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Signalment. Most cats presenting with FLUTD are between 1 and 10 years of age.4 In cats younger than 10 years, feline idiopathic cystitis (FIC) is the most common cause (55% to 63%), followed by urolithiasis (15% to 22%) and urethral plugs (10% to 21%).
Many treatments have been recommended for managing cats with feline urinary tract disease (FLUTD). Veterinarians making therapeutic decisions should consider the quality of evidence supporting a recommendation to use (or not use) a particular treatment for cats with FLUTD.
The cause of the FLUTD episode, if found, plays a role in determining the treatment. Additional treatment is based on abnormalities found during the diagnostic evaluation, and may include fluid or electrolyte therapy and medications to manage pain, nausea, and anxiety.
Treatment of Urinary Tract Obstruction/Prognosis. Cats with urinary tract obstruction are emergency patients. The main goal of the therapy is to re-establish urine flow. Life-threatening metabolic derangements like hyperkalemia or severe acidosis have to be corrected immediately.
1 Ιαν 2001 · A cat with lower urinary tract disease may have some or even all of these signs. The Trick is Determining the Cause. The urinary bladder, urethra, and urinary opening all constitute the lower urinary tract. It makes sense that effective treatment requires knowing the cause of the symptoms.
Although recommendations have been made for treating patients with FLUTD, only a few have been carefully studied in cats with naturally occurring disease. This article reviews evidence that supports currently recommended treatments for the most common causes of FLUTD in cats: FIC, struvite uroliths and urethral plugs, and calcium oxalate uroliths.
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.
