Levi sounds alot like my Pete. Pete has had the surgery mentioned earlier in this thread. He blocked repeatedly and his life was in danger. He had so much scar tissue that my vet could no longer get a catheter in him. Without the surgery, he would have had to be euthanized. The surgery stopped the lifethreatening blockages, but it didn't solve the underlying problem. Pete is currently on another course of Baytril and S/O canned food only.
Have you tried amitriptylene? It's another medication. If some of Levi's problems are stress based, it may help him. It does a number of things--in humans it's an anti-depressant and used in the control of chronic pain. I spelled the name wrong, but that's close and your vet will know what it is. Pete was on it for awhile at the height of his problems. It was effective.
Ask your vet about Adequan too. It's similar to Cosequin. It is actually a canine arthritis medication, but it's safe for cats and seems to help with bladder inflammation. When Pete flares up, he gets a weekly injection that tapers off to monthly.
Levi may need to be retrained to use a litter box. He likely associates the box with pain so he avoids it. Can you isolate him in your house somewhere? Give him access to just that area until he's using the box consistently and then try letting him out again.
When Pete pees on something, he's telling me he's sick again. If he feels ok, he uses the litter box all the time. If he's not up to par, he pees on cat beds.
Another possiblity is litter aversion. Does Levi have a pattern to what he pees on? My Onyx has behavioral litter box issues. He likes hard flat surfaces to pee on--like my table and kitchen counter. That's a bit of a problem for me! So I have one empty litter box for Onyx--regular box, nothing in it. He pees in there and I rinse it out every day. I also have one with just a skiff of litter in it that he uses occasionally. Extra boxes and different kinds of litter might help. I have 8 cats, 10 litter boxes and use 4 different kinds of litter to keep them all happy!
How old is Levi? My vet told me that when cats develop these kinds of problems young, they often outgrow them as they age. Pete blocked when he was barely two. He's six now and although he still has episodes, they are getting farther apart. This is the first major problem in a year for him!
Royal Canin is not prescription in Canada. You have to buy it at a vet clinic, but you don't need the piece of paper from the doctor. There are different formulas for different types of crystals. Pete is on Hills S/O right now to help dissolve the crystals, but it's not meant to fed long-term. He'll go back on C/D once this flare-up is over.
Good Luck! I hope you find something that works for your boy!
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