EMAIL TO DR SING DATED
AUG 18, 2013
Hello i am a vet doctor
from Turkey and i was
searching some info about
stones of cats also found
you in internet.
I'll appreciate if you can
help me about this x-ray. My
patient has a blood urine
and she has some stones in
her bladder. She is 12 years
old. I begin to give her
hills c/d from today and
pills as must be. But I
don't know really whether
she needs an operation or
wait to see the results of
c/d food for a while, or
what i have to do more?
What do you think about this
fact and type of stones?
(like struvite or?)
Thank you.
Best regards
Dr H
EMAIL REPLY FROM DR SING
DATED AUG 19, 2013
 Thank you for your X-rays.
It is hard to know what type
of stones are present in the
bladder. The spikey ones
look like calcium oxalate
but you cannot base the
composition of stones on
X-rays. It must be done on
stone analysis.
Have you done a urinalysis
for the urinary crystals?
The only solution is to
perform surgery to remove
the stones as they are too
large and many. In my
opinion, the C/D
prescription food for cats
is not meant to dissolve
struvite urinary stones but
to prevent stone formation.
Anaesthesia is risky in very
old cats and so you have to
let the owner know.
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EMAIL TO DR SING DATED AUG
20, 2013
i am sorry that i
disturbed you and thanks a
lot for your quick
response..
yes spikes are look like
calcium
i have told the owner
about complication with
anesthesia and they don't
want the operation..i
didn't make a urinalysis
for the crystals by the
way so i will do
tomorrow..
is there another choose
except c/d? or what to do
more if the owner doesn't
want the operation?
Need your advice thanks..
EMAIL REPLY FROM DR
SING DATED AUG 20, 2013
If the owner does not
want the surgery, this
is the owner's choice.
1. The vet must record
his advice to perform
surgery in writing to
the owner to prevent
misunderstanding from
family members and
friends who may not be
aware of the owner's
choice.
2. Regular urine and
bacterial cultures and
antibiotic sensitivity
tests when there is
haematuria and
infections
3. Blood test to screen
the health esp. kidney
function when there is
vomiting.
4. Prescription of
antibiotics when there
is haematuria may be the
only treatment in this
case.
5. Do you have a
ventral-dorsal view of the
bladder?
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TOA
PAYOH VETS
