8 Month Old Kitten with recurring digestive problems - background and request for advice,

richarsdmichael

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We have an eight or nine month old kitten who has been suffering from recurring digestive system health problems that I now suspect may have been exacerbated by treatments received at the hands of a local vet. That's a large suggestion I know, so this a long post, as I guess the backgorund is just as important as the animal's current condition,

I am no expert, just a cat "owner" and will gratefully recieve any advice that more experienced people are able to give me..

We got Alfie when he was probably about six to eight  weeks old. He was born to a semi feral mother in a rural community in the mountains, opening his eyes for the first time in a dark corner of the disused outhouse of a small hillside country retreat, which belongs to a local family who really only use it at weekends and holidays - although they do grow some crops in a couple of small adjoining fields and also keep pigs. Our kitten was one of a litter of 5, his mother a member of a scraggy group that survive by virtue of their wits and the odd act of human kindness – farmyard cats really. We were offered any one of the litter as a pet and chose Alfie, as he was a short haired gingery thing, with big ears and a cheeky smile.

We took Alfie to our residence around 200 Km from his birthplace. We live around 150 metres from the Mediterranean coast in 100m2 apartment, located in a village type residential development (Urbanization). There are about 60 dwellings here, the majority unoccupied for most of the year, no shops or amenities, and the grounds are fenced in with a single point of entry. There is a large communal garden area – around 1800m2 in total. The bay parking area is about half the size of that and then there is an underground carpark which would be about the same area again.

Anyway, as soon as we got Alfie settled, when he was around two months old, we contacted a local vet for him to start his course of jabs, deworming, etc. We also had him chipped. Not long into this process, he got sick for the first time– nothing too serious, or so it seemed at the time, diarrhea, not making it to the litter box plus some blood in the stools. We took him back to the vet who told us that worms and parasites were the issue, and then prescribed both antibiotics and probiotics. We completed the course, Alfie quickly got better and that was that.

I should add that Alfie has not been neutered.

To continue - we kept the kitten confined to the house for the first eight months of his life then about six weeks ago  started letting him out into the grounds for a few hours most  days. We kept a good watch on him during this time and more or less taught him to come back to the house when called. These days he comes back on his own with no input from ourselves, bounding into the house as if reporting in, before scampering off again.

Though quite a wild cat in most ways, Alfie is also highly socialized. He looks eagerly for our attention, generally welcomes handling  and likes to sleep at the bottom of our bed. He  is also very naughty, mind you, even for a kitten, and can scratch and bite us on a regular basis – sometimes in fun and sometimes when he turns into  a raging dervish for a few minutes!  - We have no problems with this, btw, viewing it as a necessary and welcomed stage of his development and one which is already starting to fade, anyway. Alfie is normally an extremely, perhaps unusually–active and energetic animal, leaping and vaulting his way through life and is currently going through a growth spurt.

When he has not been sick, we have fed Alfie on a mixture of kibble and wet food. We have steered away from the supermarket type brands, using at first Hills or Royal Canin products. We have tended to let him graze at the kibble and put down wet food,to supplement the kibble, about three times a day. When he finishes eating the wet food, we remove what is left. With wet food, we have stuck to kitten formula most of the time. In fact, he won’t eat much else. We also used some tinned Gold stuff a while back  but have now stopped doing this ,as it seemed too rich for  him and one time he regurgitated the food immediately after ingesting it. We have also now stopped using  any food containing fish, seafood or chicken as these seem to have a bad effect on him. He appears listless not long after eating them.

We also used to give Alfie some of the more supermarket type "treats" as rewards for good behavior but have stopped this now, after carrying out some preliminary research into cat nutrition.

More recently, I have been slowly trying to move Alfie away from all the above brands anyway, attempting to get him onto Orijen kibble and Ziwi Peak wet food. This will be a long process it seems, as Alfie is clinging to the brands he knows, so we are introducing the changes bit by bit.

We have also been giving him Malt Soft Extra TGOS by Gimpet, for hairball prevention, smearing a squeeze from the tube on his front legs a couple of times a week. We brush his coat daily.

Now, all of this was going quite well, or so it seemed,  but then Alfie got really sick..

He got diarrhea again just  a week or so after starting to go outside every day. As this was accompanied by blood in the stools -  at the end of the bowel movement - as well as lethargy and being generaly miserable, we took him to the vet again. She had a look at him, gave him an antibiotic injection,  another couple of deworming pills and a diet of Hills intensive care wet food (a/d), to be accompanied by Hills gastro kibble. She handed us some antibiotic tablets which we were to give Alfie once a day – plus a tube of probiotic and some human probiotic pills – Omeprazol -  that we had to buy at the chemist  were to mix with his food

We did as advised for a couple of days. The diarrhea improved slightly and the blood was gone. But then Alfie started to have problems taking his medicine. He would fight and try not to swallow the pills and, when he finally did, he started foaming at the mouth and retching. A couple of days into the course of treatment, he had a really bad reaction, and was violently sick after taking the pill. As there was blood in the discharge and Alfie also started shaking and becoming very lethargic and distant, we did not try to force him to take his medicine  any more. This was on a  Saturday night. We managed to contact the vet and she agreed that we should stop administering the pills but to bring him back to the surgery on Monday.

Alfie’s mood improved a little bit the next day but he was still not himself, staying  withdrawn and nervous, neither eating nor using the litter tray. We confined him to the room and checked on him regularly but there was no real change.

On Monday the vet gave him another injection – supposedly antibiotics - as soon as we walked in, without asking for our permission, which didn’t do much to inspire our confidence in her, to be quite frank. She then asked if she could take blood tests, which we agreed to. She could not find anything wrong and then put him an x-ray, the results of which were shown to us. She explained that there was a lot of gas in his colon, which indicated colitis.

Vet then suggested a preliminary  ultrasound which we again agreed to and witnessed. The ultrasound showed gas in the stomach and intestines, which we were told might indicate that gastroenteritis was the problem. Vet also told us that she would like a second opinion and requested that we leave Alfie with her until later that day, as she was going to enlist the help of a colleague who was more experienced than she in the operation of the ultrasonic equipment. We agreed to this and the vet then showed us how to do intracutaneous antibiotic injections, which were to replace the pills that Alfie seemed to have a reaction against

I duly left Alfie in vet's care, returning later that day to witness the test. But when I arrived back at the surgery, he was already  lying on his back with his stomach shaved awaiting the ultrasound. He was semiconscious and when I asked why, the vet explained that she had given him a sedative as he had proven impossible for her to control. I was not at all happy about this as we had not been consulted nor informed that anesthesia was to be used in the test. At no time did we consent to anesthetics being used.

Anyway, the vet’s colleague did his ultrasound thing, confirmed the buildup of gas in both upper and lower intestines but said that he saw no evidence  of  any kidney, liver damage or neoplastic problems. He agreed with the vet that medication and diet was the best way to proceed.

Alfie then began to wake up and was placed in his carrying box ready to be taken home. I immediately noticed that he was extremely cold and shaking uncontrollably with his pupils dilated and eyeballs apparently rolling. I asked the vet about this and she said it was due to him waking up too fast but not to worry, she would deal with it. She then injected him twice, once in each leg, again without explaining what she was about to do, or requesting permission. I enquired as to the reason  for giving him yet more injections and was told that the injections contained an “antidote” to the anesthetic and that this was established veterinary procedure.

When I got Alfie home he was totally spaced out, pupils dilated still and sitting hunched in one position. He was also shaking spasmodically and very cold. I wrapped him in a blanket and attempted to keep him warm.  When there was no change, I phoned the vet who told me that this was very unusual as the effects of the injections usually wear off very quickly, without offering any other advice apart from the generic “don’t worry”.  

I stayed close to the cat for the rest of the afternoon. When he wanted to eat, after two or three hours I became aware that his vision had also been affected, as he could not find his way to the kitchen. When I carried him there, he was unable to see the feeding bowl properly, so I had to feed him with a spoon.

Alfie had recovered slightly by the evening but was now extremely hyperactive, disorientated and generally ill at ease. He spent that night hunched at the end of the bed, eyes closed but not sleeping. I felt that something was very wrong, so spent the night observing him, as he kept opening and closing his eyes and shivering. Under normal conditions, Alfie  sleeps reasonably soundly and curled into a ball.

In the morning, Alfie went to a corner of the house and began to be sick, throwing up bile with mucus plus a bit of semi digested food. He then went to the litter tray and  went through a bout of mild diarrhea, . He had repeated spells of vomiting about every twenty minutes or so for the next couple of hours, throwing up bile speckled with fresh with blood, as if from the exertion of being sick.

As this was a Sunday (again)meaning that our vet would be unreachable, and aware of the potential dangers of dehydration, we contacted a different vet, a personal friend of ours. She advised us to put Alfie into a controlled and peaceful environment, withholding all food and water – nil by mouth – for six hours. We followed this advice and after the six hours were up, started to use a 1 ml syringe (without the needle, of course!) to squirt water into the side of Alfie’s mouth every half an hour or so. This was the only way to hydrate him at this time, as he was in a semi-comatose state.  He woke up enough to swallow the water though, licking his lips and swallowing greedily.

We kept this rehydration procedure going through the night, at half hour intervals. In the morning, the kitten started to perk up a bit and we started to hand feed him from a spoon  - a chickpea sized amount of Hills a/e every half hour or so until the early afternoon. After that we got him slowly back onto more or less normal food and, within around three days, the diarrhea had cleared up he seemed to his normal self again.

We continued to give him the antibiotic jabs once a day for ten days but them stopped, as he was again having adverse reactions – shaking and highly nervous. We contacted the vet before we stopped the injections, as she had told us to continue for 14 days. She agreed that it was best to stop, given the apparent side-effects.

So, all of that was about three weeks ago. Up until three days ago the cat seemed normal and cured of all ills. His bowel movements were solid - but he was  drinking a lot more water than he did before he got badly sick. We have taken to putting water bowls all over the house so it is easy for him to find.

But then a couple of days ago, we noticed that Alfie had diarrhea again. This is brown in colour and is sometimes more loose stools that diarrhea really.  This time there has been no blood or mucous and he has not been lethargic at all. He shows no signs of illness and is running about as ever. He is drinking even more water now though, especially after eating and even gets up at night sometimes to drink, lapping away at the water in the bowl. I am wondering whether he simply knows that he must rehydrate as he has diarrhea. Are his instincts simply protecting him?

Whatever the case may be, we have put him on the soft diet again, after again consulting the vet. The diarrhea has not ceased but is more solid than it was and with only around two movements per day -  and Alfie seems otherwise fine. He may possibly be sleeping a bit more but we are not convinced that this should be taken a sign of illness.

There you go, I have given as much detail and background as I can I think. of right now. Bottom line, we need to determine if our pet is seriously ill or not.

Is anyone able to give a considered opinion on what should be done now now, if anything?
 
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ldg

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Oh I'm so sorry for all his discomfort! You're such loving parents trying to do right by him.

It sounds very much to me like his diet isn't agreeing with him. Being an indoor/outdoor kitty, he may well have parasites, but it also sound like he's being over medicated. :(

This is a good place to start learning about feline nutrition: http://www.catinfo.org
And because the treatment for gastritis/colitis is essentially the same as for a kitty with IBD, you may find this helpful: http://www.ibdkitties.net

The gas, the diarrhea/soft stools - even blood an mucous in his bowel movements can be caused by food in his diet that don't agree with him or by parasites. And since he's been treated for parasites and with antibiotics (and it seems like he's at the point where the antibiotics are creating more problems than they're solving), you're left with trying to address his problem with food.

The canned Ziwipeak is a good place to start.

What he needs is a high protein, low carbohydrate, no grain diet. Cats are obligate carnivores, and they are designed to eat small mammals - mice, rats, lizards, birds, etc. They eat them raw, and they eat them whole. And this is the diet that works best for them. Cooked food, grains, carbohydrates - all of these can stress them, and can cause inflammation. Take a look at the ingredient list on the foods you've been feeding him. Bear in mind that anything dry, even if it is lower on the list than something like "chicken" will have much more VOLUME in the food - because there is no water in it.

So if this were my kitty, the very first thing I would do is put him on a probiotic. Are there human acidophilus probiotics available there in capsule form? Even better if in a goat milk base. What you are looking for is to get 10 billion CFU in him. And you want a human probiotic, because pet probiotics aren't the same quality. Sprinkle one capsule on his food every day. I give my cats one daily, and will, forever. In the wild, they'd be eating the stomach, intestines and colon of their prey, effectively getting that daily dose of probiotics. This will help re-establish the healthy flora of his gut that has been completely wiped out by all those antibiotics. And going forward, it will help his immune system fight any bacteria he may encounter when he's out roaming.

An alternative is green tripe (offal - not bleached). Cats usually love it, and it's full of probiotics and enzymes they need. This makes a great treat or a good meal by itself every 3 - 4 days. (Because it doesn't come with calcium, it shouldn't be fed too often).

I don't know what canned foods are available to you there... of course, you can consider trying a raw diet for him. Here is someone in India who rescued a malnourished cat. This person had limited access to quality food, and we walked him through feeding his kitty a raw diet. You may find this instructive: (please at least scroll through the thread to see the before and after pictures!)

http://www.thecatsite.com/t/249455/please-help-my-kitten-has-a-strange-skin-problem

Oh - and here's a recipe for homemade pedialyte, to rehydrate your kitty if this is needed again. :cross:


1/2 cup hot water
3 1/2 cups water
1/2 teaspoon salt
2 1/2 tablespoons sugar
1 teaspoon unflavored gelatin

Many vibes for you and your kitty! :vibes: :vibes: :vibes: :vibes: :vibes:


P.S. Once he's recovered his health, please have him neutered!
 
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richarsdmichael

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Thanks a lot for your swift reply.

The problem I have is that there is such a wealth of conflicting advice out there.

I have spoken to vets and other people involved in animal welfare here (I live in Spain) and there seems to be an (at times implied) consensus that the vet indeed messed up with the medications. There is, however, far from a consensus when it comes the feeding of dry and wet foods.

However, for this specifc case of diarrhea, the advice I have received from local professionals or people with experience of keeping pets is, almost exclusively that, whatever the cause for the diarrhea may be, the best treatment is to feed a high protein, easily digestible diet - such as those supplied by some of the pet food manufacturers (Royal Canin, Hills, etc.)  An example of this is that both the vet who has treated Alfie and the other vet I have consulted, due to a personal connection with her, have advised against feeding anything else but these mainstream manufactured supposed gastrointestinal foods as immediate remedies.

It has also been suggested that the use of Orijen kibble, which apparently has no filler and, the canned Ziwi Peak food would be a good regular combination for the future. But, so far, all that have been consulted have warned of the dangers of making an abrupt change to the cat's diet at this stage, unless/until  the diarrhea is under control.

I am aware of the pet food manufacurers' close relationship with  vets and all the rest of it, btw - but I obviously also want to avoid taking any actions any actions likely to make the situation worse rather than better.

Well,anyway  tonight he has started to defecate a lot more with looser stools  and so no doubt will be getting dehydrated. He still LOOKS OK though, but is now mewing a lot. I guess I should now not let him have any more food at all for a few hours, right?
 
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richarsdmichael

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Also, if probiotics are required in pill/capsule form, is this not another case of over-medication - filling the cat with even more chemicals?  Is there not a natural equivalent?

I am not trying to make a point here in any way. What I am doing is looking for answers.If - as seems may be the case - what vets are telling me is incorrect, ergo, they can't be trusted, then I have to be sure that any alternative suggestions seem well founded

To recap what was in my first post, and which may have got lost in all the jumble of words therein, a couple of weeks passed after the kitten's most serious bout of diarrhea finished and when the latest started. In the period between these two events, he appeared to be in fine health, with regular bowel movements once or sometime twice a day and with consistently firm stools. Now the diarrhea has started again - three days ago now, but as yet there is no perceptible change in the animal's behaviour - nor does he seem lethargic or miserable. If it weren't for the fact that we were monitoring his movements and making sure he used the tray before leaving the house, we would not have even been aware of any problem.

Now that his bouts of diarrhea are increasing again, the question is what to do, specifically right now. If I take the cat to the vet again or go to the emergency clinic, I am 100% sure that what they will do is fill him full of even more drugs and try to convince me to approve ever more invasive tests which I do not believe will help the cat and are also extremely expensive.  They will not attempt to find the root cause of the problem but attempt to treat the symptoms, based on incomplete analysis and what appears to be a near total ignorance of cats' nutritional needs.

Your comnent about over-medication struck a chord with me. Since the first visit to the vet, I have been convinced that the treatment simply complicated and worsened what was essentially a straightforward question of diet - and to my mind, the unauthorised sedation and äntidote"came close to killing our pet..

So I guess all I can do right now, as it is late at night here now. is to closely monitor. There doesn't appear to be an immediate need to hidrate, as Alfie is drinking water from a bowl on his own account. I know that it is bad to leave cats for a long time without food - but should I do this until at least tomorrrow morning?
 
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wendyb

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I don't know if you have an equivalent in Spain, but I use Kitty Bloom probiotics on my girls.  It's a powdered form of probiotics with dried cheese.  I also use a natural product to help with gi irritation.  One of my girls is 17 and has no immune system, another is 18 months old and the last is 6 months.

Good luck!
 
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richarsdmichael

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Thanks for your advice, Wendy. There is a largish pet food suppliers near here so I will go and have a look.

I was intending to add the probiotic to his diet as reccommended. But at the same time, I was intending to continue with the hills gastro kibble and wet food combination, as prescribed by the vet for a few days, progressively adding the Ziwipeak food and Orijen kibble until the cat accepts this. He is a very fussy eater and will accept the Orijen kibble at times but the kiwi stuff is a real struggle.

Now I also know that the whole wet/dry & cooked raw debate draws strong and diametrically opposed opinions from cat experts. In the short time I have been looking for info on cat diets and treatments I have read convincing arguments for all of these.

But I just want what is best for my cat not to get drawn into agendas
 

ldg

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Also, if probiotics are required in pill/capsule form, is this not another case of over-medication - filling the cat with even more chemicals?  Is there not a natural equivalent?
Yes, and I mentioned it:


An alternative is green tripe (offal - not bleached). Cats usually love it, and it's full of probiotics and enzymes they need. This makes a great treat or a good meal by itself every 3 - 4 days. (Because it doesn't come with calcium, it shouldn't be fed too often).
But a probiotic in capsule form is not chemicals. It (should be) live, active cultures of healthy bacteria that provide an important role in immune function.
.


I am not trying to make a point here in any way. What I am doing is looking for answers.If - as seems may be the case - what vets are telling me is incorrect, ergo, they can't be trusted, then I have to be sure that any alternative suggestions seem well founded.

Vets, just like human doctors, vary in their skills and knowledge. There was always a first in class and a last in class. Vets, as a profession, receive very little in the way of nutritional training.
.

Now that his bouts of diarrhea are increasing again, the question is what to do, specifically right now. If I take the cat to the vet again or go to the emergency clinic, I am 100% sure that what they will do is fill him full of even more drugs and try to convince me to approve ever more invasive tests which I do not believe will help the cat and are also extremely expensive.  They will not attempt to find the root cause of the problem but attempt to treat the symptoms, based on incomplete analysis and what appears to be a near total ignorance of cats' nutritional needs.

Your comnent about over-medication struck a chord with me. Since the first visit to the vet, I have been convinced that the treatment simply complicated and worsened what was essentially a straightforward question of diet - and to my mind, the unauthorised sedation and äntidote"came close to killing our pet..

So I guess all I can do right now, as it is late at night here now. is to closely monitor. There doesn't appear to be an immediate need to hidrate, as Alfie is drinking water from a bowl on his own account. I know that it is bad to leave cats for a long time without food - but should I do this until at least tomorrrow morning?
When their systems are upset, it is OK to fast them for 24 hours, at least a cat of this age. Not young kittens. I would immediately put him on a probiotic - as soon as possible - or get some green tripe of you don't want to sprinkle a capsule of healthy bacteria on his food.

Green tripe:

.

Thanks a lot for your swift reply.

The problem I have is that there is such a wealth of conflicting advice out there.

I have spoken to vets and other people involved in animal welfare here (I live in Spain) and there seems to be an (at times implied) consensus that the vet indeed messed up with the medications. There is, however, far from a consensus when it comes the feeding of dry and wet foods.

However, for this specifc case of diarrhea, the advice I have received from local professionals or people with experience of keeping pets is, almost exclusively that, whatever the cause for the diarrhea may be, the best treatment is to feed a high protein, easily digestible diet - such as those supplied by some of the pet food manufacturers (Royal Canin, Hills, etc.)  An example of this is that both the vet who has treated Alfie and the other vet I have consulted, due to a personal connection with her, have advised against feeding anything else but these mainstream manufactured supposed gastrointestinal foods as immediate remedies.
Again, I ask you to simply look at the ingredients on the food. Given cats are not designed to digest carbohydrates well, is corn gluten meal going to be easier to digest than chicken?

If you want to learn about feline nutrition, I'm happy to provide links to studies, research, and papers published in peer review journals (like the Journal of Nutrition and the Journal of the American Veterinary Medical Association). No need to take anyone's word for it, and I can save you the time on the research finding the information, if you're interested.


It has also been suggested that the use of Orijen kibble, which apparently has no filler and, the canned Ziwi Peak food would be a good regular combination for the future. But, so far, all that have been consulted have warned of the dangers of making an abrupt change to the cat's diet at this stage, unless/until  the diarrhea is under control.
Normally I agree on gradual changes. But when a cat is having bloody diarrhea, what gastric upset are you trying to prevent?


FYI, here are several threads by someone who experienced a similar problem to your Alfie.

Skip the first few posts, they're about socializing Hershey Rose. Note the date: September. Hershey has diarrhea, diagnosed as stress. http://www.thecatsite.com/t/249263/...eeder-lost-about-40-of-them-when-they-escaped

Then... 3 weeks ago. The problem continues and her stool is now bloody. She does not go outside. http://www.thecatsite.com/t/251216/large-bowel-irritation

Then just after her post in this health forum: http://www.thecatsite.com/t/251266/newbie-at-raw

Within one day of being on proper wet food and raw, no more diarrhea, let alone bloody diarrhea.

.
I feed raw, and yes, I advocate for the diet. Because I fed my cats prescription food for years. And then I switched to all canned, and saw the improvements. And then I switched to raw, and again saw dramatic improvements. So yes, I get excited about it. But I don't have an "agenda" in that I'm perfectly happy to provide advice based on my research and experience that helps people achieve their goals within their comfort zone, sourcing ability, budget, and lifestyle.

All that matters to me is that Alfie regain his health.
 

mrsgreenjeens

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While I know cats are obligate carnivores and grains are really not necessary, which then have consistent diarrhea, one thing that normally helps is to feed them boiled chicken and rice, after that little fast that LDG mentoned.  (just until the diarrhea subsides)  This would be boiled chicken without any seasonings.  And if he will eat it, give him some plain yogurt, with live cultures, since this has the same characteristics as probiotics.  Digestive enzymes might be good too...again these are not chemicals, but something you can find at a health food store.  They help food digest and absorb better. 

Probiotics are NOT chemicals. They are natural, and the best ones (IMHO) need to be kept in the refrigerator.  The ones I give to my kitties I take myself .  I just sprinkle about 1/2 capsule on their food once a day.  They are odorless and tasteless and VERY GOOD for them, even when there is nothing wrong with the furkids.  Helps keep their digestive systems healthy.

I, along with LDG, feed my kitties a raw diet.  It's the closest thing to what cats eat in the wild.  Some folks here even feed their cats live prey
, but I can't quite go that far.  I buy mostly frozen raw  nutritionally complete meals to feed my little beasties.  Many of us on the Raw Forum have converted our furkids to raw just this year and have noticed a huge difference in their health, including some with issues such as your little one. 
 
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