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Author Topic: reoccuring Urinary Tract Infection  (Read 3462 times)
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3catkidneyfailure
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« on: June 04, 2009, 05:48:31 AM »

Hi, everyone.  My survivor, IQ, has a reoccuring UTI that she's been battling for about 3 months now.
She just had bloodwork done, and it's back.

IQ has had shot of Convenia. Did not stop the UTI on followup.

IQ was on 3 week course of Zenaquin. Stopped the UTI on followup, but UTI now, about two to three weeks
later, is back.

IQ is deathly allergic to penicillin in all forms. IQ is not concentrating her urine and has not been since early 2007.

HELP, if possible, and thank you for any ideas ...
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Meowli
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Oscar


« Reply #1 on: June 04, 2009, 07:01:51 AM »

Our Oscar recently had a long bout of cystitis -and I received a LOT of information and assistance from the crew here at Itchmo (Oscar thread under Help with My Sick Pet). I know some ideas mentioned can't be followed for kidney patients - like the higher protein - but some things may be ok. We use mainly the Tinkle Tonic. Not sure about this for kidney kitties though - one ingredient (horsetail) is a mild diuretic which may tax the kidneys- but there are homeopathic bladder soothers too - such as "urinary tract irritations" by Natural Pet Pharmaceuticals- ( Amazon.com had it). Besides the homeopathics there are tiny amounts of preservatives. There is also herbal Bladder Strength  chew tabs by Vetri-Science Labs. No matter the cause, these products may help to soothe that poor little cat bladder. Sorry that kitty can't tolerate some antibiotics-we tried a couple of things and finally found one our Oscar handled without barfing. The lesson is that there are a number of antibiotic meds out there -don't give up. Long before the bad pet food had us deal with acute kidney failure, we had a cat with CRF that we managed for several years so I know how delicate and touchy this can be.     
Good luck
Meowli
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JustMe
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Elvis


« Reply #2 on: June 04, 2009, 07:12:18 AM »

3Cat,

I'm so sorry IQ isn't feeling well.  Does your vet think another course of Zeniquin would be helpful? 


Here is Meowli's Oscar thread.

http://itchmoforums.com/help-with-my-sick-pet/oscar-t8121.0.html;msg117869#msg117869
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kittylyda
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« Reply #3 on: June 04, 2009, 07:19:02 AM »

I am kind of going through the same thing with Tig.  If you have not seen the thread you can read all about it under "Tig is having a hard time" in the "help w/my sick pet section."  Tig is not CRF and her condition seems to be brought on by stress.  Right now we are doing cosequin mixed into her food once daily and I'm doing the Tinkle Tonic every other day.  She is on prednisolone right now but I'm weaning her off of that.  I'm rubbing rescue remedy on her ears to help reduce stress.  We did lots of subq fluids too.  She gets only wet food with extra water mixed in.  She was on Clavamox for a week and then had a reoccurrence and had to go back on it for 2nd week.  Today is her last day on the Clavamox.
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Spartycats
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« Reply #4 on: June 04, 2009, 07:27:19 AM »

3cat,
Has a urine culture & sensitivity test (by cystocentesis) been done, so that you know this is indeed a bacterial infection, and what type of bacteria you are dealing with?

I have read references to D-Mannose helping (with e. coli).  Maybe you could ask your vet if it would be safe/helpful for IQ.  (I have not used it on any of my cats).  I've read of people using it, along with antibiotics (this is strictly web info- nothing scholarly).

"A better option is a sugar contained in cranberry - D-Mannose. This is available in mild-tasting powder which dissolves easily in water.  It can be given alone, or added to food. All one needs is 1/8 -1/4tsp (corresponds with  250-500mg) daily for a few days. Use D-Mannose only if dealing with 2 bacteria - e. coli and Klebsiella. Research support is sparse, so at this point anecdotal support is what we've got to work with."

http://www.holisticat.com/flutd.html


eta:

from http://www.felinecrf.org/holistic_treatments.htm
"Cranberry

You should avoid giving cranberry or food containing cranberry to CRF cats - it is too acidic for CRF cats, who tend towards acidosis anyway. Cranberries also contain benzoic acid, which cats lack the pathways to metabolise. The active ingredient in cranberries is Mannose, so you could consider giving D-Mannose to a cat who is prone to urinary tract infections."

 




« Last Edit: June 04, 2009, 07:39:26 AM by Spartycats » Logged
3catkidneyfailure
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« Reply #5 on: June 04, 2009, 09:13:16 AM »

Going in at 12 noon Pacific Time to get sterile urine sample for culture and sensitivity. Will pick up copies of yesterday's blood
test. Also waiting on stool sample culture (Q has pancake diarrhea which is why I took her in.) Also there is a panel on
zinc toxicity which I had run because she sometimes eats Wellness, and we're awaiting results of that panel.

So line up the questions because I should have the ability to answer this afternoon.

Thank you all so much for advice and reading -- 3cats n orange princess IQ
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Fizzy1
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« Reply #6 on: June 04, 2009, 09:19:00 AM »

I'm sorry IQ is ailing.  Hope you get some answers quickly....the waiting for results is stressful.
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Spartycats
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« Reply #7 on: June 04, 2009, 11:11:37 AM »

One of my cats has usually had diarrhea whenever she has had a UTI (before anitbiotic treatment).  I don't know why.  So I'm hoping the Wellness and zinc levels are ok. 
Please keep us posted.
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Meowli
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Oscar


« Reply #8 on: June 04, 2009, 11:35:32 AM »

I've seen diarrhea happen from antibiotic treatment itself as well as being helped by it- little cat tummies are just so sensitive. Maybe probiotics are in order? Can IQ take these safely?
Hope you get an answer soon.
Meowli
« Last Edit: June 04, 2009, 03:26:57 PM by Meowli » Logged
3catkidneyfailure
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« Reply #9 on: June 04, 2009, 01:51:13 PM »

spartycats, my vet went with the cranberry pills while we are waiting for 3 to 5 days for the sensitivity culture results.
I have CBC results. Urine specific gravity. Wow, there's too many too highs here.
BUN/Urea 40 mg/dl (14-36)
Chol 277 (75 - 220)
Crea 3.0 ((0.6 - 2.4)
Trig 381 (25-160/
GLU 177 (64-170)
 UA Microscopy:
Blood 1+ (Negative -)
RBC 4-10 (0-3)
SP Gravity 1.016 (1.015-1.060)
WBC 51-100 (0-3)

Lab Comments: Bacteria 4+ (Cocci Appearance)
Verified by Wright's stain

Still don't have zinc toxicity panel.
Potassium 4.8 (3.4 - 5.6)

IQ's stools soft but formed this morning
« Last Edit: June 04, 2009, 02:22:42 PM by 3catkidneyfailure » Logged
Carol
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Sir Harrison II aka Harry Hody


« Reply #10 on: June 04, 2009, 02:06:10 PM »

3cat...is specific gravity 1.016?
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3catkidneyfailure
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« Reply #11 on: June 04, 2009, 02:20:17 PM »

Sorry, Carol, yes is a typo 1.016 SP.
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JustMe
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Elvis


« Reply #12 on: June 04, 2009, 02:21:37 PM »

IQ's urine specific gravity is still normal, albeit low normal, at 1.016 by Antech standards, and that is "with" a UTI.  My vet said he likes to see them at least at 1.015.  It may improve once her urinary tract infection clears up.  Elvis' improved after we got rid of the cocci in his urine, but his is still below normal values.
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3catkidneyfailure
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« Reply #13 on: June 04, 2009, 02:30:29 PM »

My vets are personally looking for 1.020 all the time on Specific Gravity. Again I suspect a difference
of medical opinion.

Going to the vet's is increasingly stressing Q out. So vet not too upset at glucose/triglyceride values.
However, I've heard that before in summer of 2007 when she tested with a 716 spike and was on
insulin until December 2007, when she remitted from Type 2 diabetes.
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lesliek
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« Reply #14 on: June 04, 2009, 02:42:41 PM »

3cat- Does it need to be a sterile sample to retest for blood & glucose ? If not you could try to get enough at home for the retest & avoid the stress of the vet visit for IQ.
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