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Cat sick for months :(

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Jennifer - 06 Apr 2005 17:48 GMT
My poor Boo is about a year old; we adopted him about six months ago.
He started having bloody, mucousy diarrhea about two months ago.  We
took him to the vet along with a feces sample.  They said it was
probably coccidia (he was a feral rescue kitten) and put him on
antibiotics and Albon.  He seemed to get a little bit better for a week
or two, then got bad again.

We took him to a different vet who has better weekend hours.  They
found no signs of coccidia, but put him back on Albon just in case,
plus an intestinal antibiotic and an anti-diarrheal.  No improvement
after 10 days.  We took him back.

They gave us a hypoallergenic food, Hill's something-or-other A/P
maybe?  Sorry, the bag's at home.  Two new antibiotics and an increased
dosage of the anti-diarrheal medication.  It's been another 10 days.
Still no improvement.

Of course, this is all extra fun because he's a medium haired cat, so
we have to clip his behind once a week, which he does not enjoy, and we
line the room where we keep the litter box with paper since he won't go
in the box while he's sick.

He's had a low-grade fever the whole time, but his fur is shiny, and
he's still playful and happy, though he's starting to lose a little
weight.

So now we have a choice - endoscopy or observation in a controlled
environment at the vet's office for several days.  I don't know which
one will be more stressful for him.  He's such an awesome cat; I really
hate to put him under either stress.

A friend is pushing us to try a raw diet in case it's a food allergy
even to something in the hypoallergenic food.  Of course, there's no
guarantee that he would not be allergic to whatever raw diet we might
try, and there are added risks associated with raw diets.

Anyone have any thoughts?  I'm really starting to worry, and costs are
really mounting up.

--
Jennifer
kaeli - 06 Apr 2005 19:31 GMT
> My poor Boo is about a year old; we adopted him about six months ago.
> He started having bloody, mucousy diarrhea about two months ago.  We
> took him to the vet along with a feces sample.  They said it was
> probably coccidia (he was a feral rescue kitten) and put him on
> antibiotics and Albon.  He seemed to get a little bit better for a week
> or two, then got bad again.

Did they test for Giardia?
http://www.ipwebdesign.net/wildAtHeart/catHealth_ailments_diseases_giardia.html

How about Distemper?
http://www.ipwebdesign.net/wildAtHeart/catHealth_ailments_diseases_panleukopenia.html

IBD?
http://www.bestfriends.org/members/health/felinflbwl.htm

> He's had a low-grade fever the whole time, but his fur is shiny, and
> he's still playful and happy, though he's starting to lose a little
> weight.

Was he tested for FIV and FeLV to rule them out as causes of the fever?

> A friend is pushing us to try a raw diet in case it's a food allergy
> even to something in the hypoallergenic food.  Of course, there's no
> guarantee that he would not be allergic to whatever raw diet we might
> try, and there are added risks associated with raw diets.

My opinion: IANAV...
If you really think it's his food, try just giving him plain, boiled chicken
(human-grade) for a few days with a liquid vitamin supplement (ONLY vitamins
to be sure it doesn't trigger allergies).
If that helps, THEN look into raw diets.

If it were MY cat, I would do the endoscopy before the observation, but only
after ruling out every other virus and bacteria that might cause it and
changing the food as I said above. There IS a chance it is cancer or
pancreatitis, but I wouldn't think the chances are very high in a cat so
young.

Again, IANAV, so take this for what it is: my opinion as a cat owner.

Signature

--
~kaeli~
A little rudeness and disrespect can elevate a meaningless
interaction to a battle of wills and add drama to an
otherwise dull day.
http://www.ipwebdesign.net/wildAtHeart
http://www.ipwebdesign.net/kaelisSpace

Mathew Kagis - 06 Apr 2005 20:26 GMT
> My poor Boo is about a year old; we adopted him about six months ago.
> He started having bloody, mucousy diarrhea about two months ago.  We
[quoted text clipped - 37 lines]
> --
> Jennifer

Jennifer:  Sorry for your problems.  I'd suggest getting on pet medical
insurance, but they don't cover pre-existing conditions.

I'm currently looking at switching my cats to a raw diet. Right now I switch
between Wellness Kitten formula & California Natural Chicken & Rice... I
would NOT reccomend switching to raw while the cat is sick, it'll just
further complicate the issue.  As to what's wrong with your cat...?  I wish
I knew, I really do...  Please keep us posted.... Here's some links on raw
catfood:

http://www.pet-grub.com/

http://www.ehow.com/how_12698_make-homemade-cat.html

GOOD LUCK!!!!!

Signature

Mathew
Butler to 2 kittens: Chablis & Muscat
En Vino Veritas

Phil P. - 07 Apr 2005 00:36 GMT
> My poor Boo is about a year old; we adopted him about six months ago.
> He started having bloody, mucousy diarrhea about two months ago.

If your cat has had diarrhea for two months, he is probably dehydrated and
may need fluid therapy to replace his losses and restore electrolyte
balance.  Do his gums and mucous membranes look tacky or pale?  When you
pinch his skin on the back of his neck, does snap right back into place or
does it stay in a tent position for a few seconds?  Also, do his eyes appear
slighty sunken?

We
> took him to the vet along with a feces sample.  They said it was
> probably coccidia (he was a feral rescue kitten) and put him on
[quoted text clipped - 5 lines]
> plus an intestinal antibiotic and an anti-diarrheal.  No improvement
> after 10 days.  We took him back.

Actually, it sounds like Giardia or a gastrointestinal obstruction to me --
which is probably why your vets couldn't find anything on a routine fecal
exam.  The fecal sample needs to be centrifuged in a zinc sulfate solution
for about 5 minutes - standard floation procedures don't detect Giardia.
Centrifugation is necessary to force the Giardia cyst to float in zinc
sulfate - then the slide must be read right away because Giardia cysts start
to shrink and change their form. You might to mention this to your vet and
ask him about a course of Albendazole.

At this stage, however, I'd probably order x-rays to rule out a
gastrointestinal foreign object - which can produce the *identical* symptoms
that you have described.  I'm particularly concerned about the fever.
Certain types of  gastrointestinal obstructions (linear foreign bodies) can
pleat and cut through the intestine wall and lead to pertonitis and sepsis.
So, I'd be in hurry to get some x-rays - or ideally, ultrasounds.

Best of luck.

Phil
Phil P. - 07 Apr 2005 01:34 GMT
"Phil P." <phil@maxshouse.com> wrote in message

> Actually, it sounds like Giardia or a gastrointestinal obstruction to me --

You might to also mention Trichomonas to your vet - its a organism that
looks almost identical to Giardia but doesn't respond to treatment.
Helen Miles - 12 Apr 2005 22:27 GMT
> You might to also mention Trichomonas to your vet - its a organism that
> looks almost identical to Giardia but doesn't respond to treatment.

Another thing you might want to explore is Camphylobacter. It only
responds to eurythramicin and produces very similar symptoms to those
you describe.

Helen M
Jennifer - 07 Apr 2005 15:39 GMT
Boo has had all of his shots, including distemper, and he was tested
for FIV and FeLV before we adopted him.

I will being all of this up with my vet on Friday, though.  Thanks very
much for the informative and helpful responses :)

--
Jennifer
Jennifer - 12 Apr 2005 22:12 GMT
> My poor Boo is about a year old; we adopted him about six months ago.
> He started having bloody, mucousy diarrhea about two months ago...

<snip long story>

X-rays - negative.
Giardia - negative (they had tested for that before but hadn't
mentioned it).
Trichomonas - DH forgot to ask about that one.
Blood tests - some possible indicators of pancreatic or viral problems
but nothing striking. Not sure how they worded it since my husband took
him to the vet.

The vet seems to think that there's still a good chance that it's a
food allergy. We have an appointment with an internist in a week and a
half and they gave us another anti-diarrheal medication for him...
Bional?  Bional?  Bio-something.  Boo's still acting normal - playful,
shiny fur, healthy gums, and the weight loss was in my imagination,
apparently, because he weighed the same at his most recent appointment.

So, I guess we keep our fingers crossed that it's just an allergy and
that he's show more improvement with more time on the new food, and
then see what the internist has to say. Possible pancreatic problems
sounds kind of scary though.  Even something viral could be bad. Augh.

Thanks again for the feedback.

--
Jennifer
Jennifer - 10 May 2005 16:06 GMT
> > My poor Boo is about a year old; we adopted him about six months ago.
> > He started having bloody, mucousy diarrhea about two months ago...
[quoted text clipped - 3 lines]
> then see what the internist has to say. Possible pancreatic problems
> sounds kind of scary though.  Even something viral could be bad. Augh.

One endoscopy, two biopsies, one month, and $1400 later...

It's not viral.  It's not bacterial. It's not cancer. It has nothing to
do with his pancreas. Two regular vets plus one internist have run out
of tests to give him.

It's "severe, chronic bowel inflammation" with no perceptible cause,
but "probably due to something in his environment".  We're starting a
course of steroids and anti-inflammatories today. He's still on the z/d
prescription diet.

Huge relief that it's not something that's going to kill him soon.
Smaller relief that it's nothing that will require surgery (though that
would be a nice, concrete solution to the problem).

He's still otherwise healthy and happy, although they shaved his front
legs for the endoscopy and he looks really silly right now :D

--
Jennifer
Mary - 10 May 2005 17:06 GMT
> > > My poor Boo is about a year old; we adopted him about six months
> ago.
[quoted text clipped - 25 lines]
>
> --

Bless you for taking such good care of him. I hope it proves to
be something that changing his diet will ameliorate.
Karen - 10 May 2005 18:41 GMT
You don't have any insects around that he could be eating. I've heard
certain insects can cause this.

> > > My poor Boo is about a year old; we adopted him about six months
> ago.
[quoted text clipped - 26 lines]
> --
> Jennifer
Jennifer - 10 May 2005 19:02 GMT
> You don't have any insects around that he could be eating. I've heard
> certain insects can cause this.

I wondered about that when we started restricting his diet, actually -
I see the occasional spider, but that's about it. I wouldn't be
surprised if he catches and eats one once in a while, but I'm not
really sure how to prevent it.  It's not like we're infested; I see
maybe one spider a month...

--
Jennifer
Betsy - 11 May 2005 01:42 GMT
Hi, Jennifer.  Willie has the same thing.  He's on steroids, flagyll &
pepcid AC.  He still has diarrhea and flatulence, but has gained a lot of
weight back, and no longer vomits.

I have tried switching to NO GRAIN food.  The only dry that fit the bill (I
have too many cats not to free feed dry) was Natural Balance Venison & Green
Pea.  But that gave other cats diarrhea and flatulence!!!

Innova has recently come out with a no-grain dry diet called EVO, and I've
tried it.  The cats love it, so I just ordered $100 worth of food.  I hope
it helps.

I would not feed Z/D.  I did try it out of obeisance to the doctor, but it
has grains and mystery meats, and I don't feed that kind of junk to my cats.
And it didn't help the problem, anyway :)

The canned foods I've been feeding also have no grains.  I've had success
getting them to eat Wellness and Artemis canned foods.

Good luck and keep us informed.

>> > My poor Boo is about a year old; we adopted him about six months
> ago.
[quoted text clipped - 26 lines]
> --
> Jennifer
Shadow Walker - 14 May 2005 14:03 GMT
Flagyll will cause vomiting, diarrhea and gas. I had to take my cat off it.
Then I had a dog come through that they said had parvo (was never tested)
but was reacting to hookworm treatment. She was on Flagyl, took her off she
made a full recovery. I am not a fan of this stuff. Both cases were lost
causes to the vets. The cat unfortunately did not make it. Purrs to you
Xellos.

Shadow Walker

> Hi, Jennifer.  Willie has the same thing.  He's on steroids, flagyll &
> pepcid AC.  He still has diarrhea and flatulence, but has gained a lot of
[quoted text clipped - 47 lines]
> > --
> > Jennifer
Betsy - 15 May 2005 00:27 GMT
That's a bit upsetting, since it is prescribed to actual prevent these
problems.  Should I consider this anecdotal, or do you have other evidence
that it can cause these problems?  Willie was seen by a gastroenterolist,
and that is who prescribed it.

> Flagyll will cause vomiting, diarrhea and gas. I had to take my cat off
> it.
[quoted text clipped - 64 lines]
>> > --
>> > Jennifer
Shadow Walker - 15 May 2005 05:03 GMT
Here are some side affects
http://www.healthsquare.com/newrx/fla1178.htm

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity,
tell your doctor immediately. Only your doctor can determine whether it is
safe for you to continue taking Flagyl.

Two serious side effects that have occurred with Flagyl are seizures and
numbness or tingling in the arms, legs, hands, and feet. If you experience
either of these symptoms, stop taking the medication and call your doctor
immediately.

More common side effects may include:
Abdominal cramps, constipation, diarrhea, headache, loss of appetite,
nausea, upset stomach, vomiting

Less common side effects may include:
Blood disorders, confusion, dark urine, decreased sex drive, depression,
difficulty sleeping, dizziness, dry mouth (or vagina or vulva), fever,
flushing, furry tongue, hives, inability to hold urine, increased production
of pale urine, inflamed mouth or tongue, inflammation of the rectum,
irritability, lack of muscle coordination, metallic taste, occasional joint
pain, pain during sexual intercourse, painful or difficult urination, pelvic
pressure, rash, stuffy nose, vertigo, weakness, yeast infection (candida) in
vagina

http://ibscrohns.about.com/cs/prescriptiondrugs/p/medflagyl.htm

Side Effects - Flagyl [Metronidazole]
Prescription Drug

Common Side Effects:
Diarrhea
dizziness or lightheadedness
headache
loss of appetite
nausea or vomiting
stomach pain or cramps

Less frequent or rare:
change in taste sensation
dryness of mouth
unpleasant or sharp metallic taste

Less common
any vaginal irritation, discharge, or dryness not present before use of this
medicine
clumsiness or unsteadiness
mood or other mental changes
skin rash, hives, redness, or itching
sore throat and fever
stomach and back pain (severe)

For injection form
Pain, tenderness, redness, or swelling over vein in which the medicine is
given

http://www.medicinenet.com/metronidazole-oral/article.htm

SIDE EFFECTS: Dizziness, headache, diarrhea, nausea, stomach pain, change in
taste sensation or dry mouth may occur. If these effects persist or worsen,
contact your doctor. Unlikely but report: seizures, loss of consciousness,
tingling of hands or feet. Very unlikely but report: unsteadiness,
mood/mental changes, rash, itching, sore throat, fever, severe stomach pain,
vomiting, vaginal irritation. This drug may cause urine to darken in color.
This is not harmful. In the unlikely event you have an allergic reaction to
this drug, seek immediate medical attention. Symptoms of an allergic
reaction include: rash, itching, swelling, dizziness, trouble breathing. If
you notice other effects not listed above, contact your doctor or
pharmacist.

> That's a bit upsetting, since it is prescribed to actual prevent these
> problems.  Should I consider this anecdotal, or do you have other evidence
[quoted text clipped - 69 lines]
> >> > --
> >> > Jennifer
 
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