Page 22 - Boca Club News - May '24
P. 22

Page 22, Boca Club News

                Pet Matters



      You and Your Pet:



      Blocked Cats Are an Emergency



      By Dr. Margaret Johnson DVM, Calusa Veterinary Center,   of investigation. Adding to the confusion, the name of the   repeated occurrences days, weeks or years later. This is
      6900 Congress Avenue, Boca Raton, FL 33487. (561) 999-  disorder has changed no less than four times in the past 20   an inhumane disease.
      3000. www.CVCBoca.com                              years from feline lower urinary tract disorder (FLUTD) to      Managing these cases medically can go way beyond
         When something happens to stem the flow of a cat’s   feline urologic disorder (FUS) to feline interstitial cystitis   relieving the obstruction in some cases. First priority is
      urine, trouble ensues–and fast.                    (FIC) to the most recent iteration of Pandora Syndrome,   fixing the plumbing problem: getting urine to flow. This is
         Urine has lots of good things in it. In many cases, they   which hasn’t really caught on yet.     usually done with anesthesia and a catheter to remove the
      are substances that cats or people can’t live without, such      The causes go beyond a mucousy plug, as well. A host   obstruction. Managing the havoc wreaked by the toxins
      as potassium, sodium and water. The kidneys sense and   of other factors, such as stress, lack of access to water, diet,   is next. This can necessitate some medical dancing as
      adjust the composition of bodily fluids and drop the excess   infectious agents, indoor lifestyle and many other causes   veterinarians try to put things back in place.
      into the urine. If a person eats a large order of fries covered   have been implicated as being responsible for the lead-up to      Disorders of deadly potassium, elevated renal values and
      with salt, the kidneys dump the unwanted excess of sodium   getting blocked. Those little plugs don’t form in a vacuum:   severe dehydration can mean days in the hospital, even long
      into the urine.                                    something causes them to form, and we don’t know with   after the urine is flowing again. It can get complex, expensive,
         The same is true with many other substances, like water,   any certainty what factors contribute to it.  and can wear down even the most committed of owners for
      that need to be regulated. Urine is (usually) sterile, so unless      Cats that are blocked often show the following signs:  the really medically complex (and expensive) ones.
      there is a urinary tract infection, urine is pure. It’s not the      ● Straining repeatedly in the litter box (often mistaken      However, getting the urine to flow and taking the cat
      terrible stuff that many third graders make it out to be. True,   for constipation);                 home is the easy part. After this episode, lifestyle changes
      it does have the waste products of metabolism in it, which      ● Crying or howling;                 are necessary: medication tweaks, medical rechecks, and
      a body needs to remove.                               ● Licking at the genitals/below the base of the tail;  diet changes that try to extend the initial complexity of this
         And that’s where some of the problems begin. If the flow      ● Hiding.                           disease across months or years.
      of urine stops, those waste products build up and negatively      If you notice your cat showing any of the above signs, get      Compared to 20 years ago, cats with this disease do go
      impact the way the body works. One of the most common   right in to see your veterinarian or go to your nearest ER as   home and get better, even some of the tough cases. Someday,
      ways that happens is when a cat’s urethra (the tube that   soon as possible. Don’t delay as a few hours can make a big   science will provide an answer and veterinarians will have
      carries urine from the bladder to the litter box) gets blocked.   difference. The longer those toxins circulate unchecked the   some means to prevent this disease in the first place, or
      Known in veterinary parlance as a “blocked cat” or “blocked   more pain the cat experiences, the more work the veterinarian   some surefire way to treat it. Until then, rush your cat in to
      tom,” this poorly understood disorder is seen with alarming   has to do, and the bigger the final bill will be.  be seen if you see the signs.
      frequency in veterinary hospitals and ERs.            In advanced cases, where the urine flow has been stopped
         Many ERs see about two to three cats per week that   for more than 24 hours, cats can become systemically ill
      cannot urinate. Cats can be in all stages of the disease, from   from retained toxins and start vomiting, or become very
      the early onset ones who just seem a little painful and have   weak and lethargic. Death usually happens within 48 hours,
      a big, hard bladder to the nearly dead ones who are in many   and it’s not a pleasant way to go. The pain with this disease
      cases beyond saving.                               is immense, and some cat owners understandably choose
         The actual plug that stops the flow can be made of   euthanasia over trying to reestablish the flow of urine.
      bladder stones (often erroneously called kidney stones),      The  course  after  unblocking  these  cats  is  just  as
      tumors or a gooey mix of mucus and protein known as   unpredictable and mysterious as the factors leading up to
      “matrix” that has the consistency of toothpaste. How and   the obstruction; some cats are released from the hospital
      why matrix forms no one knows, despite a few decades   never to suffer another episode, while others will have



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