Idiopathic cystitis in dogs and cats – Treatment plan also applicable to patients in human medicine
Introduction
Dear colleagues, dear friends of bioresonance therapy.
First of all I would like to introduce myself: I have been running a veterinary practice at Lake Con‐ stance since 1995, where I treat mainly dogs, cats and rabbits, but also horses, cattle, goats and sheep.
I studied veterinary medicine from 1980 ‐ 1986 in Giessen and Vienna, where I also received my doctorate.
Already at that time I was also interested in homeopathy and acupuncture, and through the latter I was able to attend courses in Vienna and later in Germany. I was lucky to get an assistant posi‐ tion in a practice where both homeopathy and acupuncture were used.
In 2010, at a symposium, I met a veterinarian who worked with bioresonance therapy. When our dog became seriously ill and was out of conventional treatment options, she was able to help her with bioresonance.
This is how I got my own BICOM optima mobil in 2011, with which I have already had many posi‐ tive therapy experiences.
My topic today is idiopathic cystitis in dogs and cats – but treatment regimen also applicable to patients in human medicine.
Every veterinarian and every animal health practitioner who treats dogs and cats will have had to deal with urinary tract diseases in the broadest sense.
The term “FUS” (feline urologic syndrome) previously used in cats has been replaced by the term “FLUTD” (feline lower urinary tract disease) coined in English. In dogs, too, the German term “AHW” or “UHW” (of the draining or lower urinary tract) is used nowadays, since an inflammation of the bladder is clinically difficult to distinguish from an inflammation of the urethra, and in some cases the ureters and renal pelvis are also affected.
Symptomatology
With what appearances are these animals presented in the practice or what causes the own‐ ers to come to the practice with their animals?
Here to be mentioned are:
The cat / tomcat no longer urinates in the litter box
The dog becomes unclean
There is an increase in small amounts of urine ‐ pollakiuria
Drop‐wise urine output ‐ Stranguria
Bloody urine ‐ hematuria
Sustained urine output ‐ anuria
Expressions of pain during urination
Of course, diagnostic work is now done to get to the bottom of the causes of these symptoms and to find a therapeutic approach.
Figure 1: Lower urinary tract tomcat ©harngries.de
Figure 2: Urogenital system cat female ©petspot.de
Diagnostics
The detailed anamnesis should clarify whether it is a neutered animal and what are the housing and feeding conditions. Is the cat an indoor‐only or outdoor animal? How many animals are kept? What is the number and placement of litter boxes? What litter? Are there any stress factors? (new pets, roommates, moving house, strange animals in the yard) Is there boredom? Is there protest peeing? (the handbag, the fresh laundry in the hamper, the school satchel, the children’s bed) How was or is the puppy trained to be housebroken? And regarding feeding, ask: is the animal fed dry and/or wet food or is it barfed (BARF: feeding of raw meat appropriate to the needs and spe‐ cies)? How is the drinking behavior?
Previous diseases and therapies
Is it a recurrence?
Current medications?
Clinical examination
Fever?
Palpation of the bladder?
Urinalysis (cystocentesis urine optimal)
Urine status?
Sediment? (crystals, cells, epithelia, )
Bacteriology?
Blood test
Imaging techniques ‐ X‐ray (contrast), ultrasound, cystoscopy
Bladder, urinary stones?
Neoplasia?
Anatomic abnormalities? (urachal diverticulum, double colon).
I have tried to list here the comprehensive diagnostics on the basis of which the scientific litera‐ ture and terminology (idiopathic cystitis) have been developed. In everyday practice this will not be feasible to the same extent. Thus, in the case of very resistant cats, it will have to be weighed up which diagnostic interventions make sense.
Causes and pathophysiological mechanisms of LUTD
As can already be seen from the medical history and diagnostics, inflammation of the bladder can have a variety of causes.
Firstly, viruses or bacteria can cause urinary tract infections, as a result of which mucoproteins and inflammatory products lead to hematuria and dysuria.
Secondly, crystalluria can lead to stone formation, although struvite crystals are common in cats even without a bacterial urinary tract infection and are found even in clinically healthy cats. (Ca‐ veat: examine fresh urine within half an hour, as storing urine in the refrigerator leads to crystal formation).
Urinary tract obstruction occurs when small bladder stones become lodged in the urethra. This is typically found in the penile tip of the neutered male.
Thirdly, when an infection and crystalluria coincide, matrix crystal plugs may form, with the same effects of obstruction.
The idiopathic form of feline and canine LUTD is very similar to human interstitial cystitis, which is predominantly diagnosed in women.
Exclusionary diagnostics up to cystoscopy reveal submucosal petechial hemorrhage, proliferation of substance P receptors, and increased number of unmyelinated nerve fibers. The pathogenesis cites initial necrosis of the bladder epithelium of unknown cause exposing nerve endings. An aller‐ gic component is also discussed.
A retrospective evaluation of 648 cases in cats with “FLUTD” (Diss. C. Schmid, Univ. Munich 2011) cites an increase in incidence to 1% to 13% annually based on studies in the UK and USA in the 1990s, with 7.8% cases of LUTD in clinics and 4.6% in practices (Bartges,1997; Lund et.al.,2001).
No data has yet been collected for Europe.
The causes of FLUTD were found to be 13‐28% urinary stones, 10‐59% bacterial urinary tract infec‐ tions, and the largest proportion was idiopathic cystitis with 55‐69%. Anatomical abnormalities or neoplasms were found rather rarely.
Involvement of viruses (including bovine herpesvirus 4, BHV4) could be determined, but no signifi‐ cance was found for a statement on the pathogenetic role of the virus (Krüger et.al. 1991).
The pathogenesis of idiopathic cystitis is described, in parallel with human medicine, as a multifac‐ torial event involving local abnormalities of the bladder wall, alterations of the central, peripheral, sensory, and sympathetic nervous systems, and imbalances of the neuroendocrine system.
In this context, Prof. Dennis Chew notes in his studies reduced adrenal glands, lowered cortisol levels and thus a higher permeability of the bladder epithelium. He speaks of a false stress reac‐ tion.
Symptoms of idiopathic cystitis manifest as the familiar complaints: painful urination, pollakiuria, stranguria, and dysuria.
Blood and white blood cells can be detected. Bacteria are not present.
In dogs, noninfectious cystitis has been described as a complication of cytostatic therapy with cy‐ clophosphamide.
As the disease progresses, loss of bladder wall distensibility may occur due to thickening of the mucosa, ruptures and ulcers, and mast cell infiltration.
The diagnosis of idiopathic cystitis is again a diagnosis of exclusion.
Based on reports from human medicine, the possibility of an allergic component in the causes of lower urinary tract inflammation up to incontinence has also been controversially discussed among us veterinarians.
Here I would like to mention the case of a bitch ‐ at that time I did not yet treat with the help of bioresonance ‐ who reacted to drinking cow’s milk with hematuria and pollakiuria.
Therapy
Therapeutically, various agents (e.g., anticholinergics, spasmolytics, DMSO, sedatives) were used with only moderate success.
There are spontaneous healings after 5 ‐ 7 days.
Finally, some therapeutic success in hematuria is attributed to the antibiotic used as a precaution.
Recurrences
In the previously mentioned work by C. Schmid, out of 68 cats, more than 50% of the animals showed symptoms of FLUTD again in a period of eight weeks.
In (42/68) 61.8% of the cats, the same disease etiology was presented at the first recurrence. Idio‐ pathic cystitis was the most frequently repeated etiology.
In therapy studies by CHEW et.al. (1998), GUNN‐MOORE and SHENOY (2004), WALLIUS and TIDHOLM (2009) in cats with recurrent symptoms of idiopathic cystitis, 26‐65% of the study ani‐ mals developed an average of one to five episodes of clinical signs during the study period.
All study animals had exhibited two to five episodes of clinical signs prior to study entry.
This is where the importance of this disorder in LUTD becomes apparent, whether it be that ob‐ struction or urinary tract infections can follow from it, as many cats develop multiple recurrences which then vary in severity.
In everyday practice, there is not always the possibility to perform a precise exclusion diagnosis and to make the exact scientific subdivision of a LUTD into a urinary tract infection, crystalluria, a combination of both or an idiopathic form of LUTD.
This does not even include all the other aspects of the kidney‐bladder excretory system.
Consideration from the point of view of bioresonance therapy
The bladder as part of the lower urinary tract is assigned to the yang functional circuit of the ele‐ ment water. This also includes the male and female genitals and, in the pathological, allergy and vascular degeneration.
In the complementary functional circle Yin, we find the kidney with the renal pelvis, the pyelorenal border area and the renal medulla. Furthermore, lymph, tonsils, jaws and paranasal sinuses are listed.
The chart of the functional circuits and meridians as well as the rule of 5 shows the connections in the organism.
Functional circuits
The bladder meridian runs in pairs parallel to the spine ‐ the energy column with the spinal cord ‐ to the little toe. The kidney meridian starts at the sole of the foot and runs parallel to the middle of the abdomen to the collarbone via the inside of the leg.
© Petermann.U.
Disturbances in the course of the meridian (scars, skin diseases) can impair the free flow of ener‐ gies and have a pathological effect.
In bioresonance we illustrate the multifactorial events with the barrel, which is filled with the dif‐ ferent stresses that affect the living being: chemical stresses via food, drinking water, breathing air, radiation stresses, heavy metals, vaccination stresses, stress, pathogens, parasites.
The organs of elimination (liver, lymph, intestines, lungs, skin, kidneys, sexual organs) are called upon to cleanse the body again so that the barrel does not overflow.
The renal bladder system is constantly at work filtering the blood and eliminating toxins from the metabolism and detoxification processes of the cells.
These toxins are concentrated in the urine and possibly damage the cells of the bladder epithe‐ lium. This leads to inflammation. Inflammation products and rejected cellular material form matrix crystal plugs with pre‐existing crystals that clog the urethra. A stressed metabolism, loaded with too much of the unnatural and indigestible, is more likely to create crystals. In addition, a dam‐ aged bladder epithelium is more susceptible to infection.
Allergic substances can also cause inflammatory changes in the bladder epithelium in this way.
The vegetative nervous system influences bladder tone and bladder emptying. Stress, in turn, af‐ fects the vegetative system and the endocrine glands.
Bioresonance has important therapeutic starting points here, as it is effective at the different lev‐ els of events through the different frequencies.
I would now like to present some cases from my practice.
Case studies
“Bessy”, female collie, spayed, born 2003
Since 2006, cystitis once or twice a year with frequent urination, sometimes bloody and leuko‐ cytic urine, also vomiting, diarrhea; in 2010, antibiotics and infusions were necessary.
Aug. 2011 diarrhea treated and cured with program sequence 10040 (regulate intestinal activity)
Oct. 2011 Cystitis treated and cured with program sequence 10025 (bladder irritation)
Bessy, now a 12‐year‐old spayed collie dog, had been a patient in my practice since 2004 with recurrent gastroenteritis once or twice a year, some of which was accompanied or followed by cystitis.
Sometimes however Bessy showed increased urination with bloody urine without the gastro‐ intestinal symptoms. The urine contained erythrocytes and leukocytes.
Antibiotic therapies, and probiotic formulations based on intestinal flora analyses, alongside dietary measures could not prevent recurrences time and again. This meant sleepless nights for the owners again and again, because one had to always go outside with Bessy.
In August 2011 ‐ I had owned a bioresonance device (BICOM optima mobil) for 3 months ‐ the owner couple appeared in my practice completely unnerved: I should do something, any‐ thing, to make this diarrhea stop.
I spontaneously treated with program sequence 10040 “Regulating intestinal activity” ‐ previ‐ ously the owners had been rather negative or reserved about bioresonance therapy ‐ and then heard nothing more for two weeks.
Finally, a call came from the owner. Since she had not trusted the improvement, she had not wanted to report earlier, but the diarrhea was gone the next day and had not occurred since.
So now the “dam was broken” and at the next occurrence of pollakiuria, which occurred in Oc‐ tober 2011, I could now immediately treat with bioresonance.
Again, it only took one session with program sequence 10025 “Bladder Irritation” and Bessy was symptom free.
I do not want to leave unmentioned the psychological background in this case:
Originally at the request of the husband, a male and two years later a female collie had been acquired by the couple, in whose household there are no children.
The woman works as a nutritionist in the health food retail business and is also very conscien‐ tious about the dogs’ diet, so when the dogs got sick, she quickly tended to feel guilty – asking herself ‐ “did I do something wrong?”.
This led to a kind of nervous overload, which also affected the partner. Since in March 2011 the male dog had to be euthanized at the age of 14, now only the female dog got this nerv‐ ousness ‐ “Does she have diarrhea again, does she get cystitis again, what did I do wrong?”
The fact that this also has an effect on the animal on the physical level is probably no question for us therapists.
With the help of bioresonance, I succeeded in breaking this cycle, because since then I have not had to treat any bladder symptoms with Bessy and the owners beam at me with satisfac‐ tion.
“Vladimir”, European domestic cat, neutered male, born 2001
Vladimir was overweight at 8 kg and very lethargic, although he was a free roamer.
April 2011 Urine leakage, bladder infection, crystalluria, antibiotics, dietetics (urolithi‐ asis lining).
October 2011 Hospitalized in the clinic because of a blocked bladder. Discharged early at owner’s request. Still has urinary dribbling, owner wants holistic treatment of the disease.
Therapy: 31.10/2.11.2011
Program sequence 10025, substance complex: urinary tract infection acute
Continued antibiotic treatment for 4 days, as catheterization had been per‐ formed to correct the bladder obstruction.
Improvement already occurred after the first bioresonance session 8.11.2011 Testing via blood and therapy:
Basic program Yin state K‐No. 10132, discharge No. 970, 481.
Program sequence 10025, 1st and 3rd subprogram (3018, 3036) 12.11.2011 Program sequence 10114 (renal dysfunction), 2nd channel: solidago, ubiq‐
uinone, coenzyme
Vladimir was able to lose excess weight, became more active again, and has not presented to my office since. He is doing well (phone call 1/15/2015).
“Susi”, female dachshund, spayed, born 2003 Sept. 2010 Atopic dermatitis
3.11.2011 Start of bioresonance therapy
23.11.2011 Bloody urine, peeing in the apartment.
The owner reports it was already half a year ago that the dog started to become unclean, when her cancer‐stricken husband, with whom the dog had a strong bond, was particularly sick.
Therapy: Program sequence 10025 Bladder Irritation, Substance Complex: Cysti‐ tis Acute
30.11.11 Urine still bloody
Therapy: Program sequence 10025, substance complex: cystitis chronic Urine testing: Potentiation of urine via Program 33.0: Ai, D8 diluted to drops.
3 times daily 3 ‐ 5 drops, additionally antibiosis
07.12.11 No more symptoms, no recurrence
Due to her atopic dermatitis, Susi was successfully treated with bioresonance until November 2012. The hair on her belly and backside grew again and stayed, which I could convince my‐ self of in summer 2014.
“Mia”, French bulldog, female, spayed, born 2007
Mia has been a patient in my practice since 2014. She has suffered from frequent bladder prob‐ lems for years, was then unclean, was always given antibiotics, tended to get skin rashes, ear in‐ fections, and licks paws. She was already given antibiotics and cortisone, had to be operated three times for corneal diseases with subsequent antibiotics, and because of back pain and lameness she was treated with NSAIDs.
28.07.14 Mia has been unclean for several weeks ‐ also wets the owner’s bed. The owner is in psychotherapeutic treatment (partly with psychopharma‐ cotherapy) and for professional reasons she sometimes has to be looked after by friends for one or two weeks.
Therapy: Program sequence 10025 Bladder irritation.
Phytotherapeutic for the bladder (Vesica) Cantharis C 200
Mia is symptom‐free (and the owner now no longer needs antidepressants).
“Witch”, Persian cat, female, neutered, born 2010
10/8/2011 Recurrence of bloody cystitis, was treated four weeks ago by a college with antibiose, now again reddish urine drops outside the litter box.
Therapy: Program sequence 10025, supportive Bach flowers, since purely apartment cat symptom‐free, no recurrence
“Flori”, European domestic cat, male, neutered, born 2003
6.3.2013 Bloody urine, palpation: suspicion of bladder stone, ultrasound: bladder wall strongly thickened, little filled, no concretion
Therapy with urine acidification, dietetics, metabolic regulation
18.3.2013 Losses uncontrolled bloody urine, blood test: urea ggr. increased, Leukocytosis, neutrophilia,
Therapy: Antibiosis, Solidago, ubiquinone, coenzymes, mucosa comp. 20.3.2013 Discrete urine sediment
27.3.2013 Bioresonance therapy – Program sequence. 10126 Irritable bladder, sub‐ stance complex: cystitis chronic, 5E ampoule bladder, solidago, ubiqui‐ none, coenzymes
“Pira”, mixed breed female from Italy, neutered, born 2010
22.08.2014 Intestinal activation due to skin problems, then “wetting”.
(because of rice diet(?); so far, I had seen no case where a rice diet led to “wetting”. The incontinence had also already occurred once spontane‐ ously a year ago.
Therapy: Program 980.1 Bedwetting, Program 981.2 Bedwetting
Program 390.2 Bladder prolapse (due to castration) Argentum nitricum C30
Dry the following night, so no further treatment was necessary
“Lucie”, pug, female, born Sept. 2014
26.11.2014 The puppy came to the owner at the age of 9 weeks. From the first day she urinates almost every hour during the day and 4‐5 times during the night. At the breeder the puppies were only in the house, and in the “puppy play room” the floor was covered with foil.
Urine test strip results: Blood, Leukocytes++, Protein++
Therapy: Bladder‐kidney tea, Vesica (nettle, bearberry leaves, lion’s‐ tooth, cranberry)
1.12.2014 Improvement of urine test strip: Blood negative, leukocytes+, protein+; Still urinating 20 times a day.
Therapy: Program sequence 10025 Bladder irritation
3.12.2014 Urine test strip: Leukocytes neg., ggr. protein Is housebroken at night.
8.12.2014 Urine output reduced to approx. 7 times, holds out at night for 8 hrs.
16.12.2014 Healthy and can be vaccinated for rabies. Vaccination is tolerated without side effects.
Discussion
If I now consider these case studies from my practice and the scientific literature regarding the recurrence rate of LUTD, it is striking that in this random sample – looking at the cat popula‐ tion ‐ no recurrences occurred.
Often, LUTD in conventional medicine means a journey of suffering with repeated inpatient stays, anesthesia when obstructions have to be flushed out, subsequent infusions, sometimes weeks of antibiotic therapy and finally, after some recurrences, even penile amputation.
On the other hand, bioresonance seems to set things in motion in a special way, and on a ho‐ listic basis. It supports the regulatory mechanisms that help the living being to regain and maintain its own equilibrium.
The subtitle of my lecture also states: Treatment plan also applicable in human medicine.
Since conventional medical diagnostics describe parallels between the different forms of idio‐ pathic cystitis and I have successfully treated animals with the programs of bioresonance from human medicine, it should also be possible the other way around. This is because the cells communicate with each other in the same or similar way.
I have mainly achieved these therapeutic successes with the program sequence 10025, blad‐ der irritation.
Program sequences used
Bladder irritation Sequence No. 10025
Irritable bladder Sequence No. 10126
Renal function weakness Sequence No. 10114
Bibliography
Niemand, G. (2004). Praktikum der Hundeklinik. Stuttgart: Parey.
Schmid, (2011). Epidemiologie und klinische Symptone bei Katzen mit “FLUTD”, eine retrospektive Auswertung von 648 Fällen. Vet. Met. Univ. München: Dissertation.
Horzinek, C. (2003). Krankheiten der Katze. Stuttgart: Enke
Petermann, U. (2004). Kontrollierte Akupunktur für Hunde und Pferde. Stuttgart: Sonntag
Chew D. (2012). Feline idiopathische Cystitis (Kleintierkongress Birmingham) in Fachzeitschrift VetImpulse, Jahrgang, Ausg.15, 1.Aug. 2012, Seite 4
REGUMED BICOM optima® Programm‐Handbuch (2009) REGUMED GmbH
Hennecke, J. (2011). Bioresonanz: Eine neue Sicht der Medizin. Norderstedt: books on demand