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Urethral Obstruction (“Blocked Cat”)

Detailed information about Urethral Obstruction (“Blocked Cat”)

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Urethral Obstruction (“Blocked Cat”)

Species: Cat

Breeds Affected: All breeds (male cats are almost exclusively affected)

Overview

A life-threatening emergency in which the urethra becomes blocked (often by a plug of mucus, crystals, or small stones), leading to bladder distension, toxin buildup, and potential kidney failure and electrolyte imbalances.

Symptoms

  • The cat strains in the litter box with little or no urine output
  • cries out in pain
  • and may show a distended
  • painful abdomen. Other signs include lethargy
  • vomiting
  • and eventual collapse if not treated promptly.

Treatments

Immediate veterinary intervention is required. The cat is sedated or anesthetized for urinary catheterization to relieve the blockage. Intravenous fluids are administered to correct dehydration and electrolyte imbalances. Medications are used to relax the urethra and treat hyperkalemia, and long-term management includes dietary modifications and stress reduction.

Medications

Urethral catheterization to relieve the obstruction; IV fluids; pain relief (eg, buprenorphine or other opioids); antispasmodics/urethral relaxants (eg, prazosin or phenoxybenzamine); emergency treatment for hyperkalemia (eg, calcium gluconate, insulin with dextrose, terbutaline); antibiotics if indicated; and a prescription urinary diet post-procedure.

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