LYCOS RETRIEVER 
Cystitis: Treatments
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Some cats with idiopathic cystitis have extremely concentrated urine based on specific gravity (1.060-1.080), especially if they eat nearly exclusively dry formulations of commercial cat food. Transitioning to the highest percentage of canned food that the cat will eat, or adding water to dry food or to semi-moist food pouches, may be one of the most powerful single treatment recommendations for prevention of recurrence of signs of idiopathic cystitis. Adding water to pouches of semi-moist foods forms a gravy that many cats will consume before they eat the solid portion. Cats with recurrent idiopathic cystitis that consumed canned formulations of a veterinary diet compared to a similar formulation of the dry product had far fewer recurrences during one year of therapy. The benefit from the canned formulation might have resulted from a substantially lower USG compared to that of cats fed the dry formulation. The target USG is 1.030 or less to attempt to decrease recurrence of clinical signs.
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Chronic radiation cystitis after pelvic irradiation occasionally causes massive bleeding that is difficult to control with conventional means. Cheng and Foo (1992) evaluated 42 such cases, of which 9 were severe based on the need for repeat cystodiathermy, massive transfusions, and open surgical intervention. Six patients required emergency bilateral percutaneous nephrostomy for proximal urinary diversions to help stop the bleeding. Despite aggressive treatment, 2 patients died during their admission, and 2 died shortly after discharge. Three eventually required elective ileal conduit diversion of a contracted defunctionalized bladder. Therefore, this essentially benign condition has a relatively high morbidity and mortality rate.
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Idiopathic cystitis can be acute or chronic. Clinical signs associated with an initial or recurrent episode of idiopathic cystitis often resolve within about 7 days with or without treatment. Nearly 50% of cats with idiopathic cystitis will have recurrent signs within one year based on recent studies. It appears that most cats with recurrence have episodic signs of idiopathic cystitis, but some have persistent clinical signs that do not abate.
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Fungal cystitis in immunocompetent patients with indwelling catheters may simply respond to removal of the catheter without further treatment of the infection. If removal of the catheter is not an option, treatment with oral azole antifungal agents or bladder irrigations containing amphotericin B 50 mcg/mL for 5 days can be instituted. In immunosuppressed patients, another option may be intravenous amphotericin B, depending on the degree of dissemination of the infection. Susceptibility testing to antifungal agents may be necessary if patients have previously been on therapy for fungal infections.
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The section above forms part of a larger complete e-book on Cystitis. In the rest of the e-boo you will learn what the medical approaches to cystitis are and how to combine them with the natural approach. This is called Integrated Medicine and is the way that healthier of the future is moving towards. You will ... learn what medical tests will give you an accurate diagnosis of your condition and if you really need to have them. The medical treatments for cystitis are then examined which can include looking at either drugs or surgery. Each treatment is then discussed and the pros and cons of the options explained.
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Antibiotics: This form of treatment is used for mild cases of cystitis. The decision to prescribe antibiotics to a cat who is affected by cystitis depends upon the severity of the case. Most cases of cystitis resolve themselves within 5 days. However, since cystitis has been known to cause severe pain & damage in many cats, it is better to be safe than sorry. Antibiotics can help in some cases.
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