Cat with proteinuria -- should her vet try to rule out things before immediately referring us to an internal medicine specialist?

Hello there,



I’m glad you reached out with your concern about your cat's proteinuria. Proteinuria, which is the presence of excess protein in the urine, can be a signal that something is going on with your cat's kidneys or urinary tract. It's totally understandable to want more information before proceeding with a specialist.



Potential causes of proteinuria include infections, inflammation in the urinary tract, high blood pressure, or more complex kidney issues. Often, starting with a few straightforward tests can help your vet narrow down these possibilities.



A good first step would be a thorough physical exam and possibly some basic blood work and a urinalysis. These can help rule out infections or other systemic health issues. Sometimes a urine culture is wise if an infection is suspected. Monitoring your cat's diet and ensuring she stays hydrated can also be beneficial at home.



Be aware of signs such as changes in appetite, weight loss, increased thirst or urination, or any behavioral changes. These could indicate a more serious condition, and you’d want to address these quickly.



If initial tests aren't conclusive, consulting with an internal medicine specialist can certainly provide more advanced insights. But beginning with some baseline investigations is often a reasonable and cost-effective approach.



Feel free to book a video consult with Dial A Vet to discuss your cat's specific situation and figure out the best path forward!



Take care.