Crystals in the Urine Average Cost

From 345 quotes ranging from $200 - 800

Average Cost

$300

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What is Crystals in the Urine?

Cats who present with crystalluria need to be seen by a veterinarian in order to properly identify the crystals and diagnose any underlying conditions that may be causing them to form.

The development of crystals in the urine, or crystalluria, occurs when normal minerals that float in the urine bind to each other. Crystalluria often occurs as part of another condition. The microscopic crystals have the appearance of fine sand. Though crystalluria isn't always indicative of an accompanying condition or illness, such as a urinary tract infection or kidney stones, the formation of crystals puts the cat at an increased risk of these problems.

 

Symptoms of Crystals in the Urine in Cats

Though the main symptom of crystalluria is the appearance of fine crystals in freshly-expelled urine, other symptoms from accompanying conditions may also occur. Because crystals in the urine that are passed in the litter box may be missed by pet owners, other symptoms may help pet owners discover something is wrong with their cat. These symptoms may include:

  • Blood in the urine
  • Straining to urinate
  • Passing only small amounts of urine
  • Frequent licking of the genitalia
  • Urinating outside of the litter box, such as on the bed or carpet
  • Depression
  • Irritation
  • Passing no urine, which is a medical emergency

Causes of Crystals in the Urine in Cats

Crystalluria may be caused by the following:

  • Oversaturation of minerals in the urine
  • High concentration of crystallogenic substances in urine
  • Dehydration
  • Off-balance urine pH that is too acidic or alkaline
  • Urinary tract infection
  • Breed disposition, such as Persian, Burmese or Himalayan
  • Medications
  • Radiology diagnostic agents, such as radiopaque contrast agents
  • Improper diet

Diagnosis of Crystals in the Urine in Cats

The veterinarian will ask for the cat's health history, which will include any recent symptoms of urinary problems. The veterinarian will examine the cat and look for any irritation in the genital area. Because crystalluria may indicate the presence of bladder or kidney stones, the veterinarian will also gently feel the cat's abdomen, feeling for the presence of any large stones.

A urinalysis is the best test in order to identify crystalluria. The four most common types of crystals, calcium oxalate, uric acid, struvite, and cystine, can be isolated and identified with a urinalysis. The urinalysis will also test the urine pH, look for the presence of any white blood cells, bacteria, and protein in the urine.

If the veterinarian wants to take a sterile urine sample, this is done with a procedure called cystocentesis. During cystocentesis, a needle will be inserted through the cat's skin into the bladder. The veterinarian will take a sample of the urine before withdrawing the needle. A sterile urine sample allows the veterinarian to look at the urine without any contamination from the cat's urethra or genitals.

An ultrasound and x-ray may also be performed. These tests will help identify any abnormalities in the bladder, kidneys or urinary tract and look for the presence of any larger stones that could pose a medical emergency.

Treatment of Crystals in the Urine in Cats

Fluid Therapy

If the cat is severely dehydrated, it may be necessary for the veterinarian to give the cat fluids intravenously. If the cat is just mildly dehydrated, increasing fluids orally is essential. These extra fluids will help flush out the cat's bladder, improving its concentration. It's important that the cat is given fresh water several times a day as cats may reject water that is too old or has debris in it.

Modified Diet

Cats should be fed a diet that consists of both wet and dry food. Dry foods are too high in some minerals and increase the risk of the cat developing crystals. The veterinarian may also place the cat on a diet aimed at correcting the cat's pH levels. It takes approximately two months to correct levels via dietary changes. During this time, it's important to keep the cat well-hydrated to prevent additional crystals from forming.

Medications

Because crystals can irritate the cat's bladder and cause an infection, the cat may be prescribed an antibiotic in order to prevent an infection from occurring. Pain relievers may also be prescribed if the crystals are causing the cat significant pain.

Recovery of Crystals in the Urine in Cats

The veterinarian will want to see the cat every three to six months in order to perform a urinalysis to ensure that crystals are no longer present in the urine and that the urine pH has returned to normal. Any other accompanying conditions, such as a urinary tract infection or bladder stones, will also need to be monitored. If symptoms don't improve or worsen, the cat should immediately be seen by a veterinarian in order to determine if kidney stones have formed that may be stopping the flow of urine.

Crystals in the Urine Questions and Advice from Veterinary Professionals

Marlon
Abyssinian
7 Years
Mild condition
2 found helpful
Mild condition

My cat had a UTI 3 weeks ago. He got an antibiotic injection and had a follow up urinalysis today. The vet said he had crystals in his urine today (he did not have them 3 weeks ago). She recommended a prescription diet, possibly forever. As this is quite expensive, I'm wondering if, after a couple months of the prescription diet, I could switch him to only wet food and if this would prevent a recurrence of the crystals?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Generally if a cat starts with urinary crystals, it is something which would continue to occur and prevention is always better than having to treat a condition (as well as preventing future discomfort). There are many different urinary diets and you may find a cheaper option from a local manufacturer and doesn’t necessarily need to come from Hills or Royal Canin; however remember that some cheaper generic brands can be high in minerals which may predispose some cats to crystals. Regards Dr Callum Turner DVM

Urinary s/o is cheaper on chewy, and 5% autoship. From what I've read and have been told by my vet that once cats get crystals they will forever have them and will always need to be on special food. If the cat isn't in special urinary support then the cat will have to under go urinary surgery to have the blockage of crystals removed. I wouldn't chance it. I have to buy 2 bags a month at 54 because 4 of my 10 had crystals and I wasn't going to take the chance in them having blockages.

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Thunder
Himalayan
Seven Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Lethargy

My cat was treated for urinary crystals 2 weeks ago. They used a catheter to flush out crystals. He was given 3 medicines and also prescribed Hill's SD as well as CD diet, which we have been following. He went back for a follow up after 10 days and they said all was well. However, they did not do urinalysis and I forgot to ask while I was there. But within the past two days he has not been eating much and has been lethargic. Should I take him back to the vet.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Lethargy and a loss of appetite may be due to medication side effects (you didn’t mention which medications were prescribed), however you should check in with your Veterinarian to be on the safe side if symptoms are developing again. You may just need to take them in a urine sample or they may want to examine Thunder, call them to speak with your Veterinarian. Regards Dr Callum Turner DVM

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Paws
American Shorthair
3 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Straining To Urinate
Stomach Pain
Licking at Genitals

My cat Paws has crystals in his urethra blocking him from peeing. We were considering getting the P.U. surgery done but it's just too expensive for right now. Is there anything that we can give him besides his prescription diet he eats? He was rushed to the emergency vet a few days ago and they put a catheter in him and kept him a few days and we just got him back this morning and today is when we took him to our vet and they suggested the surgery. We couldn't afford it so we took him home and he was doing ok but now he's acting in pain even though he's on pain meds and his bladder feels hard but we can't take him to the vet tonight. He has also been trying to pee but can't and I feel so bad for him and I was wondering if there's anything we can do at home to help him pee? When he tries to urinate he just urinates little drops and we really need him to pee a lot. Thank you.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Thank you for your email. Sadly, there is no cure for that problem besides catheterization or surgery. If he is straining to urinate now, and having difficulty urinating, and crying and painful, he needs to go back to the emergency veterinarian immediately. Urinary blockages are intensely painful, and fatal. There are options for payment that most veterinary clinics will accept such as CareCredit. He can't stay at home unable to urinate with no relief. I'm sorry that is happening to him, but you need to think of his best interest in this situation.

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Ms.rubs
Unknown
5 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Urinating Outside Litterbox

My cat has been peeing all over the house and I noticed that there well be a medium size white patch where she peed at. I do feed her dry food all the time. Please help

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
It is possible that Ms. Rubs has urinary stones, placing her on a urinary diet may help but it would be useful to check with your Veterinarian whether this is the cause and to also determine the types of stones and if there is also a urinary tract infection. Regards Dr Callum Turner DVM

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Minor
Barn cat
8 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

Puking blood, stubbing, drag his be

Hi I’m Lorraine my cat is 8 years old and have been limping off and on for the past 3 years but it never cripple him from doing anything. Since January a few times a month I was picking up puke that was very dark with a little bit of blood but it use to pass and never stop him from eating or drinking. Since that time I have also notice that he was miaowlling differently when you touch his back - spinal cord. Now Tuesday I came back from work and the floor was covered with puke that was still bloody. Friday when I came home from work he hadn’t move and his litter box had nothing in it and his food was not touch. Saturday and today, his been dragging his behind and sleeping close to his water bowl but he looks at it more then he drinks. I had spent thousands of dollars on my pet to be sent home after his operation to have 3 months before she died of cancer. I just don’t want to make my pet suffer as I am seeing him decreasing. With your experience what could it be please be honest I have to face reality. Thank you for your time.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
I'm sorry that that is happening to Minor. I'm not sure what might be going on with him without actually seeing him, but he is not an elderly cat, and there may be something that can be done for him. It would be worth having an examination for him by a veterinarian to see what they think is wrong, and if it is treatable. It doesn't sound like he is having a very good quality of life right now, and they may be able to change that.

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Molly
Maine Coon
10 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Not eating, urinating odd places

My10 year okd female cat has been urinating in odd places, her bed, the dig’s bed, and a couple days ago I noticed a small spot if blood where she urinated. She has gone from 18 pounds to 10 pounds since spring, even though her appetite was good. The vet put her on an antibiotic a week ago. All her blood work came back good except infection. Now she is not eating well for the last day, just nibbles....even water intake is down. What is the next step? Like I said only had blood work.

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Pepper
Short haired house cat
9 Years
Serious condition
0 found helpful
Serious condition

Has Symptoms

not drinking
Low Urination
initial great urination after vet
Licking at Genitals

Medication Used

antispasmodic
rx soft food
antibiotic

I took my male cat into the vet this past Thursday (it's now Sunday) and he was kept overnight and treated for crystals. x-ray showed no stones. Vet kept him on IV and catheter. They removed catheter about noon Saturday and he was peeing on his own. The IV was left in a few hours longer. We picked him up at 6 pm Friday. Once back home, he filled the litter box with pee. Kept going again and again. We have Rx antibiotic, antispasmodic and special food. After his initial massive amounts of urination, we cleaned the box. He had one very small pee Saturday,and so far I only see a very small pee from this morning. His tummy feels firm again. Could a uti or spasms from the catheter be causing this or are we likely looking at another blockage? I'm not sure what to do. I don't want anything bad to happen to him. His vet opens early tomorrow morn (Monday). I'm concerned. He had this happen some years back and I don't recall there being any sudden reduction in his urination following treatment. He is eating fine, but not drinking. I do remember last we had him on vet recommended soft food, he drank very little, but all seemed well. On quality, hard food, he drank quite a bit of water. But we're on soft food presently. When selecting "severity" below I chose "serious" but I don't know if that's accurate in light of the above. What can we expect following treatment? Is this normal?

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Gingus
Siamese
3 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Urination Pain
Licking at Genitals
Loss of Appetite

We brought our 3 year old neutered male into the vet three weeks ago because he was going into the litter box constantly and just sitting in there and coming out and immediately licking himself. The vet gave him a steroid shot and a shot of antibiotics and within a couple of days he was peeing normally again. Then, last weekend, one day he was good and the next day showing the same signs as before but worse. The next day after we noticed it we took him in and by then he was really in pain. As soon as the vet felt him, he said he was blocked. They put in a cath and kept him for two days. When we picked him up, they said he wasn't eating well and gave us some Clavamox mixed with Bethanecol to give every 12 hours. That night about an hour after we gave him a dose, we were petting him as he laid on his side and his stomach (I am guessing) inflated for a second, made a gurgling sound, and it went back down. He also let out a noise of pain and this happened a couple more times in a row. I was worried, so I stopped petting him and got him off his side so it wouldn't happen. The next day he seemed to be ok, his stomach not doing that thing, but he was not eating. The vet had said he didn't eat good either and I wondered how long it had been since he ate. The only thing I could get down him was a couple licks of wet food and a couple small cat treats. You could tell he didn't want to eat and it was difficult for him. The vet gave us Hills S/D to feed him because they said that is why he was having bladder issues in the first place was because of the food he was eating and we needed to get him to try the new food, and I was even trying to get him to eat his regular food and he only had a couple of licks. The next day we took him back (two days after he left), and they gave him subcutaneous fluids for about 5 minutes, 20 ml of Carprofen, and 5mg of Diazepam. They also placed wet food about 10-15 times on the roof of his mouth to get him to eat. Since then, he looks and seems a little better. Still going into the litter pan trying to urinate constantly with nothing and licking after. I forgot to mention since we brought him home after he had stayed at the vet a couple days, he would dampen the blankets and towels he laid on, just not in the box, even though he is trying. He is walking around more but still having no real luck in the litter box. I am worried he is not getting enough fluids and maybe that is why he can't pee. I am also concerned that the drugs the vet gave him are only going to be a quick fix and they are only temporarily going to make him feel better for a while. Please let me know what you think about this situation. Thank you!

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Without examining Gingus it is difficult to determine a cause or recommend treatment, I cannot fault the treatment given so far by your Veterinarian; however further testing may be useful since an x-ray may give an indication of any masses or abnormalities around the bladder (particularly the neck of the bladder) as well as showing any stones or other pathology. Continue to encourage Gingus to eat and you can mix a little water with the wet food to boost water intake. Regards Dr Callum Turner DVM

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Jaxson
American Shorthair
4 Years
Serious condition
1 found helpful
Serious condition

My cat Jaxson recently started urintated little drops on my bed, and when really relaxed, pees a little more than a drop. We took him to the Vet and he has Crystals in his urine. We have switched him to Royal Canin SO dry and wet, and we are working on switching to only wet food over the next few weeks. Per the Vet of course. He does pee in his litter box as well, so I don't think he has blockages, right? We use Pretty Litter, for which the litter changes color when he urinates if something is wrong. Its been blue lately due to the PH alkaline being off. My question is, how long will it take for him to stop peeing on my bed or other places. How long does it take for the crystals to totally leave? I'm thinking he doesn't have any blockages being that he does uriniate. Is that correct? He peed tonight on one of my dining room chairs. Ugh! I bought crib waterproof mats and have them on my bed now along with disposables on top of that and then a sheet. The sheet will let me know if he has peed for sure. I'm just trying to find out what the time line is. Thank you very much.

Dr. Michele King, DVM
Dr. Michele King, DVM
1604 Recommendations
Thank you for your email. If he is passing urine, he shouldn't have any blockages, no Crystals in the urine can be very irritating and painful, however, and often cats will urinate in inappropriate places because it hurts. It can take a little bit of time for urine pH to change and for the crystals to disintegrate. Oftentimes, there is infection along with the crystals, as they are very irritating to the bladder, and Jaxson may benefit from an antibiotic. It would be a good idea to call your veterinarian, let them know that he is still having problems, and see if they think an antibiotic might be a good idea. Anything that helps clear this up more quickly and prevent a blockage is typically a good idea for these cats. I hope that all goes well for him.

Thank you!

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Jade
DOMESTIC
13 Years
Moderate condition
-1 found helpful
Moderate condition

Has Symptoms

PEEING BRIGHT RED URINE OUTSIDE OF

My cat is peeing red urine. I am a Medical Technologist and looked at the urine. It was filled with RBC's with a few triple phosphate crystals. No WBC's and small bacteria, but I got the urine off the floor. About 5-6 months ago my husband changed the brand of food. We switched back to the old food brand. Will the problem reverse itself? She is going outside of the liter box. She is 13 years old

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
I would still recommend that you pop into your Veterinarian to be on the safe side if there are severe symptoms as described; struvite crystals (triple phosphate) normally occur in cats due to an increase in urinary pH and feeding dry kibbles. Dietary changes and a check for any urinary stones would be a good course of action, but further treatment may be necessary. Regards Dr Callum Turner DVM

Do you think the problem will resolve itself with a change in Jade's diet? Is there a medication the vet would put Jade on to help the crystals to dissolve?

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All
DOMESTIC
5 Years
Fair condition
1 found helpful
Fair condition

Has Symptoms

None at this time

I have 10 cats, all on urinary s/o food because 4 out of 10 had crystals in their urine. Is there anything else I should be doing to prevent them from getting crystals in their urine or is the food the only way to prevent them from ever getting crystals again?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Dietary management is the best method in cats since many of the supplements which may be used in dogs can be toxic to cats; dietary management and ensuring they are adequately hydrated is key to preventing crystal/stone formation. Regards Dr Callum Turner DVM

I have a water fountain and 3 bowels of water on the counter in the kitchen. I let the tub drip into a bowl and will have a 2nd fountain on the bathroom counter. This should be enough options for them to drink water. What if they don't want to drink water?

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Twiggy
Calico
5 Years
Fair condition
0 found helpful
Fair condition

Has Symptoms

Crystals in urine

I have a 4 year old female cat who is very finicky about her liter being clean and water and food bowl being very full. She will pee on my clothes when the liter is too dirty or food bowl is too empty. Recently I noticed small crystals on articles of clothing she has peed on. She acts normal, eats drinks, uses the liter box no straining and is on a dry food only diet. Any recommendation on what these crystals are and how to treat them?

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Dry urine may show some urinary crystals, many times urinary crystal formation is due to diet; you should have a urine sample checked by your Veterinarian to determine the type of crystals and if there are any other findings to be on the safe side. Once the crystals are confirmed and identified your Veterinarian will recommend dietary changes. Regards Dr Callum Turner DVM

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Sam
American short haired
14 Years
Mild condition
1 found helpful
Mild condition

My 14 year old male had a vet perform a medical procedure on his urinary crystals when he was about a year old. Since then I have fed him a diet to prevent this from happening again. Recently I have been giving him regular cat food mixed in with his strict diet because he seems to eat more of it. I recently saw him licking his bottom and I noticed his penis was sticking out and pink. It surprised me and I looked it up on google. It said that it may be due to a uti infection. Then I looked at his urine and it seems thick. Do I need to take him to the vet or Can I just treat it at home? There was no blood in the urine.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
At a minimum you should get the urine checked to see what is going on there; crystals, protein, glucose etc… may all cause issues with the urine plus a physical examination at his age would be useful too. It is possible that you may need to cut out the regular cat food as this may be causing an issue and a Veterinary visit would be required if any prescription medicines are needed. Regards Dr Callum Turner DVM

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Kiwi
Munchkin
1 Year
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Licking at Genitals
Blood In Urine
Urinating Outside Litterbox

Medication Used

Clavaseptin
Buprenorphine

My 1.5 year old male cat was diagnosed with struvite Crystal's about 1 month ago. We were given antibiotics, pain meds, and recommended a perscription diet. We gave Kiwi the meds, but not the perscription diet. Instead we switched him over to 90% wet food With water(Weruva) and 10% dry (Acana). We fed him foods containing beef, as it acidifies the urine, and we added 5ml of apple cider vinegar to each meal. We have a pH test kit and the urine dropped to 6-6.5 after a few days. All was good. About 2 1/2 weeks later we noticed blood in his urine again with more frequent visits to the box. We went back to the vet to get a second course of antibiotics. We also added a cranberry supplement to his food. After a few days his urine was back to normal again. Today, 2 weeks after the first recurrence, there was a small amount of blood in the urine again and the pH was about 6.5-7. So my question is, why does this keep coming back? Is it just the natural course of the crystals clear? He is getting plenty of water and the pH is generally good, however he does have a history of stress and anxiety.

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Infections may cause issues in these cases and may recur, if there is evidence of recurrent urinary tract infections you should think about a culture and sensitivity test to be on the safe side; however, even with dietary changes and medical management if can take a few weeks for overall improvement to be seen. There is a balance between diet (need to get pH below 6 ideally) and this is why a prescription diet would be more suitable during the treatment phase; also urinalysis to look for evidence of crystals or other issues would also be useful. Regards Dr Callum Turner DVM

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Bean
Cat
5 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

hair pulling

I adopted a five-year-old spayed cat who had some issues with pulling her hair out on her legs, belly, and tail. The vet did treat with a steroid shot and a two-week antibiotic because she had some scabs on her belly. She still pulls hair out and she doesn’t seem all right to me. I noticed chunks in the litter box that were the size and shape of dice. They didn’t seem like dissolved litter. My vet suggested $360 of allergy testing. I’m looking for a second opinion. Thank you.

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Juliette
Calico
6 Years
Moderate condition
0 found helpful
Moderate condition

Has Symptoms

Blood In Urine

Medication Used

Clavamox antibiotic- oral

My 6yr old female was jumping from one litter box to another. Afterwards I noticed she had blood in her urine. Took her to the vet, the hydrated her and did a urine test. They gave her an antibiotic shot and also Clavamox. I also put her on a special urinary food. She was doing a little bit better but the blood is back in her urine. The vet called and said that the urinalysis came back with crystals. I've changed her diet and she finished all her medication but she still has blood in her urine and it's been about three weeks. I'm really worried for her. Please help.

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Kit A Kat
Domestic Long Haired
4 Years
Mild condition
-1 found helpful
Mild condition

Has Symptoms

none now

Can eating raw fish, chicken or burger cause crystals? What about appetite stimulant meds, b-12 shots or antibiotics? Has been treated for Pancreatitis for last month

Dr. Callum Turner, DVM
Dr. Callum Turner, DVM
3314 Recommendations
Cats may develop urinary crystals for a variety of reasons, diet being a major contributor; you should make sure that Kit A Kat is fed a balanced and complete diet appropriate for breed and age. You should also find out the type of urinary crystals present as dietary modification and supplements can be adjusted to dissolve or prevent crystals or stones in some cases. Regards Dr Callum Turner DVM www.msdvetmanual.com/urinary-system/noninfectious-diseases-of-the-urinary-system-in-small-animals/urolithiasis-in-small-animals

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