05 - LUTD - Feline Idiopathic Cystitis

Question 1

1. cats with signs of LUTD (hematuria, dysuria, pollakuria, stranguria) frequently do not have a readily identifiable cause
2. idiopathic cystitis most common
3. bacterial UTI rare in normal young cats
4. neoplasia rare

Question 2

(risk)

1. M=F
2. in males FIC can progress to what?
3. risk factors: neutering, obesity, amount of dry food, time spent indoors

Answer 2

2. urethral obstruction

Question 3

Px = thickened and or painful bladder

Question 4

path

a highly permeable bladder with activiaton of sensory nerve endings is important in initiaion and maintenance of FIC

excessive activation of neuradrenergic outflow from the brainstem is central to the pathophysiology of FIC in cats

Question 5

(dx)

1. more than 80% of cats with FIC resolve within 1 week of an acute episode

more than 50% of cats will have recurrence within 1 year

can have one episode, multiple, or chronic process

2. dx is mostly one of EXCLUSION

Question 6

(tx)

1. reduction of stress, diet change, litter box hygiene, pain relief
2. are abx useful?
3. glucocorticoids and nsaids also aren’t useful
4. do give pain meds though

Answer 6

2. no - not a bacterial dz

Question 7

(tx)

1. is increase of water intake helpful?
2. why may this be helpful?

Answer 7

1. yep
2. more dilute urine may be less noxious to bladder wall

Question 8

(tx)

1. tricyclic reuptake inhibitors (amitriptyline and clomipramine) can be useful in some cats with chronic FIC

Question 9

(tx)

1. what is the most powerful treatment for cats with FIC?

Answer 9

1. environmental modification and enrichment