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Feline idiopathic cystitis begins as an acute non-obstructive episode and is self-limiting in about 85% of cases, resolving itself in a week. In approximately 15% of cases, it can escalate into an obstructive episode ("blocked cat") which can be life-threatening for a male cat. [5]
Clinical signs: the cat has become anorexic or is eating less than usual; has lost weight or failed to gain weight; has a fever of unknown origin; intra-ocular signs; jaundice. [18] Biochemistry: hypergammaglobulinaemia; raised bilirubin without liver enzymes being raised. Hematology: lymphopenia; non-regenerative—usually mild—anaemia.
They may cause symptoms, sickness or the death of the animal. Some diseases are symptomatic in one cat but asymptomatic in others. Feline diseases are often opportunistic and tend to be more serious in cats that already have concurrent sicknesses. Some of these can be treated and the animal can have a complete recovery.
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Feline idiopathic cystitis (FIC) is by far the most common form of FLUTD in young to middle-aged cats. It is a disease whose cause is not fully understood but is thought to be related to stress events and a cat's pre-disposition to anxiety, as well as certain lifestyle choices (e.g. a dry food diet, no access to outdoor space).
This may be amplified by frequent vomiting when the cat does choose to eat. A lack of appetite causes the cat to refuse any food, even after it has purged its system of all stomach contents. Severe weight loss proceeds as the liver keeps the cat alive off body fat, causing a yellowing of the skin (jaundice).