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Clinical signs help localize the problem to the lower urinary tract. Information from the client can be used to determine the duration and severity of signs. Additionally, it is important to determine if the cat is showing systemic signs of illness, especially if urethral obstruction is a concern.
Treatment of FLUTD should be directed towards the underlying cause if one has been diagnosed, for example: A bacterial infection will be treated with antibiotics – further urine samples may be required to show the infection is no longer present before stopping the antibiotics.
The signs of FLUTD are pollakiuria, stranguria, periuria and hematuria. 1 Obstruction of the urethra occurs frequently in this disease complex. Causes. If the cause of FLUTD cannot be identified, the disease is called idiopathic cystitis (FIC).
Treating FLUTD. Once the condition has been diagnosed and any necessary surgery and infection control measures have been undertaken, both short and long-term managment must begin. Increasing fluid intake is vital (VN Times 8:9) and this often necessitates a change from a dry diet to wet food and/or adding extra liquid.
FLUTD in cats < 10 years of age is feline idiopathic cystitis (FIC), followed by uroliths, and urethral plugs. A diagnosis of FIC is made by excluding all other causes of FLUTD. In older cats (> 10 years), urinary tract infection and/or uroliths are the most common cause of FLUTD.
Optimal treatment of feline lower urinary tract disease (FLUTD) depends on identifying the cause of the problem. Table 1. Major causes of feline lower urinary tract disease. Investigations to determine the cause of the urinary signs are especially important in cats suffering from repeat or persistent signs of FLUTD.
Understand the signs and causes of feline lower urinary tract disease (FLUTD), and see how you can support good urinary health for your cat.