11 year old cat - chronic diarrhea

teali

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Hi everyone,

I feel like I have reached the end of the line with my 11 year old boy.

He was completely healthy until around 6-7 and then his bowel issues started. He was on a mix of various wet foods and then seemingly overnight he started to get explosive diarrhea that smelled hideous and sometimes had fresh blood/mucus.

Over the next few years this was managed through diet and an occasional course of stomorgyl for a bad flare up. He was on RC gastrointestinal wet exclusively for a few years and that worked great until it didn't. Then he was on a particular flavour of wet fancy feast that he seemed to do well on. Again that worked well until it didn't. The vet suspected that his gut flora didn't develop properly as a kitten (he was rescued out of a bin), and/or some kind of IBS/IBD.

Last year he went through I131 treatment for hyperthyroidism. This seems to have resolved at least.

At the moment he has been on RC anallergenic food for 5 months. He responded really well to this too until about a few weeks ago. He was scratching himself silly and ended up with wounds all over his head/arms. This was the first time he's had skin issues. The vet recommended a course of steroids (7.5mg prednisone morning and night) for both his skin and to his gut. He has now been on the meds for 3 weeks. The skin cleared up immediately but it hasn't done much for his gut problems. He had a few good days about a week into the steroids but his diarrhea quickly returned. Stomorgyl used to be an effective bandaid for acute symptoms but it doesn't seem to work anymore either.

He will cry and dig around for ages before he goes no.2. He doesn't go more than normal, its just that its a wet puddle when he does go. I try my best to keep his environment controlled, he's indoor only, same litter/cleaning products for years. Other than the watery poop he is his normal happy cuddly self.

I am considering weaning him either off or onto a lower dose of the steroid, depending on how his skin reacts, and then move him onto a raw diet. This is the only dietary thing we haven't tried but if this doesn't work I'm really out of ideas.

Any thoughts appreciated :(
 

Furballsmom

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Hello - would your vet consider consulting with a specialist, or a university medical veterinary department? Can you get some pain meds for him?
 
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teali

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Hello - would your vet consider consulting with a specialist, or a university medical veterinary department? Can you get some pain meds for him?
We haven't explored pain meds because he doesn't seem to be in pain per se, just discomfort right before pooping.

The vet thinks the next step is to see a specialist for an intestinal tissue biopsy. I'm reluctant to take this step because he gets extremely stressed just going to the vet. We've tried pregablin but it didn't do much. I bit the bullet for I131 because he couldn't tolerate the diet or meds to control his thyroid but he wasn't himself when he came back from the clinic for quite some time, and now seems even more anxious at the vet.
 

FeebysOwner

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Ask your vet about the possibility of a fine needle aspiration (FNA) cytology on some of the intestinal tissue, rather than an actual biopsy. It can be done during an ultrasound, and in some cats like mine, no sedative is even necessary.
 

Furballsmom

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If it is legal for pets in your state and he isn't on any other meds (sorry if I missed that) you might ask the vet about cbd.
 

reba

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Poor kitty. What will the intestinal biopsy tell you? I would think there are only so many options no matter what the tests show and that they all involve changing diet. Can you try a commercial novel protein diet (rabbit) or one of the commercial raw food diets?
 
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