10/14/2026
Another day, another blocked cat 🚨🐈⬛
Not a day goes by that I don’t see a male cat with a urinary obstruction. This is an ultrasound of a distended bladder.
When a cat can’t urinate, urine backs up and the bladder becomes dangerously distended. As waste products and electrolytes build up in the blood, potassium becomes one of our biggest concerns. When potassium gets too high (hyperkalemia), it can interfere with the electrical activity of the heart, causing dangerous arrhythmias and potentially cardiac arrest.
Male cats are much more prone to urinary obstruction because their urethra is long and narrow. Female cats can obstruct, too, but it’s significantly less common (I’ve only seen one thus far!)
🐾 So, how do we treat a blocked cat?
🏥 Hospitalization: Most uncomplicated cases need around 48-72 hrs or longer
🩺 Urinary catheterization: We place a urinary catheter to relieve the obstruction and allow the bladder to drain
💧 IV fluids: These help restore hydration, support the kidneys, and help correct electrolyte abnormalities
🧪 Monitoring: We recheck bloodwork, particularly kidney values and electrolytes like potassium, to ensure they normalize
Around 48 hours, depending on the case, we remove the urinary catheter and monitor closely to see if they can urinate on their own. If they can, they go home with pain/anti-anxiety medication, and antibiotics if needed
⚠️ A blocked cat is an emergency. Watch for frequent trips to the litter box, straining, crying while trying to urinate, producing little or no urine, vomiting, or lethargy. These signs can initially look like constipation, so don’t assume your cat is just having trouble pooping.
If your cat is straining to urinate or producing little to no urine, don’t wait!