Howling when trying to pee.

Dr. Marie replied:

Oh, I am sorry to hear that you have had all of these problems with Ferna.

There are a few things that can cause a cat to howl when trying to urinate. The most common in a female cat is a condition called interstitial cystitis. We don't know how this happens but what we see is inflammation in the bladder. It feels like a bladder infection but there is no bacteria present, just inflammation.

While a UTI (infection) is possible it is actually not terribly common.

Another possibility is a bladder stone that is plugging up the urethra. However, this is extremely uncommon in female cats. If this was a male cat then I would be very concerned because a urethral blockage can be a life threatening emergency.


I wish I could tell you a home remedy but there really is none that is safe. When she does see a vet they will likely give her an anti-inflammatory injection and either prescribe anti-inflammatory medication to take home or an anti-anxiety medication such as amitryptiline. It is believed that interstitial cystitis is brought on by stress or anxiety.

Unfortunately any of the anti-inflammatory medications available over the counter can be harmful to cats.

Whether or not you go in for an emergency visit depends on how uncomfortable she is. If the behavior continues for more than a couple of hours then she really should be seen. However, I have seen some cats that are uncomfortable in spurts, so it is possible that she will have some relief shortly.

I really hope she is feeling better soon!

Dr. Marie.


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Dr. Marie replied:

Ah yes...you did say she had a cortisone shot. If it was a short acting injection such as dexamethasone or prednisolone it may be that it has worn off by now.

However, if it was a long acting shot like depomedrol or depredil then this will be in her system for 4-6 weeks. If this is what she had then I am concerned that she may have one of the more uncommon problems such as a urinary tract infection or a urethral stone. If this is the case then unfortunately the sooner she is seen the better.

Sorry for the bad news.

Dr. Marie.

Dr. Marie replied:

You're very welcome. She will most likely be ok until tomorrow but use your judgement. If she is acting extremely uncomfortable for more than 2 hours in a row then she may need to go in on emergency.

I wouldn't give the prednisone as it could be harmful if there is still steroid in her system. However, the cosequin will not hurt and may actually help. Cosequin contains glycosaminoglycans (GAGS) that help to repair the bladder wall when injured.

Dr. Marie replied:

Ah, this is always a tough one to answer. I usually say to follow your gut. So, she is only crying when she's trying to pee. Now, if she is trying to pee constantly without ceasing then yes she is extremely uncomfortable. However, if she does it once or twice an hour then this is not so bad.