Cat peeing blood, diagnosed with inflammation, still in pain. What now?

Question

My 2yo female cat had blood in her urine last Friday. We took her to the vet right away fearing it's urinary track infection. The test result came back today and the diagnostics is she has urinary track inflammation, not bacterial infection. We've been treating her with anti-biotics as prescribed but it's been 4 days her situation is not getting better, in the sense that she still pees in strains and we think she may still be in pain. Is she correctly diagnosed? What can we do at this point? Pet's info: Cat | Domestic Shorthair | Female | spayed | 2 years and 6 months old | 10 lbs

Ricardo Fernandez, DVM · Accepted Answer

Hi there! Thanks for using Petco Pet Education Center, formerly Petcoach! There are a few things that can cause this type of symptoms in cats. Generally, in a female cat, other things to rule out are urinary tract stones and even tumors. The next diagnostic step would be an abdominal ultrasound. If unable to proceed with this. At the very least, abdominal radiographs (if ultrasound is not available) could help rule out most of the types of stones. I recommend that you let your veterinarian know that she has not improved so that further diagnostics and treatments can be pursued. If no cause is found and is truly suspected to be feline lower urinary tract disease, your veterinarian may add a medication called Prazosin which can help pass urine. If you ever notice that she is not able to pass urine at all, have her evaluated right away. Good luck and have a good evening!

Cat peeing blood, diagnosed with inflammation, still in pain. What now?

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