Problem

Feline Lower Urinary Tract Disease (FLUTD)

If your cat starts straining frequently in his litter tray (or anywhere else) then he may be suffering from cystitis or bladder stones. Bladder stones can block the flow of urine and prevent the bladder from emptying. This becomes very painful and is life threatening.

FLUTD describes a collection of conditions that can affect the bladder and/or urethra (the tube leading from the bladder to the penis/vulva) of cats. Several different conditions can cause similar clinical signs.

Symptoms
What causes FLUTD?

In most cases, straining to urinate is caused by a straightforward (but painful) cystitis (inflammation of the bladder).

In some cases (usually male cats), cystitis can lead to a more severe and emergency condition where a blockage forms in the urethra.  This prevents your cat from passing urine and emptying his bladder – you may hear your vet use the term “blocked”.   If left untreated this condition is fatal.

Possible causes include infection, mineral imbalance, tumours, anatomical abnormalities and bladder stones.  A number of cases are termed idiopathic (this means we cannot find the cause).

FLUTD can be seen in cats of any age, breed and sex, however it is more commonly seen in middle-aged, overweight, neutered, indoor cats and cats fed on a dry diet.  Stress is also recognized as a contributing factor.

If you think your male cat may be “blocked” you need to seek veterinary treatment immediately. This is not a condition to be left until the morning. A female cat should be seen within 24hours or sooner if she is showing other signs such as vomiting or lethargy.

Treatment
Veterinary diagnosis

Your vet will take a clinical history from you and perform a physical examination, which will allow your vet to quickly determine if you cat is blocked. If a blockage is suspected, the following tests may be needed:

Urinalysis (urine test)
Blood tests for kidney function and electrolytes
Urine culture to identify any infectious agent
X-rays to check for stones or grit in the bladder
Analysis of the stone or urethral plug to determine its composition

Treatment

If your cat has simple cystitis, he is likely to be given pain relief and possibly antibiotics and sent home.

If your cat is blocked, he will need to be admitted to the hospital.  Most cases require a sedation or anaesthetic to enable a urinary catheter to be passed to clear the blockage and in some cases a cystotomy (operation) to remove stones from within the bladder.  Dependent on the severity of the condition, your cat may require several days of hospitalisation and treatment before he is able to urinate normally and can be allowed home.

Other treatments

  • Antibiotics where there is evidence of bacterial infection
  • Antispasmodics to relax the urethra
  • There is some evidence that certain cats may have reduced levels of glycosaminoglycan (GAG) within the protective layer on the inside of the bladder so your cat maybe prescribed a GAG supplement
  • Prescription diets can help to modifiy the urine and minimize the risk of recurrence.  Some can increase water intake meaning the cat forms more dilute urine.
  • Feliway diffuser – can help to reduce stress.
Prevention
Living and management

Immediately following treatment, observe your cat for 4 to 8 weeks for recurrence of symptoms. Often, a follow-up urinalysis (urine test) is a good idea. If a cat repeatedly blocks, surgery to enlarge the urethral opening may be considered.

Good quality food, plenty of fresh water, and a clean litter box are the best steps to prevent cystitis.

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