My cat is being treated for inflammatory bowel disease. I am so worried. What is his possibilities for recovery?
He is approx. 12 years old (I rescued him). He has been neutered and declawed by a previous owner. He is a gentle, slow moving, sweet natured cat, not aggressive in any way. He seems otherwise healthy and his labs were normal and the stool test negative for parasites.
Annie, your cat sounds like a real sweetheart! Inflammatory bowel disease isn’t something that can be cured, but it can indeed be managed so he can live a normal life. One of the main parts of treatment is changing his diet to one that is highly digestible and hypoallergenic. It’s thought that as many as 50% of cats with IBD respond very well to just a change in diet and they don’t need any other treatment. Your vet will be able to recommend an appropriate food for your boy.
Other possible treatments are antibiotics (as it appears some cats are reacting to the normal bacteria in the intestines), immune suppressing drugs such as prednisone or prednisolone, and vitamin B12 supplements. Good intestinal parasite control is important so keep that up, and prebiotics/probiotics may help.
You may find that you’ll need to try a few different treatments or treatment combinations to find out what works best for your cat. However, dietary modification and appropriate medication usually result in symptoms resolving. | 01.13.16 @ 12:38
Yes, he IS a sweetheart!!! And I am so worried about him. My vet has tried Flagyl (no success after two weeks of therapy-) and a steroid shot (only 4 days ago) plus Dynagel. Nothing is helping yet. The vet put him on a gastroenterological diet two weeks ago. He is still having frequent bloody mucous stools, and often misses the litter box. He isn't eating well at all, and often seems uncomfortable. Any suggestions would be greatly appreciated. Oh - we have done 3 stool specimens and all are negative for parasites. | 01.15.16 @ 21:29
It sounds like you've been through a lot of stress trying to get this under control. It might be time for further diagnostics, such as an intestinal biopsy just to be definite about the diagnosis. I know you'll be worried about such a procedure in your senior citizen but elderly pets can undergo general anesthesia with careful choice of anesthetic drugs and intravenous fluid support. Your vet will advise as to whether your boy is ok for this. It's the best chance of finding out exactly what you're dealing with here, so you can make sure treatment is directly targeted at the cause.
One other thing - I have known animals to develop colitis due to stress or anxiety. Are there any potential stressors in your cat's environment? There's some info on stress in cats here - http://www.lovepets.com/stress-in-cats | 01.16.16 @ 08:26
I agree with Dr Audrey that the best course of action would to consult further with your veterinarian if Oreo isn't responding to the current treatment plan. Unfortunately we cant make specific treatment recommendations online.
A definitive diagnosis of inflammatory bowel disease (IBD) really can only be made based on evaluation of tissue collected by biopsy. The cell types found will indicate what type of disease is present and help to guide treatment.
More potent immunosuppressive drugs are available for unresponsive cases of IBD as well as new therapy considerations such as prebiotics / probiotics.
We wish him the very best, please keep us updated and we hope we have been of some help.
| 01.27.16 @ 00:25
I am back again. My cat Oreo is not doing well despite everything I have tried. My main worry is he has lost a lot of weight. His haunches are so thin. I am scared I will lose him. I have tried canned food with probiotics mixed in. I even give him half and half milk. ANYTHING to help him gain weight. Nothing is working and he isn't eating enough. I use Advita, and Wholistic Probtioics, mixed with everything I give him. I have tried baby food (really disgusting stuff! Glad I am not a baby!) But nothing I do is helping. Please, please, give me some ideas. This cat is very special to me. I cannot stand the idea I might lose him. I cannot afford expensive vet visits, but I don't think a vet could offer much. Tell me I am wrong, and I will find a way to get him to a better vet. I switched the dry food to one high in fiber, and also give him moist food every single day. Most of that ends up in the trash can. Please give me some ideas here. This cat is one of the most sweet, loving, affectionate cats ever made. He is a "cow cat" - black and white, with unusually beautiful patterns on his little body. But it is his personality that gets me. He came to me at a time in my life when I needed someone to love. And there he was, abandoned, needy and hungry. I took him in and have never once regretted doing that. He is such a wonderful cat, and deserves better. Please, tell me what else I can try? | 06.22.16 @ 00:01
Annie, I'm so sorry to hear about Oreo. I can see that you've worked really hard to keep him well. Unfortunately sometimes in spite of doing all you can to help a pet, the outcome isn't what you're hoping for. The other thing to keep in mind too is that pets have a limited lifespan and it's inevitable that we'll lose them, and we know that hurts.
You first asked about Oreo's problem over four months ago and it sounds like there's been no real improvement in his condition. All I can suggest to you at this stage is to consider a revisit with your vet because there may be some other cause of his condition other than IBD, and he may need a biopsy to properly diagnose it. That's really the only way to see if there's any other treatment options that might help.
The other alternative is to seriously consider his quality of life. Again, your vet will be able to help you to work out if life's still good for him from a quality of life perspective and what the best options are.
| 06.22.16 @ 01:32