4 month old kitten - constant bloody diarrhea, parasitic infection?

riceboy

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Hello. This is going to be a long post with photos attached. The photos are graphic so just a heads up. I’m hoping to get some ideas on what could be happening with my kitten. She’s approximately 4 months old and I adopted her from a friend. She lived outside since birth with a stray cat colony.

Upon adopting her she had black tarry stool and shortly after this I brought her to the vet for her first wellness exam, vaccine and dewormer. The first dewormer she had was Nexguard Combo. Right after this her diarrhea got worse although sometimes the probiotic given to her would help it form up a bit. At this point her stool would be mostly soft, runny sometimes with blood and would have clusters of egg like/worm like fragments.

On her second appointment (approximately a month after) she had another dose of Nexguard Combo and the vet mentioned that if the diarrhea and blood persists, we should do a stool sample test. After this appointment nothing changed with her stool. Still the same and the main concern again was the presence of clusters of egg like/worm like fragments in the stool. I was told by the vet tech that the diarrhea and blood could be the parasites dying off and passing through her stool?

Shortly after that appoint her diarrhea became worse as well as the blood. I became really alarmed so I sent a sample of her stool the vet and they told me she had no parasites but she had a bacterial infection (they didn’t tell me what bacteria it was) but the prescribed me some metronidazole for 7 days. During this time her stool improved and I thought we finally solved the issue. But during the 5th day of metronidazole the blood in her stool came back and became soft and runny again. At this point I took photos of her stool and sent them to my vet. They were confident to tell me that she may have a parasitic infection, most likely tape worms. I asked how come they didn’t detect this in the fecal test and they told me that the sample they tested probably had no mature parasites at the time so it was negative. After this they prescribed her Milbemax oral tablet. Another dewormer to see if this one would work better. I gave her the first tablet of Milbemax on Dec 18 and the second one to be given on Jan 1. After the first dose of Milbemax she had even more egg like/worm like fragments in her stool so I thought this was a good sign that she was getting rid of them. She even puked on the third day but I personally didn’t notice any parasites in the puke because I panicked and immediately cleaned it.

She had her 3rd and final appointment on Dec 27 where I raised my concerns again regarding her stools. Vet prescribed her Safeguard 10% for 5 days and the second dose of milbemax to be given on Jan 5th instead of the 1st. She was also prescribed a stronger probiotic (the one in the tube). After this I’ve noticed a slight improvement in her stool with also the addition of pumpkin purée. However, it’s always been very inconsistent. Up to this day she would still have blood diarrhea and the egg like/worm like fragments in her stool have decreased but it’s more than likely to reinfect again I would say.

The vet isn’t too concerned about the blood though? He said it’s because she’s recovering from a parasitic infection and it’ll take a while for her to fully get better. He said as long as she’s energetic, eating well and growing that’s what is important. And through our all do this she has been perfectly fine aside from the diarrhea issues. I would also like to note that on her first appointment she tested negative for FIV and FeLV.

To close this off, I think I’m going to go ahead and do the more compressive fecal exam test next month to really get to the bottom of this. She’s been on 5-6 dewormers now and nothing has fully solved her issue. However my vet mentioned that he doesn’t think she needs this test. I assume he thinks she will clear up with the dewormers eventually? But I’m not confident in that.

*The pictures I’ve attached are some of the worst examples. I’m curious to know if anybody has seen anything like this before.

This is a more recent one:
IMG_3939.jpeg

and then this was also taken on the same day: (this is what I mean when I say it’s very inconsistent)
IMG_7313.jpeg
 

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riceboy

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Here are more photos from a couple days ago. As you can see the egg like/work like fragments are still present. Even though it’s decreased I’m sure they’ll come back again
 

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FeebysOwner

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Hi. I agree with doing a more comprehensive fecal test - a fecal PCR test to be specific. There are parasites that can be missed in the basic fecal float or smear tests. The PCR test will also look for various bacterial and viral conditions as well. The PCR tests can vary in what they check for, so ask for a full list. Many of them will test for Clostridium perfringens, C. difficile, Campylobacter, FPV, Salmonella, Tritrichomonas foetus, Giardia and Cryptosporidium. So, know what is included in the one that is run on your cat. And, ask if there other things that should be tested for as well.

Frankly, at this juncture, I am not sure why the vet hasn't already done this.
 
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riceboy

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Hi. I agree with doing a more comprehensive fecal test - a fecal PCR test to be specific. There are parasites that can be missed in the basic fecal float or smear tests. The PCR test will also look for various bacterial and viral conditions as well. The PCR tests can vary in what they check for, so ask for a full list. Many of them will test for Clostridium perfringens, C. difficile, Campylobacter, FPV, Salmonella, Tritrichomonas foetus, Giardia and Cryptosporidium. So, know what is included in the one that is run on your cat. And, ask if there other things that should be tested for as well.

Frankly, at this juncture, I am not sure why the vet hasn't already done this.
Thanks a lot for your response. I’ll keep it in mind. The vet I go to said they would have to send it out to lab for the comprehensive test. So I would just ask for a “fecal PCR test” and make sure that what you’ve listed is included?
 

FeebysOwner

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Probably better to ask for a 'fecal PCR panel'. I should clarify that most of the items being tested for in this panel or not necessarily considered parasitic as you might think of 'parasites', and therefore I don't know if they could present with some sort of 'stuff' in the stool (besides diarrhea/blood)

I don't know what all was tested for in the stool testing you have already had done, so be sure to ask about that and if there are other parasites that weren't tested for.
 

stephanietx

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Ask them to do a GI panel as well. It's a blood test.

This actually looks like poop from a kitty with IBD (Inflammatory Bowel Disease). What are you feeding her? Have you tried anything other than Metro and pumpkin to firm up her stool? You can mix up slippery elm bark syrup and give 1/8 teaspoon twice a day and see if that helps. Recipe: Bring 1/2 cup water to a boil (I use filtered water). When boiling, turn off heat, whisk in 1 teaspoon of slippery elm bark powder until it thickens and becomes the consistency of a raw egg yolk, about 2-3 minutes. Store in a glass jar in the fridge. It keeps for about a week, then discard and make a new batch.
 

maggie101

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My IBD cat had black tarry diaheria which can mean a tear in the gi tract. I have started giving her adored beast feline gut sooth. It seems to help
 

rvf4uk

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Can you please give an update to the tests. My 4 month boy has never had a huge appetite but eats and I noticed diarrhea last week but thought he was better with pumpkin and boiled chicken but tonight he was squitty with a tiny bit of blood in it but I am just awaiting insistent to kick in🤦‍♀️

I've never seen blood in it and usually the kitty litter hides if it's too soft so it's only if I catch him but his sister uses it too so hard to determine. Def haven't seen any worm evidence but years ago my old passed baby it's had coccidia and giardia so wondering if it's that!!! He's active, playful, loving but doesn't eat a lot as opposed to his piggy sister who already weighs over a lb more
 
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