Ask a Cat Question, Get an Answer ASAP!
Hi there, this is Dr Linda.
This is not normal but can occur when the bladder is inflamed, which isn't uncommon during a urinary tract infection / cystitis.
The main thing is that he can pass urine as if he strains and does not produce urine, he may have a blocked bladder which can be quickly life threatening.
Is he currently on any medicine?
Is he eating and drinking well?
Thank you for this additional information.
What age is he?
Before he was started on antibiotics, did a urine culture confirm he had a bacterial infection?
Ok, thank you.
I ask as bacterial infections are very rare in young cats. However, if confirmed, that's fair enough.
It can be that they are caused by an underlying issue, such as bladder stones.
In some cases, the infection does not clear with antibiotics and so I agree that it is vital we re-send the urine for analysis. This is especially true as he is continuing to have signs of bladder disease.
I would let your vet know about this new symptom as they may wish for you to bring the urine sample in sooner.
I would ensure he is being fed a wet diet and being encouraged to drink plenty of water with e.g. a water fountain. He should have access to 2 clean litter trays at all times and we need to try hard to keep his stress levels low and to keep him entertained / stimulated.
As I say, it is vital we continue to check he is passing normal amounts of urine.
When testing for bacteria, your method is fine.
However, if we want to check for urinary crystals, the sooner the sample is examined the better and keeping it in a fridge can produce 'false' crystals. I suspect this is why the vet is so keen to get a fresh sample.
In the ideal world, the vet would collect the sample in their clinic using a needle, to ensure we are not getting any bacterial contamination. It may be worth discussing this with your vet.
Those dip sticks are not very reliable in cats and cannot be relied upon, except for a few of the sections. It is good there was no blood or glucose and we can be confident this is a true result.
The 'leukocyte' section is invalid in cats.
A small amount of protein is normal and expected in concentreatd urine.
This is up to you.
Ideally, we would stay with the same vet for continuity of care, as they are familiar with him and his history.
However, if you would like a 2nd opinion and aren't happy with the current care he is receviing, you can certainly see another vet.
What we can say, is that there is some sort of urinary issue. This may be another infection, an inflamed bladder wall or crystals causing a plug.
He is likely in some sort of discomfort and could be at risk for a blockage.
However, if he is happy and eating and continuing to pass normal urine, this is not urgent.
Having said this, the sooner he can be seen the better. This is especially true as he may need some anti-inflammatories to reduce bladder inflammation and the sooner these are started, the more comfortable he will be.
The main risk is from not being able to pass the urine and the bladder rupturing or the kidneys not being able to filter through the urine.
So, when treated promptly, the prognosis is excellent.
I do hope this has helped!