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Cystitis In Young Cat

by ericahawker - November 15, 2009

Hello again--

So, I have a 7 mth FS Siamese mix kitten that has had cystitis for the past 3 mths. Her symptoms include stranguria, hematuria, pollakiuria, and urinates in both the litterbox and bathroom sink.

Initially she was treated by 2 other doctors in our practice with Clavamox--improved but still had hematuria. Since August she has not responded to meds.

She is a very outgoing and friendly cat and walks confidently around the room exploring. Has a very good appetite and thirst. Still very active and playful. Only other signs owners notice is that she shakes each paw after getting up. Lies in sun and on beds. Urinates 10-12 times per day.

Her pulse is superficial and moderate strength and tongue is dark pink. I recommended switching from dry food to a grain free canned diet and started her on San Ren Tang 3 weeks ago.

She is eating the food well. Still urinating in the sink and less bloody, but past few days stranguria returned. I added on Cantharis and am now thinking I should change her to Si Miao San or would Hydrangea and Eupatorium be a better choice for her. I am concerned with such severe symptoms in a young cat.

Thanks-
Erica

by naturevet

November 15, 2009

Hi Erica,

You may have a Blood stasis element creeping in here that SRT is not addressing. The shaking of paws after sleep is probably a periperhal circulation issue (paws falling asleep and feeling tingly on waking). That symptom is often tied to deficient blood flow to the extremities, and therefore a sequestration of blood flow in the interior. So a blood mover that moves Blood out would be wise. In terms of which one, you have a choice. Ge Xia Zhu Yu Tang may help, or the Bladder formula that K'an makes, or even Shao Fu Zhu Yu Tang (since the cat seeks warmth). The fact that SRT is aggravating some symptoms and not others suggest it is probably having a drying effect on Blood that accentuates Blood stasis. So we'd be especially interested in which of the above has a slight tonifying effect, however mild. That would be GXZYT. I've even seen cases just like yours do well on Qing Ying Tang, so you could also add that in. It addresses cystitis in part by cooling Heart Fire. Heart Fire gets passed to the Bladder to create what we recognize as inflammation. The curious, restless, friendly cats (like you saw in the exam room) often have a Heart Fire aspect to them.

So those are some suggestions. Long story short, I'd be curious about using QYT with the SRT and seeing where that takes you.

Good luck, whatever you do.

Steve

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