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Peer-reviewed veterinary case report

How US vets treat non-blocked bladder inflammation in cats

By Krause, Laurel R et al.·Published in Journal of feline medicine and surgery·2024·Department of Veterinary Clinical Sciences, United States·View original on PubMed

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Original publication title: Survey of veterinarians in the USA to evaluate trends in the treatment approach for non-obstructive feline idiopathic cystitis.

Species:
cat

Plain-English summary

A survey of veterinarians found that many are treating cats with non-obstructive feline idiopathic cystitis (FIC), a condition that causes lower urinary signs, with a variety of methods. For immediate relief, most vets use pain medications, adjusted litter box setups, and synthetic pheromones. For long-term management, prescription diets and environmental changes are popular. However, many vets noted that challenges with owner compliance and communication can hinder treatment success. Improving how vets talk to pet owners about managing FIC could lead to better outcomes for affected cats.

People also search for: cat urinary problems treatment · feline idiopathic cystitis management · cat pain relief options

Abstract

OBJECTIVES: The goal of this study was to gather information on treatment approaches and trends for the treatment of non-obstructive feline idiopathic cystitis (FIC). METHODS: An internet-based survey of veterinarians was conducted focusing on outpatient treatment approaches for cats that are stable, not obstructed and that exhibit lower urinary signs suspected to be due to FIC, where other causes (eg, urolithiasis, urinary tract infection, other) have been ruled out. RESULTS: A total of 606 veterinarians submitted complete surveys for inclusion. Respondents reported that when obtaining patient histories, in ⩾75% of client interactions they gathered information about feline stressors (542/606, 89%), resource set-up (eg, number of litter boxes; 466/606, 77%) and diet (552/606, 91%). Only 31% (187/606) of respondents reported that they gathered information about daily human/cat interaction in ⩾75% of client interactions, with 69% (419/606) of veterinarians inquiring about this information 50% of the time or less. Top treatments selected for acute presentations of FIC were analgesics (537/606, 89%), modified litter box management (435/606, 72%) and synthetic feline pheromones (422/606, 70%). Top treatments selected for chronic FIC management were prescription diets (519/606, 86%), modified litter box management (508/606, 84%) and environmental enhancements (493/606, 81%). Challenges with owner compliance and expectations were selected as barriers to achieving a positive treatment outcome by 81% (486/599) and 62% (372/599) of respondents, respectively. Rehoming or euthanasia were recommended by 37% (224/606) and 10% (59/606) of veterinarians, respectively, due to difficulties managing FIC. CONCLUSIONS AND RELEVANCE: The treatment approach for non-obstructive FIC appears to be multimodal and recommendations vary between acute and chronic presentations. An area of opportunity is client communication and education, which may improve owner compliance and help set appropriate expectations. The importance of human/cat interaction as a management strategy appears under-emphasized.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/39163476/