My cat's urinary issues came back. Should I get a second opinion?

Question

My cat seems to be having urethral spasms two weeks after being cleared of a possible UTI and a had an ultrasound to rule out a urinary blockage which was clear. He had crystals in his urine based on the urinalysis, took a course of antibiotics, along with two rounds of an anti-inflammatory and a muscle relaxer to help with the spasms. All seemed well for past few weeks but now it has appeared to return. He is on a prescription diet recommended by the vet. Should I seek a second opinion? Pet's info: Cat | Domestic Shorthair | Male | neutered | 5 years and 10 months old | 10.6 lbs

C. Rathjens, DVM · Accepted Answer

It sounds like your vet has done the appropriate things so far. It sounds like he may have FLUTD (Feline Lower Urinary Tract Disorder) which is chronic and managed, never cured, so symptoms can come and go. Some cats even need anti-anxiety medications to decrease frequency of issues. If he's not producing urine, he needs to go to the vet immediately. But if he is producing urine, give your vet a call to see if they would recommend you restart the muscle relaxer and possibly something else. They may need you to bring Marley back in for another exam, or may be able to make a plan over the phone.

My cat's urinary issues came back. Should I get a second opinion?

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