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Dr. B.
Dr. B., Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 21418
Experience:  Small animal veterinarian with a special interest in cats, happy to discuss any questions you have.
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My cat is at least 18 year old (we took him in as a full grown

Customer Question

my cat is at least 18 year old (we took him in as a full grown cat because someone dump him and his cat food on the porch and moved). He has always been a large cat but that within a month he has lost all of his weight and cannot hold his bowels. Its like he eats and 15-20 mins later his bowels release and its just liquid and unfortunately its is where ever he is. I am at a loss as to what to do. I don't want him poked and prodded at if he is just going through the motions but everyday since this started I have been trying to figure it out in my head.
Submitted: 2 years ago.
Category: Cat Veterinary
Expert:  Dr. B. replied 2 years ago.
Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.
Have you noticed that he has been drinking more?
When was he last wormed?
Any blood or mucus in his stool?
Does he pass more urine then he used to?
Customer: replied 2 years ago.
He drinks and eats just the same and when this first started we got him the worming medicine just in case but that did not help. No blood or mucus, his stools are just completely liquid. I did catch him just this past week in the cat box peeing but it was a small amount.
Expert:  Dr. B. replied 2 years ago.
Thank you,
And how long has he had these signs?
Customer: replied 2 years ago.
going on 3 weeks now
Expert:  Dr. B. replied 2 years ago.
Hi again,
First, I am glad to see that you have wormed him, since while it didn't address this for him, it does allow us to rule them out as a cause for his signs. Now as I am sure you can appreciate fecal urgency with increased GI pressures (after eating) in cats with diarrhea can be caused by a range of conditions. This includes low grade bacterial or viral agents, parasites (worms that you treated for but also protozoa), inflammatory issues (ie IBD), and unfortunately we can also see this type of situation with some cancers (ie GI lymphoma).
With all this in mind, we do need to approach these situations with a step-by-step approach. Now I know you are not keen for invasive testing. Still, I would note that it would be worth considering submitting a fresh stool sample to your local vet (or to the local vet lab if they will accept samples directly from the public as some will). Often you don’t even need to take a cat in to submit one. Why this is ideal to have done at this point is because it can be tested for viruses, protozoa and parasites to rule them out or let you know if one is to blame. As well, the sample can be cultured for bacteria and it can be determined if one is to blame for his loose stool and what drug it is sensitive to. Of course, if they did find something that needed antibiotics or specific prescription treatment, then we’d need him checked but it would allow you to avoid invasive testing while helping him. And I do have to note that if it was completely normal, then we’d have to consider those last concerns (which could warrant further testing but you could speak to his vet about using palliation like steroids instead of doing so).
Further to determining that root cause for his signs to see if we can address them, I do want to note some supportive care that could help here. While diet isn’t likely the main reason for his signs, I would note that we can see the use of sensitive stomach diets (ie Royal Canin Sensitivity Control or Gastrointestinal, Hill’s ID, etc) be useful in these cases. This is because they are easy to digest, so it means more nutrients in, less diarrhea, and therefore less weight loss. Since diarrhea can often cause dehydration, you could aim to feed a wet version of this type of diet. And just to note if you did, you could also add a fiber supplement (ie a spoonful of tinned pumpkin or ¼ tsp of unflavored Metamucil) to his diet to bulk up his feces and give it more form (and thus help him have better control).
As well, while you have wormed him already, I would just note that it'd be worth double checking what wormer you use. If it wasn't Panacur or one that contained Fenbendazole. Then I would suggest that it is worth using this. The reason is because it is a good wormer but also does help some of our protozoa (not all, but it would again help us rule some of the more common ones).
Another supplement that would be worth considering her is a feline probiotic. Often when the gut is under attack, we see the good bacterial population of the gut struggle (which isn’t ideal since they are what help us digest and produce normal stool). So, you can also use an over the counter probiotic (ie Fortiflora, Protexin Enterogenic) to help restore the normal gut balance. This is available in pet stores, vets, and even online (ie Amazon).
As well, I do want to note that there are cat safe anti-diarrheals that you could also try with him. It won’t cure the cause for the diarrhea, but it will reduce its runniness, give it form, and give him more fecal control and chance to absorb as much as possible. In regards ***** ***** options, the one we most commonly use is Kaolin/Kaopectate (More Info/Dose @ http://www.petplace.com/article/drug-library/library/over-the-counter/kaolin-and-pectin-kapectolin-k-p) available from your local pharmacy. As well, there are Kaolin + probiotic treatments for vets that combine these last 2 and could help. In regards ***** ***** there are a range you can use (ie Fast Balance, Protexin Pro-Fiber, Propectalin) and again we can get this OTC at vets, pet stores, and online at places like Amazon. So, these would all be options to use to slow that diarrhea and at least reduce his accidents and weight loss. (Though just to note, do avoid Pepto Bismol (as it contains aspirin) or Loperamide (since this can be toxic for cats)).
Overall, we do have a number of considerations for this diarrhea. Still, I would advise the above for your lad. This will help us pinpoint whether there is a treatable issue afoot, while trying to help control that loose stool for him. Hopefully, we will just find a bacterial or protozoal agent that just need treating but the above should also help get him more comfortable generally and try to reduce these severe diarrhea based accidents.
I hope this information is helpful.
If you need any additional information, do not hesitate to ask!
All the best,
Dr. B.
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Expert:  Dr. B. replied 2 years ago.
Hi,

I'm just following up on our conversation about your pet. How is everything going?

Dr. B.