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My cat has bloody urine, no UTI. Is it FLUTD, FIC, or idiopathic?

Updated On September 23rd, 2025

Pet's info: Cat | Mixed Breed | Female | 10 years and 9 months old | 18 lbs

11 y/o indoor female cat has blood in urine with ammonia smell. No visible pain. No crying. Does lick excessively. Treated for UTIs, no change. X-rayed for stones, negative. Now on canned diet with extra water. Doctor indicated that it may be ideopathic. Can this be FLUTD? What is the best course of treatment?

3 Answers

Most Helpful Answer

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Answered By Dr. Heidi DVM, CVA, CCRT, CVTP, CVSMT, CVCH

Veterinarian, Certified Veterinary Acupuncturist, Certified Canine Rehabilitation Practitioner

Published on February 2nd, 2018

I'm so sorry that you are dealing with this with Fred. Since there is blood in her urine, I would first continue to look for medical causes of blood in the urine if she doesn't have a history of urinary tract problems. Here is more information on FLUTD. http://www.veterinarypartner.com/Content.plx?P=A&C=&A=611&SourceID= From that handout, in older cats (over 10 years old), here is the distribution of why they have FLUTD... 50% will have true urinary tract infections. 10% will have bladder stones. 17% will have a combination of infection and bladder stone. 7% will have urethral blockage. 3% will have urinary tract cancer. 5% will not have a cause that can be determined despite extensive testing. 66% will be in some stage of kidney failure. 5% will have urinary incontinence. So, my first recommendation if there is still blood in Fred's urine is to have your vet run a urine culture. That requires the urine to be sent to the lab to see if they can grow any bacteria from the urine. This is sometimes needed if the bacteria does not respond as expected to antibiotics. If that is negative, then I would recommend an abdominal ultrasound to evaluate the kidneys and bladder for any abnormalities (including stones that don't show up on x-rays). I would not consider blood in the urine to be idiopathic until I have done all that testing. Then, I would consider treating Fred for Feline Idiopathic Cystitis (FIC). http://www.veterinarypartner.com/Content.plx?P=A&C=&A=612&SourceID= Good luck! I hope that was helpful and that Fred feels better soon. Thanks for using PetCoach.

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    Answered By Jennifer Summerfield, DVM CPDT-KA

    Veterinarian, Certified Dog Trainer

    Published on January 12th, 2017

    Poor Grace! Unfortunately, I'm afraid that there are really no home remedies that are likely to help with this problem - she really does need a vet visit as soon as you are able to take her. Common causes of bloody urine in cats include FIC (feline idiopathic cystitis), bladder stones, or occasionally bacterial UTIs. Your vet can do a urinalysis to help diagnose the problem and will prescribe appropriate medication to treat her depending on what is found.

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    Answered By Jennifer Summerfield, DVM CPDT-KA

    Veterinarian, Certified Dog Trainer

    Published on April 15th, 2018

    Hi there! I'm sorry that Baby is having this problem. Unfortunately, I'm afraid this can't be treated at home - you will need to take Baby to the vet for an exam. Bloody urine and peeing in strange places can be caused by a number of different things in cats. The most common possibilities are FIC (feline idiopathic cystitis), bladder stones, or a bacterial UTI. All of these problems will require veterinary care to treat effectively, so I would recommend taking Baby in for an exam as soon as you are able to.

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