We could really use some advice because our vets aren't sure how to proceed treating our cat.
We have a 16-year-old male sphynx cat. He's not neutered.
Now he seems to have a recurring problem we don't know how to address.
It happened several times in the past 3 weeks.
Before this, it happened on the 5th of January 2021. And it was treated with antibiotics like an isolated event.
He goes to pee and can't- like he has some blockage. A couple of droplets happen, and then from all the straining, he defecates (his poop thin at the end, outside of this event, his poop is regular), and after he defecates, his attempts to pee result in bloody droplets (pinkish to red).
This usually lasts 2-4 hours, where he tries to urinate every couple of minutes.
The last two times, he also passed a blood clot or two through his penis (we made a video to show the blood clot to the vets if needed).
During these events he licks his crotch, one time he was also meowing while straining.
Then he goes to sleep and the next day everything goes back to normal. Peeing like usual, being friendly, eating, drinking water, licking himself. Like nothing happened. And then two weeks later, it happens again.
At the vets,
They did blood and urinary tests (attached at the end) and they did several ultrasounds. He has deformed kidneys and they said his kidneys are probably deformed with age but functioning normally. They also noticed a thickened bladder wall. And there were some crystals showing on the ultrasound, but the vet assured us the amount wasn't alarming. No stones. They also followed his blood pressure for 10 days and it's slightly elevated but not enough to start medication.
They suggested switching to renal food and we did, two weeks ago. We also switched his water to low mineral.
On the last visit (two days ago), they started to question whether it was the prostate. They tried to see his prostate on the ultrasound but couldn't, so we're shooting blind.
They advise neutering him. Which we are uneasy to accept since we still didn't get the proper and certain diagnosis.
He has no other medical issues. And he's not on medication.
He had surgery on his teeth, twice, total anesthesia. The last one was when he was 14.
We are also adding his lab results to this post. Blood result and urine.
Please help us if you can.
We love our boy and we want to help him and prolong his life.
Thank you kindly,