6/12 Aurora Update need help UTI

Discussion in 'Lantus / Basaglar (glargine) and Levemir (detemir)' started by Nicole Z, Jun 12, 2019 at 9:48 PM.

  1. Nicole Z

    Nicole Z Well-Known Member

    Joined:
    Apr 24, 2017
    HI Everyone

    Well, Aurora continues to do great OTJ - I continue to check her weekly on Sunday's though I seem to have gotten lazy with my spreadsheet but I keep a paper in the kitchen drawer and she is usually always in the 60-70 range.
    Last week she had a very odd episode. I was getting their breakfast ready and she went to the living room and laid on the fireplace marble. Her left side was rising and lowering quickly and she opened her mouth for a brief second. I thought she was going to pass a hairball so I ran and got some papertowel but she just continued to have that rapid breathing or heart rate, I'm not sure what was going up and down so fast. She moved under the coffee table and stayed there for about 20 minutes but then came out and went to the basement and wanted to play string and then she came up and ate and she was acting normal for the rest of the day. We wondered if maybe her blood glucose dropped too low so we gave her a can of fancy feast with gravy and that really seemed to pep her up. The next day Friday we gave her another can. Well, I guess that was too rich her her (the vet strongly feels she has IBS ) and that triggered the runs.
    I noticed on Monday this week that there weren't any of her pees in the litter box. I continued to watch her and Monday night she was on the basement area rug and was being weird so I quickly ran for some papertowel and caught the pee just in time. We lifted up the rug to find about 3-4 other spots. Thankfully I had some natures miracle ( Which BTW I don't think works very well at all, I can still smell it in the rug ).
    Took her to the vet yesterday - ran a full blood work up with thyroid, did an x ray to check her chest, and a urine sample to send for culture. The blood work was all completely normal including her glucose. Side note, the vet is really pressuring me to get the alpha track monitor and strips because she just doesn't understand the human #'s. I told her I refuse to pay the cost of the alpha meter strips...not sure how to convince her that what I'm doing is fine

    Anyways, her urine appeared to be cloudy and she gave her a convenia injection and sent us home. She slept most of the day/early evening but when she got up she did use the litter box. I have those blink XT security cameras and set one up over looking the rug she's peeing on and sure enough at 4am she peed on the rug again. Ugh. She seems really weird, going all over and her tail is wagging back and forth. Drinking quite a bit of water despite blood work being all normal including thyroid results. She has been drinking lots of water for months now......

    I'm torn on the rug - part of me says remove it completely but then I have more of those same shaggy area rugs from Costco so I feel she will just pick another to make her toilet. Should I just keep the current rug and keep cleaning that? Urine culture won't be back until at least Friday or Saturday. Perhaps the strain of bacteria isn't responding to the convenia? I sanitized the litter box in the basement so it's fresh with all new litter. I also put a spare litter box right beside the rug she's peeing on and she did use that a couple times but also went on the rug as well.

    Her eyes are big....

    I'm at a loss. I'm exhausted too. Just looking for some words of advice on how to handle this and if I'm missing something with this water drinking....could she just be super stressed and need an anti anxiety med?

    Thanks everyone!

    I'm going to bed but I"ll check for responses in the AM.
     
  2. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    Hi Nicole. I’m glad Aurora has been doing well. Your vet should have cultured the urine to see what type of bacteria and which antibiotic to use. Convenia is likely not the right choice. Many here refuse to use it because if a cat has a bad reaction there’s nothing you can do and it stays in their system for several weeks. Max did receive it a few times but that was after a dental. He did not have a bad reaction thankfully. I bet Aurora is trying to let you know she needs the right antibiotic. Unfortunately that means another trip to the vet for a urinalysis and culture but that’s what I would do.
     
  3. Judy and Boomer

    Judy and Boomer Well-Known Member

    Joined:
    May 23, 2014
    Hi Nicole! I'm sorry to hear that Aurora isn't feeling well. Hopefully the culture results will be available soon so that you'll know for sure if she has a UTI.
    Has anything been happening that would cause her stress?
    What did the vet say about the heavy breathing? Not sure that a UTI would cause this symptom?
     
  4. carfurby

    carfurby Well-Known Member

    Joined:
    Feb 19, 2012
    Poor Aurora. It sounds like she may have a UTI. When Furball had one she was uncomfortable and because she couldn't pee in the lb she looked for other places to pee. I hope the test results give you some answers. If it is a UTI, you can get some D-Mannose and give it to her. It helped Furball and it won't hurt if she doesn't have a UTI. I bought capsules and divided them into thirds and put the powder in smaller capsules. Sending prayers.
     
  5. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    Hey there and sorry that Aurora is having a problem. When they have UTI and or crystals in there urine, they will associate the LB with the pain and start going out of the box unfortunately. Also, they will seek out cool surfaces to lay on like the fireplace marble hearth or a bathtub. I hope the culture will clearly show what is going on and the right AB will RX. I agree with Tiffmaxee about the Convenia. Lots of us, including myself stay away from it for the reason Elise mentioned. And the indications for it are for skin infections and seems like it is RX incorrectly by a lot of vets. ( it's a big money maker as it's pricey)

    Carfurby gave good advice about the D-mannose. You can also buy it loose and add 1/4 tsp in the food a couple times a day. When I added it to Forrest's food, he didn't seem to know it was there but, that can be an ECID thing.

    Keep us posted and glad that she is still doing well OTJ wise. I would test her daily for now until you know the immediate problem is over as an infection can send kitties out of remission quickly.
     
  6. Nicole Z

    Nicole Z Well-Known Member

    Joined:
    Apr 24, 2017
    @Judy and Boomer; @tiffmaxee; @carfurby; @Bobbie And Bubba

    Hi Everyone, sorry for the late reply, work has been absolutely crazy for me.
    So here is the 411 on everything. They did take a urine sample via needle and sent it for culture but that takes 3-5 days so it's not back yet. They opted for the convenia because she's had it before and because of her IBS she felt the convenia was the best choice to avoid another episode of the runs. I triggered that by giving her the fancy feast and potentially caused this. I did call the vet tonight when I got home and they said there was a preliminary result back and it wasn't showing anything. She said there was a small amount of protein but nothing to point to a UTI. I have heard of D-mannose before, when I was part of the renal cats group they suggested it but I thought it only works if the infection is E. coli based - it won't work if it's another bacteria. I can certainly pick some up and try. I believe I have some slippery elm, is that soothing to the bladder?
    As far as something else going on it's Mulan - she's the super jealous one, younger, she is only 4 and Aurora is around 12. Mulan loves to hunch down low and shake her butt and take off after Aurora and Aurora usually hisses and punches her. Mulan literally will try to jump on Aurora like she's trying to ride a horse. I don't know if Mulan has scared Aurora in the litter box - a couple times when I have been home I have witnessed Mulan trying to ambush her when she's in the litter box and she gets in trouble right away. I'm hesitant to put Mulan on any meds for this behavior because she already is on atopica 5 days per week for her severe allergies and also allergy shots 2x per week. I feel with an immune suppressant drug already, I don't want to load her up with something else. I thought maybe Aurora could benefit from something to help take the edge off - what do you all think of that? I still feel like Aurora is acting like she has a UTI - I don't believe this to be sudden marking behavior - seems odd to me that the culture isn't showing anything. They suggested repeating it again but to me that's seems like a waste of $$. They also suggested possibly referring me to a specialist for an ultrasound but with normal blood work and the x ray showed the bladder to be normal - what else could it be?

    Her teeth seem to cake on tarter quickly - the vet said her teeth need a scraping but that her gums looked good. I don't think dirty teeth have anything to do with this sudden change ?

    Ugh, I'm at a loss. I did put the spare 3rd litter box right beside the carpet and she has been using that so that's good.

    Natures miracle isn't really helping with the pee smell in the carpet. I switched to spot shot regular, not the pet one and sprayed the carpet with that so I'll have to see tomorrow if it passes the sniff test.
    A friend of mine from the gym has 5 cats and she said she's tried everything out there for pee smells, all the home remedies, and nothing really works 100%.

    Thanks!

    ~ Nicole
     
  7. Bobbie And Bubba

    Bobbie And Bubba Well-Known Member

    Joined:
    Jun 15, 2015
    Hey there. Have you tried Feliaway? It might help both cats to cam them.


    I have had great results with Natures Miracle. At the end of Forrest life , he was peeing everywhere! I would blot up the urine with paper towels until I couldn’t see any more wetness in the paper towels and then put the NM all over where the urine was. I could not detect any urine smell after that and I think I have a keen sense of smell .

    As far as the teeth, any tartar can cause inflammation and inflammation can cause higher numbers. But the two issues with teeth and peeing aren’t related.
     
  8. Judy and Boomer

    Judy and Boomer Well-Known Member

    Joined:
    May 23, 2014
    Hi Nicole, I'm wondering what, if anything, the vet said about Aurora's heavy breathing that one time you witnessed it?
     
  9. tiffmaxee

    tiffmaxee Well-Known Member

    Joined:
    Nov 15, 2013
    Oy. I’d post on the yahoo crf list and see if Maureen or Erika have any ideas. :bighug:
     
  10. Nicole Z

    Nicole Z Well-Known Member

    Joined:
    Apr 24, 2017
    @Judy and Boomer the vet wasn't sure about her open mouth breathing. She did the x rays and did what she called a cat o gram, no idea what that was but it got her heart and bladder in the image and all was fine. The open mouth was literally for maybe 5 seconds and it was only 1x. We're really not sure. That evening she did bring up a hairball on the basement carpet that she is now peeing on - it was really big. I didn't see her throw it up but I don't believe it belonged to Mulan since Aurora spends most of the time in the basement area ( partially finished basement ).
    @tiffmaxee would you mind posting to Maureen or Erika for me? I haven't been on that site in years, not sure if I even have a working log in anymore.
    @Bobbie And Bubba yes, I have used feliway in the past. My game plan is to buy 2 of them and have one diffuser in the basement where Aurora spends most of her time and another for the kitchen area where Mulan sits. I'm also going to go tomorrow and buy another one of the extra jumbo litter boxes that I have and I'm going to put that one in the basement as well but around the corner where Mulan isn't going to see Aurora using it - hopefully that gives her some privacy. I have one of these jumbo boxes in the main floor laundry room and one in the basement but I'll add the 3rd jumbo and also keep the spare beside the carpet until things seem to calm down.

    I don't believe that she doesn't have a UTI - Aurora always uses the litter box - seems odd that she would be acting sick, having that breathing episode, and start peeing on the carpet....plus she's down 2 full lbs from 13lbs 11 oz from November 2018 - now to 11 lbs 10 oz or something close to that oz as of Tuesday. She eats - so not sure besides the IBS that could cause that. Her labs are excellent - thyroid excellent, kidney results are slightly on the high end of normal but the vet said everything looked really positive.
    I wonder what meds would help to take the edge off for her? I did have Mulan on the amalytriptaline ( spelled wrong I'm sure ) as an attempt to control her crazy itching and that did really chill her out but did nothing for the allergies. I think Mulan just scares Aurora a lot though at times Aurora seems to really handle it well, maybe it really does bother her. Hopefully the feliway will help as well.
     
    Bobbie And Bubba likes this.
  11. carfurby

    carfurby Well-Known Member

    Joined:
    Feb 19, 2012
    I'm sorry you didn't get any clear answers from the vet. I've never heard that D-Mannose only works if it's e-coli. I just know it helped Furball when the AB didn't clear up her UTI. I don't think it can hurt if you try it. I hope you can figure out what is going on. Sending prayers. :bighug::bighug::bighug:
     
  12. Susan&Felix

    Susan&Felix Well-Known Member

    Joined:
    Sep 4, 2017
    I have used D-mannose for a couple of kitties and thought it was helpful, too. Sending vines for Aurora to get all sorted out and feeline fine!:bighug::cat:
     
  13. Nicole Z

    Nicole Z Well-Known Member

    Joined:
    Apr 24, 2017
    Hi everyone just a quick update. Aurora seems to be feeling better. She’s using the extra litter box I out next to the area rug she was peeing on. I also went and got a fourth box and that’s around the corner where Mulan can’t see her so she has options. I purchased two of the feliway multi cat diffusers and have one in the rooms each of them spends the most time. For those who have used the d mannose how frequently do you give it? I read for 7 days and that’s it? Or as needed if I suspect she might have a uti?
    The vet called and said the culture did not show anything but something was definitely up she’s acting like her old self again.
    Momma can now settle down....talk about stress yikes!
     
  14. carfurby

    carfurby Well-Known Member

    Joined:
    Feb 19, 2012
    I'm glad Aurora is doing better. When I gave Furball D-Mannose for a UTI I gave it for the time period I gave her the antibiotic. I think it was 7 days.
     

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