Why did my cat's cystitis flare up again before finishing meds?

Most urinary incidents in cats are non infectious, it's usually a bladder inflammation related to stress. having said that, the metacam alone cannot solve the problem, she will need a special urinary food as well as cystophan supplement to reduce the inflammation in the bladder.

Cats normally don't have an infection associated with cystitis (bladder inflammation), so it's definitely possible that she would resolve the inflammation on her own. They actually tend to get cystitis that is related to stress, so it would be good to see if there is something new and potentially stressful in the environment. One big thing I worry about with cystitis is blockage of the urethra (the tube that takes urine from the bladder to the outside world). If you all-of-a-sudden notice that she's not urinating and she is acting abnormally sleepy, then I would definitely advise a visit to the vet to make sure she's not blocked. If she is still urinating, but not as frequent, then it is less of an emergency. However, it is still a good idea to have her evaluated by a veterinarian, because there could be something else going on that you are not aware of.

She probably has cystitis and not a UTI. It is not impossible that she has a UTI concurrently but I think cystitis is more likely. Antibiotics will not help that. She needs to be on pain meds and you need to de-stress the environment. This article has more in-depth information: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951488 I strongly recommend you put some Feliway diffusers in your house and do some environmental enrichment for her. Usually these two things help too. https://worldtails.securevetsource.com/itemView/view/198944_HomeDelivery.pml?productId=117324 thedrakecenter.com/materials/environmental-enrichment-indoor-cats  https://www.youtube.com/watch?v=AejmrLa_Cs4

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! A recheck would be a good idea as cats can often have inflammation of their urinary bladders without an infection or after an infection clears. It would be worrisome if Lolo continues to have issues with urination which would mean she may need long term management with diet and supplements to help reduce the occurrence of such episodes. Hope this helps!

Poor girl. Crystals in the urine don't come from stress typically. This is a metabolic issue that is causing her to not break down her food properly, which causes crystals to form in the bladder. Stress in cats only causes hematuria (bloody urine) without infection or stones. This is called Stress cystitis. Therefore, if your pets "symptoms" have returned, I would be best to have Kiki rechecked. In particular, I would consider getting her bladder checked for urinary stones by having an x-ray done. She also could have developed a UTI, so a urinalysis should be done first. Adding water is good, but it does not help resolve any of these possible issues. She needs to be seen unfortunately to get to the bottom of things, since this is a bit complex in nature. I hope that your pet Kiki has some resolve to her urinary issues soon! Best wishes and take care.

Poor Zukko! Unfortunately, bladder stones can reoccur, and if he's having trouble peeing again, I would have him seen by a vet immediately. You don't want him to become blocked again, which becomes an emergency. It's best to have him evaluated now if he is showing these signs. I would take Zukko into an ER vet or find a vet on call to see him now.

It could be a side effect of the medication or it could be related to something else like stress. I recommend to call your vet today and follow their recommendations. A bland diet may also help. Please feel free to post any additional questions.