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thank you for your response! that makes sense, but we are currently holding off on the endoscopy trying to determine if and how long she is able to even tolerate low dose of budesonide. if she is diagnosed, it's not going to change her reaction to medication, so it will not benefit her at the moment to undergo anesthesia. IM Specialist said they are able to prescribe chemo drugs without the endoscopy/biopsy should her condition worsen and if she is not able to tolerate steroids, we may be able to try chemo on her just to see if she is able to tolerate. Her reaction to medication is not similar to most cats unfortunately, she develops very severe diarrhea.Oh, so sorry, I forgot to respond to the last question!!
Yes, Geoffrey did have and endoscopy with biopsy. Neither the IMVet nor I ever mentioned a full surgical biopsy. I felt the endoscopy with biopsy was necessary to determine if it was IBD or not.. It turned out to be IBD Plus Small Cell Lymphoma.
At your kitty's age: I think 11 years old, I would not wait to have it done. Both Artie and Geoffrey had them done. At age 12, Artie was 'off" for about a week... Geoffrey at age 8, was "off" for 10 days, but he is a much more sensitive kitty.
I am currently giving her BUdesonide 1 mg every other day, and S. Boulardii twice a day. S Boulardii seems to have eased her severe reaction to Budesonide, but not entirely.
Even S Boulardii is giving her smelly gas but we will continue administering it at least two more weeks per IM Specialist advise together with Budesonide.