FLUTD (INFO UTK BATU KARANG)

FLUTD

• AKA Feline urologic syndrome, Idiopathic lower urinary tract dz, Intersitisal cystitis

• Idiopathic hematuria and dysuria in cats w/ith or without obstruction are common lower urinary tract problems in cats

• Cause is often not identified

Causes

 Idiopathic – 55%

 Uroliths – 22%

 UTI – bacterial or viral - < 2%

 Atypical UTI – fungal, Mycoplasma, Ureaplasma, parasitic

 Trauma

 Urthral stricture

 Inflammation

 Neoplasia

 Neurogenic disorders

Signalment

- Young, adult cats 2- 6 years

- Males and females equally

- But males are more likely to become obstructed w/ muco-crystalline plugs

- Neutered cats of both sexes seem to be at increased risk

Factors

Environmental

- Sedentary, obese, indoor cats at increased risk

- Water intake, urine volume and litter box habits

- Increased incidence in winter expecially w/ outdoor cats

- Dirty litter box

Diet

- Dry cat food increases the risk

1. Mg

2. Reduced caloric density

3. Reduced digestiblity

4. Increased fecal volume

5. Increased urine concentration

- Ad lib v. controlled feeding – ad lib feeding causes more sustained alkaline tide, but is usually less than cat fed once or twice a day. Stuvite crystal are less soluble in alkaline pH.

Stress

- Increased incidence following the California earthquake

- Holidays

- Rapid weather changes

- Changes in household members

- Anxious cats

- mast cell and histamine release

AVOID

Diet

- Canned food

- Flavored water

- Avoid fish

- Avoid food high in ash & mineral

- May add salt

- C/D s makes urine more acidic

Feline behavior

• Most common complaint is inappropriate or elimination

• Causes:

- Underlying dz can include FLUTD, renal dz, metabolic disorders, anatomic abnormalities, or orthopedic conditions

- Aversions to litter type or litter box

- Location of litter box – heavy traffic areas, aversive event in the area of litter box

- Stress – marking, new people in house

• “Spraying” is urine on a verticle surface and will have a classic upright tail quiver a the time of urine spray; this is a form of feline communication

• Non-spraying is marking on horizontal surface

• Tx – clean soiled areas w/ enzymatic products, offer multiple boxes, different locations, vary litter depth, keep box clean, avoid scented litters and cleaning products, use positive reinforcement for appropriate litter use, give cat set play and attention times at least 20 minutes a day, antianxiety meds (Amitriptyline, Diazempam, Buspirone, Clomipramine, Megestrol acetate), neuter intact animals, interrupt inappropriate elimnation by startling the cat (foghorn, whistles) in first 30 seconds

• Other behavior problems:

- Aggression – second most common

- Obsessive compulsive disorder – grooming, consumptive, hallucinatory

- Attension seeking

- Scratching

- Destruction

- Vocalization

- Overactivity

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