2170. Video production for a FLUTD cat in Singapore

draft for intern to produce a video

Recurring Feline Lower Urinary Tract Disease in a Cat in Singapore Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS Date:  28 May, 2015 HOOK Dysuria, pollakiuria and haematuria Recurrence of above signs after a vet has successfully cured him. Why? (VIDEO FOOTAGE OF CONSULTATION TO TOA PAYOH VETS) TITLE THEME Feline Lower Urinary Tract Disease in a cat in Singapore's apartment INTRODUCTION Pollakiuria, Dysuria and Haematuria can be present in the Feline Lower Urinary Tract Disease cases as follows: 1. Feline Interstitial Cystitis 2. Urethral Obstruction 3. Bladder stones 4. Other conditions such as parathryoid hormones MIDDLE Case  5-year-old male neutered cat had recovered from FLUTD after treatment by Vet 1 three months ago but now, same clinical signs of dysuria and going to the litter box many times again.  "Did you see blood in the urine?" I asked the mother and adult son. "Can't see as he goes to the litter box to urinate!" she said. Diagnosis Physical exam.  Bladder pain and enlargement, bladder pain and size, genital area for uethral plug and inflammation Urine test. pH, SG, crystals, bacteria, red and white blood cells, protein Blood test    Urea & Creatine. Phosphorus and calcium. Leucocytosis. X-ray. Kidneys, bladder to urethral opening views Ultrasound Treatment Drip Pain control Antibiotics Catherisation Surgery - cystotomy and perineal urethrostomy Prompt treatment advised. Kidney failure or infections. Prompt veterinary treatment - stabilise and pain control with Diet  - wet food, good quality protein Environment - Litter boxes, water intake, multi-cat household, change of diet or environment, male neutered cat Follow up and regular urine tests at half-yearly are rarely done by the owner. In this cat, painkiller and antibiotics were given. No urine or blood test or X-rays of the bladder and kidneys to lower medical costs this time as Vet 1 had done the first 2 tests 3 months ago and hospitalised the cat for 5 days. There was no pain or swelling in the kidneys which were not palpable. No painful or swollen bladder. No inflamed genital area or swollen purplish penis. Therefore, I would not push for the tests now. Overall, this cat could pee but frequently and with difficulty. Blood in the urine could not be ascertained as the cat peed in the litter box. FOLLOW UP ON DAY 3 The owners were happy as the cat was now "not moody".  He was affectionate again and could pee with lesser difficulty. The mum had no complaints. Two litter boxes and separated sleeping rooms at night. This cat sleeps in mum's bedroom which has a bathroom where the litter box is. As for the new C/D diet, not eating. I advised slowly add 5% and hand feed. It will be successful if the owners persevere.  Ideally, it would be best to test the urine for struvite or oxalate crystals, but in real life, the costs need to be lowered as much as possible.     CONCLUSION Recurrence Diet - struvite or calcium oxalate? Look into Environmental Factors such as Stress.  One more litter box than number of cats in the household. Privacy quiet area. Bullying. USUALLY SEEN IN Male neutered cat High rise indoor living Dry cat food Multiple cat household (bullying, shares litter box, food and water bowls) --------------------------------------------------------------------------------------------------------------------------------------------- Setting Singapore - busy hectic city living for people Other cases A 7-year-old cat has bladder stone http://2010vets.blogspot.sg/2013/02/1303-bladder-stone-in-7-year-old-cat.html A 12-year-old cat in Turkey has bladders stones sinpets.com/F6/20130819bladder_stones_cat_Turkey.htm FLUTD in a male neutered cat http://2010vets.blogspot.sg/2013/07/1029-flutd-in-young-male-neutered-cat.html Case studies 1. A bladder stone cat followed up 79 days after surgery. No recurrence on C/D diet but no time for even one monitoring. 2. Urethral obstruction in a male neutered cat recurred 50 days later bekindtopets.com/stories/20130301cat_bladder_stones_toapayohvets.htm Prompt treatment of urethral obstruction means faster recovery this time- recurring FLUTD in a 3-year-old male cat. Feeding C/D only no recurrence. kongyuensing.com/folder5/20130116Recurring_FLUTD_cat_3years_toapayohvets.htm Cairo cat has stone-packed bladder http://2010vets.blogspot.sg/2014/12/email-from-cairo-cat-with-flutd-part-2.html Urethral obstruction cases http://www.asiahomes.com/singaporetpvet/0707cat_urolithiasis.htm Perineal urethrostomy as a final resort for recurrent urethral obstruction Feline Lower Urinary Tract Disease in Cats in Singapore Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS Date:  28 May, 2015 2015 cases May 2015  Recurring dyshagia and pollakiuria in a 5-year-old male neutered cat http://2010vets.blogspot.sg/2015/05/video-production-for-flutd-in-cats-in.html May 2015. A young cat still has haematuria after discharge by Vet 1 http://2010vets.blogspot.sg/2015/03/1157-kidney-disease-flutd-cat-passes.html Painful kidneys http://2010vets.blogspot.sg/2015/05/an-old-cat-has-painful-kidneys.html -------------------------------------------------------------------- A cat has bladder stone http://2010vets.blogspot.sg/2013/02/1303-bladder-stone-in-7-year-old-cat.html A 12-year-old cat in Turkey has bladders stones sinpets.com/F6/20130819bladder_stones_cat_Turkey.htm   FLUTD in a male neutered cat http://2010vets.blogspot.sg/2013/07/1029-flutd-in-young-male-neutered-cat.html Case studies 1. A bladder stone cat followed up 79 days after surgery. No recurrence on C/D diet but no time for even one monitoring. 2. Urethral obstruction in a male neutered cat recurred 50 days later bekindtopets.com/stories/20130301cat_bladder_stones_toapayohvets.htm Prompt treatment of urethral obstruction means faster recovery this time- recurring FLUTD in a 3-year-old male cat. Feeding C/D only no recurrence. kongyuensing.com/folder5/20130116Recurring_FLUTD_cat_3years_toapayohvets.htm Cairo cat has stone-packed bladder http://2010vets.blogspot.sg/2014/12/email-from-cairo-cat-with-flutd-part-2.html Urethral obstruction cases http://www.asiahomes.com/singaporetpvet/0707cat_urolithiasis.htm   BE KIND TO OLDER DOGS & CATS --- GET TUMOURS REMOVED EARLY --- WHEN THEY ARE SMALLER.  More case studies, go to:  Cats  or  Dogs Make an appointment with your vet. Or tel 6254-3326, 9668-6469 for an appointment to discuss health screening for your senior companion. Or e-mail judy@toapayohvets.com your requirements.  Copyright © Asiahomes All rights reserved. Revised: May 28, 2015 Toa Payoh Vets