How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Michael Salkin Your Own Question

Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat
Satisfied Customers: 25128
Experience:  University of California at Davis graduate veterinarian with 44 years of experience.
55012488
Type Your Cat Question Here...
Dr. Michael Salkin is online now

My 10 year old male cat has a lot of blood in his and

Customer Question

My 10 year old male cat has a lot of blood in his urine and has been on oral and now intravenous antibiotics for 3 months now with no improvement. He had a scan early in the process which showed no particular cause. He eats and drinks well, seems OK in himself and doesn't appear to be suffering (to our view anyway).
What could the likely cause be and what would be the best course of investigation/treatment to take?
Thank you in advance for your advice.
Submitted: 2 years ago.
Category: Cat
Expert:  Dr. Michael Salkin replied 2 years ago.

Aloha! You're speaking with Dr. Michael Salkin I'm sorry that your question wasn't answered in a timely manner. I suspect that Cara Wiggins (name of your cat or you?!) suffers from idiopathic cystitis - an inflammation of the bladder of unknown cause. This is a chronic, sterile, inflammatory process and treatment is often frustrating for both clinician and owner. Risk factors appear to be male sex, being overweight, pedigreed breed, and stress factors - especially conflict with another cat in the home. Another study found no sex predilection, an indoor lifestyle, no access to outdoors for elimination (exclusive litterbox use) and a predominantly dry-food diet. The behavioral stress response is accompanied by immunologic, neurologic, endocrinologic, and vascular responses. Comorbid conditions include obesity, separation anxiety, gastrointestinal tract problems, and hypertrophic cardiomyopathy (heart muscle disease). These findings suggest that idiopathic cystitis is a disease process that affects more than the urinary bladder. There is no gold-standard test for diagnosis of idiopathic cystitis. A urinalysis and ultrasound of the bladder constitutes baseline diagnostic testing. Please let me know if a "scan" refers to an ultrasound or, instead, X-rays. An ultrasound also evaluates for cystic calculi (stones), mass lesions (transitional cell carcinoma, usually), bladder wall characteristics, and other abnormalities such as blood clots. Urine culture usually isn't necessary because less than 2% of these cats suffer from a urinary tract infection; hence, unless bacteria were cultured from Cara Wiggins's urine, oral and intravenous antibiotics are contraindicated. Please let me know if culturing the urine revealed infection. Current treatment recommendations are directed at decreasing the severity and frequency of clinical signs rather than being curative. Because increased inflammation due to a stress response occurs, the recommended standard of care includes environmental enrichment and stress reduction, increased water intake, litter box management, management of interactions in multiple cat homes, and potentially drug therapy (pychotherapeutic drugs such as fluoxetine/Prozac and fluoxetine/Paxil). Most of us will restrict these patients to canned food only which increases water intake. I could be more accurate for you if I knew the results of basic biochemical testing already performed, an ultrasound, culture and sensitivity of the urine, and Cara Wiggins's diet. A thorough checklist for cat owners can be found in Ettinger's Textbook of Veterinary Internal Medicine. In edition 6, it can be found on P. 1839 and copied for your perusal. Please respond with additional information and further questions or concerns if you wish.

Dr. Michael Salkin, Veterinarian
Category: Cat
Satisfied Customers: 25128
Experience: University of California at Davis graduate veterinarian with 44 years of experience.
Dr. Michael Salkin and 3 other Cat Specialists are ready to help you
Expert:  Dr. Michael Salkin replied 2 years ago.
Thank you for your kind accept. I appreciate it.

Please continue our conversation if you wish.

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
< Previous | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. Joey

    Dr. Joey

    Board Certified

    Satisfied Customers:

    576
    15 yrs in practice, specialist canine/feline medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/ZF/zforward/2012-6-6_202211_headshot1.64x64.jpg Dr. Joey's Avatar

    Dr. Joey

    Board Certified

    Satisfied Customers:

    576
    15 yrs in practice, specialist canine/feline medicine
  • http://ww2.justanswer.com/uploads/VE/vetdeb/Debbie Headshot 500.64x64.jpg Dr. Deb's Avatar

    Dr. Deb

    Cat Veterinarian

    Satisfied Customers:

    182
    I have been a practicing veterinarian for over 30 years.
  • http://ww2.justanswer.com/uploads/NE/nekovet/2013-8-20_23339_nekovet.64x64.jpg Dr. B.'s Avatar

    Dr. B.

    Cat Veterinarian

    Satisfied Customers:

    1334
    I am a small animal veterinarian with a special interest in cats and am happy to discuss any questions you have.
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    3955
    15 years of small animal, equine and pocket pet experience in medicine and surgery.
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    3073
    UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Cat Veterinarian

    Satisfied Customers:

    2359
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/fshlee/2009-7-15_23110_drlee.jpg Dr. Lee's Avatar

    Dr. Lee

    Cat Veterinarian

    Satisfied Customers:

    1219
    8 years of experience in veterinary medicine and surgery
 
 
 

Related Cat Questions