Disease Guide

Calcium Phosphate Urinary Stones in Dogs & Cats: Symptoms, Diagnosis & Prevention [2025]

Calcium phosphate stones are often linked to metabolic disorders and typically require surgical removal along with investigation of the underlying cause.

Last updated: 2026/01/06
Pethealthmap Editorial Team
Sources: ISFM, WSAVA, National Taiwan University Veterinary Teaching Hospital

When to See a Vet

Seek Emergency Care Immediately

  • Complete inability to urinate with continuous straining or signs of obvious distress
  • Persistent heavy blood in urine or passing blood clots accompanied by weakness
  • Marked weakness, inability to stand, or persistent lethargy

Schedule a Clinic Visit Soon (within 24–72 hours)

  • Frequent straining but producing only small amounts of urine with signs of discomfort
  • Darkened urine color or occasional blood in urine requiring ongoing monitoring
  • Decreased appetite and noticeably reduced activity level

01What symptoms indicate something is wrong?

Common clinical signs and warning signals of urinary stones that suggest possible bladder or urethral irritation or obstruction.

  • Visible blood in urine — pink, red, or containing clots
  • Frequent straining with little or no urine output, or difficulty urinating
  • Signs of pain during urination such as crying out, wincing, or urine dribbling
  • Changes in urination frequency, including sudden increase or nighttime urination
  • Decreased appetite, reduced activity, or low energy
  • If abnormal urination is noticed, arrange a clinic visit promptly

Seek emergency care immediately if you notice the following symptoms:

  • ⚠️ Complete inability to urinate with continuous straining or obvious distress
  • ⚠️ Heavy continuous blood in urine or blood clots passed, accompanied by weakness
  • ⚠️ Marked weakness, inability to stand, or persistent lethargy

02How do you assess the situation at home? Key home monitoring points and when to seek emergency care

Key things to observe and record at home to help the vet quickly understand the course and changes of the condition.

  • Note when blood in urine was first seen, how often it occurs, and any changes in colour
  • Measure and record daily water intake and urine output or frequency
  • Use your phone to take video of urination or photos of blood in urine for reference
  • Observe any changes in alertness, activity level, and appetite
  • Weigh your pet regularly and record short-term weight changes to aid assessment
  • If symptoms persist or worsen, arrange a clinic visit as soon as possible

03How will the vet diagnose this? Common diagnostic tests

Tests performed at the clinic, focusing on locating stones, assessing their size, and checking for secondary obstruction or infection.

Physical examination

abdominal palpation and assessment of urinary discomfort

Urinalysis

urine sediment, pH, protein, and bacterial testing

Blood and biochemistry panel

to evaluate kidney function and overall health

Abdominal X-ray

to confirm stone location, size, and number

Ultrasound or CT if needed

to assess the bladder, kidneys, and urethra

Specialist referral or further management may be recommended based on findings

04How is this treated and managed after diagnosis? Medication, dietary changes, and home care guide

Treatment depends on stone composition and whether obstruction is present, with the focus on relieving symptoms and preventing recurrence.

  • Conservative management: prescription diet, increased water intake, and supportive care
  • Emergency urinary catheterisation or surgery may be required if obstruction is present
  • Regular follow-up urinalysis and imaging are recommended after treatment
  • Long-term monitoring to detect recurrence and adjust diet or lifestyle accordingly
  • Home care focus: encourage water intake and monitor urination habits
  • Follow-up at a clinic with urology expertise is recommended

05What should you prepare before seeing the vet? Key information to help the vet quickly identify the cause

1
Note when symptoms first appeared and how often they have occurred
2
Prepare a record of water intake and urination over the past 2–3 days
3
Bring a small fresh urine sample if possible
4
List all current medications and supplements being used
5
Bring copies of past X-rays or test reports if available
6
Call ahead to book an appointment and describe current symptoms and urgency

This content is for reference only and cannot replace a professional veterinary diagnosis. If your pet shows signs of illness, please seek veterinary care promptly.

Frequently Asked Questions (FAQ)