? Sunny dx'd with triaditis

[Holly and Sunny Bear]

Sunny's been in remission since 2023 but has been inching up in his numbers recently. I took him to the vet and he was diagnosed with triaditis which i think explains the rise in BGs recently.

The vet had me quit his cosequin, gave him a shot of covenia, and is recommending a diet change as she thinks this stems from IBD.

She's recommending hills m/d or d/d or royal canin pr, but these are all too high in carbs. M/d is the lowest of them all at 13%. Currently he eats only fancy feast beef pate at 3% carbs.

I suggested Koha rabbit which is 4% carbs but she is concerned with the high phosphorous level in koha bc of his age and he has slight kidney impairment.

So I'm at a loss. She's says it's only for a month or two depending on how he responds to a food change. But I don't want to go above 10% carbs if I can help it.

His only IBD symptom has been occasional vomiting after a meal.

He'll be getting another shot of covenia on November 11th.

Any ideas on a good food for this?
Thank you,
Holly & Sunny

 

[Wendy&Neko]

Ugh, sorry for the possible diagnosis. I am dealing with a similar (CKD + IBD) at home and rabbit is one of her foods. Rabbit is generally a bit higher phosphorus, but like Sunny, her phosphorus numbers are fine on her labs. You have a few options. One is to try rabbit for a while, and see if he does better on it. There are several other brands with rabbit options that might have lower P values. Worst case, his phosphorus numbers go higher, and you have to add a phosphorus binder. Or you could try another protein like lamb, kangaroo, venison that is novel to Sunny.

What is the Convenia supposed to do for him? It's an antibiotic designed for skin infections.

Did Sunny have an ultrasound? It's the first step, but not final step in an IBD diagnosis. How did they diagnose the triaditis? Has he had his B12 levels tested? Many cats with IBD issues have low B12 (not mine though).

Other things to consider with IBD are getting him on a good probiotic, such as Visbiome, and a prebiotic like psyllium husk fiber.