Possible IBD? Please advise me on what to do

pendragon

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Hello,

I am new here and forums in general, thank you for having me.

First of all apologies if this will be long, but I am trying to give the whole picture as best as I can (I am not a native speaker, sorry if you see any "unconventional grammar" or spelling mistake)

I have a male cat that I have gotten from a breeder a few months ago (He was 4 months old at the time).

The breeder told me they were feeding him a bit of everything, from dry food to canned and raw meat.

I had always been feeding my other cat a mix of dry food (grain free 80% meat+ only) and raw meat, with excellent results (perfect stools, vitality and fur) and that's what I started the little guy on as well.

At the beginning he had loose stools, almost diarrhea like, but I assumed it was simply due to nervousness for changing environment and needing to settle in a new place and get used to a different kind of diet. Unfortunately those symptoms persisted, some days they would appear to get better to almost normal, other days worse, until the day I actually found out he has had half formed bloody stools.

Please note that in the meanwhile, I had attempted to change brands and varieties of foods. The poor guy has RAVENOUS appetite, he would eat no stop unless I rationed his food, and he isn't picky at all, in fact he ate pretty much anything I tried to feed him in order to see if his loose stools were something related to his diet.

After the "bloody" accident, I went to the vet, who checked his tummy, said he seemed to be well fed and well hydrated, and she suggested to try some antibiotics because she believed it was a simple infection. In addition she gave him an anti-parasite pill (The cat was coming from a cattery since less than a month) and told me to feed him only cooked chicken for a week.

I did that, and for a few days, he became constipated, no feces at all, until I actually started to worry and decided to feed him some kibbles as well, and that apparently helped him relieve himself, no blood.

For a week or so, everything seemed to be going well, until he started to have bloody stools again, this time out of his litter-box as well. His general health however, seemed to be good all this time.
Extremely active, cuddly, playful.

This time the vet suggested to try some fecal exams. She tested him for pretty much anything (for more than 100 pounds, I remember in Italy a fecal test for my other cat costed me 15 eur, not sure if the vet ripped me off because I was a foreigner), either way, the results were all negative.

She mentioned he might have been suffering from IBD even if she was skeptical because of his young age, stating that, according to her, it typically affects only older cats. She suggested I gave him more antibiotics, and when she was about to prescribe them, I said something along the lines of "I think I still got some left from the other time..." because I wasn't really sure about it, and she seemed very disappointed, answering "Ah. You still do? Right, try that then, come back if you need more".

I didn't even bother trying, as I wasn't really feeling like that could have been the solution.
I started to consider it might have been an allergy, but I couldn't understand how that was possible since among my various attempts to change his diet, I had also tried to give him raw meat only, and I couldn't quite picture in my mind how it could make any sense for a cat be allergic to "meat" rather than the other ingredients found in the dry kibbles.

I realized however that both the dry food and the raw meat I had been feeding him, has the only protein based on chicken, and I decided to try with something different.
At the beginning beef, lamb and so on seemed to work for a little while, I thought I had found the solution.

Eventually however the problem came back to haunt us both.

I started to do more research for some products that would help with a cat tummy/intestines, and I started to feed him different kinds of probiotics, until I found one that seemed to be very "complete", which basically "solved" the problem. Since I have been giving him that stuff, no matter what I feed him, the bloody stools stopped.

However this feels more like a workaround than a real solution, I definitely don't think it's a good thing to have a cat on probiotics or other artificial things for all his life if you can help it.
In fact as soon as I stop providing them, even after a long period of "no accidents" the loose stools / diarrhea is back.

Meanwhile I also contacted the breeder to inquire about the cat feeding habits, they said they never noticed any issues with his stools, until I started to press them asking them exactly which brands they were feeding, how often and so on, stating I had been having problems and I wanted to try and reproduce exactly their diet, and they finally mentioned that they had been giving him both PRE biotics and PRO biotics since pretty much after he was weaned.

Of course at the moment of selling the cat they never mentioned this, and they said they don't think the cat is ill at all, as far as they are concerned, every cat has a more or less sensitive intestine and that it's all normal...

In my opinion, this is pretty serious, it feels like to me that he is not able to produce a good flora at all on his own, and he's relying on what I provide him artificially to absorb the food, hence why he seems to be hungry all the time.

I would like to understand if there's some sort of cure to solve the problem permanently, or if my poor kitten is damned to rely on those substances for the rest of his life.
I am also worrying about how long he has to live since he is only 8 months old!

Unfortunately I hardly know any people here, and there's no vet I can trust or anyone I know with cats to give me any suggestions.

I would appreciate very much any advice.
 

cindycrna

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Has he had a fever? Did you have any labs drawn? If it truly is IBD, he needs to be on a minimal ingredient food. Rabbit, bison, maybe duck. And maybe steroids but try a diet change first. Probiotics , to my knowledge , are fine very long term.  So if they work, don't stop.
 

cindycrna

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Oh and welcome! Sorry you are having issues with your baby.
 
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pendragon

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Hello, thank you for your kind welcome and answers.

@CindyCRNA: I don't think he ever had a fever, never looked like he could have, the vet checked it twice when I brought him, but no fever.
I am not 100% sure I understand what you mean for labs drawn, I suppose it means if I did any lab tests? So far only the fecal tests (all of them) as asked by the vet. Which other tests do you suggest me to do? I guess blood tests? Would be helpful to know in advance for which ones to ask. I unfortunately do not really trust my vet much, and since I work/live in a small village, she is the only vet I can go to at the moment (no time to go anywhere else because they are all closed by the time I reach the closest city after I am off from work).
I am quite sure she tries to rip me off every time by adding unneeded stuff, and she didn't really leave a strong impression on me about being a good vet.
Thank you for confirming me that they should be relatively safe to use long term.

@foxden: I used to live in Italy but I recently moved to the UK to work. I am located in a small village. Closest city is Nottingham.
I have tried a few kinds of probiotics, one sold to me by the vet when she put my kitten on under antibiotics, by purina, it was as expensive as it was ineffective.
Myself I found this one which seems to be working great, Pro pet bio:


Is more expensive than most of the others I found for sale, but it works well and the cats don't seem to mind the taste.

I have also ordered some digestive enzymes, because I also started to think it might be due to the lack of those, hopefully not because of pancreatitis or the like.

Thanks again for your help, much appreciated.
 
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pendragon

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@foxden
Thanks for the thought, aside from advice concerning probiotics and vets, I'd welcome any opinion as to what you believe my next steps should be. I haven't really got a lot of experience, this is only my second cat, and luckily for me, the first one never had any health issues so far (fingers crossed).
 

foxden

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This is a long post, but I'm going to try to explain what I'm recommending

It's difficult when you don't trust the vet. It is more difficult in a small town with few choices.

I believe probiotics are ok for long term use. Some members use canned pumpkin added to the cat food to help with both diarrhea and constipation.

I believe what your vet "meant" about leftover antibiotic was based on some people who do not use the full prescribed course of the medicine.

It is dangerous not to use the antibiotic for the full number of days. When a person does not use an antibiotic as prescribed, this practice can lead to development of antibiotic-resistant bacteria. Globally, more and more strains of bacteria have become resistant to standard antibiotics.

Sorry -- off topic and lecturing...

There are a number of members here who struggle with IBD on a daily basis. Many struggle with constipation more often than diarrhea. You might try searching IBD here to see what things have worked or not for them.

I have been VERY lucky with the health of my kitties, and I have not had IBD as a problem.

You might want to try one of the LID (limited ingedient diet) foods that are available. These have proteins that are considered "novel" because they are not used very often in cat food. There are canned and kibble forms for many of these foods. You will need to try a new diet for several weeks to determine if a food allergy is part of the problem for your kitty

Many IBD cat parents only feed wet food to keep constipation under control.

If your kitty has a lot of diarrhea, you might want to mix some unflavored Pedialyte into his wet food. The pedialyte is meant for children with diarrhea to keep them from becoming dehydrated. The salts in pedialyte work equally as well to maintain fluid levels in cats and rebalance their metabolism.

Your other kitty can also eat the LID food. If you are switching kibble, most people recommend switching over several days by blending new kibble with old kibble and the change is tolerated better.

Wet LID foods can usually be introduced right away. You might want to browse through the Food and Nutrition forum to see which foods members prefer to use.

I hope this helps. Please forgive mispellings, as I am posting on my phone, and my fingers often slip to the wrong letters.

Feel free to keep asking questions. There is no such thing as a stupid question, and there is a wealth of information with all the members here.
 
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pendragon

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@Foxden: I'd define it as an informative post rather than long, so thank you very much for sharing.

You do well to highlight the importance on following the full course of an antibiotic treatment. It really was a genuine leftover however, I think she was disappointed because her assistant probably put too much in the small bottle I was given.
Anyways, I was even more disappointed because, even if I might well be completely wrong, I felt like she wanted to sell me an unneeded cure and she looked like she didn't have a clue.

I'll definitely try your suggestions, however I seem to understand from your post that there is no real "cure", am I right? So the only thing I can do is try to make it as well painful/uncomfortable for the kitty and nothing else I take it?

Concerning the "novel" proteins, which brands would you recommend? I am afraid we don't have the same choices here in England as you do in America... or at the very least I have been struggling to find anything that didn't have chicken in it, aside from imports from America for completely crazy prices that I can't really afford.

Rather than diarrhea or constipation, I would say that I have the feeling he just can't manage to absorb the nutrients and the intestine doesn't process his food intake well.

Anyways thanks again for all the help, I'll try to see how things develop with those enzymes that I ordered and keep you updated!
 

foxden

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I don't know what foods are available in the UK.

If you go browse in the Cat Nutrition forum here http://www.thecatsite.com/f/64/cat-nutrition, there are threads from all over the world. I'm certain there is a link there to a food list that members have compiled for the UK.

You could start a thread there asking for food recommendations for IBD, but I would search first to get background information

I have also read that some members have observed their cats are not absorbing nutrients properly. I don't recall how any of those members decided to manage this condition
 

foxden

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Here is a link to a thread from 2015. http://www.thecatsite.com/t/304161/help-finding-good-foods-for-ibd-cat

I wish I had better information for you.

The novel proteins I see listed in threads include duck, lamb, venison and rabbit and many members try to choose grain free foods as corn and wheat can also be allergens.

I just ran across another thread that suggested a kitten is not likely to have IBF. I put IBD food into the search box. Some of the threads are old, but you may find a lot of relevant information

One more link about IBD in general
http://www.thecatsite.com/a/inflammatory-bowel-disease-in-cats
 
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cindycrna

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If you vet feels confident it is IBD, you have received some good advice here. There are support groups for IBD kitties on line which are of great help. If you vet is questioning the diagnosis, labs would be best. A CBC would give a lot of info as would a chemistry. It will allow to look at all blood values and look for deviations.
 

foxden

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Looking back at your post -- you thought the fecal test was too expensive --

There are different levels of testing. The basic level is a floation test that is done in the vet's office, and that could be the €15 you had in Italy. This vet probably sent out to have a PCR test done. That is meant to detect bacteria/ parasites that get missed in basic tests.

What breed is your kitty and what is his name? I'm asking because some breeds tend to have more sensitive stomachs than other purebreds or moggies. You could learn more searching if you put in a breed as well.

I was browsing and found at least one thread about Persians and diarrhea...

Since I'm browsing on my phone, I don't see signatures, and locations only if I go hunting.
V verna davies
Brian007 Brian007

Would you please help @pendragon with information about novel protein diets available in the UK?
 
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pendragon

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@foxden: Thank you so much for your posts, they are like a mine of gold really.

Concerning the breed, he's a chausie, but he's an F6 or also known as SBT, in other words he's 6 generations removed from his wild parent (the jungle cat), and he's basically a domestic cat with no wild blood left in him.
You are totally right that normally hybrid cats of the early generations have a tendency to be more susceptible to specific kinds of diets, however as mentioned, mine is not an hybrid anymore since he's so many generation removed from the wild, the same applies to my bengal, and in fact she's perfectly fine eating whatever.

But even if he was an hybrid, he should have trouble digesting plant matter, but should be perfectly fine with a (balanced) diet of raw meat only. Problem is, he has the same problems regardless, therefore I am skeptical about the breed being the reason.

Don't get me wrong, your point was definitely in the realms of possibilities! In fact I am just frustrated because I wish that was the case, and that a 100% meat only diet could be the solution.

Thanks for pointing out the difference between the kinds of tests you can have. In this case I am glad she ran the full spectrum, at least i can rule out the presence of nasty worms or the like inside him.
By the way, his name is Frenzy, because of well... his activity levels :)

I am definitely looking around and researching for those novel proteins though.

Can't stress enough how much I appreciate the support, it makes me feel better knowing I got someone to talk about this problem with.
 

Brian007

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I don't know enough about it but @Columbine is certainly your best bet.

Look on Zooplus, I read somewhere about rabbit and kangaroo being good.  There's lots of specialist diet high protein foods on http://www.zooplus.co.uk/shop/cats/canned_cat_food_pouches.  I'm busy right now but will look into it later, and revisit this thread.  Hopefully @Columbine will have chipped in by then, also.

 

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Hi P pendragon ! Welcome to TCS :wavey:

I don't have experience with IBD, but I can help with novel protein diets. Your best bet is Zooplus. These are some brands to get you started :-

  • GranataPet - pure veal variety
  • Animonda Carny - pure beef variety
  • Catz Finefood Purrr - all varieties
  • Catz Finefood - pure veal variety
  • Feringa - rabbit with parsnips and catnip variety
  • Integra Protect Sensitive - all varieties (does contain rice or potato, but is designed for digestive issues)
  • Terra Faelis - all varieties

That should be enough to get you started ;) My top pick would be the Catz Finefood Purrr - it's limited ingredient as well as novel protein, and is designed for ibd cats. The only brand on that list I've not used myself is Integra Protect. I listed it because it is formulated for ibd cats, and the ingredients aren't bad.
 

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@Pendragon  Firstly, I'd like to point out that all vets in the UK are ridiculously expensive.  In my experience, anything other than a routine appointment will cost upwards of £50, with the £100 you were charged for a test not being unusual.  A blood test is likely to cost you at least £100.  Prevention is far cheaper than cure in the UK.  I read on this site of people in the US taking their cats multiple times to the vets for all manner of scans and tests, which would, quite frankly, financially cripple the average person in the UK.  Vets are so expensive here that visiting one is often prohibitive for those on low incomes.   

I too am very skeptical about vets dishing out antibiotics, seemingly on a whim.  I question the reasoning behind every medicine suggested.  However, on certain occasions (far fewer than vets & GPs like to make out) antibiotics are the only cure, and finishing the course is vital to reduce the susceptibly of multi-strain resistance.  Many antibiotics are actually redundant these days.  But you know that anyway, I'm just repeating it.  The use of probiotics and prebiotics are vital with any antibiotic treatment to redress the balance of healthy bacteria in the stomach.  They might be created artificially but once they are they are 'alive'.  I cannot see any long term harm in using them, only benefit. 

Apparently, the only really effective diagnostic tool for IBD is to take a biopsy endoscopically.  However, blood tests to rule out other diseases should also be done; they won't confirm he has IBD though.  This will cost you a significant sum.  Ask your vet about the possibility of a payment plan, which you could pay off in instalments.  And also ask for a discount if you are going to use them for expensive tests and treatments longterm.  Other medications like steroids and immunosuppressants will probably be offered, don't dismiss these out of hand as they would likely prove helpful.  But in the longterm, an appropriate diet seems the best method of controlling symptoms.  

Along with the food suggested by Columbine on Zooplus, take a look at their pastes and powders for digestion.  

Pure, unsweetened, 100% pumpkin puree can be found on Amazon, I expect the jars would keep better than tins.  Adding a 1tsp a day to Frenzy's food would certainly help with both diarrhoea and constipation, it's just a matter of experimenting with the exact dose, as a 1/4 tsp more or less can make all the difference.  Also, catnip is excellent for all digestive issues, including:  diarrhoea, constipation, acidity, gas, indigestion, nausea, appetite stimulation, and as a general digestive calmative.  You can buy powdered catnip very cheaply from eBay to add a mouthful to food, or to leave a small bowl out for him to self-regulate.

Feringa is a dry cat food on Zooplus that is grain-free, high in protein and contains pumpkin and catnip.  They have cheap trial sized bags.  Not that it is a substitution for wet food, but as an optional extra.

Krill (fish) oil is high in omega-3, which is necessary for digestion and general health in cats.  It is not naturally produced, so cats need to source it from food.

I wish Frenzy well.  You have come to the right place to seek advice and support. 

 

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Welcome to our place.

I wanted to let you know instead of canned pumpkin you can always use babyfood squash. I found that I only use 1/4 can of pumpkin-some people freeze it in ice cube trays but I didn't have good luck with this method-it changed the consistency and made it lumpy when it thawed. I found that I put half a can into a tuperware container and add enough water to make it like pudding. I use a fork and whip it. I use it for a week then discard it and get another can.

Also I wonder if there's another issue going on. Sometimes parasites are not detectable. Usually they do 2 treatments of Drontal. It's a yellow liquid or a pill the vet does and they would send you home with the 2nd one to do 2 weeks later. This takes care of intestinal worms. It's not unusual for kittens to have worms and need more than one treatment.

you can try the probiotics. you can try plain yogurt with no sugar added. Watch out for artificial sweetners that sometimes get added into Pedilyte and other products. Make sure to read the ingredient list and be sure no artificial sugars like ASPARTAME.

This website has a list of names of artificial sugars to look for if you want to check http://www.doctoroz.com/article/list-names-artificial-sweeteners

You can try the canned pumpkin, I have had good luck with it for constipation but I have heard it also helps runny loose stools.

Another thing to check=the foods-is there corn meal or corn gluten meal in it? some cats have allergies to this food additive. Some cats get reaction to potatoes and other fillers. You could try a raw diet without any other additives for a week or so. Too many diet changes at once can cause loose stools.

There's been lots of good suggestions above!

Keep us posted!
 
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