UPDATE - Long day and thank you all for your purrs. I had to work tonight after taking Yoko to the new vet who was very kind and gentle with her. She does have some dental issues (tooth abscess) that will need to be addressed but he did find bacteria and crystals in her urine - so we are on 2 weeks of antibiotics, which will help her mouth and UTI plus something called D mannose to help rid deep bacteria from her bladder and possibly kidneys - I guess bacteria are attracted to this and attach to the D mannose and get flushed out. Then he put her on another immune boosting algae supplement. We have to bring a urine sample back in 10 days and then see what is going on. Yoko already seems a bit perkier and hopefully we can stop this low grade infection once and for all.
In June Yoko who has CRF and high normal thyroid, had symptoms of a UTI and the vet started her on antibiotics. I continued it for 4 weeks as she also had white blood cells in her urine. We stopped the antibiotic and withing a week her symptoms were back. Another round of antibiotics and this time she seemed to be over it but today the symptoms are back after 2 1/2 weeks of no symptoms. We will be trying a new holistic vet to see if he can find out what this is. I don't want to have to keep dosing her with antibiotics.
She went thru this last year in August with major symptoms - incontinence, vomiting, straining - the works. After 4 weeks of antibiotics she was much much better but all along the urine showed no bacteria altho one vet said if it was in the kidney, the urine might not show any bacteria.
We are just hoping we can help make her more comfy and find out what is going on here. Keep her in your thoughts.