If this is your first visit, be sure to check out the FAQ by clicking the link above. You may have to register before you can post: click the register link above to proceed. To start viewing messages, select the forum that you want to visit from the selection below. |
|
|
Thread Tools | Display Modes |
#11
|
|||
|
|||
how are plugs identified? he hadnt any signs of infection or too much blood
in his urine there were certainly many crystals though, could it be a combination of the two? while trying to pass the cathetere the last time, the vet met an obstacle (she could sense it) she cleaned the edge of the cathetere and analyzed the contents in the microscope where many crystals were visible she believes that the cathetere eventually passed *by* the stone in the urethra so the catheterization or the acidification (by s/d food) hadnt had any effect on the real problem. is that possible? i think the cathetere is quite wide for that to happen the good thing is that the cat is in good shape, he is almost used to the procedure (he was even once catheterized without sedation) and he was never anorexic. oh and he peed quite a bit after coming home from the vet today.. is it possible his current difficulty to urinate to be due to urethra inflammation and not stones? i'm still having second thoughts about PU but am i just putting off the inevitable? |
#12
|
|||
|
|||
"tunic" wrote in message lkaboutpets.com... how are plugs identified? he hadnt any signs of infection or too much blood in his urine there were certainly many crystals though, could it be a combination of the two? Urethral plugs are a combination of a small amount of calculus (usually struvite) and large amounts of mucus, which is probably secreted by mucosal cells in the bladder and urethra - most likely in response to some mucosal irritant and/or inflammation. Struvite uroliths contain larger quantities MAP and smaller quantities of mucus and other debris. while trying to pass the cathetere the last time, the vet met an obstacle (she could sense it) she cleaned the edge of the cathetere and analyzed the contents in the microscope where many crystals were visible she believes that the cathetere eventually passed *by* the stone in the urethra She may have pushed the obstruction back to a wider point in the urethra. A technique called "retrograde urohydropropulsion" is often used flush an obstruction back into the bladder by distending the urethra around the stone with fluid - this is only for temporary relief. Voiding urohydropulsion is used to eliminate urethral stones if the stones/plugs are small enough. so the catheterization or the acidification (by s/d food) hadnt had any effect on the real problem. is that possible? i think the cathetere is quite wide for that to happen I think you're right. the good thing is that the cat is in good shape, he is almost used to the procedure (he was even once catheterized without sedation) and he was never anorexic. oh and he peed quite a bit after coming home from the vet today.. is it possible his current difficulty to urinate to be due to urethra inflammation and not stones? Sure its possible. Crystals alone can inflame the urethra - and repeated catheterizations can certaily inflame the urethra. Perhaps an antiinflammarory med might help. Inflammation in the urethra is analogous to rust and corrosion inside a pipe. Reducing the inflammation would probably increase (restore) urethral diameter. Its also possible that she broke up the stone - don't forget, he's on s/d - so struvite would be soluble in an acidic urine. i'm still having second thoughts about PU but am i just putting off the inevitable? Maybe not. Lets keep our paws crossed! Phil |
#13
|
|||
|
|||
i sent him for PU afterall..
the PU vet told me that it is almost certain that it will happen again, even if he gets well now, so there's no point avoiding it i am regretting it now but i hope it will turn out ok thanks for all the information and the support.. |
#14
|
|||
|
|||
"tunic" wrote in message lkaboutpets.com... i sent him for PU afterall.. the PU vet told me that it is almost certain that it will happen again, even if he gets well now, so there's no point avoiding it i am regretting it now but i hope it will turn out ok thanks for all the information and the support.. At this stage, you didn't have much choice, not with repeated blockages. Urinary tract obstructions are potentially fatal and there's always the risk of not getting him to an emergency clinic in time -- not to mention the stress and discomfort. The only other suggestion I can make is keep his litterboxes immaculately clean. The PU will turn him into an anatomical female but he will not have the host defenses of a female. Infections can easily ascend to the bladder - meaning literally, they crawl up from outside and have a shorter distance to travel. You did the right thing. Best of luck. Phil. |
#15
|
|||
|
|||
thanks.. the PU vet also had big difficulty in passing the cathetere in
order to make the urethrostomy so i guess it was the right thing to do.. i got him back home today, he has a small cathetere sewed on (for 5 days) i will be using shredded newspaper for litter he is a housecat and doesnt go out, is it possible to get infected by sitting to a dirty place or something like that? thanks again |
#16
|
|||
|
|||
it is so tragic, he blocked again after being PUed and with a cathetere 3
times wider of course this cathetere is only 2 cm long and wont reach in the bladder so this happened before the cathetere i'm afraid that the problem will be worse when the cathetere will be removed and once again we will be where we started (except that now the cat has no genital system and has been tormented as hell) i wish we could fight the cause and not just the symptoms.. |
#17
|
|||
|
|||
"tunic" wrote in message lkaboutpets.com... it is so tragic, he blocked again after being PUed and with a cathetere 3 times wider of course this cathetere is only 2 cm long and wont reach in the bladder so this happened before the cathetere i'm afraid that the problem will be worse when the cathetere will be removed and once again we will be where we started (except that now the cat has no genital system and has been tormented as hell) i wish we could fight the cause and not just the symptoms.. This should not have happened. Apparently, the PU wasn't performed correctly. I think a big part of your cat's problem is a bungling, incompetent vet. I strongly suggest you seek a second opinion - quick - before you lose your cat to acute renal failure due the vet's gross incompetence. I'm sure you have veterinary teaching college in your country, contact them for a referral to another vet and ask about their procedure for submitting crystals for analysis. If he's still forming uroliths in a highly acidic urine, there's a very good chance that the crystals aren't struvite - or completely struvite. I'm sorry if I sound harsh - I'm infuriated by the stress and trauma this matchbook vet is putting your cat through. Please do not hesitate in obtaining a referral and second opinion. Phil |
#18
|
|||
|
|||
hmm the vet who performed the PU was different than the casual one and she
is much experienced in situations like this (although she found a small stone during the operation but lost it!!! there goes our chance identify the exact composition of the stones..) the casual vet has contacted at least two other vets to get their opinion, and is much caring, i wouldnt say she is not competent.. i just think that my cat is cursed, the first day he traumatized the wound with the e-collar and he was bleeding like hell today the small cathetere got lost inside the opening (the stitches were cut) and fortunately the vet managed to pull it out the urine PH was 6 (5-6 hours after the feeding) but maybe there are stones which take time to dissolve (he's been on s/d for 3 weeks) the vet is definite about it being struvite.. we had also sent an urine sample to a microbiologist who found crystals with an ammonium phosphate compsition i dont know what else to expect..(hope not a renal failure) |
#19
|
|||
|
|||
hi,
i followed your suggestion and took the cat to another vet. he did a urine analysis and concluded (with complete certainty- as much as the other vets had for the opposite conclusion) that there were calcium oxalate crystals in the urine. fortunately i have already stopped feeding him s/d food for a few days now (i'm giving him waltham's urinary which is supposed to prevent both kinds of stones) and he has managed to pee (i dont know if this was due to the food's effect or it was simply coincidental) the PU vet cut the stiches today and stiched again a broad cathetere for 2 days to prevent a symphysis from occurring i am really outraged with all this, i dont know what to believe. can these people be called scientists? i think not.. maybe they think my cat is a guinea pig and can do experiments to him |
#20
|
|||
|
|||
"tunic" wrote in message lkaboutpets.com... hi, i followed your suggestion and took the cat to another vet. he did a urine analysis and concluded (with complete certainty- as much as the other vets had for the opposite conclusion) that there were calcium oxalate crystals in the urine. I knew the first vet screwed up the stone analysis, goddamit. Struvite doesn't form in urine pH at 6.1 or lower. fortunately i have already stopped feeding him s/d food for a few days now (i'm giving him waltham's urinary which is supposed to prevent both kinds of stones) and he has managed to pee (i dont know if this was due to the food's effect or it was simply coincidental) the PU vet cut the stiches today and stiched again a broad cathetere for 2 days to prevent a symphysis from occurring i am really outraged with all this, I'm ****ed as hell -- and he's not even my cat! If he were my cat, I'd probably need to be restrained. This was not simply a mistake. It was gross negligence by failing to have the stone analyzed properly before prescribing a treatment. i dont know what to believe. can these people be called scientists? i think not.. maybe they think my cat is a guinea pig and can do experiments to him I'd tell the bungling vet that you want to renegotiate the bill or else she can negotiate a malpractice suit for performing an unnecessary *irreversible* drastic surgery and causing you and your cat unnecessary pain, suffering and stress - not to mention the cost of surgery and repeated vet visits. I would take legal action, not only because of you and your cat's experience, but also for the health and welfare of other animals that this incompetent vet might affect. Lets hope he's on the road to complete recovery. Phil |
Thread Tools | |
Display Modes | |
|
|