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Monday, August 14 • 3:50pm - 4:40pm
Pandora syndrome (feline interstitial cystitis): Beyond the bladder and LUT signs

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Idiopathic cystitis is the most common lower urinary tract disease resulting in owners of cats seeking attention for inappropriate urinations and urgent voiding (stranguria, hematuria, dysuria, pollakiuria). “Pandora Syndrome” has been recently named to describe the overarching systemic nature of this disorder. FIC involves more than just the bladder, as this is a systemic disease that affects the bladder. Differential diagnoses and their likelihood of occurrence will be shown. A method for diagnosis that is both inclusionary and exclusionary will be developed so that the practitioner will feel confident in establishing a diagnosis of idiopathic cystitis. Similarities of idiopathic cystitis to interstitial cystitis will be drawn.  The first line of treatment using diet and litterbox management will be discussed. Further management of FIC by increasing water turnover, providing stress reduction and environmental enrichment, as well as the uncommon need to prescribe drugs (amitriptyline, analgesia, Feliway®) will be developed.  The concept that drug therapy is not usually needed when multi-modal environmental modification is successfully implemented will be emphasized. Strategies to help treat cats with recurrent lower urinary tract signs will be  developed. Stress reduction and other aspects of environmental modification/enrichment will be detailed. Evaluation of the whole cat will be emphasized so that other organ system problems in addition to the urinary bladder are identified in those with Pandora Syndrome. Tips to allow greater implementation of environmental modification will be given throughout this lecture. 

Speakers
avatar for Dennis Chew

Dennis Chew

Dr. Chew is a 1972 graduate of the College of Veterinary Medicine at Michigan State University. He did a one-year internship at South Weymouth Veterinary Associates and a two-year residency in internal medicine and nephrology at the Animal Medical Center in New York City. He beca... Read More →


Monday August 14, 2017 3:50pm - 4:40pm
Central A