Bloody butt booger (disgusting pictures inside)

I found this next to the litter box. I've seen the occasional blood on my cat's stools, but the two vets I saw weren't too concerned by it. (One tried to give me some Royal Canin food, the other gave her a steroid shot and said I should try changing her diet, which I did.) This is the first glob like this I've found (though there was one tiny maybe blood spot on the couch). She was also tested for parasites (maybe just giardia, the vet wasn't very clear on what exactly she was testing), that was negative. I was just assuming she had IBD, but after reading some other posts on here I'm worried it might be coccidia? Can they look the same? How would I know the difference?

Other background: the glob had no poopy smell, though was a little ammonia-y. No gross scent gland smell. When I took her to the vets they checked her scent gland, so I don't think it's coming from there. She does seem to be straining when she poops. Her poop either makes little cornflake sized chunks in the litter or is a small piece of poop shaped poop. Chicken based wet food diet for about two months (switched from fish based dry). Intermittent vomiting and diarrhea since January. Blood tests show slightly elevated creatinine and high eosinophils.

I don't know what I should do next. I don't have the money to see the vet again and get the same tests done just to be recommended a prescription diet.



(lol at "I am not uploading any copyrighted or offensive material.")

If she's currently straining and having difficulty pooping I'd be wondering whether the blood is from haemorrhoids caused by excessive straining. She if you can get a look at her bum - if it's sore/inflamed then that might be an explanation.

The other thing I'm thinking is, given the amonia smell, is there any chance it's urine related (just thinking out loud here...feel free to tell me I'm being thick ).

Anyway...If you seriously think she has IBD she needs diagnosis and appropriate treatment. From what little I know of IBD, the longer it's left untreated the more damage it can do.

I fully understand you don't want to keep going round and round the same tests with the vet and get no further forward in how to proceed. Hopefully some of the more experienced members will chime in soon.

I looked at her butt and didn't see anything obvious, and also palpated around where I think her scent glands are and didn't feel anything hard. When the second vet checked her temperature, there was blood on the thermometer so he decided to give her a steroid shot, but that didn't clear up the bleeding. At that time (before the shot and for the next few weeks) she was at least having normal shaped poop.