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Cat Post Urethral Obstruction

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  • Cat Post Urethral Obstruction

    Hello

    Can anyone share with me their cats experience post urethral obstruction removal? My cat was Cathed once for a blockage and discharged with a positive outcome. He is young, only 2, and his bloodwork all came back normal, except that his urine had some struvite crystals in it that probably caused the block in his urethra.

    When he returned home, he didn’t pee normally for 2 days at least despite being on medication. He was dripping urine sometimes with blood traces in it. I panicked on Day 2 thinking he reblocked so quickly. I rushed him back in again, but they told me they have no idea why he is still peeing badly. Doctor also said he technically did not reblock a second time because they touched his bladder and it was empty (poor boy although he was having a hard time peeing he still emptied his bladder).

    I was frustrated they could not do anything for him except push for the PU surgery. My instincts told me he didn’t need that surgery, not at this point anyway, since technically he only blocked once.

    On Day 3, I seeked a second opinion from a second vet and she gave him some pain medication (meloxicam) to help with the inflammation and pain. I don’t know if it’s the medication taking effect or it really is a coincidence but that night he started peeing normal streams of uninterrupted pee. I was so happy but also at the back of my mind worried that this might only be a temporary fix from the new medication.

    We are on Day 5 now, he is peeing normally but my only concern is that his clumps of pee are still smaller (perhaps a silver coin size) than a normal cat’s. I have 3 other cats and they all pee a big clump at once.

    But improvements to note are: he is not straining as much anymore, he stops frequenting litter boxes around the house every so often and there is no blood in his pee anymore.

    So... the small clumps of pee. Is that normal post obstruction removal?

  • #2
    Caveat: I've not had an obstructed cat. But given that his bladder is probably still pretty angry, small clumps of pee make sense. I hope he gets back to his normal self soon!

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    • #3
      Originally posted by Simkie View Post
      Caveat: I've not had an obstructed cat. But given that his bladder is probably still pretty angry, small clumps of pee make sense. I hope he gets back to his normal self soon!
      This is very possible, it's also possible he is still passing some crystal or grainy sludge that can cause rips and tears, which is also quite painful.

      Ralph was on pain killers and something that relaxed his urethra for over a week after his blockage was gone.

      It's also a very good idea to have weekly/bi-weekly urine tests done to see if there are any crystals still forming for the next few months. I have Ralph's urine tested 2x's yearly now.
      Mean Girls grow up to be Mean Women

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      • #4
        Mine had small pee clumps like that for several days after his surgery. For the first couple of days, he didn't want to use the litter box at all and would actually pee lying down on a towel. I called the vet in a panic and he said both were normal.

        He was on prescription canned food for a few years afterward, but after our vet said that that can actually cause other issues, he's been on regular canned food ever since with water added. He has had no dry food save an occasional kitty treat since then and has had no further issues. He was a year old at the time of the blockage; he's 11 now. As they age, they don't concentrate urine as much, and recurrence becomes less likely though I always keep a close eye on his bathroom habits.

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        • #5
          I experienced the same thing when my cat was 2 years old. After the blockage was removed, everything looked good, and he pulled out his own catheter he came home from the clinic. His pee was a bit smaller for a day or two, but otherwise normal. He was on a special diet for a few months, and then back to a good quality canned diet.

          He also only gets bottled water because he's super posh but I read someone's anecdotal tale of it helping their cat. Coincidentally, he's not had any further issues (knock on wood).

          At the time I was using a Tidy Cat Breeze style littler box. So urine went through to a pad, and that was super handy to keep track of the color of his pee or see if there was any blood.

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          • #6
            Much empathy for anyone who has gone through a blockage with their cat. It's so very painful and very traumatizing for them and extremely hard for us that have helped them through it.
            Mean Girls grow up to be Mean Women

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            • #7
              Mega-jingles to your kitty!

              One of mine had bladder stones and underwent surgery as he couldn't pass urine at all (vet removed about 300 of different sizes); he was on 2 prescriptions (Meloxicam and something that began with a P - Piro-something?) for about a year after, because they did return after about a month. Since then (10+ years ago), he's been fine.

              Two years ago, I lost my big ginger to this, however. We spent 6 weeks trying to resolve. Every time we unblocked and catheterized, he could urinate, but it was 'sludgy' and the second the catheter was out, he was blocked again. The vet said it was like cement to clear out. We never found out why his body was suddenly doing this, and in the end I had to have him put to sleep (we ruled against the penile amputation because the urethra wasn't the issue; the urine itself was).

              To answer your question - yes, the smaller, more frequent amounts seem normal, as the bladder and urethra are inflamed and need a little time to heal up. Just keep an eye on him, and if you see him stop going, or crying when he goes, back to the vet with him. Good luck!

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