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FELINE URINARY SYNDROME

The name FUS (Feline Urinary Syndrome) encompasses many differents illnesses of the lower urinary tract of felines wich can cause irritation of the mucus that covers the interior of the bladder and urethra. There are many different characteristics symptoms (difficulty urinating, the presence of blood in the urine and in some cases total obstruction). This process affects males and females alike, althrough it is more serious in males due to the characteristics of their urinary system.

Normally it appears when the animal is between two and six years old.

Often the cats that are affected will urinate very frequently but in small amounts and they will usually do so outside of their litter tray. In addition, you may notice that the cats meows in pain when urinating or that it makes several attemps to urinate tono avail. In many cases, the urine contains blood. Male cats will usually lick their penis. If there is total obstruction the animal will have to make a great effort to urinate and often will be dehydrated, depressed and may even suffer from vomiting.

There are many factors wich will encourage the occurrence of FUS, one of the most important being diet. Other risk factors include lack of activity and obesity and therefore this illness often presents itself in older, castrated cats that have a tendency to take less exercise and to put on weight. It's believed that it more frequently affects Persian cats, althrough there is no speculation that this could be owing to the lower activity levels of this breed, rather than a predisposition to the illness.

The causes of this illness are varied but the principal reason is the formation of crystals and very small stones in the urinary tract. These can be up to several millimetres in size, althrough most commonly they are microscopis or like a grain of sand. Normally they are found in the bladder and they ussualy obstruct the peneal urethra in males (ie the consuit that empties the bladder of urine by means of the penis.)

It's proven that these stones are mainly struvite crystals (phosphate, ammonia and magnesium.) A small percentage of struvite stones are brought about by bacterial infections usually owing to Staphylococcus sp. or Proteus sp.  Some cat foods, especially those at the lower end of the scale can alter the ph of urine and encourage some minerals that would normally dissolve to crystallise and form these stones.

Furthermore, in feline obstruction, the bare epithelial cells, red corpuscles, bacterial detritus and mucus also come into play. All of these are a result of the inflammation of the bladder and provoke the formation of urethral blockages, thus impeding the correct passage of urine.

Cats suffering from this obstruction will die if the flow of urine is not re-established within two to four days. This is due to the fact that total obstruction produces an acute renal deficiency (due to the reflux of urine back towards the kidneys) which causes the kidneys to stop filtering. They accumulate toxins in the blood (urea, potassium, calcium and phosphate) which produce heart disorders, metabolic disorders and encephalopathy leading to the death of the animal through shock.

To re-establish the normal flow of urine, the animal must be probed and depending on what state it is in, serum teraphy, antibiotics or corticoids will be used to return the animal to its physiological state.

Once these measures have been taken, the cat will have to follow a special diet for life in order to avoid recurrence. Dietetic foods will regulate the ph of the urine in order to avoid the formation of crystals and help the dissolution of any that may already exist.

This article was extracted from the publications of Victoria C. Calcagno in the free monthly newspaper VIVA!.

 

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