Bugsy is going to the vet tomorrow... Please send him vibes....

Bugsy has been through quite an ordeal lately... Since he started on Clavamox on October 10th for his UTI, he developed a diarrhea and never got better.
Metronidazole worked while he was on it, but as soon as he was off of it, the diarrhea was back. He has been on Tylan for 15 days and it hasn't worked...
He is also taking probiotics, of course, and his LPS stomatitis medicine that always helped... But nothing is helping this time
So tomorrow we are starting testings to see what can be wrong - I think we will start with a complete blood panel.
If you can spare some vibe for my little boy, it would be much appreciated...
Aside from diarrhea, he is 100% normal - eating, playing, loving... But today marks almost 60 days of continuous diarrhea, and I can't help but being worried...
I can't even imagine the thought of something serious being wrong with him... He is my heart kitty... He is my little love bug... I just want him to be ok...

Well... He didn't have diarrhea before Clavamox, but he should gotten better already... It is not the food - he has been on Z/D and doing very well on it for a long while; he has never had a problem with it...

$400 later, we are back from the vet... This makes almost $600, on this diarrhea episode, I just hope to get some answers soon... Thank goodness for insurance, it's all I have to say at this point!
So, here is where we are today:
Discontinued Tylan, back on Metronidazole for 2 weeks. Tylan just didn't do anything for him.
Bugsy lost one pound this last month - while it is not a huge weight loss, it can mean something else is wrong... 2 different blood tests will be run - one, which I get tomorrow, is a full blood panel, plus electrolytes.
The other one, which I get Thursday or Friday, is a PLI, Cobalamin, and will also test for folates - aiming to catch early stages of pancreatitis, Confirm IBD, Folate deficiency, etc. A comprehensive fecal will also be done testing for Tritrichonoma and giardia.
The vet said since his appetite is good, he is acting normal, and everything else is normal as well, there is no reason to be very worried at this point... If he was lethargic, losing massive amounts of weight and not eating, then he would be concerned about lymphoma and would order a biopsy immediately (he said this is the only case he will order one, if the tests indicate the risk of lymphoma).
He said that the weight loss might be due to nutrient malabsorption, and the diarrhea too (folate or B-12).
Also, it might be the beginning of hyperthyroidism, but since he is so young, the chances are slim. A symptom of it is, however, chronic diarrhea.
In any case, we should know more with the blood tests... hopefully
To my baby.....

Yeah, Clavamox was definitely added to the NO list on his file... along with Revolution, 3-year Rabies vaccine, depo-medrol, and the other standard stuff (Metacam, etc)... Bugsy is super sensitive kitty... he has had bad reactions to a lot of stuff so far

Ok, the first round of blood test, the complete blood count is back, and all looks good. Liver, kidneys and thyroid levels all normal, thank goodness!
Calcium levels was one point high, but the vet said that this is in check with intestinal inflammation - if he had lymphoma it would be VERY high; he is not worried at this point. We now wait for the second round of blood test, the one for IBD, folates, B-12 and pancreatitis; it will be back Thursday or Friday.
Trying to watch him poop to collect a sample, so far he has been box shy... this vet doesn't take the sample from him bum-bum...

I wish I had more news... But the comprehensive blood test that is testing for B-12 Levels, confirming IBD, folate levels and Pacreatitis is late and did not come back this week as it was supposed to...
I had another conversation with his vet this afternoon, and here is where we are as of today: Yesterday was Day 4 of Metronidazole, and he still had diarrhea, which concerned me. Per his vet, it is still early to judge, as this time is the first time he is not taking centrine or amforol with it - his bowels are very inflamed, and it can take a little longer, not to be too concerned with this timeframe.
I am not sure if I posted this, so forgive me if it is a repost - his CBC came back normal except for his calcium levels that came 1 point elevated. He said not too worrisome as if it was lymphoma it would be MUCH higher. His numbers are in line with bowels inflammation.
I was only able to collect a decent fecal sample last night so I dropped it off this morning... The lab will test his fecal sample for the regular parasites, Giardia, and try to test for T. Foetus as well. I asked him if he thought we should go ahead and do a PCR test for T. Foetus, and he said to try this first, as in a lot of cases this lab is able to catch both Protozoa and we might be able to save the expense this way. He has had good results with them. He wants to see the blood test first before moving into the PCR for T Foetus as the next step - he really thinks the answer might be in the blood.
He is taking a very strong Probiotic now called Proviable-DC.
Aside from that, the instructions is to continue all as is - Hills Z/D, 1 capsule of Psyllium Husk a day added on his wet food, and at least 9 more days of Metronidazole. Depending of his blood test results, medications will be added accordingly, or more tests will be ordered.
Bugsy continues to do well aside from his diarrhea - his appetite is great, no more weight loss, his mood and behavior are completely normal, coat, skin, everything is a-ok.
I hope this test comes back first thing Monday morning, as it is being hard to wait!

No, Psyllium is also used for IBD cats, and the dose is correct for cats - Psyllium is a soluble fiber that helps to soothe and regulate the intestinal tract in either extreme; in IBD cats, it absorbs excess liquid in the colon, preventing diarrhea by forming a thick gel and adding a great deal of bulk as it passes intact through the gut... The dose for humans is 5 capsules 1-3 times a day. The dose for cats is one capsule a day (8-20 lbs). He takes a veterinary capsule, not a human.
It is the third vet that has prescribed fiber for him, and he has always done well... He was no taking fiber for the majority of the time he has had diarrhea this time, as I used to mix it to his Origen food, which I stopped feeding when he had his UTI back in October. He started taking fiber again one week ago, and per his vet is to continue as he has excellent results on his IBD patients.