Operasi Kencing Day 2 (Ginger’s FIC)

I spent all night yesterday looking through my records (they are all in this blog, actually) on Bunny’s and Cow’s FLUTD episodes in the past, dating as far back as 2010.

The senior vet who attended to Cow in 2016 mentioned the research done by Jody Lulich, who, among other things, recommended a diet change. I’m thinking of looking into this for Ginger.

This is what the vet  told me way back in 2016 when Cow had FLUTD (now called FIC):

If the infection was due to a bacteria, we had two choices – prescribe an antibiotic or just change the diet.

If it was due to crystals – also just change the diet.

If it was due to urolith (stones) – also change the diet.

If it was idiopathic (idiopathic cystitis), which it most likely is, also change the diet. “Idiopathic” means the actual cause is unknown but most likely due to stress.

The only thing to rule out is oxalates and this requires surgery.

Yesterday, during the emergency consultation, the vet did mention that through ultra sound, not X-Rays, crystals or stones can be seen. She opted to do an X-Ray instead because she wanted to determine the exact size of Ginger’s bladder (ultra sound isn’t so good for this purpose).

Anyway, I’m still monitoring Ginger’s condition to decide if another vet visit (this time, to his regular vet) might be warranted.

This morning, Ginger was still squatting and straining and only a small amount of urine was excreted each time. I took photos of the ones done in the litter box. For the ones where he squatted in the patio garden, I put my hand to feel the urine.

Poor Ginger, he is still straining, but at least there is a small amount of urine now. He even squatted and sprayed on the sofa – his usual habit, sigh, marking on the sofa. I had to let him do it and clean up after that. We will deal with this after he recovers.

I was really hoping that Ginger would recover quickly, like Bunny did on his last two FIC episodes. Why, Bunny recovered within hours after the vet’s visit and the Metacam injection was given. Ginger’s taking much longer and it is a little bit worrying for me. What if there are other causes which we have not identified? The websites did say that vets would have to rule out quite a number of causes before classifying it as Feline Idiopathic Cystitis.

Conditions to rule out before diagnosing FIC include:  

  1. Bladder stones 
  1. Urinary tract infection (UTI) 
  1. Urethral obstruction (blockage of the urethra); this can also occur secondary to FIC 
  1. Cancer  
  1. Acute kidney injury 
  1. Idiopathic renal hematuria, a rare condition that causes kidney bleeding 
  1. Blood clotting disorders 
  1. Toxin ingestion 
  1. Prostate disease, (rare in cats) 

Source: https://www.petmd.com/cat/conditions/urinary/feline-idiopathic-cystitis-fic-cats

It even says that FIC might go away on its own if not treated. But this is IF it is FIC (idiopathic/unknown causes). Also, with treatment, it might take 5-7 days for recovery. But none of my cats have ever taken this long. The longest was Cow’s and that was 3 days. Only 3 days.

It took some coaxing before he was willing to eat his breakfast, but this happens every morning. He would want toppings and it cannot be the same thing at every meal.

I gave him his medication for the morning – the Prasozin, Diazepam and the Metacam syrup. I also added UTI-Oxi as a supplement.

As for diet change, the products which I know would be RC’s S/O, Hill’s CD and now there is also Brit’s Struvites. There’s an area I would like to explore.

Now, I’m playing music to help Ginger relax, but then again, there’s usually ongoing music all day when I am home. I also sprayed Feliway around him.

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