Cat diagnosed with IBD, feeling overwhelmed

KBee

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Hi there. I've been a lurker on TCS since my cat Zia was diagnosed with hyperthyroidism two years ago, and I've found a lot of helpful information here. You guys are great.

Zia is now going on 13 and is cured from hyperthyroidism, but unfortunately today she was diagnosed with "early/mild" IBD via ultrasound (I know ultrasounds aren't 100% accurate, but I'm on disability so my funds are limited). Last year, after many hairballs and a bad vomiting spell, she was put on Royal Canin HP. For a while it seemed to help, but then this year she started getting reoccurant bad diarrhea, and late last month a decreased appetite until last week she stopped eating entirely. Cue a trip to the vet where everything came back normal. She was given appetite stimulants and Metronidazole for diarrhea, which I stopped giving to her because she kept drooling/spitting it out, and she wasn't eating even with the stimulants.

Right now she's on small but frequent meals of Tiki Cat chicken and egg, with a little bit of hard-boiled egg mashed in. I know chicken is a trigger food, but right now this is the only thing she'll eat. I've been wanting to get her off the HP and onto something healthier for a while, but anytime I've tried changing her diet in the last year, she refused and only wanted the HP. She's been on kibble for her entire life, so wet food and the concept of timed meals is new to her.

My usual vet should be calling on Monday to discuss things further, but the vet I talked to today mentioned steroids, B-12 shots, and more Metronidazole, as well as a full GI panel and a test to rule out pancreatitis. I'm nervous about the steroids and if I'm even able to afford all this. I'm incredibly drained, physically and mentally exhausted, and while Zia seemed a little perkier at times today (I let her nibble on some cat grass and that seemed to cheer her up), she's not herself and very obviously doesn't feel well. I'm feeling very overwhelmed by all this. My main questions currently:
  • What are IBD cats' quality of life like? Will she be herself again, happy and comfortable, or is she going to feel sick and lethargic for the rest of her life?
  • Is it possible to treat IBD without steroids and with just a diet change and something like probiotics, or are steroids necessary?
  • How bad are steroid side-effects? Do IBD cats need other medicine that have other side effects?
  • How costly is it to care for a cat with IBD? I'm in Canada and normal vet visits can be anywhere from $300 - $600, depending on what (if any) tests are done. I'm extremely limited with my funds and can't afford frequent vet visits like this.
I want to do what I can for Zia, and I want her to have a happy, comfortable life for the remainder of her days. But I'm so limited on what I can do, and these last few days have been so incredibly draining that I've been doubting my mental/emotional capacity to handle all this. If anyone can offer any insight, reality checks, or reassurances, I would be greatly appreciative.

Thank you for reading all this. I hope all of you and your cats are doing well.
 

Dwingfield

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Hi there. I've been a lurker on TCS since my cat Zia was diagnosed with hyperthyroidism two years ago, and I've found a lot of helpful information here. You guys are great.

Zia is now going on 13 and is cured from hyperthyroidism, but unfortunately today she was diagnosed with "early/mild" IBD via ultrasound (I know ultrasounds aren't 100% accurate, but I'm on disability so my funds are limited). Last year, after many hairballs and a bad vomiting spell, she was put on Royal Canin HP. For a while it seemed to help, but then this year she started getting reoccurant bad diarrhea, and late last month a decreased appetite until last week she stopped eating entirely. Cue a trip to the vet where everything came back normal. She was given appetite stimulants and Metronidazole for diarrhea, which I stopped giving to her because she kept drooling/spitting it out, and she wasn't eating even with the stimulants.

Right now she's on small but frequent meals of Tiki Cat chicken and egg, with a little bit of hard-boiled egg mashed in. I know chicken is a trigger food, but right now this is the only thing she'll eat. I've been wanting to get her off the HP and onto something healthier for a while, but anytime I've tried changing her diet in the last year, she refused and only wanted the HP. She's been on kibble for her entire life, so wet food and the concept of timed meals is new to her.

My usual vet should be calling on Monday to discuss things further, but the vet I talked to today mentioned steroids, B-12 shots, and more Metronidazole, as well as a full GI panel and a test to rule out pancreatitis. I'm nervous about the steroids and if I'm even able to afford all this. I'm incredibly drained, physically and mentally exhausted, and while Zia seemed a little perkier at times today (I let her nibble on some cat grass and that seemed to cheer her up), she's not herself and very obviously doesn't feel well. I'm feeling very overwhelmed by all this. My main questions currently:
  • What are IBD cats' quality of life like? Will she be herself again, happy and comfortable, or is she going to feel sick and lethargic for the rest of her life?
  • Is it possible to treat IBD without steroids and with just a diet change and something like probiotics, or are steroids necessary?
  • How bad are steroid side-effects? Do IBD cats need other medicine that have other side effects?
  • How costly is it to care for a cat with IBD? I'm in Canada and normal vet visits can be anywhere from $300 - $600, depending on what (if any) tests are done. I'm extremely limited with my funds and can't afford frequent vet visits like this.
I want to do what I can for Zia, and I want her to have a happy, comfortable life for the remainder of her days. But I'm so limited on what I can do, and these last few days have been so incredibly draining that I've been doubting my mental/emotional capacity to handle all this. If anyone can offer any insight, reality checks, or reassurances, I would be greatly appreciative.

Thank you for reading all this. I hope all of you and your cats are doing well.
I had great success with prednisolone with an IBD cat, I had it compounded with salmon flavor and once it was under control only needed to give it to her every other day. She was also on prescription canned and dry food, best of luck!
 

Dwingfield

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I had great success with prednisolone with an IBD cat, I had it compounded with salmon flavor and once it was under control only needed to give it to her every other day. She was also on prescription canned and dry food, best of luck!
Ps her Quality of life was 100% good until she developed acute kidney failure. Not related.
 

artiemom

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Mamanyt1953 Mamanyt1953 thank you for the compliment... but I am drained also... I am currently going through something similar with my guy, Geoffrey.

K KBee I am so sorry you are going through this. IBD is both frightening, exhausting, and expensive...
I can only speak from my own experiences with my Artie, and from what I have read from others.

Artie was allergic to chicken. I discovered that because when he ate food with chicken, he immediately vomited. I switched to a novel protein: Rabbit. You could try Venison. It is a prescription diet, and expensive along with supply chain issues. So, just a warning..
Some people use a raw diet.. they say it is the best remedy for IBD. Personally, I cannot do raw, for various reasons.

Artie was also on Probiotics. I got the specific one the Specialist recommended. Some people use human grade Probiotics, going very slowly when introducing it.

The Metro was no go... it is a horrible tasting drug.. Artie drooled it out, when I tried to give it to him.

The steroid, Prednisolone was really good at helping get his stomach under control.
He was also taking Pepcid or Cerenia to calm his stomach.

IBD is just so confusing.. after a while, it becomes easier, depending on the degree. I made a chart for the meds, and got a calendar to chart symptoms. It helped to find out what worked. Remember it is not an immediate reaction. It takes a few days to see any effect to meds or even longer with food. Personally, I would stick with only one type of food.
You could try some beef or ham baby food... without added salt.. to try getting some food into you baby..

If your cat is just 'borderline'---whatever that means.. Once they get the right mix of medicine, the IBD may be controlled with just a diet change.

There is a website: IBD Kitties... which gives a ton of information... as well as many threads on this site..

Also, a specialist Vet is essential in managing this .. This Vet is an Internal Medicine Vet. They have vast experiences
with IBD.

Above all. IBD is not a death sentence.. Just be calm. and try to be patient with yourself... and you kitty..
They can sense you apprehension.
Try to remain calm... The specialist is the one who will be able to help the most...
It is so easy to get overwhelmed.. just one thing at a time.. My specialist always says: change one variable at a time, to see cause and effect. Initially, many meds will be prescribed to get your baby to a 'good' point.. They you can see if tapering off of some of them is helpful. It may just be food ....

Good Luck. and ((HUGS)))
 

LTS3

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daftcat75 daftcat75 is probaby the "expert" on IBD here on TCS.

I think rubysmama rubysmama has a cat with IBD or just food sensitivities and post about what is available in Canada.

One of my cats has IBD. He is currently managed with diet (commercial raw food in rabbit) and a small dose of prednisolone every other day. In the beginning, he was on a bunch of different medicines (antibiotics, antacids, et) as the vet tried to get symptoms under control.

  • What are IBD cats' quality of life like? Will she be herself again, happy and comfortable, or is she going to feel sick and lethargic for the rest of her life?

Cats with any medical condition can live a long healthy happy life as long as the symptoms are controlled per the vet's recommendation and advice, usually medication and / or diet.

IBD cats occasionally have a flare up which can be painful. Symptoms vary but can include crouching, acting lethargic, don't want to eat, vomit, have diarrhea, etc. The cause is usually from something they ate that didn't agree with their sensitive tummy. Treatment is usually an increased dose of steroids but every cat is different so if you see a flare up it's best to call the vet and ask for advice.

  • Is it possible to treat IBD without steroids and with just a diet change and something like probiotics, or are steroids necessary?
It may vary among cats. Steroids help calm the intestinal inflammation. Some IBD cats may only need a short course of steroids before they can be managed with just diet. Other cats may need a short course of steroids occasionally based on symptoms.

Probitoics just add good bacteria to the gut. It doesn't help with inflammation.

  • How bad are steroid side-effects? Do IBD cats need other medicine that have other side effects?

The most common side effect of steroids on a high dose are diabetic-like symptoms: increased water drinking and urination, increased hunger, elevated blood glucose levels. As the steroid dose is tapered off, the diabetic-like symptoms will go away.

Other medicines an IBD cat needs will depend on symptoms and what the vet feels is best. Cerenia is another common medicine. It's an anti-nausea medicine.

All medicine carry some risk of side effects and also adverse reactions. You can look up the full prescribing info for any medicine online for a list of possibe side effects and adverse reaction. Some medicines are used off label for cats, such as the pill form of Cerenia which is only approved for use in dogs (the injectable version is approved for both cats and dogs), so the prescribing info will not have anything on how the medicine affects cats. Discuss concerns about side effects with your vet.

  • How costly is it to care for a cat with IBD? I'm in Canada and normal vet visits can be anywhere from $300 - $600, depending on what (if any) tests are done. I'm extremely limited with my funds and can't afford frequent vet visits like this.

I only take my IBD cat to the vet once a year for his annual check up. I have a long good working relationship with the vet so he lets me manage my cat at home and gives me any dose changes, etc by phone or email via his secretary. Because I feed commercial raw food, my food costs are pretty high and that's not including a different food for my other cat.

Here are two good web sites with more info:

 

rubysmama

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K KBee : Hello and welcome to TCS. Sorry though for the worrying situation that brought you here. 🤗

I think rubysmama rubysmama rubysmama rubysmama has a cat with IBD or just food sensitivities and post about what is available in Canada.
Ruby, though never officially diagnosed, is suspected to have IBD. Or possibly just food sensitivities . Either way, I have to watch what she eats, and even when she's doing well on certain foods, she can have a flareup or bad couple of days. A couple of times it lasted more than a day or so, and we had to go to the vet.

One time she vomited right after eating anything, and that time a Cerenia shot helped her get over the nausea.

Last time it was it was diarrhea and lack of appetite, and the vet gave her a steroid shot. She also suggested sprinkling Fortiflora probiotic on her wet food, which I did for a while, but didn't really find made any difference, so stopped using it.

I'm pretty sure Ruby has a sensitivity to chicken, so I check labels to ensure it's not an ingredient.

Currently I'm feeding her mostly Merrick Limited Ingredient canned Turkey. I also give her some of the
Natural Balance Limited Ingredient Diets Cat Food - Grain Free, Green Pea & Duck kibble as treats.

The Merrick also has limited ingredient duck based cans, which I have tried, and agreed with her. They also have limited ingredient chicken, which I have stayed clear of, only because it's chicken.

I like the Merrick food, since it's easily found at pet stores.
Merrick® Limited Ingredient Diet Pate Adult Wet Cat Food - Natural, Grain Free

I've also tried the canned version of Natural Balance Limited Ingredient Diets Cat Food - Grain Free, Duck & Green Pea and though it agreed with her ok, she didn't seem to care for it that much.

I've also given her the veterinary Feline Selected Protein PD Loaf in Sauce Canned Cat Food .... But back in 2021 it was out of stock for months, so I had to find something else, and haven't bought it since.

It's definitely trial and error trying to find a food that agrees with our food sensitivity cats, and I hope K KBee you'll easily find a food that agrees with Zia's system.
 
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KBee

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Thank you all so much for your help! I'm glad to hear cats can do well still even with IBD. It's been a very tiring month. I was most concerned about her quality of life moving forward, so this gives me some hope. I'm also sorry you've all gone through this as well.

Right now my main concern until I talk to the vet is just having her eat. She still likes the Tiki Cat chicken, and she tried the Tiki Cat tuna this morning and seemed to like it. I'd like to switch her to something that's not chicken, but I'm worried if I try while she's not feeling well that she'll be put off everything and will stop eating again, so I'm nervous about trying her on something else right now. But I've been looking at novel protein diets for a while, mainly rabbit and duck since they seem to be the most widely available here. I've heard good things about Rawz, Ziwi, and Zoha, which are all available here. I'm more than happy to pay for good quality food if she'll eat it! I'm hoping she does. And I'll definitely look into getting an internal med vet as well.

Thank you all again, this helps put my mind at ease a little bit more. You've all been a big help!
 

Astragal14

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Hi K KBee , I am so sorry to hear about Zia. I have been in the same situation with my cat and we have been managing his mild IBD for three years through diet and supplements (with medications in rare occurrences). The goals for my cat are to 1) balance the bacteria in his digestive tract and 2) strengthen his intestinal barrier. All the links I have provided are for the US, but we can help you find the same or similar products in Canada. He hasn't needed a steroid yet, but I can help you with your first two questions.



What are IBD cats' quality of life like? Will she be herself again, happy and comfortable, or is she going to feel sick and lethargic for the rest of her life?
My IBD boy is back to his old self and happy and playful and wonderful 😻 It took a lot of trial and error, and definitely a lot of tears and frustration, but we have been in a good routine for a while now. I used to chart everything he ate but that hasn't been necessary, now that I know his sensitivities. I still chart all of his episodes (hairballs, vomiting/regurgitating) and also note any changes (new foods, new supplements, even the weather!). It helps me identify issues because it may take a few days or a few weeks for him to react to something. He eats mostly wet food and a small amount of dry food. His wet foods are a lot of Rawz varieties, NutriSource and PureVita, Dr. Elsey's, Essence, and a few others.


Is it possible to treat IBD without steroids and with just a diet change and something like probiotics, or are steroids necessary?
Yes, it is possible to manage IBD through diet and non-steroidal medications and supplements! This is exactly what we do for our IBD kitty:
DIET
We did a diet trial and the internal medicine specialist only focused on proteins. I suspected his issues were actually with other types of ingredients, and not proteins, and I was right. It was a lot of ingredient analysis and tracking that led me to his list of food issues. Unfortunately, these ingredients are in a lot of foods! His issues are with:
All gums (locust bean gum, guar gum, xanthan gum, etc...)
All potato products (sweet potatoes, regular potatoes, potato starch, etc....)
All pea derived products (pea starch, pea fiber, pea protein...regular peas are fine if they're English peas and not field peas)
Lentils

SUPPLEMENTS/MEDICATIONS
  • Animal Essentials Slippery Elm, daily (provides mucilage and supports the intestinal barrier, also helps control excess stomach acid) Slippery Elm
  • Animal Essentials Marshmallow root, daily (provides mucilage and supports the intestinal barrier, also helps move hair through the system to control hairballs) Hairball Relief formula
  • side note: do not give slippery elm or marshmallow root (or any other mucilage/fiber product) 2 hours before or 2 hours after any other supplements or medications, they will inhibit absorption
    Animal Essentials Daily Digestion, as needed for nausea (blend of peppermint, ginger, fennel and chamomile) Daily Digestion
  • Probiotic, daily (he started with Visbiome Vet, which has been personally recommended by so many vets and nutritionists I spoke with! It's amazing stuff! He was on this for well over a year, I began rotating his probiotics once he had been stable for a while (this was on the advice of one of our nutritionists). Right now he is taking VetriScience Entero Flora Pro). Visbiome® Vet Entero Flora Pro
  • Fish oil, daily (manages inflammation)
  • He also takes a daily digestive supplement made by our local veterinary nutritionist, it is a blend of various mushrooms, plantain, chamomile and ginger. A similar product is Animal Essentials Colon Rescue. Colon Rescue
  • Cerenia prescription, as needed (after any episodes of vomiting or regurgitation)
  • Pepcid, as needed (Cerenia is enough after about 90% of his vomiting or regurgitation episodes, but about 10% of the time he needs something additional to feel better, so we give him Pepcid)
  • Monthly B12 injections (this was a game changer!!! Our vet recommended this even though his B12 levels were normal. It was the last component of treatment that we added and I noticed a difference in less than 2 days. I believe IBD Kitties website has more information about this, I will search and link to it later if I find it.)
  • Bone broth, daily (it's tasty, it's healthy and it's nice and soothing for his gut, Nugget's Bone Brew is his favorite Bone Brew — Nugget's Healthy Eats)
 
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KBee

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Yes, it is possible to manage IBD through diet and non-steroidal medications and supplements!
That's great news! I'm not against giving the steroids a try, but I was hoping I could try other options first. Thank you for all the links and the information, it's very helpful. I'm glad to hear your IBD boy is doing well!
 

Astragal14

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K KBee here is a little more information about B12, plus a very good overview of treating IBD. We started our cat with B12 injections every two weeks for several months and then moved to monthly injections. We'll discuss every 6 weeks at his next checkup.

From IBD Kitties...
B12 deficiency can cause poor cell formation in the digestive tract and lead to nausea, vomiting, loss of appetite, poor absorption of food (malabsorption syndrome), constipation, gas, weight loss, fatigue, lethargy, abdominal pain, and/or diarrhea... Because a healthy liver is able to store many years worth of B12, signs of deficiency may not be obvious for a long time.
The Importance of B12 – IBDKitties

This is from the Veterinary Information Network, a source often recommended by my vet for a clear overview of many health issues. This article describes various treatment options (steroidal and non-steroidal) for IBD.
It is important to emphasize that IBD is a disease of control, and relapses are possible depending on the severity of disease. Client education is therefore pivotal to avoid frustration and to maximize dietary and medical compliance.
How I Treat: Inflammatory Bowel Disease - WSAVA2013 - VIN
 
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KBee

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K KBee here is a little more information about B12, plus a very good overview of treating IBD. We started our cat with B12 injections every two weeks for several months and then moved to monthly injections. We'll discuss every 6 weeks at his next checkup.
Thank you very much for the links!

I spoke with my vet this morning and we're going to try a change of diet, supplements, and B12 injections to start. She gets her first injection tomorrow, and they're going to show me how to do it so I can do it at home, and take it from there. Zia's a bit more perky today so I'm hoping the B12 will get her feeling better so maybe she'll eat more and maybe start to gain some of her weight back.

Thank you all for your help and all the information you've provided, it's helped a lot!
 
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