My cat's bladder stones aren't improving with diet. What should I do?

Poor Pearl and poor you! I can certainly understand why this is driving you crazy. When a cat has bladder stones, unfortunately, there is the chance that they will occur again. You can try covering the food in tuna juice or gently warmed low sodium beef broth. Also try mixing it with some really smelly wet food that you've gently warmed up, such as sardine or fished based. If these things don't help and Pearl won't eat the dry food from the vet, then the stones will likely have to be removed surgically. I'm not sure which brand of food you are feeding her, but you can ask the vet if there is another brand you can try before having to resort to surgery. I'm sorry you are going through this, but I hope my answer helps you!

Purina Friskies is a low/mid grade quality food and I would not be surprised if his crystalluria returns. He really needs a prescription diet such as c/d from Hills or a similar formula from Royal Canin. Your veterinarian should have this food available, or be able to send you to a store to purchase with a prescription. I have also had good luck using Crystal Stone Formula ( a Chinese herbal), but this is a prescription herbal. I would be happy to consult with you about this. I would recommend a prescription diet for at least 6 months prior to trying to wean off of it. If you absolutely CANNOT get a prescription diet, I would focus on a high quality, high protein diet, but NONE will dissolve and prevent crystals as well.

I'm sorry to see that Beau has this large bladder stone! The most common types of bladder stones in cats are struvite and calcium oxalate, but the only surefire way to differentiate between the two is with a stone analysis after the stone has been surgically removed. The Hill's C/D multicare can dissolve some struvite stones, but will not dissolve calcium oxalate stones. For the long term, however, this diet is fantastic at preventing a recurrence of such bladder stones and crystals. It's a bit of a gamble using a diet to dissolve stones, particularly in male cats, because of the potential of part of the stone breaking off and causing a urinary obstruction, or blockage, as this is a life-threatening emergency. I generally find it to be safest and most effective to remove bladder stones surgically since you know that it's going to work right away without the same obstruction risks. I hope that everything goes well for Beau!

Sounds like you all are doing quite a bit already. If you feel that pain is not well controlled the addition of something like buprenorphine may be beneficial. Also, there is a surgical procedure that is commonly performed on cats that get urinary blockages. Essentially the urinary tract is changed from a male to a female shape, thereby widening the urethra and making it much less likely to allow for obstruction in the future. Whether or not your vet is comfortable performing this procedure is another thing altogether. I know many vets that can perform it perfectly well while I know others that have never had to perform it a single time. It is a delicate procedure because the urethra of the cat is so small so finding a doctor that is comfortable with it is of utmost importance. If your cat is not a repeat offender or has not yet blocked completely, surgical change may not be the best option at this time. Continue following the directions of the doctor and be patient with waiting for dissolution. You can also consider lithotripsy to break apart stones if there are any instead of bladder surgery. Hope this helps.

Moving forward, you will need to feed Frodo a prescription diet for cats who have urinary problems. I recommend Royal Canin S/O. These diets are formulated to promote increased drinking and urination. They also affect the urine pH to prevent the formation of crystals and one type of bladder stone. You will want to have his urine checked at least twice a year for infections and crystals until you know things are stable. I've got my fingers crossed for you and Frodo!

Poor Jimmy! The main concern in a male dog with bladder stones is that they could become lodged in the urethra, causing a urinary obstruction which is a life-threatening emergency condition. In many cases, this will not occur, but it is a big risk to take. If Jimmy has struvite (magnesium ammonium phosphate) crystals in his urine, odds are good that his bladder stones are also struvites. This type of stone can sometimes be dissolved with a prescription based diet. It can take many months for these stones to dissolve, but the diet change does not dissolve the stones for all dogs. If Jimmy has other forms of crystals in his urine, surgery is the only option. Surgery is nearly always the best (and only) option for managing bladder stones. I understand your financial concerns, but fortunately there are some resources available to help. Care Credit (carecredit.com) can provide financing options. There are also many non-profit organizations that provide financial assistance for veterinary care (redrover.org, humanesociety.org/animals/resources/tips/trouble_affording_pet.html?credit=web_id91754962, bestfriends.org/resources/financial-aid-pets, lessonsfromaparalyzeddog.com/when-pet-owners-cant-afford-veterinary-bills/, https://getyourpet.com). I hope this helps!

You can try warming it up or mixing in a tiny bit of plain baby food. Since Gabby does have a history of urinary obstructions, discuss surgical options with your veterinarian. A perineal urethrostomy (PU) can be performed to widen the opening through which he urinates to prevent blocking.