Oldtimer here...IBD questions

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allie and newkitty

Member Since 2010
Hello! I doubt any of you will remember me...I joined FDMB in 2004 with my diabetic soul girl, Newkitty. During her life, we dealth with diabetes, IBD, chronic pancreatitis, arthritis, etc. She passed on in 2014 and six months later I rescued Max, a Snowshoe with FIV. I hope it is still ok to ask non-diabetes questions about "civives" on this board and I hope someone with IBD experience is reading!

Max is 8 or 9 now and has been vomiting quite a bit this year, after never having been a vomiter. His appetite has always been off and on, but I have been able to keep his weight steady at about 12 lbs 5 oz. He currently weighs about 1lb less than that due to inappetance, although he doesn't seem to gain even when he has a very good eating stretch. No diarrhea. All year I have felt like many days he just did not feel good, but I thought it was because he frequently has some URI stuff going on. He went to the vet in January due to this feeling but he looks good and all his bloodwork was good and if he was vomiting then, I thought it was my other cat.

His kidney values are almost in stage 2 territory, but my vet does not believe the reason for his vomiting is kidney values. His bloodwork looks mostly good, no anemia. His pancreatitis panel came back all in normal range. His ultrasound showed some thickening the U/S doctor said was mild verbally to my husband. (Report attached)

The question is whether to do a major surgery to get full thickness biopsies on Max or to treat with steroids as if IBD and see how he does or wait and watch a little while. I am very leery about doing a major surgery (I have lost two pets either during a surgery or immediately after during my lifetime and putting him under scares the crap out of me. He is my dear baby.)

Newkitty was diagnosed with IBD at one year old after steroid shot caused immediate improvement. Her IBD caused bloody diarrhea. She never had intestinal biopsies until she developed pancreatitis six years later. How we treated it was with 5 mg pred every day until she got pancreatitis and then we had to go up to 20 mg per day. She was on pred almost every day of her 17 years. I love pred for the quality of life it gave her but saw firsthand the drawbacks.

Is there an IBD group like this one? Anyone have any thoughts from their experience? I am going to ask my vet what she would do if this were her cat but she is not neurotic like I am :) and I don't know if my caution is the right thing for him. I worry about him being at the vet around other cats who might have COVID, or trouble being under, the painful recovery (am I overreacting and putting him through that for nothing?) etc.

Thanks for reading this far. Any insight appreciated.
 

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Are you kiddin Allie? WELCOME BACK:bighug::bighug::bighug::bighug:
You can post this here but you will get more eyes on Health

AND

YOU ARE STILL FAMILY AND ALWAYS WILL BE!
jeanne
 
Jeanne!!! Hello! I am getting teary-eyed over here, seeing your avatar and kitty pic! I cannot believe it has been 16 years since Newkitty developed the beetus and I found this board the very next day. The help and support I got on here meant so much to me when I was so overwhelmed. Y'all were truly our FAMILY. It is SO GOOD TO SEE YOU!! Seriously over here in happy tears!!
 
I moved your Community Post over here for more eyes.

One option, depending on location of bowel thickness, is an endoscopy instead of a full surgical biopsy. Lucky for you, both ileum and duodenum are the thick parts and can be reached by either endoscopy or colonscopy. My last of three kitties :rolleyes: with bowel inflammation was diagnosed that way. Turns out she has small cell lymphoma, currently in remission. Vomiting was her thing, but she also has some food allergies so probably a touch of IBD as well. Endoscopy is a day visit, not overnight at the vets.

IBD is generally treated with novel protein diets and probiotics. Small cell lymphoma means mild chemo drug and usually prednisolone. You kind of want to know what you are dealing with, to treat appropriately. If you haven't already, you might want to talk to an internal medicine vet. Especially since you've got some early kidney disease in the picture too. IM vets are great at multiple conditions.

You might want to check out this website: http://www.rawfeedingforibdcats.org/ Apparently they have a good FB group too.
 
Thank you so much Wendy&Neko. I asked my vet about the endoscopy and she said she would prefer to get full-thickness (surgical) biopsies so she could be sure she got a good range of locations. How does one prep a cat for a colonoscopy? What were your cat's symptoms and how long do you think she had it before she was diagnosed? How old was she when dx'd?

Thank you for the link! I have thought about raw as our other cat has food allergies. I wasn't sure if it was ok for Max with his FIV. I am going to investigate further.

I moved your Community Post over here for more eyes.

One option, depending on location of bowel thickness, is an endoscopy instead of a full surgical biopsy. Lucky for you, both ileum and duodenum are the thick parts and can be reached by either endoscopy or colonscopy. My last of three kitties :rolleyes: with bowel inflammation was diagnosed that way. Turns out she has small cell lymphoma, currently in remission. Vomiting was her thing, but she also has some food allergies so probably a touch of IBD as well. Endoscopy is a day visit, not overnight at the vets.

IBD is generally treated with novel protein diets and probiotics. Small cell lymphoma means mild chemo drug and usually prednisolone. You kind of want to know what you are dealing with, to treat appropriately. If you haven't already, you might want to talk to an internal medicine vet. Especially since you've got some early kidney disease in the picture too. IM vets are great at multiple conditions.

You might want to check out this website: http://www.rawfeedingforibdcats.org/ Apparently they have a good FB group too.
 
I belong to an online SCL group, and the majority of kitties there have had endoscopies for diagnosis. To prep for endoscopy, just withhold food for 12 hours before. A cat's GI system processes food much faster than ours does. Not sure if the same holds for colonoscopy. Part if the issue may be where the thickening is. The ultrasound report was pretty minimalist. If the muscularis layer is thickened, you need a surgical biopsy.

Of the three cats, sigh!, all of them were vomiters. But Neko had a bit of constipation - though I'm not sure if that was because of the meds she was on for other conditions. Some SCL cats present as just losing weight, no other GI symptoms. It really varies. My current girl when I adopted her was occasionally vomiting, so don't know how long before that. We did find out food allergies contributed to it, and a switch to raw and a different protein meant she was good for 6 months, before it started up again. Since she was a street cat, best estimate was age 6 on diagnosis.

You can find some novel protein canned food too.
 
In addition to what Wendy said, there is also a lot of great info at IBDkitties.net and they also have a FB group. This group and the raw feeding for IBD cats overlap a bit and they are both really good but the latter might be a bit more active.

We also did endoscopy and I would not have, personally, done exploratory surgery for many reasons. I would suggest that if you do endoscopy, that the sample is also sent to UC Davis. The local lab dxd just IBD and didn’t find SCL but my vet was extra cautious and sent a sample to UC Davis which dxd the SCL.

:bighug::bighug:
 
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