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Kobi has IBD...

5.3K views 29 replies 18 participants last post by  MowMow  
#1 ·
Last fall I noticed that Kobi was eating ravenously and had lost some weight, vomiting once in a while which was unusual for him...I was thinking hyperthyroid, at 11 years he's the perfect age for that. Vet did a full blood panel and urinalysis and everything came up perfect except that he had lost over 3 lbs. She said we could do lots of expensive tests but that she doubted that they would show anything since there was absolutely nothing suspicious in his blood work. We decided to up his food quantity and monitor. I was weighing him every couple weeks...he was still eating like a horse but holding his weight.

In Jan the vomiting increased to several times a week, just liquid...not really food. I had eliminated the little bit of kibble he was getting back in December so I tried removing the chicken and turkey and went with more novel proteins. After a couple weeks that wasn't working, the vomiting of liquid was almost daily and he had lost more weight.

Took him in and she ran another T4 test and a pancreatitis test. Both were negative. Next up was a test for checking whether he's excreting too much protein in his stool. I had to collect 3 poop samples and they had to be sent to a lab in Texas. It's been two and a half weeks (several days to collect samples and 2 weeks for the test results to come back)...yesterday it came back that he is definitely losing protein, which means he has IBD.

In the meantime, during that 2 1/2 weeks, he's lost even more weight, down a total of about 5 lbs. He was about 18 lbs and not really overweight, he's now 13 and a bag of bones. I remembered that when Callie had IBD I had good luck with giving her slippery elm for her vomiting. So I started Kobi on that about 2 weeks ago and it has helped a lot...only vomited twice in that time.

So the vet called with the test results yesterday, we decided to put him on prednisolone. We discussed diet and she said to just keep him on high quality, highly digestible proteins...he's been on a combo of canned and raw the last couple weeks and she said that should work fine. And I'm continuing the slippery elm.

He goes in for a weight check in two weeks. Crossing my fingers that the pred gets the inflammation down enough that he can absorb his nutrients again.

This is the second cat I've had with IBD...it just stinks. He's eating a 5.5 oz can of wet plus 4-5 oz of raw per day plus whatever he scavenges from Holly and Maggie's dishes....and still losing weight.
 
#3 ·
I hope the prednisolone works. Doesn't seem fair to happen to two cats in one family. :(
 
#11 ·
Thanks for the well wishes everyone.

Doesn't seem fair to happen to two cats in one family. :(
Ironically it's been the two cats that would just about eat anything and seemed to have cast iron stomachs until the IBD reared it's ugly head. Maggie & Holly tend to occasionally vomit for no reason, yet Kobi would bring up a huge hairball a couple times a year and nothing else.

I'll be rooting for him, doodlebug.

Look, you probably know about these people but, just in case: felineibd1 : Feline IBD group
Yes, I'm aware...thanks.

what has he been eating? (i mean brand, i know you feed good food) that's so strange, i guess maybe it doesn't matter unless you feed cats with IBD totally raw? or it's from something else (water, air, genetic, etc.).
For the last 7 years he's been eating mostly a variety of canned, I probably use about 10 brands, but Wellness makes up at least 30-40%. Mostly chicken, turkey and duck flavors because Holly has a fish intolerance and Maggie & Holly really don't like beef or venison. He was also getting 1/8 cup of Holistic Select Duck dry (which is really more chicken based)...this was also selected based on Holly's issues, which is why it wasn't grain free. His first 4 years he ate a combination of Pro Plan and Iams.

I tried moving him to some other proteins that he hasn't received regularly, didn't make any difference. I'm thinking of switching him over to totally raw...maybe RadCat.

Yeah...I don't think his issues are food related, I'm blaming this one on genetics or environment.

Oh no. I'm sorry to hear that. 5 lbs. since the fall?

How does he seem otherwise?
Good...his coat is gorgeous, seems a little more subdued but he's not one to play...he's a basic lay around do nothing kind of cat, so it's kind of hard to tell if he's feeling lousy. He's eating his food with the pred mixed in with no problems...I mix it in half of his canned food and then put him in the bathroom with it. Then when he's finished I feed everyone else and give him the rest of his meal. That's working well.
 
#6 ·
that's horrible. my vet thought that's what diotima had, but after i switched to the best grain-free i can find (and some home-made) she doesn't vomit at all anymore so if that's what it was then it must have been really early. i lucked out and avoided all the fecal tests and endoscopy, biopsy, etc.

what has he been eating? (i mean brand, i know you feed good food) that's so strange, i guess maybe it doesn't matter unless you feed cats with IBD totally raw? or it's from something else (water, air, genetic, etc.). i didn't especially want to go the 'roids route unless it was absolutely necessary, so good luck. i guess they don't make NDSAIDs for cats? (lol) (not that they're that much safer anyway, i just have to take some sometimes).

good luck! i hope he gets better and not too skinny. :)
 
#7 ·
Wow, that's a lot of food! :( Poor guy... IBD seems to be becoming more common in cats... or maybe people are just talking about it more, I don't remember any cats in the past with so many issues. My aunt's cat also has food allergies and IBD symptoms. It's really frustrating. I'm glad the slippery elm is helping Kobi.
 
#8 ·
I'm sorry Doodle, I know the feeling....my Vet recently threw around the IBD diagnosis as well and it's done nothing but stress me out. Hoping the Pred helps Kobi out! :patback

And thanks Strykr for that link, I just joined. Going to read up when I get some time.
 
#12 ·
Well despite the bad day I had with Maggie...there is a bit of sunshine...

Kobi goes for his follow up visit tomorrow, I plopped him on the scale today and it looks like he's gained 3/4 lb. He's still eating his food with the pred in it just fine. His appetite has diminished a bit, probably because he's finally absorbing some nutrients...but still eating way more than he used to.

I'll report in after the vet tomorrow...
 
#14 ·
I know how frustrating it can be dealing with IBD kitties.....one of mine did very well on pred for years.....the other didn't do as well and I ended up losing her to lymphoma. I have found that a grain-free diet is helpful, and some vets prescribe a course of metronidazole in addition to pred.
I'll be sending prayers to you and Kobi....
 
#17 ·
I also had another IBD kitty, Callie....her diagnosis was confirmed by biopsy. She was on pred & metronidazole too. I think it managed to slow things down, but she never gained any weight back. Eventually had to stop the metronidazole as she developed neurological side effects that resolved within a few days. And then she developed lymphoma too.

Kobi is on a grain free diet of commercial raw and canned...no kibble. Since Callie never really responded to the meds, I'm encouraged that he has. He has benefited from the things I learned with her, so this was caught a lot sooner and his diet is much better.
 
#18 ·
Passed his follow up visit with flying colors...14 oz weight gain, heart and lungs are fine (pred can affect them). She reduced his dose by 25% and I need to call in a weight update in 2 weeks. If he's maintained or gained then he goes for another heart/lung check two weeks after that.
 
#22 ·
I read that you are putting the prednisone in his food. One of my cats was on Budesonide for intestinal inflammation, and I was putting it in his food. I was always worried he would not eat the food or someone else would dive in and eat it instead. The vet internist told me about BCP Pharmacy in Texas. They have a Vet Chew, lots of flavors, which they then compound the meds into. I buy the liver ones and my cat thinks it's a treat. One swallow and it's gone. No more medicine worries, no pilling, no liquid. It's reasonably priced, and it's at my door in 3 days after ordered (I live in CA). They can use lots of different meds, another cat is now having it with his Methimazole. One thing that has been helpful is the meds go throughout the chew, so as I've been weaning off the Budesonide, I cut the chew to give smaller portions. I'm sharing this because for my family, it's the greatest thing since sliced bread! No trauma taking meds and peace of mind. Good luck with your kitty.
 
#23 ·
I read that you are putting the prednisone in his food. One of my cats was on Budesonide for intestinal inflammation, and I was putting it in his food. I was always worried he would not eat the food or someone else would dive in and eat it instead. The vet internist told me about BCP Pharmacy in Texas. They have a Vet Chew, lots of flavors, which they then compound the meds into. I buy the liver ones and my cat thinks it's a treat. One swallow and it's gone. No more medicine worries, no pilling, no liquid. It's reasonably priced, and it's at my door in 3 days after ordered (I live in CA). They can use lots of different meds, another cat is now having it with his Methimazole. One thing that has been helpful is the meds go throughout the chew, so as I've been weaning off the Budesonide, I cut the chew to give smaller portions. I'm sharing this because for my family, it's the greatest thing since sliced bread! No trauma taking meds and peace of mind. Good luck with your kitty.
That's a really good tip. I'll keep that in mind for the next time Murphy needs meds.
 
#25 ·
Doodlebug, are you getting the pred crushed to mix in, or in a liquid form, or...? I can't get Celia to take her prednisone or her Norvasc. A pharmacy here was supposed to turn the Norvasc into a transdermal, but they did a generic, which has never worked for her.

I guess if that doesn't work, I'll try the Vet Chew that LCSP mentioned. Celia's figured out every other treat.
 
#26 ·
It's liquid...smells sweet and kind of like fake cherry flavor.
 
#27 ·
I hope he gets better! :( I've never dealt with a cat that had this personally but Im curious. What causes it?? Like I know genetics and things but what can contribute to it? Diet?
 
#28 ·
Kobi is on pred for Inflammatory Bowel Disease, diagnosed 4 weeks ago. He was given an initial dose level...stopped vomiting and gained almost a pound in two weeks. Since he responded so well, the vet reduced his dose by 25%, he gets weighed again tomorrow and if he gained or maintained, she will lower his dose again. Basically we're in the process of trying to get him on the lowest dose and keep his symptoms at bay. Kobi is only 11, so he could potentially be on the pred for quite a long time and we're trying to minimize his risk of other side effects like diabetes.
Hoping Kobi keeps getting better and the weigh-in shows good progress.
 
#29 ·
Thanks!

Just had a weigh in and he's up 4 oz from two weeks ago. That's good, because in addition to the medication dose reduction, I also reduced the amount of food he's getting. He's at 14.25 lbs, but I'd like to get him up to about 15 lbs...because 13 lbs was way too scary and I want him to have a little cushion in case things flare up again.

No vomiting and I'm still giving him slippery elm to help coat his stomach.