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Clinico-Epidemiological And Experimental Observations On Feline Lower Urinary Tract Disease Among Domesticated Cats

By: Abeera Naureen (2007-VA-541) | Prof. Dr. Muhammad Sarwar Khan.
Contributor(s): Prof. Dr. Muhammad Arif Khan | Prof. Dr. Azhar Maqbool.
Material type: materialTypeLabelBookPublisher: 2015Description: 229p.Subject(s): Department of Clinical Medicine | Phd ThesisDDC classification: 2420-T Dissertation note: Idiopathic Feline Lower Urinary Tract Disease (iFLUTD) has been known as a major as well as important problem throughout the world especially the veterinary profession. Nicks of this problem also found in Pakistan, however the veterinarians are usually unable to properly diagnose this disease due to lack of knowledge as well as the ancillary diagnostic equipment availability for this disease. Present study was divided into two phases. Phase – 1 included clinico-epidemiological data. To this end, target of more than 502 domesticated client-owned cats of either sex, age, breed, etc showing signs of feline lower urinary tract disease (FLUTD) as per Buffington (1994) were examined accordingly from 3 different cities (Lahore, Faisalabad, and Islamabad) of Pakistan). All data collected was based on a predesigned proforma by using structured interview of the owners. Diagnosis was solely based on serum-cortisol levels, urinalysis, radiography and ultrasonography. Phase II involved experimental trial. The data obtained from whole of the study was then presented in tabulated form as frequencies and percentages. Treatment and outcome of the disease were also analyzed accordingly. According to the present study conducted it is proved that iFLUTD is present among the cats in Pakistan. Its proper cognizance among the Pakistani veterinarians is still non-existent and is misdiagnosed as colic or constipation issues in cats. The present study was undertaken to bring iFLUTD into the reportive of small animal practitioners working in Pakistan. The present study debunked various previous notions like iFLUTD is associated with commercial diets and canned foods only if we talk about this region majority of cases were noticed that had home-cooked food given by the owner. Moreover, cases in Siamese breed are larger than Persian breed. It has been strongly associated with Indoor housing management. Additional work is still needed to explore untouched areas of epidemiology including factors other than those being studied in the previous literature. Academicians in veterinary pathology and veterinary medicine of Pakistani universities should embrace this malady in the Doctor of Veterinary Medicine (DVM) curricula. According to the present study results it is concluded that two factors like stress and pain accelerate the sympathetic nervous system outflow compared to normal felines leading to the inflammatory response. Thus the stress factor must be reduced in the form of making hiding places for cats at home to reduced down the fear factor along with enhancing the feeling of owes for that particular place. Moreover, some more practices should be performed by the owner to reduce down the stress factor like playing with the pet, giving full attention, placing toys and other attractive things like yarn balls at the feline places (where they live/placed). There was no significant difference found between the groups based on the food with health score along with the therapeutic judgment. Hence, it is recommended that more experiments should be performed on larger scale to assess GAG therapy on increased number of felines and need of hour is to conduct more veterinary studies to get information and authenticity for its use against iFLUTD. From this study conducted, I recommend to the owners that the cats must be provided with the indoor hiding places and play with their pets in order to reduce the stress factor that increases the risk of idiopathic lower urinary tract disease. Moreover, the trend of home-cooked diet should be reduced along with increase in water intake by the cat.
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Idiopathic Feline Lower Urinary Tract Disease (iFLUTD) has been known as a major as well as important problem throughout the world especially the veterinary profession. Nicks of this problem also found in Pakistan, however the veterinarians are usually unable to properly diagnose this disease due to lack of knowledge as well as the ancillary diagnostic equipment availability for this disease. Present study was divided into two phases. Phase – 1 included clinico-epidemiological data. To this end, target of more than 502 domesticated client-owned cats of either sex, age, breed, etc showing signs of feline lower urinary tract disease (FLUTD) as per Buffington (1994) were examined accordingly from 3 different cities (Lahore, Faisalabad, and Islamabad) of Pakistan). All data collected was based on a predesigned proforma by using structured interview of the owners. Diagnosis was solely based on serum-cortisol levels, urinalysis, radiography and ultrasonography. Phase II involved experimental trial. The data obtained from whole of the study was then presented in tabulated form as frequencies and percentages. Treatment and outcome of the disease were also analyzed accordingly.
According to the present study conducted it is proved that iFLUTD is present among the cats in Pakistan. Its proper cognizance among the Pakistani veterinarians is still non-existent and is misdiagnosed as colic or constipation issues in cats. The present study was undertaken to bring iFLUTD into the reportive of small animal practitioners working in Pakistan. The present study debunked various previous notions like iFLUTD is associated with commercial diets and canned foods only if we talk about this region majority of cases were noticed that had home-cooked food given by the owner. Moreover, cases in Siamese breed are larger than Persian breed. It has been strongly associated with Indoor housing management. Additional work is still needed to explore untouched areas of epidemiology including factors other than those being studied in the previous literature. Academicians in veterinary pathology and veterinary medicine of Pakistani universities should embrace this malady in the Doctor of Veterinary Medicine (DVM) curricula.
According to the present study results it is concluded that two factors like stress and pain accelerate the sympathetic nervous system outflow compared to normal felines leading to the inflammatory response. Thus the stress factor must be reduced in the form of making hiding places for cats at home to reduced down the fear factor along with enhancing the feeling of owes for that particular place. Moreover, some more practices should be performed by the owner to reduce down the stress factor like playing with the pet, giving full attention, placing toys and other attractive things like yarn balls at the feline places (where they live/placed). There was no significant difference found between the groups based on the food with health score along with the therapeutic judgment. Hence, it is recommended that more experiments should be performed on larger scale to assess GAG therapy on increased number of felines and need of hour is to conduct more veterinary studies to get information and authenticity for its use against iFLUTD.
From this study conducted, I recommend to the owners that the cats must be provided with the indoor hiding places and play with their pets in order to reduce the stress factor that increases the risk of idiopathic lower urinary tract disease. Moreover, the trend of home-cooked diet should be reduced along with increase in water intake by the cat.

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