WARNING: Long post! We're going to try to break it up with pictures from my trip back from the vet to entertain you.
I had another bout with a urinary problem recently, so of course, Mommy took me to the vet.
I didn't eat for a whole day (which is very unusual for me). I was peeing like I'm supposed to but the things that made Mommy worry was that I peed in the dust pan, drank from the toilet bowl and refused my favorite treats! These things are all uncharacteristic for me, so off we went!
The last time I was there (the day before my Mommy's Surgery), the vet said it was an irritated bladder lining of unknown origin. He suspected that it was caused by stress because I was worried about my Mommy or I was sensitive to her stress. He prescribed a pill and it was gone in a day. This time Mommy was very insistent that they do more tests to be sure it wasn't something more serious. They took more urine and blood and I hung out at the vets all day and even made friends with a statue of a woofie! The nurses there all love me and gave me rubs so it wasn't that bad. I also peed on a new vet that was trying to get my sample. Mommy wonders if that is why the bill was so high!
The diagnosis (again) seems to be a bladder lining inflammation, which is a condition that is mostly caused by stress. The only difference between this diagnosis and the last one is that now they suspect it's recurring or chronic. Apparently it is quite common in humans and cats (and often misdiagnosed) and the term interstitial cystitis, borrowed from human medicine, has been used to describe this problem. An alternate term is idiopathic cystitis. We won't know for sure until all the tests come back (Mommy really made them do the works!) but the general consensus is that it is interstitial cystitis. There is no bacteria in my bladder lining or urine so it is not an infection. I also don't have any evidence of crystals.
The result is, I will need to eat only wet food eventually and they suggested that I take a supplement that contains a substance called a glycosaminoglycans (the substance that makes up the mucous bladder lining) and maybe even an anti-anxiety/anti-inflammatory pill!
Mommy is extremely hesitant about the anti-anxiety medication. She thinks that these kinds of pills will turn me into a zombie-cat and she likes me just the way I am! She is concerned that Delilah's robust appetite might be the cause of some of my stress during dinnertime and she is going to try separating us during feeding to reduce this. Delilah eats very quickly and when she's done, she noses me out of my plate to see what I have. I'm a gentleman, so I usually back down and let her eat my dinner. Mommy thinks that my gentlemanly manner may be stress in disguise. She assumed I must be getting enough food because I am slightly overweight (hey, I'm big-furred!) and Delilah is a perfect weight, so she never really thought it was a problem before now.
One of the first things Mommy wants to do is reduce stress for me. She is worried that Delilah's bullying ways might be a part of it and some of my behavior that she previously thought of as 'quirky', is a reaction to this stress. Delilah won't change (and we don't want her to!) but Mommy thinks we can all learn to relax a little more. She also thinks that her stress levels affect me, so she's going to start making some changes in that area, too. She has heard of the Feliway diffuser and is considering buying one, but would like to hear of any feedback from other cat households first.
In this video, I'm panting! It was very hot and I had had a long day!
Mommy doesn't want to rush to any medications until she has the whole story and she thinks that reducing stress and changing my diet to all wet food will help a lot. On the other hand, the condition is extremely painful, so she doesn't want to deny me something that will help, either. If any of you other cats have this condition or have advice on how to reduce stress for me, she would be very grateful!
My episode has subsided so I'm feeling really good now!