Hi everyone.
I'm sorry in advance, this is going to be quite long but I am at my wits end.
I am looking for some possible insight into what could be wrong with my cat/cats.
They are 4 year old male tabby brother cats. Neutered, vaccinated, up to date flea and worming.
We are based in England and the cats are uninsured.
We know mum cat- she was a friends kitten who escaped the day before her spay op, got jumped by 4 neighbourhood cats. No known trouble with her, medically.
Cat number 1- very very attached to me, seeks me out etc. Went on holiday when cats were 1, came back and the day after we got home, he was struggling in the litter tray, not weeing, day 2 was weeing blood. Took him to the vets, asked about stress- said about me being away, everyone agreed it was probably that. He was put under GA, catheterised, unblocked, pulled his catheter out in the middle of the night and was sent home in the morning. Happy cat. The urinalysis showed no infection. Sent home with gabapentin and metacam.
Cat number 1- fire alarm randomly goes off about a year later. He immediately runs to the litter tray and sits there. Refuses to get out and does this all day. He was still playing, chatting and eating during this time so we gave him metacam. On day 2, he was weeing fine. Had 3 days of metacam. This happened again about 5/6 months later. Same sequence of events. Seems to run to the litter tray as a comfort blanket almost.
Important to note- when they go off their food, growl when licking themselves, stop playing etc, we take them to the vets.
Cat number 2- we move house, kept in, very unhappy cat. He blocks. At this point, they are 2. Take him in, GA, unblocked, fine- home the next day. Sent home with gabapentin and metacam.
13 months later he gets in a fight and is struggling to wee again. We take him in and they unblock him but he is weeing blood so they keep him in for 48 hours. Sent home with gabapentin and arthrocam.
6 weeks after this, they are both spooked by fireworks. Cat number 1 gets over it after a few hours. Cat number 2 didn't. He blocked again. This time however, he crashed when they GA'd him and couldn't get him back. They catheterised him quickly, woke him up and he was ok. His creatinine sat at nearly 900 after this and he was showing signs of early heart failure. He's kept in and blocks a further two times. Both of these times he's ok under GA. on day 6, his creatinine is ok and he undergoes PU surgery. Comes home with gabapentin, arthrocam, dantrolene and buprenorpine. He has since then, been completely ok. (This was January this year)
Cat number 1 is not happy with his stinky, blood and wee covered brother and refuses to eat near him, drink etc. Starts weeing all over the house but is otherwise ok. After 3 weeks, harmony was restored haha. Cat number 2 has been absolutely fine since.
Cat number 1 however has had a further 5 episodes of cystitis. A vet we saw at some point stated he was happy for us to administer metacam/arthrocam if he shows early signs but isn't unwell enough to come to the vets. We have done this. He also started him on 200mg gabapentin every day to try and help settle his anxiety. On one occasion in maybe March, he wasn't weeing at all so we took him in. He wasn't blocked but they gave him a sedative and painkillers and after a few hours, he weed. Came home with the same cocktail of meds as his brother.
He had another vets trip when he was weeing blood, but the vet didn't listen to me, heard that he was weeing and so sent us home. Went back the next day and was given gabapentin, arthrocam and dantrolene (I think).
Something that may be worth a note- some of these flare ups coincide with me working a lot. I take a day off, we are on drugs and play and he seems to be fine. I don't know if its a coincidence or if the timings are actually something.
A vet I've seen has said he believes there is some sort of genetic component at play. We have a check up in a few weeks for cat number 1 to make sure the meds he is on are correct, but considering the frequency of the cystitis flare ups he is having, surely it can't be? Or do you think there would be something else going on? What can we ask at the vet check up?
He is currently on a flare up, 3 days of arthrocam, he's fine. Day 4 I'm at work but he has been weeing fine. Day 5, no arthrocam, he's fine, I'm at work. I came home and he immediately ran to the litter tray where he spent all night scratching the tray. It was instant. Is it attention?? Is that a thing?!
They are on urinary food, wet and dry. They have cystease tablets every day. They have 2 water fountains. We have 3 feliway plug ins around the house. We are at a loss.
It seems to be every 4 weeks he has a flare. Is it just cystitis? What can I ask for at the vets to get more info? Can he be on dantrolene long term?
As far as we know, he has only fully blocked with a stone/crystal the once when he was one. All other times have been spasms.
They are uninsured and have cost so much but if it ends this, we are happy to pay.
Please, any ideas? I am just so sad for him.
Thank you so much.