{"id":6738,"date":"2022-02-16T15:18:57","date_gmt":"2022-02-16T15:18:57","guid":{"rendered":"https:\/\/aercmn.com\/?p=6738"},"modified":"2022-02-16T15:18:57","modified_gmt":"2022-02-16T15:18:57","slug":"recognition-and-management-of-feline-idiopathic-cystitis-and-urinary-obstructions-in-cats","status":"publish","type":"post","link":"https:\/\/www.aercmn.com\/blog\/recognition-and-management-of-feline-idiopathic-cystitis-and-urinary-obstructions-in-cats\/","title":{"rendered":"Recognition and Management of Feline Idiopathic Cystitis and Urinary Obstructions in Cats"},"content":{"rendered":"<p><span class=\"TextRun SCXW230788053 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW230788053 BCX0\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-6741 aligncenter\" src=\"\/blog\/wp-content\/uploads\/2022\/02\/Untitled-design-2022-02-10T201628.149.png\" alt=\"cat health, cat urinary issues, cats, litter box issues, Feline Idiopathic Cystitis, urinary obstructions in cats, Animal Emergency &amp; Referral Center of Minnesota, cat emergency\" width=\"800\" height=\"400\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2022\/02\/Untitled-design-2022-02-10T201628.149.png 800w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2022\/02\/Untitled-design-2022-02-10T201628.149-768x384.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/span><\/span><\/p>\n<p style=\"text-align: center;\"><strong><span style=\"color: #ed1b2f;\"> If your male cat is straining to urinate or has blood in his urine, these are considered \u201cRED\u201d \u2013 or true emergencies \u2013 on our Fast Track Triage system. We advise you to seek immediate veterinary care. Please call ahead of your arrival so the veterinary team knows to expect you! <\/span><\/strong><\/p>\n<p style=\"text-align: center;\"><strong><span style=\"color: #ffcb05;\"> Note that straining to urinate or blood in urine for a female cat is considered a \u201cYELLOW\u201d \u2013 or semi-urgent case \u2013 on our Fast Track Triage system. We recommend your pet be seen by a veterinarian within 24 hours. <\/span><\/strong><\/p>\n<hr style=\"width: 100%;\" size=\"3\" \/>\n<p><span class=\"TextRun SCXW230788053 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW230788053 BCX0\">Whether your cat is peeing outside the litter box, straining to urinate, or <\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">has <\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">a<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">nother<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\"> urinary issue, <\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">there is reason<\/span> <span class=\"NormalTextRun SCXW230788053 BCX0\">for a cat parent to be concerned. The two most common causes of urinary obstruction in cats are feline idiopathic cystitis (FIC) and urolithiasis (urethral stones). FIC is a complex medical problem found in both male and female cats. This condition can cause signs of <\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">lower urinary tract discomfort, and signs can be chronic and recurrent. <\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">In male cats, this condition can cause a life-threatening obstruction of the urinary tract. <\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">Feline u<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">rinary <\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">problems<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\"> can<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\"> feel overwhelming<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">, frustrating, and scary<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">,<\/span> <span class=\"NormalTextRun SCXW230788053 BCX0\">so<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\"> we<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">\u2019ve got all you <\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">need<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\"> to know <\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">to recognize<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\"> and manag<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">e<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\"> feline idiopathic cystitis and urinary obstructions in your cat<\/span><span class=\"NormalTextRun SCXW230788053 BCX0\">!<\/span><\/span><span class=\"EOP SCXW230788053 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><strong><span class=\"TextRun SCXW205799471 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW205799471 BCX0\">First off, w<\/span><span class=\"NormalTextRun SCXW205799471 BCX0\">hat<\/span><span class=\"NormalTextRun SCXW205799471 BCX0\"> is feline idiopathic cystitis (FIC)?<\/span><\/span><span class=\"EOP SCXW205799471 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/strong><\/p>\n<p><span class=\"TextRun SCXW187566431 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW187566431 BCX0\">Feline idiopathic cystitis is an inflammatory condition of the lower urinary tract<\/span><span class=\"NormalTextRun SCXW187566431 BCX0\">.<\/span><span class=\"NormalTextRun SCXW187566431 BCX0\"> The disease is not fully understood, which is <\/span><span class=\"NormalTextRun SCXW187566431 BCX0\">why we use the term \u201c<\/span><\/span><span class=\"TextRun SCXW187566431 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW187566431 BCX0\">idiopathic<\/span><\/span><span class=\"TextRun SCXW187566431 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW187566431 BCX0\">\u201d<\/span><span class=\"NormalTextRun SCXW187566431 BCX0\"> \u2013 mean<\/span><span class=\"NormalTextRun SCXW187566431 BCX0\">ing<\/span><span class=\"NormalTextRun SCXW187566431 BCX0\"> the cause is unknown.<\/span><span class=\"NormalTextRun SCXW187566431 BCX0\">\u00a0<\/span><\/span><span class=\"EOP SCXW187566431 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span class=\"TextRun SCXW229265561 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW229265561 BCX0\">However, w<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">e <\/span><\/span><span class=\"TextRun SCXW229265561 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW229265561 BCX0\">do<\/span><\/span><span class=\"TextRun SCXW229265561 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW229265561 BCX0\"> know<\/span> <span class=\"NormalTextRun SCXW229265561 BCX0\">that cats<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\"> with this condition have inflammation in the lower urinary tract without the presence of a bacterial infection<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">. <\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">FIC can cause urethral spasms as well as<\/span> <span class=\"NormalTextRun SCXW229265561 BCX0\">crystalline-mucous plugs within the urethra<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">. <\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">T<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">he male urethra is quite narrow, <\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">so a<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\"> life-threatening urinary obstruction <\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">can develop<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\"> as kidney values and potassium levels elevate. <\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">Therefore,<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\"> male cats must be<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\"> treated <\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">for FIC <\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">immediately<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">. <\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">It is<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\"> important to <\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">note that<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\"> FIC can cause<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\"> clinical signs throughout a cat\u2019s life, and <\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">urethral obstruction<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">s<\/span> <span class=\"NormalTextRun SCXW229265561 BCX0\">often recur<\/span><span class=\"NormalTextRun SCXW229265561 BCX0\">.\u00a0<\/span><\/span><span class=\"EOP SCXW229265561 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><strong><span class=\"TextRun SCXW81238885 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW81238885 BCX0\">Common <\/span><span class=\"NormalTextRun SCXW81238885 BCX0\">Signs of FIC:<\/span><\/span><span class=\"EOP SCXW81238885 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/strong><\/p>\n<ul style=\"font-weight: 400;\">\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Straining to urinate<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Blood in the urine<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Frequent urination<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><a href=\"https:\/\/www.aercmn.com\/blog\/why-is-my-cat-peeing-outside-of-the-litter-box-is-this-an-emergency\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Urinating outside the litter box<\/span><\/a><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"auto\">Licking the genital region<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<h4><span class=\"TextRun SCXW174753982 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW174753982 BCX0\">Predisposing F<\/span><span class=\"NormalTextRun SCXW174753982 BCX0\">actors<\/span><span class=\"NormalTextRun SCXW174753982 BCX0\">:<\/span><\/span><span class=\"EOP SCXW174753982 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/h4>\n<p><span class=\"NormalTextRun BCX0 SCXW228723477\">Young to middle-aged indoor cats appear to have a higher incidence of FIC. Cats may be predisposed to FIC during times of stress<\/span><span class=\"NormalTextRun BCX0 SCXW228723477\">, including<\/span><span class=\"NormalTextRun BCX0 SCXW228723477\"> c<\/span><span class=\"NormalTextRun BCX0 SCXW228723477\">hanges in routine<\/span><span class=\"NormalTextRun BCX0 SCXW228723477\">. They also may be vulnerable to FIC<\/span><span class=\"NormalTextRun BCX0 SCXW228723477\"> if <\/span><span class=\"NormalTextRun BCX0 SCXW228723477\">they eat<\/span><span class=\"NormalTextRun BCX0 SCXW228723477\"> a<\/span><span class=\"NormalTextRun BCX0 SCXW228723477\"> dry<\/span><span class=\"NormalTextRun BCX0 SCXW228723477\">&#8211;<\/span><span class=\"NormalTextRun BCX0 SCXW228723477\">food diet or <\/span><span class=\"NormalTextRun BCX0 SCXW228723477\">drink water infrequently<\/span><span class=\"NormalTextRun BCX0 SCXW228723477\">.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-6740 aligncenter\" src=\"\/blog\/wp-content\/uploads\/2022\/02\/Untitled-design-2022-02-10T202205.422.png\" alt=\"cat health, cat urinary issues, cats, litter box issues, Feline Idiopathic Cystitis, urinary obstructions in cats, Animal Emergency &amp; Referral Center of Minnesota, cat emergency\" width=\"800\" height=\"400\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2022\/02\/Untitled-design-2022-02-10T202205.422.png 800w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2022\/02\/Untitled-design-2022-02-10T202205.422-768x384.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<h4><span class=\"TextRun SCXW80930765 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW80930765 BCX0\">How is FIC diagnosed?<\/span><\/span><span class=\"EOP SCXW80930765 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/h4>\n<p><span data-contrast=\"auto\">A veterinarian will perform a full physical examination. In an unobstructed cat, the urinary bladder will be small to moderate in size and soft. Obstructed cats often have a large, firm, painful urinary bladder that can be felt during the exam. Diagnosis of FIC is made by ruling out other medical conditions that can cause similar clinical signs:<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">A urinalysis typically reveals inflammatory cells without a substantial number of bacteria.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Urine pH is often neutral or basic.<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><a href=\"https:\/\/www.aercmn.com\/blog\/urinary-crystals-in-pets\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Struvite crystals<\/span><\/a><span data-contrast=\"auto\"> are commonly, though not always, present in the urine.<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">A urine culture is usually negative, ruling out infection.<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Abdominal X-rays and\/or ultrasound may reveal tiny grit within the urinary bladder and\/or urethra. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<h4><span class=\"TextRun SCXW248999760 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW248999760 BCX0\">In-Hospital Treatment:<\/span><\/span><span class=\"EOP SCXW248999760 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/h4>\n<p><span class=\"TextRun SCXW242945331 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW242945331 BCX0\">Cats with <\/span><span class=\"NormalTextRun SCXW242945331 BCX0\">signs of FIC without obstruction are treated supportively and symptomatically. Therapies often include medications for discomfort and fluid therapy. Cats <\/span><span class=\"NormalTextRun SCXW242945331 BCX0\">with a urinary obstruction need to be sedated and unobstructed. <\/span><span class=\"NormalTextRun SCXW242945331 BCX0\">A<\/span><span class=\"NormalTextRun SCXW242945331 BCX0\"> urinary catheter is <\/span><span class=\"NormalTextRun SCXW242945331 BCX0\">placed,<\/span><span class=\"NormalTextRun SCXW242945331 BCX0\"> and in<\/span><span class=\"NormalTextRun SCXW242945331 BCX0\">&#8211;<\/span><span class=\"NormalTextRun SCXW242945331 BCX0\">hospital management is <\/span><span class=\"NormalTextRun SCXW242945331 BCX0\">indicated<\/span><span class=\"NormalTextRun SCXW242945331 BCX0\"> in these cats.<\/span><\/span><span class=\"EOP SCXW242945331 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h4><span class=\"TextRun SCXW144835111 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW144835111 BCX0\">Management Strategies at H<\/span><span class=\"NormalTextRun SCXW144835111 BCX0\">ome<\/span><span class=\"NormalTextRun SCXW144835111 BCX0\">:<\/span><\/span><span class=\"EOP SCXW144835111 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/h4>\n<p><span data-contrast=\"auto\">FIC can be a challenging medical condition to manage. Signs may improve and then recur, making this disease process frustrating for cat owners. Helpful management strategies include the following:<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ol>\n<li data-leveltext=\"%1.\" data-font=\"\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Provide one litter box per cat, plus one. For example, if you have two cats, provide three litter boxes.<\/span><\/li>\n<li data-leveltext=\"%1.\" data-font=\"\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Minimize changes in general routine and stressors when possible. Additionally, if you anticipate a stressful event for your cat (such as a move, addition or subtraction of a pet or human, or rearranging the furniture,) be diligent about monitoring for signs of FIC and urinary obstruction.<\/span><\/li>\n<li data-leveltext=\"%1.\" data-font=\"\" data-listid=\"1\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Provide many opportunities for fluid intake. Some cats like to drink out of full cups of fresh water \u2013 leave a few around the house. Offer a canned food diet to provide increased fluid intake. You can offer low sodium chicken broth or add some to your cat\u2019s water. Some cats enjoy drinking out of the faucet and can be enticed to drink by turning it on throughout the day. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ol>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-6739 aligncenter\" src=\"\/blog\/wp-content\/uploads\/2022\/02\/Untitled-design-2022-02-10T202509.378.png\" alt=\"cat health, cat urinary issues, cats, litter box issues, Feline Idiopathic Cystitis, urinary obstructions in cats, Animal Emergency &amp; Referral Center of Minnesota, cat emergency\" width=\"800\" height=\"400\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2022\/02\/Untitled-design-2022-02-10T202509.378.png 800w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2022\/02\/Untitled-design-2022-02-10T202509.378-768x384.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<p><span class=\"TextRun SCXW30815965 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW30815965 BCX0\">If you are concerned that your cat may have urinary tract discomfort or is unable to urinate, please contact a veterinarian. <\/span><span class=\"NormalTextRun SCXW30815965 BCX0\">It is important to recognize the signs of FIC so that the pet can receive <\/span><span class=\"NormalTextRun SCXW30815965 BCX0\">potentially life-saving <\/span><span class=\"NormalTextRun SCXW30815965 BCX0\">medical care as <\/span><span class=\"NormalTextRun SCXW30815965 BCX0\">soon as<\/span> <span class=\"NormalTextRun SCXW30815965 BCX0\">possible<\/span><span class=\"NormalTextRun SCXW30815965 BCX0\">. <\/span><\/span><span class=\"EOP SCXW30815965 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-6742 alignleft\" src=\"\/blog\/wp-content\/uploads\/2022\/02\/BLOG-Author-Block-8.png\" alt=\"Sarah Humphrey, DVM, DACVECC, board-certified criticalist, Animal Emergency &amp; Referral Center of Minnesota\" width=\"800\" height=\"400\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2022\/02\/BLOG-Author-Block-8.png 800w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2022\/02\/BLOG-Author-Block-8-768x384.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-6479 aligncenter\" src=\"\/blog\/wp-content\/uploads\/2016\/10\/Fast-Track-Triage-for-Clients-Animal-Emergeency-Referral-Center-of-Minnesota.png\" alt=\"Animal Emergency &amp; Referral Center of Minnesota, Fast Track Triage, color-coded triage system, pet emergency, Twin Cities emergency vet, Minnesota emergency vet, Saint Paul emergency vet, Oakdale emergency vet\" width=\"940\" height=\"788\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2016\/10\/Fast-Track-Triage-for-Clients-Animal-Emergeency-Referral-Center-of-Minnesota.png 940w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2016\/10\/Fast-Track-Triage-for-Clients-Animal-Emergeency-Referral-Center-of-Minnesota-768x644.png 768w\" sizes=\"auto, (max-width: 940px) 100vw, 940px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><a data-pin-do=\"embedPin\" href=\"https:\/\/www.pinterest.com\/pin\/386676318017066263\"><\/a><br \/>\n<script async defer src=\"\/\/assets.pinterest.com\/js\/pinit.js\"><\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If your male cat is straining to urinate or has blood in his urine, these are considered \u201cRED\u201d \u2013 or true emergencies \u2013 on our Fast Track Triage system. We advise you to seek immediate veterinary care. Please call ahead of your arrival so the veterinary team knows to expect you! Note that straining to [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6744,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[17,1081,261,1351,265,1170,1572,1573],"class_list":["post-6738","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-animal-emergency-referral-center-of-minnesota","tag-cat-emergency","tag-cat-health","tag-cat-urinary-issues","tag-cats","tag-feline-idiopathic-cystitis","tag-litter-box-issues","tag-urinary-obstructions-in-cats"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Feline Idiopathic Cystitis and Urinary Obstructions in Cats<\/title>\n<meta name=\"description\" content=\"Dr. Humphrey shares all cat owners need to know to recognize and manage feline idiopathic cystitis and urinary obstructions in cats.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.aercmn.com\/blog\/recognition-and-management-of-feline-idiopathic-cystitis-and-urinary-obstructions-in-cats\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Feline Idiopathic Cystitis and Urinary Obstructions in Cats\" \/>\n<meta property=\"og:description\" content=\"Dr. Humphrey shares all cat owners need to know to recognize and manage feline idiopathic cystitis and urinary obstructions in cats.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.aercmn.com\/blog\/recognition-and-management-of-feline-idiopathic-cystitis-and-urinary-obstructions-in-cats\/\" \/>\n<meta property=\"og:site_name\" content=\"Animal Emergency &amp; 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