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Our cat, Domino, is a spayed female domestic shorthair, about 15 months old. She is an indoor cat. She is not responding to treatment and I wonder if anyone has any suggestions. For the last couple months she has had blood in her urine and seemed uncomfortable in the litterbox, not settling over the litter but standing more upright and many times missing the litterbox when she urinates. She is very active, eats and drinks normally, and appears to be comfortable in every other respect. Our vet had diagnosed her condition as a urinary infection and treated her with antibiotics, first Clavamox (62.5 mg) for 30 days, then Tribrissen (120 mg) for 30 days along with Odortrol urine acidifier. Neither treatment alleviated the blood in the urine. While a urine culture is repeatedly negative, the vet continues to see some bacteria in the urine.
She has also been x-rayed and catheterized to rule out kidney stones and any tumor in the bladder. However, her bladder wall is thickened. She becomes stressed at the vet s and during her last visit, her blood sugar was high (400) but her urine was normal. Subsequent urine samples taken at home have also been normal, so diabetes has been ruled out as a possible reason for her slow healing.
Our vet has consulted with his partner and with an internist, and can offer no explanation for Domino s continued bleeding. She is now scheduled for a full thickness bladder biopsy, to determine if bacteria continue to infect the bladder or if a diffuse tumor is present, both considered unlikely, or if some other reason can be discovered. I would appreciate any opinions from the DVM s who may see this note. We would like to avoid the planned surgery if possible, but see no other way to proceed.
Dave Bishop Richmond, VA
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