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What to Do if Your Cat Has Pyelonephritis

Pyelonephritis in cats requires timely treatment at a pet hospital, usually involving fluid therapy. If the condition is not controlled in time, it will continue to develop and cause damage to renal function, and even pose a threat to the cat's physical health. Therefore, the treatment of pyelonephritis involves strengthening fluid therapy and increasing renal perfusion, but also avoiding excessive fluid replacement. Drugs should be chosen with minimal nephrotoxicity. Additionally, daily monitoring of the cat's urine output is necessary to prevent fluid overload and burden the kidneys.

  1. Testing: Pyelonephritis in cats can be confirmed through blood routine examination, biochemical examination, and SAA test. Once diagnosed, timely treatment is essential to prevent renal damage.

  2. Treatment Drugs:

      1. Pyelonephritis in cats can be divided into acute and chronic types. The treatment for acute pyelonephritis focuses on intensive care, antibacterial and anti-inflammatory agents, diuretics for edema and ascites, inhibition of immune reactions, and prevention of uremia. The treatment for chronic pyelonephritis is similar to that for acute pyelonephritis, but with a focus on the underlying cause of the chronic condition.
      1. For cats with edema or oliguria, diuretics other than mercury preparations can be used, such as furosemide and hydrochlorothiazide.
      1. Antibiotic therapy for antibacterial and anti-inflammatory purposes can include cephalosporin-based antibiotics or quinolone drugs. Care should be taken not to use antibiotics harmful to the kidneys, and sulfa drugs should not be used in severe renal dysfunction to prevent the formation of renal calculi.
      1. Furthermore, symptomatic treatment for other complications is also required.
  3. Points to Note:

    • During treatment, owners should pay attention to their cat's diet and avoid giving them spicy foods. If possible, prescription foods and cans from the hospital can be chosen for the cat to eat.