The Truth About Cystitis

As We Found It pt.1

Well here we are a few weeks after meez diagnosis with Sterile Cystitis to tell ya’ da truth as we have found it. We told you then what we were told by da VET. We told you dat this was very common ‘specially among cats who eat Blue Buffalo foods and dat it was caused from too much protein in da diet. Yep we wrote it as we was told, but we also included dat mommy wuld be duin’ a lot of little research herself. Just didn’t seem right dat an obligate carnivore kuld be eatin’ too much protein?.

 dw-Dezilowproteinmeme

Meez sure glad you don’t believe everything your told mommy. Me just wuldn’t like eatin’ salads and cereals.

No sweety you sure wouldn’t have, nor could you survive on those. Quite frankly I’m sick and tired of hearing from vets and pet food companies that cats, who everybody knows are “obligate carnivores,” need less protein. And I’m tired of pet food companies including so many ingredients in their foods that cats don’t need, can’t process and that could literally kill them.

 

Me thinks we oughtta ‘splain what dat means. Wikipedia says Obligate means by necessity. And Carnivore means flesh (meat) eating animal. In plain human English dat means Cats MUST eat meat. So how is it dat me kuld eat too much meat?

 

Pull up a chair and let me tell ya' a stowry.
Pull up a chair, get’cha’ a cup of joe, tea, or whatever you dwink and let mommy tell ya’ how it is.

That’s just exactly what I wanted to know baby, and one of the many reasons I like to research everything myself. And the biggest thing I found in my research was not the amount of protein in cat foods but the amount of carbohydrates. High carbs can cause inflammation in the bladder and thus bring on a bout of Cystitis. Your grain free diet was full of them as are many cat foods regardless of quality or price, grain free or not. Pet parents almost need to become scientists to understand the labels on their pets’ food. The photo on the package is rarely indicative of the actual ingredients in the bag or can of that food in your cabinet. You can read the Truth About Pet Food for more information about what’s in your pets’ food and the FDA regulations, etc. Again, there are many other places to gather this information and you need to research and decide for yourself what is fact and what is fiction.

 

Ingredient list on bag of Blue Buffalo Basics Cat food
The ingredient list of the food Dezi was eating.

Ingredients on the Hills bag the vet recommended below:

Ingredients

Brewers Rice, Corn Gluten Meal, Powdered Cellulose, Wheat Gluten, Chicken Meal, Dried Tomato Pomace, Chicken Liver Flavor, Soybean Oil, Flaxseed, Coconut Oil, L-Lysine, Fish Oil, Lactic Acid, Potassium Citrate, Potassium Chloride, DL-Methionine, Carrots, Choline Chloride , Taurine, Iodized Salt, vitamins (Vitamin E Supplement, Niacin Supplement, Thiamine Mononitrate, Pyridoxine Hydrochloride, Calcium Pantothenate, Riboflavin Supplement, Biotin, Vitamin B12 Supplement, Vitamin A Supplement, Folic Acid, Vitamin D3 Supplement), L-Carnitine, minerals (Ferrous Sulfate, Zinc Oxide, Copper Sulfate, Manganous Oxide, Calcium Iodate, Sodium Selenite), Calcium Sulfate, Mixed Tocopherols for freshness, Natural Flavors, Beta-Carotene

Sterile Cystitis can be called a myriad of things such as, Idiopathic Cystitis, Urinary Tract Infection, and others. Anything having to do with the lower urinary tract is put under the umbrella of Feline Lower Urinary Tract Disease. Altho’ Sterile Cystitis is NOT an infection.

 

Sterile Cystitis is a condition that can affect both cats and kittens, male and female alike. The first occasion of Cystitis often occurs in young cats between the ages of 2 and 6 years old. The name implies an inflammation of the bladder of unknown origin with no infection present. In other words, they don’t really know what causes it. And altho’ there’s no infection, the cat is most likely in pain.

 

 

Vets make assumptions and all too often give bad or outdated information. We were told Dezi was eating too much protein and that the prescription diets for this condition (like the one for Lexi’s CKD) had a lower protein percentage and would clear up her symptoms. And that a lifetime switch would keep it from coming back.

 

Another assumption is that stress is a leading factor in causing Cystitis. For cats, stress could be anything. In general (not always) cats don’t like change. They are creatures of habit. Anything out of the ordinary can stress a cat. Boredom can cause stress as much as a thunderstorm or a house full of guests.

 

You can find a list of “typical” symptoms all over the internet, but I will list them here as well.

1. Frequent attempts to urinate

2. Straining in the litter box

3. Crying out while in the litter box

4. Blood in the urine

5. Urinating outside the litter box

These are the main symptoms that alert to a problem in your cat or kitten’s urinary tract. BUT Dezi had none of these symptoms. Altho’ Dezi went to the litter box 4-5 times a day, she never strained or cried out and there was never blood in her urine. She wasn’t drinking excessively, altho’ she did like to play in the water fountain, thus justifying her 1-2 extra trips a day. When she did use the piddle pads instead of the box, it was always because the box had been used and not yet scooped. If she poops before urinating, she won’t go in the same box. The only time she will do both in the box at the same time is when she urinates first. Yes I know she’s got a few strange quirks, but that’s my baby girl and I love her no matter what.

 

So what were Dezi’s symptoms you ask? What caused me to think a urinalysis would be a good idea as it’s not really part of the complete exam the vet was offering? Well a lot of you know I lost Lucky to a urethral blockage, and Dezi was mimicking some of the behaviors that he had. So we are going to list them as well because feline health is so important and they can hide an illness so well.

 

1. Excessive licking/cleaning of the genitals immediately after urinating.

2. Appearance of spraying without actually spraying. Example: Tail straight up, cat backed up to wall/chair/leg/etc. and then tail shimmies/shakes with no urine produced. (This is something both Lucky and Dezi did when they got excited so I never thought it was a symptom of anything other than joy. They would both sometimes chatter at the same time. However, Dezi no longer does this regardless of her excitement level so this is a symptom of a problem).

3. Smaller than normal urine clumps.

Dezi laying on cat tree ledge in harness
Meez harness helps keep da stress down durin’ a funder storm.

With Sterile Cystitis there is also the possibility that crystals have formed in the urine/bladder. There are 2 main forms of crystals called Struvite and Calcium Oxylate. Since this didn’t happen in Dezi’s case we won’t go into them here, but you can read more about them at uvma.org.

With a condition that has no real explanation as to it’s cause, how do you go about treating it? Something you should be aware of is the fact that cats can have this condition and have it clear up on its’ own in a week or two with no treatment whatsoever. Since there’s no infection, antibiotics are not helpful and should be avoided so your cat doesn’t build up a tolerance. If you’ve been alerted that there’s a problem then no doubt your cat is in pain. Since the bladder is most likely inflamed, an anti-inflammatory may be prescribed for 1-3 days as well as a pain medication by your vet. If you suspect anything is wrong with your cat’s health, please see a vet immediately.

In Dezi’s case, there was no infection and no formation of crystals so after a few days of an anti-inflammatory, pain meds and an increase in hydration, she appeared to be doing better. We also began a food change as I personally didn’t like her eating the BB kibble due to the ingredients. (We’ll cover all of this in another post) We have urine pH testers on their way so that we can test her urine pH and be sure, but she is leaving larger deposits in the litter box fewer times a day now and no longer “faux spraying”. She can also leave the litter box without plopping down immediately to clean her genitals.

   

As you all know, I’m not a fan of prescription diets from any manufacturer since they are all based on the studies done by Hill’s Pet. Instead of doing their own research they rely on old studies performed by a food manufacturer more than a decade ago. Now having said that, you must make the decision for your own cats. I only ask that you do some research before you believe everything you’re told. Vets are an invaluable resource, but even they don’t know everything, and can’t keep up with all the new information and studies. And you know your cat better than anyone. Okay, off my soap box now and back to the known facts.

 

Cats don’t drink like other species so a wet diet is preferred to aid in keeping them well hydrated. Water fountains are also a good choice because cats like fresh running water. (please clean your pets’ water bowl or fountain regularly.) A batch of cooled nip tea, cooled chicken broth or a few ice cubes in your pets drinking water may also entice your cat to drink more.

We’ll be discussing Dezi’s food change and supplements in a future post as well as the stress relieving supplements and changes we are making in our everyday lives so that we can lessen the possibility of a recurrence of Sterile Cystitis or any other FLUTD’s.

Dezi and Lexi say Thank you for helping us.
Fank you all fur helpin’ us. Our Chewy box arrived today wiff our noms, litter and pH testers.

Well mommy ifin anypawdy was wonderin’ where me got meez wordiness from, they be wonderin’ no more. MOL We know this is a long posty, but it’s full of good infurmation and in human English so it shuld be easy fur everypawdy to read. This post is in no way a comprehensive look at Sterile Cystitis, but is the truth as we have found it.

Dezi = Blue

Mommy = Black

Red = Links to resources and Lucky’s story 

Till da next time………………………………..Be Blest!!!

Luv and Hugs and Kitty Kisses

Dezi and Lexi      

Blest Sunday

Well it’s time fur anuvver Blest Sunday posty. Our favowit posty of da week. We like to give fanks each and every day fur our many blessings, and we like to dedicate our Sunday post to dat very fing. And even tho’ weez got sum not so good news this week dat weez gunna tell ya’ ‘bout today, we awe still so very blest, cuz now we be awrmed wiff da infurmation we need to beat this.

Pull up a chair and let me tell ya' a stowry.
Pull up a chair and let me tell ya’ a stowry.

So as you know me went to see a new VET on Furiday. We haven’t been happy wiff our current VET cuz we just don’t feel like hims duin’ hims job weally. Well since sis Lexi got da CKD at da furst of da year, any money we get goes towards hers VET visits, medicines and generally takin’ care of her. So when me got a black spot tween meez shoulder blades dat gwu, mommy didn’t know zactly what to do ‘cept purray. And then as you know one of our fcebook awnties called us and sed she had a feelin’, and gave mommy da money to take me to da VET. Mommy called wound and found one she fawt might be good (da hospital’s been in business fur 50 years) and made a pointment. By da time meez pointment rolled wound meez black spot had stawrted getting’ smaller, but mommy fawt “better safe than sowry.”

Wha'choo talkin' 'bout mommy?!
Wha’choo talkin’ ’bout mommy?!

When we awwived da girly at da fwunt desk was weally nice. Da place had just been bought by one of da yunger VETs and they were in da middle of a re-model. We were put in a room dat was a bit of a mess. Altho’ da exam table was made of marble and nice and clean, da sink had moldy water in it and a big sign dat sed, “Don’t use.” Ever hopeful, we waited and a nice girly came in and sed she was doctor Yauks’ tech. She bwought in da micwochip scanner and read meez chip and then sed da doctor wuld be wiff us in a minute. All da while da bawrkin’ dogs was makin’ me a bit stwessed. They seemed to be wight outside da door. 30 minutes later da doctor finally came in wiff yet anudder girly and asked what meez purroblem was. They discussed meez black spot and examined it and it turns out it was just a bwuise dat was alweady goin’ away. But duwin’ da talkin’ back and furff it was decided dat since we was gunna be payin’ fur a full exam me shuld have one. And based on sum of da fings mommy descwibed it was decided me needed a urinalysis. And now’s when everyfin’ turns bad.

 

Da VET announces to mommy dat they awe gunna take me in da back and draw urine. And mommy sez, “Alright, but I’ll be going with you.” Oh no, they sed. We don’t let people in the back area. Well after what sis Lexi went fwu havin’ hers blood drawn mommy sed then and there dat there was no way on God’s earff any of hers babies wuld ever have to go fwu dat again, and dat she wuldn’t let anypawdy take us outta hers sight. So da VET sed, “Well let us go back here and talk.” We waited anuvver 5 minutes while they talked, but we almost just up and left. Mommy don’t like sneaky. And what happened to da cutesy little tech dat furst came in? Sumfin’ ain’t wight in Denmawk, as they say. Anyways, 5 minutes later they came back in wiff da purrtable sonogwam and a syringe and sed they wuld draw da urine in da room.

dw-DezistrollerIMG_1653 (800x600)

And dat’s when da next bad happened. Dat 2nd little tech gwabbed up meez awrms and yanked me away fwum mommy. Meez Hisssssssssed and Growled and then bit da fire outta her. As ifin meez not alweady stwessed enuff, she kulda asked or even been a little more gentle. And mommy told them dat was unacceptable. Do yous know what their response was? Well our insurance covers us but not you. We’d rather she bite us than you. And mommy sed, “She didn’t have to bite anyone. If you’d just act a little more compassionate and treat us like you value us.” Mommy stwoked meez face and told me it wuld be alwight and me calmed down a bit so they kuld get da urine. They slathered me up wiff alcohol so sissy was sure to hate me and stuck me. Then dat nasty little tech dwopped me on da table. Don’t worry, me whacky clawed hers good as she twied to escape. Notice me sed clawed? Well dat’s cuz all claws was extended. Yep dat’s completely A-typical of a Ragdoll and me, but hey, she asked fur it.

dw-DezistrollerIMG_1648 (800x600)

Anuvver 20 minutes later and da VET was back in da room wiff a $20.00 bag of food and tellin’ mommy she needed to run more tests on meez pee but dat fings wusn’t lookin’ gweat. Mommy told hers me wasn’t gunna eat dat Hill’s RX food and she wasn’t gunna be feedin’ it to me. Da VET then told mommy me was inflamed and in pain. Well dat made mommy cwy cuz hers wuld never want me to hurt. So they sold us sum pain meds and anti-inflammatory meds and sed they wuld call us on Caturday.

Turns out me has what ended up killin’ sis Lexi’s bwofur Lucky, meez just not dat bad yet. And turns out da culpwit be meez favowit guilty purrleasure Blue Buffalo Kibble. Meez too much da carnivore, and accordin’ to da VET, this is common these days among kitty BB eaters. Me has what’s called Sterile Cystitis. Me dusn’t have a UTI and there’s no blood in meez urine, BUT, meez pee pH is way off da chawrts and me kuld develop stones and get blocked and/or require surgery. Mommy feels pawful fur not knowin’ sumfin’ was wrong and dat me was in pain. Weez gunna list a few of da symptoms dat yous might not realize be tellin’ ya’ sumfin’ is wrong.

Purrlease just take me home mommy. Me dusn't like it here.
Purrlease just take me home mommy. Me dusn’t like it here.

Ifin yous kitty be backed up to anyfin’ wiff a stwaight up tail dat looks tense and kinda wiggles, see a VET. Me gets so happy sumtimes dat me duz this a lot, but it also be a sign dat sumfin’ be wrong.

And as always, ifin yous kitty be urinatin’ outside da box, or stwainin’ while twyin’ to urinate, callin’ out while in da pawdee box or you notice blood in da urine, DON’T WAIT, Take yous kitty to da VET. Keep an eye on yous kitty’s urine. It be one of da bestest signs of their healff. Too little or too much is also a sign of a purroblem as is excessive dwinkin’.

Da total was $93.35. Mommy whited out da purrsonal info. But ds test results we wanted a copy of they typed into our receipt and sent it to us.
Da total was $93.35. Mommy whited out da purrsonal info. But ds test results we wanted a copy of they typed into our receipt and sent it to us.

So all this means dat me has to dwink more water, change meez diet to lower meez purrotein intake dat will level meez pee pH out and be re-tested to monitor meez urine pH. Now yous askin’ yous selff what’s da blessin’ in all this wight? Well furst, ifin not fur da black spot what was a bwuise, mommy wuldn’t have wanted to take me to da VET. And ifin not fur meez awnty Anonymous we wuldn’t have had da money fur me to see da VET and have da test dun. And had we not gone to da VET, we wuldn’t have known this is anudder bad one and we need to keep lookin’. And ifin we hadn’t found out me had a purroblem, me kulda ended up wiff sumfin’ very very bad or worse. So yes, mommy be a little distwaught and cwyin’ a lot wight now, but hers is fankin’ God above dat me will be okay and dat we can fix this. Me is terribly finicky so givin’ up meez guilty purrleasure is not gunna be easy. There will be resistance. Me kuld use all da purrayers you can spare. And ifin any of you have any sperience wiff this we wuld weally purreciate any advice you have. You can email us via our contact page.

Deziannouncement

Now on to even better fings, meez 6ff birffday. Member to send me yous fotos to: lexi.dezi@yahoo.com by October 30, 2015 to be included in meez Birffday posty on November 2nd. Da theme is Gone Wiff da Wind. Ifin yous need help wiff da foto shoppin’ purrlease send a clear foto of yous selff and weez’ll get ya’ all dwessed up.

Till da next time……………………….Be Blest!!!

Luv and Hugs and Kitty Kisses

Dezi and Lexi