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Normally, cats with IBD require staying on some sort of steroid to provide long term control of the inflammation in the GI tract. If they go off it, the inflammation almost immediately returns as Lily is now experiencing.Sorry I haven't posted in awhile. Thanks for checking in on Lily. She was great while she was on the pred. Now she's off it though and her symptoms already started coming back. She had been off it for about 3 weeks and she has started having some episodes of vomitting and she has started licking her stomach again (so much she gets a bald spot). It's clear to me she is starting to regress. She is still eating, drinking and going to the bathroom normally (no diarrhea). I did get a scale and her weight has been consistent.
What can be done after a cat has taken prednisolone? I know they are not supposed to take a steroid long-term because that can cause health issues in and of itself. I emailed my vet to ask if there were other treatment options going forward but haven't heard back yet. Thanks for your help everyone.
I have one cat with IBD on Budesonide which is an alternative steroid. It has a lower risk of side effects due to the high level of "first pass" metabolism. It is taken orally once a day, moved along the GI tract calming inflammation, then is removed almost immediately by the liver. You may want to ask your Vet about this.