, to put an e-collar on him a few days.
So here's where we're at currently. as of 12/21. He's still on all the medications 3 times per day. Any time he tries to pee, he's able to pee, but only in small amounts. I'm confident I have not missed an attempt as I literally installed a smart video camera and make sure he's able to go every time he goes. I called the vet yesterday to explain he hasn't gotten any worse, but haven't seen any real improvements either. He's due to return This week on 12/23 for a physical examination since it will have been a week since he's been on the phenoxybenzamine.
He's going a lot of times per day, anywhere between 9-12+, but it's only ever small amounts. He doesn't strain when going, but does lick himself down there every time after he goes. This has caused overwhelming amounts of anxiety and stress, and I'm doing my best to keep up with the medication and observing him as much as possible. I've done so much research trying to find someone who had a similar situation and am just at a loss.
Is it possible the repeated catheters caused so much irritation it's something that can take weeks to resolve? Could his urethera be damaged? Something else entirely? I'm grasping at straws. I know PU surgery is an option, and I'm not even adverse to getting it at this point. I just don't want to do it unless it's sure to resolve his current issues. I just don't know how much longer to wait on this and am concerned.
If you made it this so far, thank you for taking the time to read. Any advice, insight, or similar experiences are greatly appreciated.
Apologies in advance for the novel, but it's been a long and hellish journey and I'm lost at this point on how to proceed.
On 12/4 My 2 year old Cat Milo developed a urinary blockage. Noticed he was trying to go everywhere which he's never done, then found he was unable to produce urine. This was late on a Saturday night, so I rushed him to the ER, they confirmed he was blocked and administered catheter that night. They said he unblocked easily, and catheter was going to stay in place for 24 hours. The next day, he was doing fine and they called me later that afternoon to tell me he'd managed to pull out his catheter, so they replaced it and he stayed an additional day. During the first flush out, they noted sediment in his urine and said it was most likely a combination of crystals, mucous, and sludge. No bladder stones were found. He was released on the afternoon of 12/6.
I brought him home expecting him to be normal, and was confused when he was able to pee, but only in small amounts. Contacted them, and they assured me it was normal and as long as he was peeing there was no concern. I gave him gabapentin and prazosin twice daily. On 12/7 he stilled seem to be off and in visible discomfort. Took him to my local animal hospital who checked his bladder, and said it felt a little firm, but still had a general softness to it. On 12/8 he was curled up in a pile of dirty laundry burying his face and crying while he painfully expressed urine, he was totally lethargic, leaking, and licking himself and crying constantly. I took him back to my local vet again who said his bladder was rock solid and they proceeded with a catheter. They flushed him out and found no signs of obstruction. Doctor said this was unusual and that they believe he just had excessive inflammation. She did some sort of laser treatment on him to reduce inflammation, prescribed onsior, and he was to return on 12/9 & 12/10 for additional laser treatments. This was a different doctor.
On 12/9 he seemed to be peeing better than he had. I took him back that afternoon for laser treatment and the vet tech said he felt firm. He saw another different doctor, and he was concerned. Said his bladder was totally full. I was so confused since it seemed like he was doing better. He wanted to do catheter, I explained he'd already had 2 done in the past few days and he's able to pee on his own,but only in small amounts. I asked if he was concerned if he could make it through the night which he wasn't and took him home. The next morning,12/10 same deal. He seemed okay and affectionate, eating, just not peeing much at once. Took him back and doctor insisted his bladder was full, and pushed to do a catheter. Said if he met any resistance whatsoever with catheter, we may be looking at PU surgery. Catheter went in smoothly with no issues, drained him, and kept catheter in for the day. Once again, no source of blockage was found. He said he believed he had both inflammation and his bladder had overstretched and the muscles had become weak. He was sent home, and returned on 12/11 and his bladder was smaller. He prescribed medication including Gabapentin, Prazosin, Buprenorphine, and a special order medicine called Phenoxybenzamine. He's been on everything since 12/11 with the exception of Phenoxybezamine which he started on 12/16. He's also on Royal canin SO since 12/9.
I took him out of concern on 12/15 as he had jumped up on the counter and in hindsight think he must have whacked himself, but he was crying like I'd never heard. A different vet working checked his bladder and said it felt tiny. She said his penis did look irritated/bruised and asked if he was licking. I said I had noticed him licking a bit. She said to just monitor and he continued, to put an e-collar on him a few days.
So here's where we're at currently. as of 12/21. He's still on all the medications 3 times per day. Any time he tries to pee, he's able to pee, but only in small amounts. I'm confident I have not missed an attempt as I literally installed a smart video camera and make sure he's able to go every time he goes. I called the vet yesterday to explain he hasn't gotten any worse, but haven't seen any real improvements either. He's due to return This week on 12/23 for a physical examination since it will have been a week since he's been on the phenoxybenzamine.
He's going a lot of times per day, anywhere between 9-12+, but it's only ever small amounts. He doesn't strain when going, but does lick himself down there every time after he goes. This has caused overwhelming amounts of anxiety and stress, and I'm doing my best to keep up with the medication and observing him as much as possible. I've done so much research trying to find someone who had a similar situation and am just at a loss.
Is it possible the repeated catheters caused so much irritation it's something that can take weeks to resolve? Could his urethera be damaged? Something else entirely? I'm grasping at straws. I know PU surgery is an option, and I'm not even adverse to getting it at this point. I just don't want to do it unless it's sure to resolve his current issues. I just don't know how much longer to wait on this and am concerned.
If you made it this so far, thank you for taking the time to read. Any advice, insight, or similar experiences are greatly appreciated.
