Struvite Crystals in Cats

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Struvite crystals are urinary tract stones; struvite specifically is a material that is composed of magnesium, ammonium, and phosphate. Stones can have various shapes and sizes and when they block the urinary tract, they can quickly lead to kidney failure and become life-threatening. They can appear in many types of animals, including cats.

What Are Struvite Crystals in Cats?

Struvite crystals are microscopic crystals that are found in some cats urine. They are sometimes associated with urinary tract infections, but not always. The crystals are similar to extremely fine sand. They irritate the bladder. These crystal-like formations are small in size. Additionally, these stones can be found in the bladder, the urethra, or in the kidneys. In some cases, the stones can be flushed out of the body or dissolved. In other cases, the crystals must be surgically removed. They occur in both male and female cats.

Symptoms of Struvite Crystals

Signs of struvite crystals in cats to watch out for include:

  • Frequent use of the litter box
  • Urinating outside the litter box around the home
  • Straining to urinate or painful urination accompanied by crying sounds
  • Excessive licking of the urethral area
  • Bloody urine
  • Inappetance
  • Depression

Causes of Struvite Crystals

The cause of struvite crystals in cats is most often the result of eating dry cat food. Due to the lack of moisture in the diet, the urine becomes too concentrated and highly alkaline. Cats can be predisposed to stones because of:

  • Low water intake
  • An inflammation of the lower urinary tract
  • A high pH in the urine (alkaline environment)

Most often, dry commercial cat foods contribute to the development of struvite crystals. Due to the lack of moisture in kibble, cats get dehydrated, the urine becomes too concentrated, and plant-based ingredients in dry food cause the urine to become too alkaline. The combination of alkaline and concentrated urine makes cats prone to forming struvites. An additional cause of the development of struvite crystals in cats is that cats do not drink water naturally. They've evolved over​ a millennium to get most of their moisture from prey. This, partnered with dry cat food, can lead to crystal development in the cat's body.

Treatment of Struvite Crystals

The treatment of struvite crystals is based on removal. The goal is to create more acidic and diluted urine. To successfully remove them, the crystals need to be flushed out, dissolved, or surgically removed. To dissolve the stones, a monitored diet is the best course of action. Treats and snacks should be avoided and wet canned foods can help prevent new stones, although some cats will find this food unappetizing. The crystals can take from two weeks to five months to completely dissolve. If the struvite crystals are in the urethra or in the tubes that connect the kidneys to the bladder, they need to be surgically removed. Prior to surgery, sometimes antibiotics are prescribed to prevent other infections and reduce inflammation.

How to Prevent Recurrence of Struvite Crystals

The best line of defense (and prevention) is a balanced raw meat diet that should help eliminate struvite crystals and prevent them from recurring. This will encourage a more natural pH in the urine. The naturally occurring water content of raw meat (usually containing 75 to 80 percent moisture) creates a more diluted urine that's not conducive to the formation of struvites.

Here are some additional easy tips to help prevent struvite crystals from recurring:

  • Feed your feline small meals frequently which will help reduce fluctuation in urine pH.
  • Provide fresh water places in multiple water dishes in different places. Try a fountain to pique your cat's interest. You can also offer chicken broth instead of water to encourage your cat to drink more.
  • Provide a sufficient number of litter boxes placed in quiet areas.
  • Decrease stress by reducing major changes in routine.

Diagnosing Struvite Crystals

If your cat is exhibiting some of the symptoms, it is best to schedule an appointment with your veterinarian right away. The vet will examine your feline and sometimes they are able to feel a thicker bladder wall during a physical examination. The vet will likely take urine samples to examine the urine for any abnormalities. Additionally, ultrasounds are often used to view and determine the size, shape, location, and number of stones. This will help dictate the treatment options. Depending on the case, other imaging tests may be conducted to determine if there are other medical conditions that may also be present.