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Treating Urinary Infections in Cats: How Diet, Hydration and Supplements Can Help

Mar 31, 2025 09:22AM ● By Ruth Roberts, DVM, CVA, CVH, CVFT, NAN
kitty in front of the litter box with toilet paper

Izobrazheniya pol'zovatelya Svetlana Rey/CanvaPro

A healthy urinary system in cats depends on a balanced diet to prevent issues like feline lower urinary tract disease (FLUTD), which affects the urethra and bladder of cats, creating major health risks and causing discomfort. Affected cats may scream in pain, pass very tiny amounts or strain to urinate. Some start urinating outside the litter box, usually on cool places like bathtubs or tile floors, or have blood in their urine.

Poor food choices, especially dry food, can disrupt urinary function, leading to pain, frequent urination and dangerous blockages. The right diet can help manage inflammation, support the bladder and speed up recovery, so proper food selection is needed for prevention and healing.

A study in the Journal of Feline Medicine and Surgery noted that FLUTD can lead to painful urination and blockages caused by struvite crystals that become wedged within the urethra. Researchers suggested that dry food can worsen the condition because the lower intake of water causes urine to be more concentrated, thereby increasing the risk of crystal formation.

 

Homemade Diet for Urinary Health

“Commercial dry cat food frequently lacks the necessary moisture and contains preservatives, fillers and incomplete nutrients,” says Marketa Jefferson, a holistic pet health coach. “A moisture-rich diet, such as homemade or raw food, is essential for preventing dehydration and reducing the risk of urinary issues like urinary blockages and FLUTD, as cats have a naturally low thirst drive.”

She recommends a diet with high-quality, species-appropriate ingredients tailored to support a cat’s urinary health. “A homemade diet gives pet owners full control over what goes into their cat’s food, ensuring it is fresh, balanced and free from unnecessary additives,” she explains. “Proper hydration is one of the most important factors in maintaining a healthy urinary system, and fresh food provides much-needed moisture that kibble lacks.”

 

Best Ingredients for FLUTD

“Urinary diets for cats should include high-quality animal proteins, such as deboned meat and organ meats, along with essential fatty acids like fish oil,” says Jefferson. “Adding the right vitamins and minerals is crucial, and small amounts of vegetables can also be beneficial.”

It may take some time and patience to convince cats that are used to eating kibble to switch to a homemade FLUTD diet. “In my experience with three cats, they all eventually switched to homemade food and love it now, but one of them took over a month to fully adapt,” Jefferson points out, adding that one of her cats lost five pounds after switching to a healthier homemade diet, which was a huge health improvement.

 

Natural Remedies for Urinary Support

Certain natural supplements can be beneficial for feline urinary health. “Rather than relying on antibiotics for urinary tract infections, I use natural remedies to support bladder health, as well as PEA [palmitoylethanolamide], a medicine that can ease discomfort and support the urinary tract,” says Jefferson. “Chinese herbs can help maintain kidney and bladder function, while cranberry extract may prevent bacteria from adhering to the urinary tract. Marshmallow root is another excellent remedy because it has anti-inflammatory properties and helps soothe bladder irritation, while vitamin C supports immune function and omega-3 fatty acids help reduce inflammation.”

 

Tips for Preventing FLUTD in Cats

Jefferson emphasizes that prevention starts with proper hydration and environmental management. “Eating moisture-rich FLUTD cat food is crucial for staying hydrated and flushing bacteria from the body. Keeping several water bowls around the house or using a water fountain can encourage drinking,” she explains.

Additionally, maintaining a clean litter box is essential because it promotes proper usage and allows for better urinary health monitoring. “I personally use Pretty Litter because its crystals change color in response to urine acidity and alkalinity, providing an early indication of potential health issues,” Jefferson points out.

“Minimizing household stressors can also greatly support both urinary and overall well-being,” says Jefferson. “Mental stimulation is just as important—interactive toys, scratching posts and enrichment activities help keep cats engaged and active, reducing stress levels.”

Marketa also points out the importance of monitoring urine acidity, noting, “Keeping an eye on your cat’s urine pH is crucial, especially if they are prone to urinary issues. The ideal range is between 6.5 and 7. If it reaches 8 or higher, that may signal an infection or underlying issue that needs veterinary attention.”

 

Ruth Roberts is an integrative veterinarian and holistic health coach for pets, as well as the creator of The Original CrockPet Diet. Learn more at DrRuthRoberts.com.


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Tick Talk

Spring officially sprung on March 21. We have turned our clocks ahead. We are looking forward to warm winds, sunny skies and the smell of fresh cut grass. The daffodils and tulips have recently bloomed and we are just starting with the yard work that comes with the warmer weather.  Sadly, another season has started ramping up.  Tick season.

•             The best form of protection is prevention. Educating oneself about tick activity and how our behaviors overlap with tick habitats is the first step.

•             According to the NJ DOH, in 2022 Hunterdon County led the state with a Lyme disease incidence rate of 426 cases per 100,000 people. The fact is ticks spend approximately 90% of their lives not on a host but aggressively searching for one, molting to their next stage or over-wintering. This is why a tick remediation program should be implemented on school grounds where NJ DOH deems high risk for tick exposure and subsequent attachment to human hosts.

•             Governor Murphy has signed a bill that mandates tick education in NJ public schools. See this for the details.  Tick education must now be incorporated into K-12 school curriculum. See link:

https://www.nj.gov/education/broadcasts/2023/sept/27/TicksandTick-BorneIllnessEducation.pdf

•             May is a great month to remind the public that tick activity is in full swing. In New Jersey, there are many tickborne diseases that affect residents, including Anaplasmosis, Babesiosis, Ehrlichiosis, Lyme disease, Powassan, and Spotted Fever Group Rickettsiosis.

•             For years, the focus has mainly been about protecting ourselves from Lyme disease. But other tick-borne diseases are on the rise in Central Jersey. An increase of incidence of Babesia and Anaplasma are sidelining people too. These two pathogens are scary because they effect our blood cells. Babesia affects the red blood cells and Anaplasma effects the white blood cells.

•             Ticks can be infected with more than one pathogen. When you contract Lyme it is possible to contract more than just that one disease. This is called a co-infection. It is super important to pay attention to your symptoms. See link.

https://twp.freehold.nj.us/480/Disease-Co-Infection

A good resource from the State:

https://www.nj.gov/health/cd/topics/tickborne.shtml

 

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