Manual bladder emptying in cats and dogs. Bladder atony in a cat: symptoms and treatment

Some diseases in cats can lead to poor control of the back of the animal's body. The excretory system is especially affected. Therefore, for the normal functioning of the body, the cat needs special help. In this article, I will talk a little about bladder massage in cats, the procedure itself, and the cases when it is necessary.

Massage is performed if the pet suffers from infectious diseases of the genitourinary apparatus, as well as from lesions of the nerves of the hind limbs (paresis, paralysis, etc.).

Of course, it is always better to contact qualified specialists, but situations can be very different. But the life (!) of a cat can sometimes depend on this. Therefore, it is recommended to know about this procedure for all those owners whose pets suffer from the diseases listed above.

Difficulty urinating and disruption of the bladder become noticeable immediately. The cat becomes restless or, conversely, too lethargic. The animal walks less and less, depression, vomiting may also occur. Changes occur in the behavior of the pet - the cat spends a lot of time in the toilet, trying to urinate in different places.

Consider the basic steps for bladder massage for a cat:

1) Carefully take your pet in your arms, in no case do not press on the stomach on purpose. Put the animal on the table with all four paws and evaluate the general state of health.

2) Calm the cat - stroke his head, say something affectionate. Touch your belly and feel for your bladder. The degree of its swelling and density will indicate how dangerous the current situation is.

3) Lay the animal on its side or on its back, ask someone to hold the pet in this position.

4) Examine the penis - if it is covered with tiny stones that interfere with the passage of urine, get rid of them. To do this, lubricate the fingers of one hand with a special gel or soap, gently squeeze the genitals and move your hand away from the base.

5) Place your palm in a boat and begin to massage the bladder so that the urine is directed towards the external genitalia. In no case do not press, any careless movement can lead to rupture of the bladder! It's not the power that matters, it's the correctness. If you can do everything right, you will see urine coming out in a small amount. A moderate amount of blood in the urine is acceptable.

6) The cat will most likely start to break free and fight. Ask someone to hold the pet by the paws and stroke the neck for comfort.

7) If the procedure is successful, the cat will be able to urinate into the tray. It is desirable that the bladder of the animal is emptied by 50%. But if the pet has nothing against massage, you can try to complete the procedure.

For cats that require bladder massage, it is best not to feed dry food, instead use wet food. Provide the animal with access to clean drinking water, this will help prevent the formation of kidney stones, etc.

Manual emptying of the bladder (push-ups, massage, squeezing - colloquial) is a procedure for emptying the pet's bladder with your hands, using squeezing.

Bladder pressure is primarily needed in cats and dogs with severe paralysis, most often as a result of trauma (fracture of the spine) or disease of the intervertebral discs. Such animals are usually called "spinal", "spinal".

Neurological deficit (grade 4-5-6) is the main reason for recommending permanent lifelong mechanical bladder emptying.
In other cases, when the pet cannot go to the toilet on its own, it is necessary to determine and eliminate the cause by contacting a veterinary clinic.

The need for this procedure is determined by the doctor, squeezing the bladder, not knowing the diagnosis of the animal, can be extremely dangerous, even fatal.

It is no less dangerous and harmful to leave “everything as it is” when the animal needs manual emptying of the bladder.
If the animal cannot go to the toilet at will and relax the bladder sphincter in a controlled manner, the bladder will overflow and expand (containing both today's, yesterday's, and the day before yesterday's urine).
In stagnant urine, the concentration of salts increases, which can lead to urolithiasis.
Stagnant urine turns into an excellent breeding ground for pathogenic bacteria, which, in turn, through the ureters, due to overflow of the bladder, together with urine can enter the kidneys, causing inflammation of the kidneys, which, if not treated in time, can be fatal .

Often the procedure for manual emptying of the bladder causes concern of the owners, because the efforts that need to be applied are large enough, it may seem that they injure the pet's bladder.
There is some truth in this, mechanical impact on the bladder from the outside can cause microtrauma of the bladder wall. In animals that have been squeezed urine for life with their hands, sometimes a slight thickening of the bladder wall (cystitis) is normal.
However, this is incomparable with how the bladder of a paralyzed animal is injured and “spoiled” from overflow, if it is not squeezed out at all (it stretches and becomes atonic),
with the fact that stagnant urine is a favorable environment for the development of KSD and the life of pathogenic bacteria (due to which the kidneys may suffer),
and with urinary dermatitis of animals flowing during the day from overflow (constant contact of the skin with stagnant urine results in what the owners mistakenly call "bedsores" and perceive as the norm for paralyzed animals, in fact, the vast majority of such "bedsores" are urinary dermatitis ).

Many, believing that the ability to go to the toilet on their own, will return, they are afraid that if they wring out the bladder, they will deprive the animal of the chances of regaining the independent ability to do this, and do not wring out.
In fact, everything happens exactly the opposite - as a result, after 2 weeks, if there is no care, serious inflammation can develop, blood, mucus, and clots appear in the urine.
Imagine the same balloon - if you inflate it a little, before the walls begin to thin, and then blow it off, it will look just like a new one. But if you inflate it to the end, and then blow it off, you get a rag with an uneven wall thickness.
If the animal has a chance to restore independent urination, then it is all the more important to keep his bladder healthy, not overdistended, not atonic.

Not all spinal patients require manual bladder emptying.
There is a dependence on the level of damage (the nervous system of animals is represented not only by the spinal cord, within the framework of this article there is no study of anatomy and pathophysiology, so just remember that the levels of damage are divided by the type of upper motor neuron and lower motor neuron, picture for understanding).

In case of damage according to the type of the upper motor neuron (the pathway from the cerebral cortex to the synapse with the lower motor neuron in the ventral horn of the spinal cord), hypertonicity of the bladder and sphincter is observed, urination is either completely absent or is carried out often and in small portions. The cat cannot go to the toilet at will and relax the sphincter in a controlled manner. It is with this type of damage that manual pressure of the bladder is necessary. At the same time, urine can flow out when the bladder is full - to some extent, its walls are stretched, after which the urine begins to flow out.
With injuries of the spinal cord at the level of lower motor neurons (ventral horns of the spinal cord, ventral roots and motor fibers of the spinal nerves), the picture is reversed - there is a lack of tone, outwardly this is expressed in constant urine leakage. Unfortunately, the only way out for such animals is to constantly wear a diaper, emptying the bladder manually can stop urine leakage for a while, but not for long.
The type of damage and the prognosis for the restoration of the ability to urinate independently is determined by the doctor after a neurological examination.

It is not uncommon for pet owners who are shown manual bladder emptying to perceive leakage from overflow as independent urination.
When, with active movements, a cat or a dog leaves behind drops of urine, it may seem to the owners that since something flows out of the animal on its own, it means that it has no problems with urination and it is not necessary to manually empty the bladder.
This is quite easy to check - it is enough that immediately after the animal has defecated (or allegedly defecated), an experienced doctor checks by touch how much urine is left in the bladder, and if after the leak the bladder is full or even more crowded, then the animal needs to manually squeeze urine.
An even more reliable way to check will be an ultrasound immediately after the animal has left behind drops or puddles of urine.
Even if you drive to the clinic for several hours on the other side of the city, when you empty your bladder on your own on an ultrasound scan, you should see a small, almost round ball in which there can be no more than 1-2 ml of urine.
If there is more urine, then the animal needs to manually squeeze out the urine.
In addition, if we are talking about normal urination even in an animal with paresis, then this can look like one and only way - the pet maintains its usual habitual intervals between urination, tries to take a pose, do it in a familiar place.
That is, if the dog went to the toilet 3 times a day, then she will go to the toilet 3 times a day, if the cat was accustomed to the tray, he will at least try to crawl to the tray, and even with a paralyzed pelvis, animals that have retained the ability to voluntary urination, they try to take a physiological position (they most likely will not succeed, but nevertheless).

How to squeeze the bladder.

The procedure can be carried out both in a lying animal, and put it on its paws and support. Run your hands over your pet's belly from where the ribs end to the tail. The bladder feels like an inflated balloon sliding between the fingers. Gently press on the bladder from either side of the abdomen, using the entire palm of your hand to maintain the same pressure. You can try to squeeze from both sides with two palms, find the most convenient way for yourself. The flow of urine must be steady.
This procedure is sometimes referred to as a bladder massage. However, the word “massage” is not entirely correct here - for proper emptying of the bladder, it is squeezing, and not stimulation of the walls, that is required, independent urination will still not occur.
You can ask a specialist in a veterinary clinic to show you how to properly perform this procedure.
To better imagine the sensations, fill the balloon with water - a little, and put it under the covers, and then try to feel and squeeze it from the outside.
It is necessary to squeeze urine 2-4 times a day, according to the doctor's recommendations. Cats may be very disapproving of pressure on the abdomen at first, but remember that the health, quality and life expectancy of a cat with paralysis depends on how fully the procedure is carried out.
Manual Bladder Depression is a fairly simple procedure and, unless the animal has an advanced case, caring for it will be only slightly more difficult than for a healthy animal, and life with such a pet can be absolutely comfortable for the owner.

The bladder in all living beings is a unique organ that impresses with its elasticity and is second only to the uterus in its ability to stretch. Where the cat has a bladder, every owner should know, since there are situations when for an emergency home determination of the animal's condition it is required to probe this organ.

The bladder has a pear-shaped shape, and with an understanding of where it should be, it is easily palpable even by a non-specialist. If you carefully carry out the procedure, it will not bring harm to the cat, but it will give a lot of information about how the urinary system works properly and whether the cat is sick. The fullness of the organ with urine does not affect its location. Invariably, the cat's bladder is located in the lower abdomen directly in front of the crest of the womb in the lumen of the small pelvis.

Features of the organ and where it is located

The cat's bladder is not covered by an omentum and therefore is within easy reach if it is necessary to palpate it or perform surgical intervention on the organ. Its shape is pear-shaped. The narrowing occurs at the exit, due to which a neck is formed, which ensures the retention of urine in the organ and its release from it. When overfilled, the bladder stretches to the navel, due to which its walls become thinner to the limit. In such a situation, it is possible to probe the bladder only with extreme caution, since strong pressure can cause the organ to burst.

The main function that the bladder performs is the temporary, until the moment it is excreted through the urethra (canal), the stay in it of urine, which enters the bladder through the ureters from the kidneys. Features of the structure of the urinary canal in cats explain why they have urolithiasis more often than in females. The cat has a thinner and more sinuous urethra than a cat, which is why when a stone appears in it, the risk of a negative outcome of the disease with delayed treatment is significantly increased, since blockage of the canal or ureter can occur.

Structure

The bladder is quite complex. This is explained not only by its elasticity, but also by its connection with the urethra and ureters. The internal cavity of the organ is lined with mucous, which protects the body from the penetration of dangerous bacteria into it through the bladder. The structure of the bladder is as follows:

• Outer shell. It consists of connective tissue, under which there is a layer of smooth muscles, which ensures the timely expulsion of the contents of the bladder and the urge to urinate, which appear even before the organ is overfilled.
• Submucosal tissues. This is a complex membrane, consisting of especially elastic fibers, which provides proper support to the walls of the organ, even with strong filling. It also supports the mucosa of the inner surface of the bladder, preventing it from moving.
• The mucous membrane is located in the cavity of the bladder. Thanks to this tissue, the organ can be collected after emptying and stretch to a huge size when overflowing. The secret produced by the cells of this layer of the bladder allows you to suppress the development of pathogenic bacteria in the cat's body, but only if he has good immunity.

Like any organ, the bladder has its own diseases and is equipped with nerve endings, which is why when it is damaged, the cat experiences pain. You should not assume that since the bladder, in fact, is a temporary bag for collecting urine before excreting it from the body, then it cannot hurt like other organs that differ in the complexity of their functioning. When a pet has a tendency to diseases of the genitourinary system, it is unacceptable to leave this phenomenon unattended, since its causes can be very different, including life-threatening ones.

Features of palpation of the bladder

If there is a suspicion that the cat has urinary retention, it is necessary to palpate the bladder to determine its fullness. To do this, you need to know where the organ is located. Finding a cat's bladder is easy. Even the owner can do this, although, of course, it is better to immediately visit the veterinarian and provide all these manipulations to him. Probing is performed as follows:

• the cat is placed on a flat surface with its tail towards the owner on all four paws. If the cat is in a different position, do not palpate the abdomen;
• the assistant supports the cat with one hand a little under the stomach, and the second fixes it by the scruff;
• the examiner's hands are placed so that the thumbs are on the croup, and the rest can feel the stomach.

If the bladder is filled with urine, then to the touch it will be perceived as a significant seal, somewhat elastic in consistency. Often in such a situation, urgent catheterization is necessary.

An independent examination of the animal gives little results, since the cause of problems with the urinary system is correctly located only by a specialist who has specialized knowledge.

As noted above, we will not consider the behavioral "ill manners" of dogs, as well as the methods of "toilet" training, in order to prevent the appearance of fragrant puddles in the apartment, in this article we will not consider. Let us dwell in detail only on the diseases and disorders that can occur in a domestic dog and lead to urinary incontinence.

The list of reasons that can cause involuntary urination in dogs is quite extensive. These may be physical or structural disorders of the urinary tract, blockage or infection. These pathological conditions can occur alone or in combination with others, for example, it is common for a condition when an active bacterial infection develops when a blockage of the ureters develops.

• Ectopic ureters.
• Weakness of the urethral sphincter.
• Thickening of the bladder wall - fibrosis.
• Neoplasia is a cancerous growth of cells in the lining of the bladder.
• Paralysis of the bladder.
• Uroliths are urinary stones.
• Infections are bacterial or fungal.

Ectopic ureters in dogs

Pathology is exclusively congenital in nature, therefore, it begins to manifest itself from the first days of life. However, in puppies up to 2-3 weeks of age, the owners rarely notice the problem, writing off small puddles around the apartment for a dog that is too young and consider this the norm.

The disease is based on the incorrect anatomical location of the ureters - they do not enter the bladder, but pass by it and end in the area of ​​the urethral sphincter, which also does not fulfill its physiological task. As a result, constantly incoming urine flows directly into the urethra, causing urinary incontinence in the dog.

Weakness of the urethral sphincter

This disorder is the most common cause of urinary incontinence in female dogs. The basis of the disease is the incomplete closure of the edges of the urethral sphincter, as a result of which urine from the bladder, especially when it is full, constantly flows out through the urethra and vagina of the animal into the external environment.

Weakness of the urethral sphincter is an acquired disease and is often observed in bitches after the first estrus, or after sterilization. The first option is most common among the Newfoundland and Golden Retriever breeds, the second - among Schnauzers, Bobtails, Boxers and Dobermans. There is a lot of discussion in modern veterinary medicine about what exactly causes this disorder, but all opinions agree on one thing - the change in the status of sex hormones is to blame.

Treatment of this type of pathology of urinary incontinence in dogs is reduced to two types:

• Conservative - with the use of hormonal agents or drugs that increase the tone of the sphincter. The downside of this approach is not always the full expected effect, as well as the constant use of drugs, which in itself is fraught with all sorts of complications.
• Surgery is the most effective approach, radically changing the situation for the better. With everything else, the cost of such an operation is low and equates to the cost of classical sterilization in female dogs.

Anatomical changes in the bladder

An organ that has a connection with the external environment through the urethra and is under the constant influence of an aggressive urine environment often becomes a participant in rather complex pathological processes that are difficult not only in treatment, but also in diagnosis. These in dogs of different ages can be:

• Fibrosis of the bladder wall. A condition in which prolonged exposure to any pathological agents leads to a significant thickening of the walls of the organ. Fibrosis is a dystrophic process, which means that it is characterized by a long period of development and the replacement of some tissues with others. In this case, the normal mucosa is slowly replaced by inactive fibrous tissue. As a result, the wall becomes thicker, the organ loses elasticity, shrinks, and the urethral sphincter loses the ability to close completely. Treatment is conservative and very long.
• Bladder neoplasia. Oncological growth of a tumor from the cells of the mucous membrane of an organ. It is not so common in dogs, but clinical cases within the same veterinary clinic are known. Treatment is exclusively surgical.

• Urethral neoplasia. A condition in the urethra, similar to the previous pathology and often developing in combination with it.
• Urolithiasis disease. As you know, urine contains a large amount of inorganic substances and their compounds, which in certain circumstances causes their fusion and the formation of monolithic stones of various sizes that violate the physiology of the bladder, urethral sphincter and urethra. You can learn more about urolithiasis in dogs from this article.
• Paralysis of the bladder. A disorder based on a violation of local or more often - central innervation that regulates the filling of the bladder, urethral valve and directly - the act of urination. This cause of urinary incontinence in a dog, the treatment of which is very expensive and often ineffective, develops, as a rule, as a result of an injury to the spinal column in the lumbar region and below.

Infectious diseases

Most often, infectious urocystitis develops in dogs due to bacteria that enter the body from the external environment through the urethra. It is also possible for bacteria to spread into the underlying urinary tract from the kidneys.

Urine, in its normal state, has an active bactericidal property due to its strongly alkaline reaction. As a result of the shift in the pH of the medium to the acid side, especially against the background of a lack of water in the body, when little urine is produced, bacteria from the external environment rise through the urethra into the bladder and an infectious process develops.

Running urocystitis significantly narrows the lumen of the urethra, making it difficult for the normal excretion of urine, stimulating the formation of large crystals, which are then converted into stones. So a vicious circle develops, when urolithiasis further contributes to the development of infection.

In addition to bacteria, pathogenic fungi can become the cause of urocystitis. These representatives of the microflora are less resistant than bacteria; therefore, their appearance, as a rule, indicates a greatly reduced immune status of the animal and a neutral pH of the urine environment. This, in turn, is often the result of too long taking hormonal drugs or some other medicines. Often the presence of fungi in a smear in dogs with incontinence indicates the first stages of the development of diabetes.

Treatment of infectious urocystitis necessarily includes the administration of antibiotics. In addition, such therapy is often used in other cases, as an infection prevention. Read more about cystitis in dogs.

Causes

The main causes of paralysis and paresis of the bladder in cats include:

• damage to the spinal cord or brain;
• damage to the central nervous system;
• prolonged urinary retention;
• bladder overflow.

The disease develops due to such reasons as:

• hypothermia;
• the presence of an infection in the bladder;
• chronic diseases (pathogenic bacteria have the ability to move with the blood flow from one organ to another, spreading inflammatory processes);
• metabolic disorders in the cat's body (this leads to overfeeding the animal or insufficient food, the use of low-quality mixtures);
• stress;
• injuries in the back or abdomen;
• damage to the inner walls of the urinary canal (as a result of improperly performed veterinary manipulations);
• use of a non-sterile catheter;
• the presence of diabetes in a cat (a high content of protein and glucose in the blood provokes the reproduction of pathogenic bacteria);
• drinking insufficient water. The urine of the animal in this case becomes too concentrated, which is a favorable environment for the development of infections.

Types of disease

There are several forms of cystitis, only a doctor can determine the causes of the disease.

There are several forms of the disease:

• chronic cystitis;
• idiopathic;
• hemorrhagic.

Chronic cystitis is accompanied by thickening of the walls of the bladder. The muscles of the organ are hypertrophied. When a cat visits the litter box, the bladder is not completely emptied. In the remaining urine, an infection occurs that provokes an exacerbation of the disease. This process can be complicated by suppuration. In some cases, inflammation spreads to the kidneys, resulting in the formation of salt stones, paresis develops, then complete paralysis of the bladder.

If after the examination it is not possible to find the cause of the disease, the doctor diagnoses idiopathic cystitis. Experts believe that the predisposition to this form is innate. The disease can be associated with defective changes in the bladder mucosa, as well as with excessive production of cortisol and catecholamine, stress hormones, by the animal's body.

If there is blood in the cat's urine, hemorrhagic cystitis is diagnosed. The danger of this form is the likelihood of developing anemia (anemia).

Symptoms of Paralysis and Paresis of the Bladder in Cats

The disease proceeds with pronounced symptoms:

• the animal often adopts a position for urination;
• behaves restlessly;
• moaning when urinating;
• there is a fetid smell of urine;
• palpation marked excessive filling of the bladder.

If your pet has one or more of these symptoms, contact your veterinarian immediately. Remember - the disease is easier to prevent than to deal with its consequences.

The main symptom of cystitis is difficulty urinating.

Unfortunately, the cat is not able to say what is bothering her. Therefore, the owner must regularly monitor the animal in order to respond in a timely manner if a problem occurs. Symptoms of the disease are the same, regardless of the form of the disease. The only exception is hemorrhagic cystitis, when you can see blood in the urine.

You can identify the disease by the following signs:

• frequent urge to urinate;
• pain when visiting the tray, which can be recognized by the characteristic sounds. The cat begins to meow plaintively, especially at the end of urination;
• pain in the lower abdomen. When stroking this area, the animal shows anxiety and turns out;
• the presence of pus and blood in the urine (hemorrhagic form);
• an unpleasant odor coming from urine;
• a decrease in the animal's appetite or a complete refusal to feed;
• temperature increase. For a cat, the norm is a level of 38 ° C .. 39 ° C;
• demonstrative urination in the wrong places. Thus, the animal tries to draw attention to itself and report a problem.

Diagnostics

To make a diagnosis, a veterinarian prescribes a number of examinations:

• collection of anamnesis;
• blood and urine analysis;
• examination of the animal;
• fluoroscopy;
• exclusion of spasm of the sphincter of the bladder and urolithiasis.

Diagnosis can only be made in a veterinary clinic

1. The veterinarian makes a preliminary diagnosis based on the initial examination and clinical signs.
2. By palpation through the abdominal cavity, the doctor evaluates the filling of the bladder.
3. Next, ultrasound diagnostics is carried out, which allows you to determine the size of the organ and wall thickness. Ultrasound also helps to identify sand or stones in the bladder.
4. To evaluate the work of internal organs, in particular the kidneys, a biochemical and general clinical blood test is carried out.
5. A mandatory step in the diagnosis is a urinalysis. This procedure will show the degree of concentration of urine, the presence of red blood cells, mineral deposits, bacteria, white blood cells, protein. As well as a change in smell, color, density, acidity, the presence of mucus. The most sterile way to collect urine is to puncture the bladder (cystocenesis).

Treatment of cystitis

With paralysis and paresis of the bladder, the animal needs correct and timely treatment prescribed by a veterinarian. In this case, the owner is instructed to do the following:

• regularly massage the bladder through the abdominal wall;
• stick to a diet;
• do a heat compress on the back of the body;
• carry out visceral, pararenal or epipleural novocaine blockade;
• put antibiotics, sulfonamides and disinfectant solutions to reduce the inflammatory process;
• apply securinine nitrate, strychnine nitrate, magnesium sulfate, echinopsine nitrate to tone the body;
• use B vitamins: riboflavin, thiamine bromide, calcium pangamate, cocarboxylase, cyanocobalamin, campolone.

Medical therapy

Drug therapy is reduced to the use of antibiotics, probiotics, antispasmodics. In many cases, the disease is caused by bacteria. But even if cystitis has arisen for a different reason, pathogenic microorganisms will appear in the inflamed area. To help you deal with them:

1. Synulox. A very safe remedy, even old animals can be treated with it.
2. Ceftriaxone is available as an injection. Before administration, the drug is diluted.
3. Papaverine is administered subcutaneously. The drug has many side effects and contraindications, so a specialist should prescribe.
4. Furazolidone. Has extensive antimicrobial activity.

Photo gallery of medications for cystitis

Papaverine

Furazolidone

Synulox

Probiotics help to restore the intestinal microflora and prevent the development of dysbacteriosis. OLIN is suitable for cats. It is available in powder form, before use, you must first prepare a solution.

Probiotic OLIN prevents the development of dysbacteriosis in a sick animal

Antispasmodics will eliminate pain, which will allow the cat to increase the amount of urine during urination. Among them are:

1. Travmatin. A complex homeopathic preparation, which includes natural substances.
2. Kantaren is administered intramuscularly. The drug has a wide spectrum of action: it eliminates spasms, anesthetizes, relieves inflammation in the kidneys and bladder, facilitates the excretion of urine, and restores the body's defenses.

For a diuretic effect, a cat can be given KotErvin. In the manufacture of this product, only natural ingredients are used: harrow root, highlander, horsetail, highlander and distilled water. The drug provides the removal of salts and the dissolution of stones, does not cause allergic reactions.

KotErvin is a safe diuretic

If a cat has a severe degree of cystitis, it is urgent to carry out catheterization of the bladder. This procedure must be carried out under the supervision of a veterinarian. It is performed when the animal cannot empty itself. The catheter is inserted into the urinary tract and fixed on the cat's skin. In addition to removing urine through a catheter, the bladder is washed with an antiseptic to eliminate existing sediments.

If it is not possible to carry out the procedure, a urethrotomy is performed. This occurs when there are large crystals in the urinary tract. The veterinarian surgically removes the narrowest part of the urethra where salt crystals accumulate.

Folk remedies

Along with medical methods, folk methods are also used:

1. Pour 1 tbsp. l. dill 1.5 cups hot water. Insist 30 minutes. Give the animal 3 times a day.
2. Take 1 tbsp. l. Hypericum perforatum and pour 20 ml of boiling water over it. Put on a slow fire and cook for 15 minutes. Then insist for an hour and strain. Give to the cat three times a day.
3. Pour 2 tbsp. l. chopped horsetail with a glass of hot water and leave for 15 minutes. Apply three times a day.
4. Pour 200 ml of hot water with 20 g of highlander, leave for 2 hours. Give the cat three times a day.

Features of caring for a sick animal and the nuances of the diet

Caring for a cat is proper nutrition, providing peace and warmth

The first step is to correct the diet of the animal. Food should help reduce the concentration of urine.

The cat should be given the following foods:

• boiled poultry, rabbit, beef;
• wheat, buckwheat or oatmeal;
• kefir, cottage cheese and yogurt with a low percentage of fat content (1–2.5%).

If your pet consumes dry food, transfer it to mixtures that promote the rapid dissolution of struvite (stones): Royal Canin Urinary S / O Feline, Eukanuba Urinary Struvite Feline, Purina Veterinary Diets UR St / Ox - URinary Felin. The diet must be followed for a month. If the cat refuses the new food system, move to it gradually.

The cat must always have access to water. Fluid intake reduces the concentration of urine. You can use tuna or chicken flavored water. Maintain a warm temperature in the room where the animal lives. Don't try to warm your cat with heating pads. This will lead to the multiplication of pathogenic microorganisms. Eliminate drafts in the room. In places where the cat likes to rest, put bedding. The animal should not come into contact with the cold surface.

Since one of the causes of cystitis is stress, the cat needs to provide a calm environment. She will eat regularly and visit the litter box if she feels safe. If there are several cats in the house, a sick animal must be provided with an individual toilet. Do not place the tray in noisy and crowded places. Cats do not like them very much and try to avoid them. Untimely visiting the tray can lead to urinary retention.

If the apartment contains several animals, exclude the possibility of a conflict between a sick cat and them. The reason for stress can be spending most of the time indoors. With a cat living in an apartment, it is advisable to play daily.

Consequences of improper care of a paralyzed cat

Often, the procedure of manual pressure causes concern - the forces that need to be applied for this are large enough, and the owners may feel that they are injuring the cat's bladder. In fact, with the timely start of pushing and proper care, the cat's condition will be much better than if you try to leave “everything as it is”.

If for some time the cat empties the bladder only on overflow, atony of the walls of the bladder begins. Imagine the same balloon - if you inflate it slightly, before the walls begin to thin, and then blow it off, it will look just like a new one. But if you inflate it to the end, and then blow it off, you get a rag with an uneven wall thickness.

Approximately the same will look and atonic bladder. When it overflows, only part of the urine flows out, the rest remains inside and stagnates, turning into an excellent breeding ground for pathogenic bacteria. The concentration of salts in the solution increases, which can lead to the development of urolithiasis.

Video with instructions on how to squeeze the bladder of a cat.

Preventive measures

To prevent disease in dogs, a veterinarian recommends:

• balanced pet feeding;
• proper maintenance of the animal;
• protection from poisoning and injury,
• timely treatment of infectious and other diseases.

Attention: the above is for educational purposes only, it is not professional medical advice and scientific material.

The following preventive measures will help to avoid the disease:

1. Don't let your pets get cold.
2. Eliminate all factors leading to stress.
3. Pay close attention to your cat's diet. Do not use cheap low quality formulas for feeding. Do not give the animal fried, salty, smoked and sweet food.
4. Make sure that there is always fresh water in the pet's bowl, do not restrict access to it.
5. Treat the animal for infectious diseases in a timely manner.

Cystitis is difficult to treat. At the first sign of illness, contact your veterinarian immediately. Do not self-medicate, in the absence of qualified knowledge, you can cause significant harm to the health of the animal. Responsibly follow all the recommendations of the veterinarian. Make sure your cat is comfortable and well fed. To protect your pet from cystitis, take preventive measures.

I have a cat - "Persian", age 6.5 years (not neutered). He developed urolithiasis. It all started about two months ago. My pet at times began to run to the toilet often, stay there for a long time and sulk. The amount of urine was very small and mixed with blood. I did not betray this value and thought that he was just "asking for a cat." This condition lasted no more than a day and passed. He also continued to play and enjoy life. This happened about 3 times in a couple of months. But on January 9, 2001, suddenly his condition became very bad. He literally constantly urinated, everywhere and in any position, and within a day he stopped urinating at all. Stopped eating and drinking. Realizing that he simply could not go to the toilet, I called the veterinarian. (11.01.2001). The doctor tried to empty the urine from the bladder with a catheter. This could not be done without anesthesia. But somehow, after 2 hours of work, I still managed. The kidneys are greatly enlarged. Bladder stones and sand. He also made intramuscular injections of ascorbic acid and some kind of antibiotic. He left the catheter to the mark. day. But at night, my pet got caught on something by the catheter, and he jumped out. The doctor made an appointment: KotErvin in the morning and in the evening, 4 ml. orally. Cyston in the morning in the evening, 1/4 ton orally. 5-6 drops of lemon per teaspoon of water 2 times a day. Drink water 3 times a day, 20 ml. On the following days, you can feed a little. On January 12, I already gave all this. The doctor also prescribed injections. Gave ready. Said it was an antibiotic, relaxing. 13.01 drove to the hospital. They did catheterization. They pressed on the stomach, and all the urine poured out. Poured 2 ml. Erwin cat. Have made relaxing, an antibiotic. Have made magnetotherapy MAGom-30-3. After that, the cat was reborn. But then the situation worsened. The bladder filled up again. But my cat was already recovering on his own, at least a little and with blood. Today, 01/14/2001, the condition is better, the cat goes to the toilet by himself, without blood, but in the first half of the day with an admixture of sand, as I understand it. But his bladder also continues to hurt (maybe the kidneys). He is sometimes fussy and sometimes cheerful. Please advise what and how to give him. Maybe this treatment is not enough. What treatment would you recommend. I don't trust doctors because now everything is done for money. What is the best way to crush stones and remove sand? Is it possible to press on the stomach to squeeze out urine? How can you help the kidneys? That YOU as the doctor will advise in the given situation. Maybe you should buy him a MAG magnet? How to restore the work of the bladder and kidneys?

Answer:

1. What you need to know about your cat's illness. Urolithiasis (UCD) is a metabolic disease. The ratio of salts in the body is disturbed, the acid-base balance of urine and the salts of a particular substance begin to precipitate in the kidneys or bladder.
In order to treat this disease, it is necessary, in my opinion: to pass a urine test for salt, since the treatment varies depending on the composition of the precipitated salt; make an ultrasound of the bladder and kidneys - to assess the condition and the presence of stones / sand.
To date, there has been no good treatment for KSD. Very often, even with the relief of one attack after an indefinite period of time, another may occur, with more severe or fatal consequences.
2. The treatment that you have been prescribed is quite universal, but in the light of what I wrote to you above, it is necessary to select a more specific treatment for your animal based on additional research.
3. Stones are crushed either with the help of medicines (the same cystone contributes to this) or with the help of a special ultrasonic device (I have not yet heard that at least someone in Moscow did this).
4. It is possible to press the bladder to divert urine, but this must be done very gently and carefully, otherwise the bladder will rupture. To carry out this procedure, you put the animal on its side, bring one hand under the belly from below, put the other on top of the belly. Locate the bladder with your fingers.
Filled, it is palpable like a ball in the abdominal cavity. Grasp him gently and press from the sides and in the direction from head to tail. The pressure should be soft and rhythmic. If after four or five pressings the urine does not start to come out, then this method is not suitable and a catheter must be inserted.
5. The work of the kidneys is helped by medications that your veterinarian prescribes plus a special diet. In general, the diet in the treatment of your cat from KSD plays a significant role, since the diet of the animal plays a major role in the treatment of metabolic diseases. The diet is selected by a veterinarian based on the condition of your cat and the results of additional studies. Hill's and Wiskas produce special therapeutic feeds for the treatment of KSD in cats. These feeds are canned. Please note that the dry foods currently sold in abundance with similar labeling are only PREVENTIVE. They are not suitable for TREATMENT of an already developed disease.
6. Magnet MAG You can completely buy and use according to the instructions, after consulting with your doctor first.
It is better to find a good veterinary specialist whom you will trust, and he will see in you and your animal, first of all, not only a means of enrichment. I wish you success.