Steroid Treatment for Feline Cystitis

Feline cystitis is an inflammation of the bladder. When this inflammation occurs, the bladder and urine begin to produce crystals. It is unknown what causes this to occur, though the cat's diet, various infections or early neutering may all be contributing factors. Steroids can treat the inflammation associated with cystitis, though a veterinarian will often combine them with other treatment options for optimal effectiveness.

  1. Symptoms of Feline Cystitis

    • The symptoms of feline cystitis are similar to those of a urinary tract infection. Cystitis is painful and uncomfortable for the cat, so signs of pain may include crying out during urination or when their abdominal area is petted. The cat may also be straining to urinate. Many cats will begin using their litter box more than usual or they may stop using their litter box and begin peeing in unusual places, such as the bathtub. Also, some cats may have blood present in the urine with cystitis.

    Treatment: Steroids

    • Vets prescribe steroids for a severe case of feline cystitis, where they can aid in controlling and reducing inflammation of the bladder. Many times, the steroid is combined with other medications, such as antibiotics, to treat all issues associated with feline cystitis. While cystitis is not necessarily a bacterial infection itself, the crystals can cause a secondary bacterial infection to occur.

    Dosage

    • Hydrocortisone, one steroid vets prescribe for treating the inflammation associated with feline cystitis, is available in 5, 10 and 20 mg tablets which you give orally. Dosage will vary from cat to cat and may range from 1 to 2.5 milligrams per pound of the cat's weight. You usually give it twice daily, though it may vary from cat to cat. You should give any medications for the full length as prescribed by the veterinarian to ensure a full recovery.

    Side Effects

    • Steroids can act as an immune system suppressant, which may lead to a secondary bacterial infection. Some cats may also suffer from stomach ulcers while taking a steroid medication, though these usually clear up on their own once you discontinue the medication. While the cat is on steroids, you may notice it has an increased appetite and thirst, which is often accompanied by weight gain. There may also be muscle weakness, a dull-appearing coat, liver damage and behavioral changes such as increased aggressiveness.

    Time Frame for Recovery

    • With an acute case of feline cystitis, steroids may not be necessary and many cases of cystitis will clear up within five days to a week. You should take the cat to a veterinarian one week after the initial diagnosis to ensure that the cystitis has cleared up. More severe cases may require several weeks of treatment or surgery to remove the crystals. Some cats may require hospitalization with IV fluids to help flush out the crystal buildup.