Suspected IBD/Cancer - any experience

booktigger

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I have put some of my new cats history on here previously, but will recap here (rather long, so bear with me).

I adopted him from a rescue in July, he was fine initially although a bit of a scavenger. I went away early August (he had been with me 3 weeks then), and just before I came back he started with diarrhea - I had already had a vet app booked for the day after I came back as I suspected hyper-t. Vet didn't really seem that concerned about his bowels. Bloods were pretty normal except anaemia, and his urine sample (which I had got as his wee smelled like he was unneutered, even though he feels like he is) showed blood and protein, so the anaemia was attributed to that. He went for a bladder scan as the vet suspected something suspicious. They scanned his bladder and his kidneys (although they aren't that experience in kidneys, so admitted they wouldnt necessarily see anything unless it was obvious). Bladder was fine, but kidneys are on the large end of the scale. Decided to do a repeat urine test in 2 weeks. He had still got diarrhea and had been sick the night before, but no one seemed to take too much notice of that. He was on Cystaid by this point as he was weeing on things daily (yet still using the litter tray)

I was still suspecting hyper-t, as he will eat all his food, walk round to see what the other cats have left, and sometimes then go into the neighbours house and eat their cats food, so when I dropped his second urine sample off, I asked about a FreeT4 test - the vet said his levels weren't high enough (26, top end of the scale is 55) to warrant doing one of those and wanted to wait for the urine sample to see where to go next. That sample showed no blood but slight white cells, vet was unconcerned and said to give him another 2 weeksm although I had told him I was more bothered by his bowels than his bladder, he is only weeing on things about once a week now, and it is more fabric related, he is happy to use a tray, and if there is an empty one around, he can't resist!!

He went back this week, I was concerned as I could feel something behind his ribs, and didn't know if it was his kidneys or a lump. He has also visibly lost weight, his back end is incredibly thin, although since worming him, his fur has improved. The scales however said he has gone from 4.02 to 4.06 in 2 weeks - I think he has put weight on in one place and lost in another so it has balanced out. He checked his heart rate and he still isn't suspicious of hyper-t, but when he felt his abdomen, he can feel inflammation near where the small part of the bowel meets somewhere - not sure whether it is IBD or cancer, but he is verging towards IBD due to how it feels. He doesn't think there is any point scanning him as it wont show anymore than he can feel (he isn't very experienced in scanning), and that the only way to tell whcih one it is is through a biopsy, but as the treatment is the same, he thinks we would only benefit from an acadamia point of view - I disagree, as while the treatment is the same, the prognosis isn't, and I want to know from that point of view. He has given him a 2 week steroid jab to see, as he said if it was cancer, it wouldnt respond for as long as if it were IBD - I pointed out that Molly has been on steroids since Feb for Intestinal Lymphoma, so that doesn't sound right. He obviously couldn't have his booster last night, so he is going back in 3 weeks unless things get worse. He did say if it were IBD, he might only need them every couple of months. One thing that really bothered me was that he never mentioned diet, and I thought that was a big part in controlling IBS? To make things even better, because of the steroid jab, I had a hyperactive, starving cat last night!!

I have a second opinion tomorrow, but any thoughts would be welcome
 

sharky

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I have two IBD kitties ... Both have had rounds of pred but that was it a round... I control them trough diet ....
 
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booktigger

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"What kind of diet do you give Sharky? My problem with Buster is that if he is still hungry after eating, he will walk round the house to see what else has been left (hence him wearing a collar and bell, so I Can tell where he is), and if that isn't enough, he will demand to go out to see if he can get in the neighbours house!!

Well, the owner of the practice was lovely, there wasn't really much she could suggest though. I have agreed to the FIV/FeLV test, as most websites said that they should be checked for FeLV first - praying that that doesn't come back positive, as I dont know what we will do if it does. She did suggest a fecal occult test, but he would have to have a red meat free diet for 5 days (and then the samples taken, I think), which would be incredibly stressful on him, and I don't think knowing about blood, infection or parasites in his poo would be worth that level of stress. She said that we could go down the biopsy route for a definite answer, but not sure I Want to put him through that. She would have happily done the FreeT4 test for me today, but he had a steroid injection last week which will affect the results. His poos still aren't fully normal nearly a week after the steroid injection, so not sure what that actually means, but he is happy in himself.
 

sharky

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Oddly enough they do best on a mixed diet
... They get Kirkland regular for dry( chicken with rice and oats and small amount of fish), Raw chicken and beef ( complete freeze dried diets ) and low to no grain simple canned...PM me for the supplements


I had on biospy( no one suspected him having IBD but he was opened up and the dr saw the tell tale signs and took it ) the other has not been cause I too wont just open her up

Many IBD cats seem to do well on diets that are not typical : ie no grain , high in meats like beef or fish
 

carolina

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Originally Posted by sharky

Oddly enough they do best on a mixed diet
... They get Kirkland regular for dry( chicken with rice and oats and small amount of fish), Raw chicken and beef ( complete freeze dried diets ) and low to no grain simple canned...PM me for the supplements


I had on biospy( no one suspected him having IBD but he was opened up and the dr saw the tell tale signs and took it ) the other has not been cause I too wont just open her up

Many IBD cats seem to do well on diets that are not typical : ie no grain , high in meats like beef or fish
Two IBD cats here too... Like Sharky, one had a short run to control the disease with prednisolone, and now I manage with diet. One is strictly on Hills Z/D, as she can not handle anything else at all, and the other has a fish based diet (grain free) and Z/D. Bugsy takes daily meds for stomatitis and it has a immune modulator that helps with IBD.
 

tubbysmom

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My 7 year old ragdoll has just gone through the IBD/Cancer experience. She started with throwing up , not eating and becoming very lethargic. Prior to this, she was extremely outgoing, very energetic and a voracious eater. She started hiding and was obviously losing weight.  The first vet ran some tests then refererred us to a specialist. An ultrasound showed a lump or mass in her lower intestine and surgery was suggested. The day of the surgery, they did another ultrasound and the mass was gone. There was no explanation just be thankful, take her home and watch her. This was 10 months ago and she bounced back to her old self shortly after.

About 5 months later, the same symptoms appeared-lethargy, extreme vomiting and not eating. She started licking her mouth quite a bit and crying.  The vet ran some tests, saw a thickening in her intestines and put her on an IV for several days. A few days later, a second ultrasound showed normal intestines and no mass or thickening.  Again, we took her home, she bounced back -not as quickly as the first time- and was back to normal.

About 3 weeks ago, the symptoms returned. She was visibly thinner, she would cry to eat but would walk up to her food and walk away. We tried a lot of  different foods, some all natural as well as boiled chicken, etc.  Nothing seemed to work. The vet again referred us to a specialist who wanted to run more tests. The ultrasound showed again a thickening of the lower intestines and a gastric endoscopy was suggested. The endoscopy was inconclusive and surgery was suggested. At this point we first heard the possible diagnosis of IBD or cancer. No other vet or specialist prior to this even mentioned possible IBD. Upon further conversation with the specialist we were told that the surgery would only confirm the cancer diagnosis and would not help her in any way. She was now down from 8 pounds to 7 to 6 and now 5 1/2. They put her on Reglan, Cerenia, Mirtazapine, prednisolone. vitamin b12 and pepcid.

My beautiful girl was not able to handle all the medications and this week she gave up. We tried one more vet who told us that we did everything we could for her, but she was too weak and it was indeed cancer. I look back at all the different doctors, specialists and tests that were run on this little girl and it breaks my heart. IBD or cancer???  If IBD was mentioned 8 months ago maybe we could have done something different. If we knew it was cancer, would we have then put her through all the other tests, ivs and all that time in hospitals?  Or would we have just loved her and let her enjoy her life until it was ready to end? I know how my story ends and I hope yours is different. Yes, I have experience with suspected IBD/Cancer .  
 

mrsgreenjeens

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My 7 year old ragdoll has just gone through the IBD/Cancer experience. She started with throwing up , not eating and becoming very lethargic. Prior to this, she was extremely outgoing, very energetic and a voracious eater. She started hiding and was obviously losing weight.  The first vet ran some tests then refererred us to a specialist. An ultrasound showed a lump or mass in her lower intestine and surgery was suggested. The day of the surgery, they did another ultrasound and the mass was gone. There was no explanation just be thankful, take her home and watch her. This was 10 months ago and she bounced back to her old self shortly after.

About 5 months later, the same symptoms appeared-lethargy, extreme vomiting and not eating. She started licking her mouth quite a bit and crying.  The vet ran some tests, saw a thickening in her intestines and put her on an IV for several days. A few days later, a second ultrasound showed normal intestines and no mass or thickening.  Again, we took her home, she bounced back -not as quickly as the first time- and was back to normal.

About 3 weeks ago, the symptoms returned. She was visibly thinner, she would cry to eat but would walk up to her food and walk away. We tried a lot of  different foods, some all natural as well as boiled chicken, etc.  Nothing seemed to work. The vet again referred us to a specialist who wanted to run more tests. The ultrasound showed again a thickening of the lower intestines and a gastric endoscopy was suggested. The endoscopy was inconclusive and surgery was suggested. At this point we first heard the possible diagnosis of IBD or cancer. No other vet or specialist prior to this even mentioned possible IBD. Upon further conversation with the specialist we were told that the surgery would only confirm the cancer diagnosis and would not help her in any way. She was now down from 8 pounds to 7 to 6 and now 5 1/2. They put her on Reglan, Cerenia, Mirtazapine, prednisolone. vitamin b12 and pepcid.

My beautiful girl was not able to handle all the medications and this week she gave up. We tried one more vet who told us that we did everything we could for her, but she was too weak and it was indeed cancer. I look back at all the different doctors, specialists and tests that were run on this little girl and it breaks my heart. IBD or cancer???  If IBD was mentioned 8 months ago maybe we could have done something different. If we knew it was cancer, would we have then put her through all the other tests, ivs and all that time in hospitals?  Or would we have just loved her and let her enjoy her life until it was ready to end? I know how my story ends and I hope yours is different. Yes, I have experience with suspected IBD/Cancer .  
Tubbysmom, even though you were responding to an older thread, I just wanted to say how sorry I am that you lost your little one.  So sad

 
 
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