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. Dave Your Own Question

Dr. Dave
Dr. Dave, Veterinarian
Category: Cat
Satisfied Customers: 4035
Experience:  20 years small animal general and emergency practice
15552883
Type Your Cat Question Here...
Dr. Dave is online now
A new question is answered every 9 seconds

Hello, We have a 10 year old cat that I originally put a a

Customer Question

Hello, We have a 10 year old cat that I originally put a a new higher grade diet from cat chow to solid gold that was suppose to be better. He started having blood in the stool. I we took him to the vet and he said he had gas in his digestive track so he put him on antibiotics and prescription diet l/d. It stopped for two weeks and now the blood in the stool is back. He is also itching. We're not sure what do to please help.----also her vomited today, it was clear.---and the vet said he has elevated liver enzymes.

Submitted: 1 year ago.
Category: Cat
Expert:  Dr. Dave replied 1 year ago.
Hello, and thanks for writing in. Sorry to hear this is going on with Teddy. This can be frustrating, especially without knowing for sure what the underlying problem is. It's good that blood work was done. The elevated liver enzymes can go along with several things, including true liver disease (infection, inflammation, cancer), thyroid disease, among others. I would also recommend additional lab work, possibly sent out to an outside diagnostic lab. Additional blood work may include testing for pancreas problems or inflammatory bowel disease. Sometimes imaging needs to be done, such as X-rays or ultrasound to look at the size and shape of the digestive tract or abdominal organs to check for things such as inflammation, growths, thickening of bowel loops, or tumors. Lastly, biopsies may be needed of the digestive tract or digestive organs (i.e. pancreas, liver, stomach, intestines), since this is the only way to get a specific diagnosis sometimes. I'm not saying you need to do all of these tests, but any additional test results can be helpful, even if they are normal (as they help to rule out specific problems, and help to narrow down the diagnosis).
Antibiotics and Hill's l/d food are fine, but further treatment may be needed, depending on the additional diagnostic test results. If the additional tests are not possible for you to do, you can also try a few things, such as a product called Denamarin, which helps to protect the liver. You can see an example of Denamarin here:

http://www.nutramaxlabs.com/cat/cat-liver-health/denamarin-for-cats

Sometimes more aggressive treatment is needed, such as IV fluids, and prednisone (to cut down on inflammation in the liver, pancreas, or intestines). By the way, predinsone would also help with itching.

I hope this helps. Please let me know if I can assist you and Teddy further.
Dr. Dave

Customer: replied 1 year ago.

When he was on Cat chow he was better, would going back to that help? Also Teddy has the same energy as ever and is still very lively.

 

Could liver disease be from switching foods because this just started with the food switch?

Expert:  Dr. Dave replied 1 year ago.
Thanks for your reply. Liver disease would not occur from switching foods. Elevated liver enzymes don't necessarily indicate liver "disease", it just indicates the liver is "upset", which could be due to simple inflammation or infection. But, it's also possible that something more serious may be going on - that's where additional tests would tell you and your veterinarian more information to base further treatment on.
Sometimes we see changing foods can lead to digestive upset (vomiting, diarrhea), but should not cause liver problems. So, while changing foods might possibly change any vomiting or diarrhea, it should not change any liver changes.
Great to hear that Teddy is still energetic and lively - this typically indicates that the underlying problem is not too serious.

Dr. Dave
Customer: replied 1 year ago.

So would switching back to his original food help? Also his poop is normal consistency just with blood.

Expert:  Dr. Dave replied 1 year ago.
Unfortunately, we don't know if switching back to his original food would help - it would be a "trial and error" situation. To find out if it would help, you would need to switch back to the original food, and if the symptoms improve, then the original food may help. But, if the symptoms don't improve, then the original food would not help.

Dr. Dave
Customer: replied 1 year ago.

Our concern is having elevated enzymes for these weeks mean that his liver can get seriously damaged? I'm worried that his liver might get seriously damaged in these weeks and might not be reparable.

Expert:  Dr. Dave replied 1 year ago.
The blood in the stool indicates a large intestinal problem, such as inflammatory bowel disease, colitis, cancer, intestinal parasites. I know these are a few different possibilities, but blood in the stool can go along with many different things. That's where additional diagnostics can help. But, if that is not possible, then the treatment and "wait and see" is appropriate.

Dr. Dave
Expert:  Dr. Dave replied 1 year ago.
I understand your concern about the liver - that is where the additional tests would tell you and your veterinarian more about what exactly is going on in the liver, and what needs to be done to treat it, so you don't need to worry.

Dr. Dave
Customer: replied 1 year ago.

We're going to the vet tomorrow but waiting for the results will take some time and I would like reassurance that his liver won't be irreparably damaged because we didn't go sooner.


 


Also can we switch the food cold turkey, is that recommended?

Expert:  Dr. Dave replied 1 year ago.
I understand. Without knowing exactly what is going on with the liver (since many things can cause elevated liver enzymes - priXXXXX XXXXXver disorders, secondary liver disorders, etc.), unfortunately, there is just no way to be able to tell you what is going with the liver at this time, and how things will progress, with or without treatment. I completely understand what you are asking, and I would love to tell you that everything will go perfectly, but no veterinarian would be able to tell you that at this point in time, without the additional diagnostics to tell more specifically what is going on inside Teddy. Overall though, I would highly suspect that you are not dealing with irrepairable liver damage, by waiting until tomorrow to get tests run.
With a change of food, it's best to transition over about 5-7 days, by mixing the two foods together (less of the old food with more of the new food each day).

I hope this is helpful.
Dr. Dave
Dr. Dave, Veterinarian
Category: Cat
Satisfied Customers: 4035
Experience: 20 years small animal general and emergency practice
Dr. Dave and 2 other Cat Specialists are ready to help you
Customer: replied 1 year ago.

Thanks for all the help.

Expert:  Dr. Dave replied 1 year ago.
You are very welcome - glad to be here to assist you and Teddy.
I hope everything goes great!

Take care,
Dr. Dave
Dr. Dave, Veterinarian
Category: Cat
Satisfied Customers: 4035
Experience: 20 years small animal general and emergency practice
Dr. Dave and 2 other Cat Specialists are ready to help you
Customer: replied 1 year ago.

One more question. Is it possible that the original food switch created bacteria in the liver that causes the elevated enzyme. If not how could the food swicth start such a chain reaction?

Expert:  Dr. Dave replied 1 year ago.
The food switch would be very unlikely to have cause the problems. It's likely coincidental timing, as the only reason a food could have caused this is if the new food was contaminated, which is not likely.

I hope this is helpful.
Dr. Dave
Customer: replied 1 year ago.

I'm sorry again but how long does the food stay in their system. And how long do antibiotics stay in their system?

Expert:  Dr. Dave replied 1 year ago.
On average, food stays in the system 1-2 days (from eating it, to stool passing out). It depends on the antibiotic. Most antibiotics are out of the system within 24 hours. There is an injection of an antibiotic called Convenia, which lasts 2 weeks in the body.

Dr. Dave
Customer: replied 1 year ago.

If we were to switch to the original food that worked. How long would it take to get results with just the food switch?

Expert:  Dr. Dave replied 1 year ago.

IF it were to work, it may take anywhere from 2 days toXXXXX Dave

Customer: replied 1 year ago.

Also I completely forgot that the doctor took xrays and and found gas from bacteria.

Expert:  Dr. Dave replied 1 year ago.
Good to know - that is very common with digestive upset.

Dr. Dave
Customer: replied 1 year ago.

an that fuel out anything or is your recommendation still stand?

Expert:  Dr. Dave replied 1 year ago.
It still stands. Gas on X-rays is VERY common, whether bacteria are present or not, but it's more common with bacteria.

I hope this helps.
Dr. Dave

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:

 
 
 
  • The response from the Expert literally saved my cat's life. Thank you from the bottom of my heart -- I will recommend all of my friends to you!!! Lucia Rincon, Georgia
< Last | Next >
  • The response from the Expert literally saved my cat's life. Thank you from the bottom of my heart -- I will recommend all of my friends to you!!! Lucia Rincon, Georgia
  • I will use your service again. I was very pleased with the response and the fact that you have a low cost option so that those of us on fixed income can have questions answered. I will also recommend you to others. Karen Jackson Heights, NY
  • You helped us to come to what we believe is a better next step in Jack's treatment, and hopefully have saved us $800!! Thanks again! Jack's Mom Tuscon, AZ
  • The vet said that the information and my following it will be what made the difference. Thanks again for being so very helpful. Tracy Grayson, LA
  • My oldest male cat had a seizure this evening. This site was the first place I could think of to go after the seizure had passed. Dr. Lucy was fantastic and she was spot on! Debbie USA
  • I must tell you I found this site by accident and was amazed when I asked a question of the Veteranians online. I wish I could have found it sooner it could have made such a difference in the outcome of my pet's surgery. However, I am passing along the information to my sister-in-law (a cat-rescue person who is also a nurse), and perhaps it will help someone else who may experience the same problem. The doctor who answered my question was amazing, and while it didn't come it time to change the outcome of my situation, it is reassuring to know the caliber of Vets/Doctors that you have at JustAnswer. Thank you for being there. Alice H. Jacksonville, 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
 
 
 

Meet The Experts:

 
 
 
  • Terri

    Feline Healthcare Expert

    Satisfied Customers:

    18938
    Expert in feline health and behavior. 20 years experience with cats.
< Last | Next >
  • http://ww2.justanswer.com/uploads/purrfectkitty/2008-07-10_084515_2006-06-10_me2.jpg Terri's Avatar

    Terri

    Feline Healthcare Expert

    Satisfied Customers:

    18938
    Expert in feline health and behavior. 20 years experience with cats.
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Cat Veterinarian

    Satisfied Customers:

    868
    DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
  • http://ww2.justanswer.com/uploads/CE/Cerecita/2011-3-16_2565_JAPIC500x500.64x64.jpg Cher's Avatar

    Cher

    Feline Specialist

    Satisfied Customers:

    9637
    Feline Healthcare & Behavior Specialist 40+ years Experience
  • http://ww2.justanswer.com/uploads/kydoll/2008-11-26_190500_me.jpg Lori's Avatar

    Lori

    Feline Healthcare

    Satisfied Customers:

    3325
    16 yrs health care mgmt & issues relating to cats, reproductive issues and multicat environments
  • http://ww2.justanswer.com/uploads/mccprn/2009-11-20_185102_JA_profile.jpg Micki's Avatar

    Micki

    Expert in cat behavior and health

    Satisfied Customers:

    3153
    Expert in cat medical and behavior issues.
  • http://ww2.justanswer.com/uploads/ER/ERPetNurse/2011-11-7_1293_b.64x64.jpg Candy R.'s Avatar

    Candy R.

    Veterinary Technician

    Satisfied Customers:

    2887
    Practicing Veterinary Technician for 26 years.Former Veterinary Practice Owner, Technician Trainer
  • http://ww2.justanswer.com/uploads/BA/babybloo/2011-3-10_62613_DavidandI.64x64.jpg Theresa's Avatar

    Theresa

    A Voice for your Pet

    Satisfied Customers:

    2124
    19+ years in animal medicine as a veterinary technician