Help regarding ibd/lymphoma needed

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Marina & Chico

Member Since 2021
Our sweet Chico has diarrhea for over a month now. We received all his blood work (which is updated in the spreadsheet as well) and everything is in normal range except high folic acid. We did an ultrasound as well and the vet thinks his lymphatic nodes are a bit increased.

Since Thursday (4 days) we changed his diet to a low fat (0.8%), our vet wants to do a biopsy if the change in diet doesn't help because she wants to exclude lymphome. He has a negative test for Fiv/Felv which we looked up online and seems to be the predominant cause for lymphome, plus lymphome has much more symptoms than "simple" diarrhea. Chico is except diarrhea doing fine, he is playful (even with high BG he is lazy playful :D) he is cuddly, has good appetite and doesn't vomit. That is why think the possibility of colon IBD is more plausible than lymphoma.

Now we want to start making homemade food for him, start with 1 protein type and gradually change to new protein sources, to see which one works for him. We will start with chicken and then in a while if it won't work try turkey. Of course change in diet is on its own a reason for diarrhea so i am not certain how gradual should we do it not to bother his stomach even more. We kept on changing his diet lately too often because of various reasons. We know for a fact that Chico will love homemade food, there are no worries there.

On Wednesday we will have to go to the vet again for an Ultrasound and i am afraid that the next and only other thing she will propose will be a biopsy. I would hate to have to do an invasive procedure to Chico :(

We would appreciate your experience with diagnosing both and how to improve his condition if it will be IBD. @Gill & George said that there is another way of diagnosing lymphome without biopsy.

Thank you all in advance,
Marina & Chico
 
I've had a couple kitties now where I've had to answer the IBD vs. lymphoma question. I'm pretty sure the current one started with IBD and it transitioned to SCL. She did have an endoscopy that confirmed SCL. Before than there was periodic vomiting. When we adopted her, the rescue wanted us to continue the food she was on for a while. It contained fish and she vomited daily. I removed the fish immediately, on consult with the vet, and that improved her vomiting right away. Typically it's easier to start with one protein and then add others as you know the first one is fine. However, it can take quite a few weeks of one protein before you know for sure. The IDBkitties website has a page on how to do food transitions.

My girl Neko also had the IBD vs SCL question, but we could not get a proper diagnosis, because biopsy or endoscopy both require anaesthesia, which her heart could not handle. She was already on a raw mixed protein diet at the time, one of the reasons it seemed more likely the issue was SCL.

Dear @Wendy&Neko thank you very much for your answer. Can you please tell me more about the symptoms they had? I suppose if she developed lymphoma from IBD it was small intestine IBD, correct? I am asking that because i want to know if an endoscopy is sufficient to confirm it.

We are a bit erratic in the food we are giving him from various reasons, we keep on second guessing our decisions and certainly it cannot be good for him :( thanks to the link you sent, we will try to gradually change any time at least during 2 days.
 
All of my 3 SCL cats were vomiters. But a cat can have any GI symptom, diarrhea, vomiting, or constipation. I've also heard of SCL cats with just weight loss as symptoms.

An endoscopy can reach either the top part of the intestine, or be used as colonoscopy to check the bottom. The ultrasound should tell you where the thickening is and if endoscopy can do the job or a biopsy is needed.
 
All of my 3 SCL cats were vomiters. But a cat can have any GI symptom, diarrhea, vomiting, or constipation. I've also heard of SCL cats with just weight loss as symptoms.

An endoscopy can reach either the top part of the intestine, or be used as colonoscopy to check the bottom. The ultrasound should tell you where the thickening is and if endoscopy can do the job or a biopsy is needed.
thank you very much for your answer, we are torn by this decision: endoscopy or invasive surgery.
 
The ultrasound results may decide for you. Most of the cats I've seen on another group that have had surgery do recover quite well from it.
 
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