For more information: https://hpets.org/index.php?option=com_ ... icle&id=71
The first set of baby diapers were too small so I need to buy the next size up and try again, but he bites at them so I don't know if that will work. Should I get the overpants at PetSmart? I want to buy some liquid skin stuff for him. What sort of clippers should I get so I can keep him shaved properly?
So much to think about and do. I am sure I have missed a lot of things. What else should I be thinking about? Thanks!!
Buddy always pooped when I expressed him, and it annoyed him no end.
Coco is taking 1 capsule phenoxybenzamine once a day for 21 days, then 1/4 tablet bethanechol every 8 hrs for 21 days. The neurologist specifically said he should not get any prednisone nor any other steroid at this time.
He hasn't shown any sign of wanting to bite his tail. He was washing it earlier today, which I thought was a good sign.
I've got him set up with doggie pants for while he walks around, and a large crate for resting during night and we're away. Right now he has to be supervised; I just found him trying to climb a cat tree.
Today he had bloody urine which appears to have been from the diaper irritating his catheter. His IM vet took out the 'tomcat' style catheter put in at the ER and found a short very soft catheter for him. Coco still hates having his bits messed with, but I'm hoping this is gentler on him while I learn how to express his bladder.
Thanks for asking!
I have seen where they use Valium or Inderol to relax the urethra in conjuction with bethanecol (urecholine).Pill Book Guide to Medication for Your Dog and Cat wrote:Bethanechol should only be used when the urethra is open, as when a catheter is in place, or with urethral relaxants because bethanechol can cause contraction of urethral smooth muscle as well. Theoretically, the bladder could rupture if bethanechol is given when the urethra is blocked, or in spasm
I am glad the veterinary staff are wanting to help you learn to express and so on. You're fortunate there. I do not have an incontinent cat, but thinking over all the photos that have been posted here, I believe most people with incontinent cats do not put a diaper cover over the diaper.
Here is a great webpage Dianne found which explains about tail injuries.
http://www.veterinarypartner.com/Conten ... ourceID=42
I think you are going to want to read up on megacolon as well as expressing the bladder. There is some information on expressing here:
http://www.handicappedpets.com/mediawik ... dog_or_cat
More info on diapers is here:
http://www.handicappedpets.com/mediawik ... male_wraps
Indeed, Beth. made Buddy impossible to express. PBZ tends to relax the bladder, which is why it worked so well for Buddy.CarolC wrote:I wonder if the medication has anything to do with being unable to express. Bethanechol can help the bladder contract.
Coco had another catheter placed today. The vet said he seemed to feel a little of the stitch or two for the catheter, so that's a good sign. Once or twice a day, he goes in the catbox and tries to pee but hasn't had any luck. Maybe he will be able to get his urine control back some day. Or if not, hopefully I will be proficient at expressing him by then.
This can't go on, especially since I'm not finding any real local support for his care. I am getting multiple suggestions from the ER vets:
- keep on trying to express (only one vet, but he expressed his own cat for 12 years)
- get a perineal urethrostomy to widen/shorten the urinary tract. One vet said he thought Coco might be able to urinate volunatarily after a PU due to the level of bladder tone
- get a cystostomy to drain urine manually
I need a long term solution. Coco is only 2 and otherwise very healthy.
My understanding of the PU is that it's very tough on the cat with a long hospitalization. It seems to me I could still have problems with expressing him afterwards, and certainly he would be so tender after. The cystostomy appears to be not as serious a surgery and I have read there are permanent ones.
Right now Coco is catheterized again this week, while I consult his IM vet, the neurologist who evaluated him just after the injury, and then a surgeon(s) this week. Any experience with any of these? Any ideas or suggestions? Thanks!
Has anyone tried the diapersfordogs.com diapers for cats? I am going to call their customer service in hopes they can make a diaper that is long enough to cover up to where his tube enters the tummy. I may or may not need to get diaper suspenders. Any other suggestions?
The place that did Buddy's surgery was AWFUL, and we couldn't get the ginormously long tube replaced when it fell out. I wish we still had the more angry emoticon on here; I'd use several of them.
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I thought I would update you on Coco's situation. I never was able to successfully express his bladder, and most of the many vets that expressed him had difficulty as well. Pbz and bethanecol were no help. He had a pezzer tube put in several times, but hated it. Because of the tube placement, it was extremely difficult to keep a diaper on him and he pulled the tube out at the slightest opportunity.
I read about a study on the use of low profile gastrostomy buttons for pet cystostomy, and after much research and effort, I was able to get Coco's surgeon to install one in the opening created for the pezzer tube. This has worked really well. With a little practice, clicking the removable tube into the button's one-way valve to drain the urine is easy. Plus, he doesn't mind the button at all and never pulled at it. So, he doesn't have to wear the diapers and protective onesies, wraps, etc. He's so much happier without those. The button is so small that he looks perfectly normal, aside from his bobbed tail which had to be partially amputated. We have had some trouble with urinary infections, and some bloodiness from irritation when Coco is too rambunctious, but overall we couldn't be happier with the cystostomy button.
As far as his bowels, Coco hasn't regained any capability there either, but Miralax has been amazing in helping keep him regular - it's SO much easier to administer than the lactulose. And, because of the button, Coco's able to freely go out in our large fenced yard, so almost all of his poop pops out while he's running and jumping and climbing out there. If he does get a bit blocked up, then a dose or two of bethanecol stimulates the intestines so that clears him right out.
I really think the buttons are an awesome option for long term bladder issues, and it's a real shame that more people don't know about it.