IBD (Inflammatory bowel disease) or something else ?

louisstools

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My 10 year old girl cat goes in tomorrow for an ultrasound. Using my vet's exact words we're in "purely exploratory diagnosis phase" with her to get to the reason as to why she doesn't want to eat consistently. They're leaning towards possible inflammatory bowel disease based on patterns of behavior and xray but obviously we'll need an ultrasound first to even justify a biopsy which is best way for a diagnosis.

She plays well and drinks well. She used to bang herself against my door in the AM to get me up to feed her but now she sometimes doesn't even show interest in eating in the AM. Physical exam always shows good. Full bloodwork up shows she's healthy and all her organs are working properly. They've tested everything except the vitamin/nutrient absorption one.

She does throw up a few times a month (sep: 3, oct: 2, nov: 3, dec: 4, jan: 7, feb: 4) and they seem to come in bursts where it's back to back and then nothing. Some days when she pukes it's on a "eating day" vs a "fasting day." Sometimes they're clear liquid, sometimes they're yellow-ish liquid, sometimes they're yellow-ish with food bits. Sometimes she pukes right after eating and sometimes its after pooping. Stools are never runny and afaik no blood in them (stool sample showed none but that was a one time test). It seems that she has bouts of mild constipation every few weeks but nothing that concerns me...just a day or two of smaller stools and then a "corker" as we call it and then back to normal.

Sometimes she goes into this hidey-hole cat house thing after eating, sometimes she'll go downstairs after eating and sit in a corner near the stairs, usually she'll just go to her grooming spot. I don't hear any stomach sounds from her but my hearing is trash.

The IBD article here has been the best one I've seen b/c it is the only one that talks about IBD working in episodes. We'll go a few days where she's jumping off the couch to go eat and showing interest in her bowl to suddenly just not wanting to even look at her bowl. It's just so binary and I can't figure out this pattern. I'm curious for those who have been diagnosed with IBD how closely our symptoms match with what you had.
 

Alldara

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My cat's IBD turned out to be good allergies. But yes similar symptoms.
 

lisahe

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We see a lot of these habits and symptoms in our two cats. They're also 10. First off, I'm glad to hear you're keeping track of your cat's barfing incidents. I'm even gladder to hear you're taking your cat in for an ultrasound, they're great for identifying lots of issues, including thickened intestines, a sign of IBD. Our Edwina has slightly thickened intestines.

Like your cat, Edwina has a habit of vomiting clear liquid -- stomach acid -- when she's hungry. We feed her about six meals a day. As long as she doesn't get too stressed (or keyed up -- she's a rescue with very bad food insecurity) she does pretty well with that. Edwina also has a more occasional habit of regurgitating meals, particularly breakfast if she gets too much to eat at one go. She gets her breakfast in installments. This page has some very good advice about avoiding/managing acid vomiting: My Cat is Vomiting - What Do I Do?

Our other cat, Ireland, specializes in constipation, which sometimes leads to a reduced appetite, which then sometimes leads to vomiting acid. A few things seem to help her with all that. Both our cats get daily Vet's Best Hairball Relief tablets even though neither one has real hairball problems! The tablets seem to help keep Ireland regular. I also add hard-boiled egg yolks to the cats' homemade food. Food Fur Life has a page about egg yolk that mentions its value in keeping the intestines going: Tired of Hairballs? Food Fur Life Proudly Introduces - The Incredible Edible (EZ) Egg (Yolk)!
Motility decreases with age, something our vet has been warning us about for years. We've certainly seen that with our cats! There are also motility drugs that can help but neither cat seems to need those, at least not yet. Given what we've seen with Ireland, I'd say that finding a way to ease your cat's constipation would be a big plus. It could alleviate that "binary" pattern you've been seeing. We've definitely seen that with Ireland. I hope your vet will have some ideas for you, based on tomorrow's ultrasound results.

You didn't mention what you feed your cat -- what is her name, by the way? -- but if she's eating food with high bone content, that could be contributing to her constipation. That was a definite factor for Ireland. We used to feed the cats a lot of raw food, much of which contained bone but now we've completely overhauled their diet.

I hope the ultrasound goes well -- please do let us know what you learn!

Just as I was about to post, I saw A Alldara 's post mentioning food allergies... we've seen a bunch of those, too, though the symptoms have generally been only vomiting with some food in what came up. And symptoms were gone quickly when we eliminated the guilty ingredients.
 
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louisstools

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Her name is Missy. She eats Purina ur so prescription kibble. We tried wet but couldn't find one she'd consistently eat. And that was when she was easier to feed. Missy gets 13-20 feedings a day to get her 2.0 oz by weight of kibble in her...assuming a good day.

Edit: lisahe lisahe how did you go about getting your kitty's food allergy diagnosed? it's certainly possible this is the issue with my girl but she's been on this food for ~10 years. It's only since Oct 2021 (around the time her brother got diagnosed with cancer and eventually passed Dec 2021) that she's had issues with eating. Prior to that she never, ever, refused to eat...she was a HOOVER.
 
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lisahe

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Edit: lisahe lisahe how did you go about getting your kitty's food allergy diagnosed? it's certainly possible this is the issue with my girl but she's been on this food for ~10 years. It's only since Oct 2021 (around the time her brother got diagnosed with cancer and eventually passed Dec 2021) that she's had issues with eating. Prior to that she never, ever, refused to eat...she was a HOOVER.
We figured the allergies out by trial and error, removing ingredients from her diet. Sometimes it's easy and quick to figure out, sometimes it takes months. Sometimes an ingredient will be fine for years but then starts to cause problems. We've had to take potato, agar-agar, green-lipped mussels, and xanthan gum (the latter is unproven but easy to live without!) out of the cats' diet. The mussels are an ingredient that we'd fed for some years (they're in a food supplement that I used to use) that later started to cause problems. There are other things (like all grains and legumes) that we just keep out of their diet to keep it low in carbs and high in meat protein.

If this food is what Missy's eating, there are a few ingredients that are common allergy issues: corn, chicken, and fish.

Edwina's a Hoover, too! They can be so easy but so hard to feed, particularly if they're Hoovers because of food anxiety.
 
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louisstools

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Yep that's her food. Obviously we're waiting on more diagnosis before trying anything. We -- me and her vet team -- are hoping its not a food/diet issue b/c the cat hasn't been good in the past with diet switching from dry to wet. They've already said they don't feel a diet change is going to be a viable solution based on recent past. We tried a year ago to get her on wet food but As bad as she it was worse with wet...just didn't want it...and wouldn't eat the same food more than once or twice.
 
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Alldara

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Yep that's her food. Obviously we're waiting on more diagnosis before trying anything. We -- me and her vet team -- are hoping its not a food/diet issue b/c the cat hasn't been good in the past with diet switching from dry to wet. They've already said they don't feel a diet change is going to be a viable solution based on recent past. We tried a year ago to get her on wet food but As bad as she it was worse with wet...just didn't want it...and wouldn't eat the same food more than once or twice.
There are many limited ingredient dry foods too..so perhaps that could be an option?
If there's acid build up, I find that cats like dry because it soaks that acid up in their tummy.

Does she have a raised bowl? A quick option is a cardboard box but I'm happy to share my other hacks for raising the bowl a bit too.
 
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louisstools

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There are many limited ingredient dry foods too..so perhaps that could be an option?
If there's acid build up, I find that cats like dry because it soaks that acid up in their tummy.

Does she have a raised bowl? A quick option is a cardboard box but I'm happy to share my other hacks for raising the bowl a bit too.
Yeah she has a raised bowl and a raised water fountain. Unsure if either of those have helped to be honest.
 

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The ultrasound I will show more . I don't remember exact details but something about walls in her intestines thickening. Her specialist ran tests that my regular vet didn't that showed she is in excellent condition with vitamins,sodium,glucous,thyroid,etc. I give her meds every night. So her ibd was caught early
 
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louisstools

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Ultrasound was negative for IBD. Everything looked good. Radiologist mentioned gall bladder, while looking normal for a cat her age, could have flare ups which might be causing periodic nausea. Still need to talk to our normal vet for what's next.
 

lisahe

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Ultrasound was negative for IBD. Everything looked good. Radiologist mentioned gall bladder, while looking normal for a cat her age, could have flare ups which might be causing periodic nausea. Still need to talk to our normal vet for what's next.
I'm glad it was negative for IBD, that's a start! Interesting about the gallbladder. Sometimes no reason's found for any of this, as we learned last year when Edwina had to have stomach surgery.

I'll be really interested to hear what your regular vet might say, particularly given Missy's preference for dry food. FWIW, our cat who gets constipated also loves dry food... we feed her small amounts of it on servings of wet food with extra water. That seems to keep everybody (and her gut, too) happy but I know that doesn't work for everybody.
 
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louisstools

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Ha when my girl was on a diet of all wet food her constipation was worse! She drank zero extra water. Constant uti too. She's a bizarre little girl.
 

lisahe

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Ha when my girl was on a diet of all wet food her constipation was worse! She drank zero extra water. Constant uti too. She's a bizarre little girl.
The constipation part doesn't surprise me (among other things, the dry food might have more fiber) but the UTI does!

Yes, cats can be very bizarre... Most of all, here's hoping that you'll find some bizarrely easy way to help her feel better.
 
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