How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr.Fiona Your Own Question

Dr.Fiona
Dr.Fiona, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 6273
Experience:  Small animal medicine and surgery - 16 years experience in BC, California and Ontario
7995545
Type Your Cat Veterinary Question Here...
Dr.Fiona is online now
A new question is answered every 9 seconds

can I give the cat imodium, we have tried everything to stop

Customer Question

can I give the cat imodium, we have tried everything to stop the diarrhia but even the vet can't think of anything, The cats have high levals of the corrona virus detected in there blood sample. But for the last few years have fought stavation. The cat is now realy thin and hunched up.Please help
Submitted: 4 years ago.
Category: Cat Veterinary
Expert:  Dr.Fiona replied 4 years ago.

Hi there,

Welcome to Just Answer! I would like to help you and your cat with this question, but need a bit more information in order to better assist you.

How old is your cat?

How long has he or she had diarrhea?


Fiona

Customer: replied 4 years ago.
The cat is 5 years old, on and off 2 years. We have had another 3 cats that have died, my wife beleives it's FIP related. Thanks
Expert:  Dr.Fiona replied 4 years ago.
Over what period of time have the other 3 cats died?

What were their ages when they died?

What were their symptoms?

Customer: replied 4 years ago.
2008 onwards and they were all the same ages, All the cats that died and the one that is now very sick are siamese, however we also have 2 normal mogs and these seem unaffected.

The simptoms were identical in all cases, continually ravenous, diarrhae, loss of weight, eventual death ( we have taken them all to the vet - but they could not think of anything more) Thanks
Expert:  Dr.Fiona replied 4 years ago.
So, the cats that died were all 5 yrs old?

Were any of them autopsied after they passed to confirm the diagnosis?

Customer: replied 4 years ago.
They were all aproximately 5-7 years, One symptom I missed was that they all uper resperator problems, runny eyes and nose. The two remaining cats both also have this symptom.

We had a stall test which showed nothing.

The last cat we finally took it to be put down after it got so thin it was cruel not too, and the vet said it's lungs were full of fluid. Thank you :)
Expert:  Dr.Fiona replied 4 years ago.
What treatments have been tried?

What tests have been done?

The really short answer to your question, is NO you cannot give immodium to cats, so I am trying to figure out some other things you can try...

Customer: replied 4 years ago.
Tests:- Blood test, Stall test, 1 cat even stayed in the sergery for 1 week with no definate answer. Just need something else to try before she dies.

Antibotics, Protexin Pro Kolin, various nasal and eye drops, various human medicins recomended by our vet.
Expert:  Dr.Fiona replied 4 years ago.
Oh, wow, lots of things!

Ok, I am going to have to do a bit of research on this one as you have tried a lot of things. I am a member of www.vin.com which is the veterinary information network. It is a place where I can talk with other vets and specialists in every field.

I am going to go and see what other suggestions vets there might have.

Can you tell me what country you are in so I know what products might be available?


Customer: replied 4 years ago.
Location Wales, UK

Realy appreciate your help, my wife is realy upset as there seems no resolution to the problem and the cats suffer. We even tried live yogurt but to no evail. Their stools smell a sickly sweet.

Thanks

Mike


Expert:  Dr.Fiona replied 4 years ago.
Mike,


I have been reading over on VIN and what everyone keeps saying over and over again is that there needs to be a firm diagnosis!


FIP is rare... and having multiple cats affected makes me wonder if this might be a parasite problem.

Giardia and Tritrichomonas are 2 parasites that could cause chronic diarrhea like this.

More here:

http://www.fabcats.org/breeders/infosheets/tritrichomonas.html
http://www.peteducation.com/article.cfm?c=0&aid=3450

http://www.sniksnak.com/cathealth/giardiasis.html

These are treatable, though treatment can be challenging!


It is very hard to diagnose Feline infectious peritonitis (FIP) without doing biopsies of the organs affected.

Quite often, when multiple animals are affected, it is suggested that if one of them unfortunately passes away, that we send their remains in to be tested so that they may yet save the others.

So, without examining your cats and without biopsies, the best we can do is make a tentative diagnosis of FIP. This could still be IBD (inflammatory bowel disease) which is more common in Siamese cats than in other breeds.



FIP is serious and destructive virus. I realize you probably know as much as I do about this virus by now, as you have surely had lots of time to read up on it with these years of sick cats.


The disease is most commonly seen in facilities housing large numbers cats, such as catteries and animal shelters.


Transmission occurs when a cat comes into contact with an infected cat's bodily secretions, primarily saliva and feces.


Unfortunately, the virus can survive a long time outside of the body and can remain a source of infection on a dirty food bowl or litter pan.


Initial symptoms include upper respiratory problems, depression, and weight loss.



Two types of the disease are recognized.


"Wet" type FIP-infected cats appear with large "pot-bellied" abdomens that are actually filled with fluid, eventually leaving the cat struggling to breathe.


"Dry" type FIP-infected cats have minimal fluid accumulation and exhibit weight loss, depression, anemia, and fever.


Unfortunately, FIP is hard to diagnose as test results are unreliable; by the time symptoms are identified as likely resulting from FIP, the disease has already significantly progressed.



The only way to care for an FIP-positive cat is to provide supportive care based upon the symptoms. A vaccine does exist for this virus but is quite controversial and is not frequently used. The best prevention is to minimize a cat's possibilities of exposure.

So, then we come to treating diarrhea. The things that I would try are:

1. Metronidazole -

this antibiotic kills the "bad" bacteria in the intestines and spares the good.

Here is more about metronidazole: http://www.petplace.com/drug-library/metronidazole-flagyl/page1.aspx

 

2. Probiotics


This would be what was in the yogurt you tried. Often, diarrhea in cats is due to an overgrowth of "bad" (anaerobic) bacteria in the intestines. If you give your cat a probiotic, it will help to re-establish "good" bacteria in her intestines. You can either get FortiFlora from your veterinarian, or you could use Culturelle (1/2 - 1 capsule per day for a cat, sprinkled on her food). You need to continue treatment for 1 month in order to have this be effective.

Here is more about them:
http://www.culturelle.com/
http://www.healthypets.com/fortiflora30.html

 

3. Diet changes

Diarrhea can be due to fibre in the food, so in some cats the problem is resolved by trying a low-residue food (low fibre). Purina makes a low-residue cat food you can get at your vet clinic.

Here is a link to it: http://shopping.msn.com/specs/cat-food-purina-veterinary-diets-en-gastroenteric-feline-formula-dry-cat-food/itemid933787345/?itemtext=itemname:cat-food-purina-veterinary-diets-en-gastroenteric-feline-formula-dry-cat-food

Other cats seem to have diarrhea due to food allergies. These cats' feces are normal if the cat eat a hypoallergenic diet. Again, these would be available from your vet.

You would need to commit to a 90 day trial where this was the ONLY thing your cat was allowed to eat, in order to test to see if this was going to help. These foods either have a unique protein (that your cat has NEVER eaten before – things like venison, duck, rabbit, salmon) or a hydrolyzed protein (that is partly broken down so the body does not recognize it and react to it).

Here is more about this issue, including some examples of foods:
http://www.marvistavet.com/html/body_food_allergies.html

4. Reduce carbohydrates (CHO's)

For many cats, the CHOs can make diarrhea worse.

So, it is a good idea to offer a high quality canned, low-carb diet, such as Evo 95.


Another option would be a lightly cooked raw diet (Nature's Variety or Companion or Primal) WITH the probiotic. This combination is often effective!

I wish there were more I could do to help you with this very challenging problem. I'm sorry I don't have a magic solution for you. It sounds as though your vet has been very thorough!


 


If this has been helpful, please "Accept" my answer and leave feedback. I will still be here tomorrow to provide more information if you need it!


The above is given for information only. Although I am a licensed veterinarian, I cannot legally prescribe medicines or diagnose your pet's condition without performing a physical exam. If you have concerns about your pet I would strongly advise contacting your regular veterinarian.


Fiona



Dr.Fiona, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 6273
Experience: Small animal medicine and surgery - 16 years experience in BC, California and Ontario
Dr.Fiona and 6 other Cat Veterinary Specialists are ready to help you
Customer: replied 4 years ago.

Hi Fiona,

 

Thanks for your help we are going to recomend the Metronidazole to the Vet. Thanks Again

Expert:  Dr.Fiona replied 4 years ago.
I have had metronidazole work for many of my cat patients. It tastes horrible! Very bitter! So, you won't convince your cat to eat it if you put it in some food.

You are probably very good at getting medications in to cats by this point. However, just in case you are interested, t he suggestions that I usually give to clients are:


1. My favourite option is to give medications in Pill Pockets.



These are little squishy treats that come in chicken and salmon flavour and have a divot in the middle in which you can hide a treat. I would say that 90% of cats will happily take a pill with these.

Here is more about them:


http://www.greenies.com/en_US/Products/FelinePillPockets.aspx

http://www.youtube.com/watch?v=NnG78ZEYMbU




2. Many cats will take a pill if it has a smear of smoked salmon cream cheese on it.



3. You could try hairball control Pounce treats, which get fairly squishy if you add a drop of water to them. Then, you can hide the medication inside it.



4. Try a little squirt of cheese spray



5. Offer the pill in 1/8th teaspoon of ice cream or plain yogurt



6. Hide the pill in a small piece of melon, which many cats love oddly enough.




7. Buy some jars of baby food in meat flavours and offer those as a treat. Read the ingredients carefully to avoid onions, onion powder and garlic and garlic powder. BeechNut make a few that are just meat. One is "turkey in turkey broth" and another "beef in beef broth." They are both popular with cats, and you may be able to hide the pills in 1/4 teaspoon of that.
Here's a link:

http://www.beechnut.com/Our%20Baby%20Food/Results.asp




8. Your veterinarian could provide you with cans of a/d which is a very tasty food used to help sick animals to recover. It is probably the food that I have had most success with to tempt finicky cats to eat. You could hide a pill in 1/4 tsp of this.

Here is a link to it: http://www.hillspet.com/hillspet/products/productDetails.hjsp?PRODUCT<>prd_id=845524441760567




9. A compounding pharmacy could make the medications up into a palatable liquid, or a tasty chewable formula, or even a gel that can be applied to the inside of the ear where it can be absorbed across the skin (not all medications are well absorbed this way, however). Pharmacists can make things in triple fish flavour, or chicken or beef or others to suit the patient.

I often use the liquid in triple fish when I treat with metronidazole, as I quite often will do a 3 week course. This seems to be less offensive to cats than many other options!




10. Have your vet or technician teach you how to give a pill by putting it at the back of the cat's mouth.
There are some excellent directions here on how to do it:
http://www.marvistavet.com/html/pilling_a_cat.html
http://www.peteducation.com/article.cfm?c=1+2230&aid=1064




11. If your cat is difficult to give a pill to, you can use a Pill Popper. This is a device that puts the pill at the back of her throat. You can see how to use it here:

http://www.expertvillage.com/video/9900_cat-first-aid-health-pill-popper.htm

http://www.wonderhowto.com/how-to/video/how-to-give-your-cat-a-pill-or-capsule-79004/





My guess is that you will have to move through this list and try different things at different times to give your cat her medications. However, I do hope that you will find that many of these work for you so that this does not become a struggle and so that you can maintain the loving relationship you have with your cat!



You do NOT need to hit accept again as then you will be charged another fee!



Fiona

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
< Last | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Gary

    Cat Veterinarian

    Satisfied Customers:

    3053
    DVM, Emergency Veterinarian, BS (Physiology)
< Last | Next >
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Cat Veterinarian

    Satisfied Customers:

    3053
    DVM, Emergency Veterinarian, BS (Physiology)
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    4146
    UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    3980
    12 years of small animal, equine and pocket pet experience in medicine and surgery.
  • http://ww2.justanswer.com/uploads/BI/bigislandvet/2013-2-21_214244_IMG0357.64x64.JPG Dr. Michael Salkin's Avatar

    Dr. Michael Salkin

    Big Island Vet

    Satisfied Customers:

    3268
    University of California at Davis graduate veterinarian with 41 years of experience.
  • http://ww2.justanswer.com/uploads/1I/1ISUDVM/2011-3-1_22028_Honeymoon2005075294928803490646858.64x64.jpg Dr. Bruce's Avatar

    Dr. Bruce

    Veterinarian

    Satisfied Customers:

    3188
    12 years of experience as a small animal veterinarian
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Cat Veterinarian

    Satisfied Customers:

    2873
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/PE/petdrz/2012-6-7_16239_MeandDoncropped.64x64.JPG Dr. Z.'s Avatar

    Dr. Z.

    Veterinarian

    Satisfied Customers:

    1936
    Over 25 years of experience in caring for dogs and cats.