12/24/2023
Miss Judy Bloom:
❗️Latest update❗️During her last exam this past week, her veterinarian felt that her bladder was firm which was very concerning. They did a preliminary ultrasound of her bladder and found what is highly suspicious of a tumor. She needs an ultrasound performed by a veterinarian who is trained in advanced ultrasounds/diagnostic ultrasounds to fully determine the extent and location of the tumor, other bladder/kidney changes, and even potentially to take a sample of the tumor. One of the top differentials for bladder tumors in cats are transitional cell carcinomas (TCC), so we do not know exactly what this fully means for her going forward.
We are hoping for the best and really want her to be able to live out many more happy years as she is only 7 years old. Keep Judy in your thoughts 🙏
More background on her journey: This sweetheart came to us at the end of September after she was having litter box issues. Her family had her for 5 years, but unfortunately were no longer able to address her issues as it was taking a toll on the family. They believed they were at a dead end, but I know there were still so many options left to be explored as I have gone through this with my personal cat for the past 9 years dealing with his feline idiopathic cystitis. It is definitely a never ending battle when it comes to cats urinating outside of the litterbox and even if they cannot control it due to behavioral or medical conditions, it still is incredibly frustrating.
As Judy had no diagnostics done to address her urinary issues prior to coming to us, we were hopeful it would be something as simple as a UTI, litterbox setup, or behavioral that could be managed with medication and lifestyle changes. The first day she came into our care, she got a full work-up with bloodwork (no signs of kidney disease thankfully!) and a urinalysis. The results were normal minus the protein in her urine was high which is not necessarily something to jump at right off the bat as we had not explored thing such as litterbox setup yet.
We thought we were making progress and this would be a simple fix, but a month later she started having frequent urination in small quantities outside of the litterbox. We were suspicious of a UTI given the new symptoms so she had another urinalysis with a culture/sensitivity of the bacteria to help properly diagnosis and determine what antibiotic was needed. To our surprise, the lab was not able to culture any pathogens so a UTI was not the issue, but her urine protein was still elevated. The protein value can be falsely high due to many types of protein affecting the results, so a further test, urine protein to creatinine ratio, is needed to determine if the protein is truly elevated and if so, by how much. If was truly high, this could mean her kidneys were not working as they and properly filtering out the protein. Since her bloodwork and other urine values were normal, one possibility was that her kidneys were under a lot of strain due to high blood pressure. She had this more sensitive protein urine test performed and her blood pressure taken which was high. The more specific urine protein came back completely normal which means she doesn't have an issue with her kidneys causing extra protein and thus her symptoms which is good news but left us still on the hunt for answers.