Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

Cat Veterinary
This answer was rated:

Chronic diarrhea for 8.5 years. Liver, kidney, and thyroid

test okay, he's had full...
chronic diarrhea for 8.5 years. Liver, kidney, and thyroid test okay, he's had full blood work ups, ultrasound, and surgical investigation, everything comes up normal, but his diarrhea is horrible smelling, and comes with very painful gas build up
JA: I'll do all I can to help. What seems to be the problem with the cat?
Customer: You
chronic diarrhea for 8.5 years. Liver, kidney, and thyroid test okay, he's had full blood work ups, ultrasound, and surgical investigation, everything comes up normal, but his diarrhea is horrible smelling, and comes with very painful gas build up
JA: Where does the cat seem to hurt?
Customer: in his abdomen, you can see and hear him. When a gas bubble moves in his gut, he will cry and curl up tighter, similar to a human who has severe gas build up.
JA: OK. The noise must be worrying. I'll connect you to the Veterinarian. What is the cat's name?
Customer: Bananas
JA: Is there anything else the Veterinarian should be aware of about Bananas?
Customer: We have ruled out bacterial, and he is currently being treated with pancreatic enzymes to see if they help, but he's getting very little improvement and would rather starve than eat food with the enzymes on it
Show More
Show Less
Ask Your Own Cat Veterinary Question
Answered in 8 minutes by:
9/5/2017
Dr B
Dr B, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 1,899
Experience: DVM
Verified

HI this is DRB and I would be happyto help you with this....so I hear there has been a big work upbut has there been any therapeutic challenges?

Ask Your Own Cat Veterinary Question

So has any Dr tried your cat on Budesonide medication?

Ask Your Own Cat Veterinary Question

Budesonide is a steroid that stays primarily in the gut and it cures 99% of diarrhea in cats.....I am assuming your vet has checked for parasites??

Ask Your Own Cat Veterinary Question

I would put your cat on Science diet low allergen ZD food if he will eat it and on Budesonide.....this will usually fix most cats......your cat may have inflammatory bowel disease not showing up on tests......

Ask Your Own Cat Veterinary Question

I am happy to answer any questions that you have.....just let me know what you have questions about..I will be online for another 1-1.5hours.....DRB

Ask Your Own Cat Veterinary Question

If you do not have any other questions please rate me as this is how I make money to support my family. Please give me a positive rating as that is the only way I am compensated. A positive rating will not close this question and I am more than happy to answer any follow up questions that you have. ( You can rate me at top right of page).

Please remember my answers do not replace or supersede the advice of your veterinarian as my answers do not create a valid client patient relationship as I am unable to examine your pet. Thank you very much! DrB

Ask Your Own Cat Veterinary Question
Customer reply replied 2 months ago
We have tried him on budesonide to no effect. He was eating Hill's Z/D dry food and benefitted slightly, until they changed their formula last year. The "new and improved" Z/D formula food caused the diarrhea to return and also caused him to present with vomiting, and our other cats also got very sick on the "improved" formula. Since then he has tried many hydrolyzed protein prescription foods to no avail.

Have you tried Purina HA food with metronidazole?

Ask Your Own Cat Veterinary Question
Customer reply replied 2 months ago
I do not know if this is significant or not, but Bananas never had diarrhea or smelly poo until he was neutered. He returned home from the surgery with diarrhea, that was 8.5 years ago of course. We have tried the Purina HA food, and metronidazole, both had no benefit. Purina HA caused his poo to smell slightly less and change color from darker brown to a lighter brown. We've tried him also on Purina Fortiflora, which he loved eating but it gave him no benefit

Have you seen an internal medicine specialist?

Ask Your Own Cat Veterinary Question
Customer reply replied 2 months ago
We took him to the internal medicine and diagnostics veterinarians at University of Georgia 2 years ago. They did the ultrasound and investigational surgery which found nothing. Bloodwork showed nothing, so they recommended the Hill's Z/D food and said they couldn't do anything further. As I said, the ZD food helped him some (the explosive-ness, inability to make it to the litter box, and severe gas lessened, but the smell and consistency remained) until they changed the formula. A few weeks ago his vet finally decided to try pancreatic enzymes thinking it may be pancreatic insufficiency, and the enzymes have helped some, but he would rather starve than eat food that has the enzymes on it.

I personally would put him back on ZD.....and add Budesonide and metronidazole both at the same time.....also add Ursodiol to protect the liver....and do this for 8 weeks and then reassess....

Ask Your Own Cat Veterinary Question

just to be on the safe side would probably be good idea to do 2 weeks of ronidazole first and then go to what I have said above....Ronidazole txs some odd parasites that can be hard to find and tx...

Ask Your Own Cat Veterinary Question

If your cat has been tested for exocrine pancreatic insufficiency with TLI test which I am sure he has.....then no point in pancreatic enzymes....

Ask Your Own Cat Veterinary Question
Customer reply replied 2 months ago
The new formula of ZD made his diarrhea worse than ever and made him vomit. He went from having a decently healthy coat and mildly overweight to having a coat that looked like he rolled in cooking grease all day and losing pounds in days. I won't ever touch the new "improved" formula of ZD again, especially since my other healthy kitties developed the same problem (they were all fed the same food at that time). Is the Royal Canin hydrolyzed protein a viable alternative?He tested on the low end of normal for pancreatic enzyme function, but because he was still within "normal" range, UGA dismissed it. His current vet did not dismiss it, and the enzymes have helped him, except he hates eating them.

I would do 2 weeks Ronidazole, then follow with science diet ID ( INtestinal diet) and do budesonide and also metronidazole at the same time.....

Ask Your Own Cat Veterinary Question

will he canned food?

Ask Your Own Cat Veterinary Question
Customer reply replied 2 months ago
he does eat canned food. We are currently feeding him purina kitten chow dry and fancy feast cans, as they are the only thing he even picks at with the enzymes on it. The dry food is pretreated with the enzymes and all kitties have access (they all get sick if they don't have free range access to dry food). All kitties have handled that dry food well. We do twice a day canned feedings, Bananas is fed in a separate room with enzymes added, the other cats do not get enzymes on theirs. Bananas does not want to eat the canned food with the enzymes but will pig out on any non-treated canned food. Before proceeding with your suggestion, is there a safe alternative way to give him the enzymes with canned food, such as through a capsule with each meal or by mixing the enzymes in chicken water and syringe feeding that to him with his meal?

If you can get him to eat canned food then you could mix the enzymes in with the canned food ( science diet Intestinal diet or the Royal canin intestinal diet),then add budesonide and metronidazole...sometimes it takes multiple things to "fix" a patient...

sorry I did not answer your other question....no neutering would not cause this...but since he has had the diarrhea so long...I would definitely do Ronidazole first...

Ask Your Own Cat Veterinary Question
Customer reply replied 2 months ago
I don't think we've ever tried the ronidazole before, so I will ask about that. If he won't eat canned food that has the enzymes on it, but will eat plain canned food, is there a safe alternative way to give him the enzymes with the meals?

You could have your vet called diamondback pharmacy which is a vet compounding pharmacy and they may be able to compound the enzymes....

Ask Your Own Cat Veterinary Question

I would definitely do Ronidazole as there is no down side.....

Ask Your Own Cat Veterinary Question

14-21 days of Ronidazole just to make sure we not missing the obvious...

Ask Your Own Cat Veterinary Question
Customer reply replied 2 months ago
I will try that and ask about the ronidazole and combination that you suggested. One last question, I know the gas "pockets" that move in his abdomen and cause him pain are awful, he cries when they move, and you can tell every time he poos he is miserable, if we try all of what you've mentioned, and get no resolution, is there a point at which you would suggest that he is suffering and needs put down? Right now he has lost some weight, but is still a very healthy weight, his coat is good, it's just the diarrhea and gas pains that get him, plus sometimes he doesn't get warning and doesn't make it to the box, sometimes a fart is actually not just a fart....I don't want him to go, but I would never want him to suffer needlessly either....

and I would get him back on an intestinal diet...with that diarrhea he needs to be on an intestinal diet FOREVER .....no advantage to ever coming off this.... let me give you link to royal canin diet I would recommend...give me a sec....

Ask Your Own Cat Veterinary Question

I will answer your last question in a sec...

Ask Your Own Cat Veterinary Question
Ask Your Own Cat Veterinary Question

In summary, only the above food, 2-3 weeks of ronidazole, then continue above food and use budesonide and metronidazole (at anti-inflammatory dose) simultaneously....

one last thought....I would also consider doing 6 weeks of oral azithromycin liquid after ronidazole but before budesonide and metronidazole...your cat could have Bartonella causing GI disease which will not show upon tests.....

Ask Your Own Cat Veterinary Question

but during all this stay with the food I mentioned...

Ask Your Own Cat Veterinary Question

if you do all of the above with no result then yes I do believe you should consider euthanasia.....

don't forget Ursodiol when doing budesonide and metronidazole......

do you need me to summarize again?

Ask Your Own Cat Veterinary Question
Customer reply replied 2 months ago
switch to the recommended royal canin, do 2-3 weeks of ronidazole (I'd go for 3 to be thorough), then 6 weeks of oral azithromycin, then 6-8 weeks metronidazole and budesonide with ursodiol to protect the liver? That's your suggested course of action, with euthanasia if unsuccessful. 2 questions, is the suggested royal canin food safe for growing kittens (have 2 that are 13 months and 1 5 month old)? And would Bananas need to be separated from the other kitties during treatment? Thus far he is the only one with symptoms, never had another kitty seem to have gotten sick from him.

all good except I would probably do 8 solid weeks of last part (budesonide and metronidazole)......

yes,all kittes can eat that food....

no need to separate...Bartonella not easily passed.....but if no one else has symptoms then you can skip Ronidazole and go straight to azithromycin...because everything that that would kills very contagious....

so.....the other thing I would do is maybe go ahead and start Metronidazole at anti-inflammatory dose of metronidazole when doing azithromycin....let me summarize once more..

Ask Your Own Cat Veterinary Question

so.....start new royal canin food....do metronidazole at 10-15mg/KG twice daily......and azithromycin at same time ( Zith for 6 weeks). After done with Zith start Budesonide.....

Ask Your Own Cat Veterinary Question

that should cover everything.....

any other questions??

Ask Your Own Cat Veterinary Question

If you do not have any other questions please rate me as this is how I make money to support my family. Please give me a positive rating as that is the only way I am compensated. A positive rating will not close this question and I am more than happy to answer any follow up questions that you have. ( You can rate me at top right of page).

Please remember my answers do not replace or supersede the advice of your veterinarian as my answers do not create a valid client patient relationship as I am unable to examine your pet. Thank you very much! DrB

Ask Your Own Cat Veterinary Question

let me know if you have additional questions...DRB

Ask Your Own Cat Veterinary Question
Customer reply replied 2 months ago
In your medical opinion should he continue to be given the enzymes during the above treatment, or the enzymes stopped? If he should continue enzymes during the above treatment and the treatment works, should he continue enzymes after the above treatment is concluded?

If you can get him to eat with enzymes mixed in food there is no downside....to using them....but if not eating well I would discontinue them,....

Ask Your Own Cat Veterinary Question
Customer reply replied 2 months ago
Okay. Is there a way to contact you directly with the treatment results so you can see how everything worked out? Otherwise I have no other questions

No, there is no direct way...except you can come back to this site and ask for me.....and I will see the question unless I am on vacation...I would love to know what happens......you can pay a very small fee to ask for me....we are not allowed to share personal info....

Ask Your Own Cat Veterinary Question
Customer reply replied 2 months ago
Okay thank you very much, I will get with his regular vet about your suggested treatment and keep you updated after treatement

super...best of luck!!

Dr B
Dr B, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 1,899
Experience: DVM
Verified
Dr B and 87 other Cat Veterinary Specialists are ready to help you
Ask your own question now

thank you very much......

Ask Your Own Cat Veterinary Question
Hi,

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

Dr B
Ask Your Own Cat Veterinary Question
Ask Dr B Your Own Question
Dr B
Dr B
Dr B, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 1,899
1,899 Satisfied Customers
Experience: DVM

Dr B is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 & GeorgeBoca 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!!!!

AlexLos 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.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, 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.

EstherWoodstock, 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.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Gary

Dr. Gary

Cat Veterinarian

3,924 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,739 satisfied customers

UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management

Dr. Bruce

Dr. Bruce

Veterinarian

4,343 satisfied customers

15 years of experience as a small animal veterinarian

Dr. Scott

Dr. Scott

Veterinarian

3,998 satisfied customers

15 years of small animal, equine and pocket pet experience in medicine and surgery.

Rebecca

Rebecca

Cat Veterinarian

3,330 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,070 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,834 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
She had diarrhea for several days. I changed her food to
She had diarrhea for several days. I changed her food to boiled chicken breast which I grinded to a paste and the diarrhea stopped. But it's now been 4 days and she hasn't pooped. I'm glad the diarrhe… read more
Dr. Denise
Dr. Denise
Veterinarian
Doctor of Veterinary Medicine
357 satisfied customers
She was on metronidazole for diarrhea but now seems
She was on metronidazole for diarrhea but now seems constipated, very large belly and difficulty passing stool. … read more
Dr. Denise
Dr. Denise
Veterinarian
Doctor of Veterinary Medicine
357 satisfied customers
My 13 yo cat has kidney/liver failure, hyperthyroidism and a
My 13 yo cat has kidney/liver failure, hyperthyroidism and a grade 4 heart murmur. She only weighed 5.5 lbs when younger but now is eating but vomiting, twitching and I'm afraid she is suffering. Is t… read more
Dr. Beth
Dr. Beth
Veterinarian
Doctor of Veterinary Medicine
231 satisfied customers
My cat is in stage 4 of kidney failure and is 18 years old.
Good Morning, my cat is in stage 4 of kidney failure and is 18 years old. Is it time to euthanase … read more
Dr Scott Nimmo
Dr Scott Nimmo
337 satisfied customers
My son died on December 18, 2016 of complications of Kidney
My son Sam died on December 18, 2016 of complications of Kidney failure and his cat Dolly Boy is a 10 year old Cornish Rex. Dolly stopped using the litter box to poo about two weeks ago. This was a gr… read more
Dr. Beth
Dr. Beth
Veterinarian
Doctor of Veterinary Medicine
231 satisfied customers
He has diarrhea. He hasn't had food since tester around 4pm.
He has diarrhea. He hasn't had food since tester around 4pm. The diahreah has slowed but his behind is still red and swollen. I trying to see what we can put on him. … read more
DocPaul
DocPaul
Doctoral Degree
664 satisfied customers
Just discovered he has stage 2 kidney disease, because he
Just discovered he has stage 2 kidney disease, because he stopped eating (nausea and mouth ulcers). He is on fluid therapy and famotidine, but not eating, so I am syringe feeding him. He went without … read more
Dr. Beth
Dr. Beth
Veterinarian
Doctor of Veterinary Medicine
231 satisfied customers
Shes has had diarrhea for about a week now. Diarrhea for
no blood in stool just haven't been able to fix the diarrhea issue… read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
4,343 satisfied customers
Stage 2 kidney disease maybe, will not eat and nausea. Gave
stage 2 kidney disease maybe, will not eat and nausea. Gave cerenia. Now drooling and lethargy … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,256 satisfied customers
My cat is 15 years old, she either has a kidney infection or
My cat is 15 years old, she either has a kidney infection or kidney stone. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
He's kidneys are failing. Is there anything I can do?
He's kidneys are failing. Is there anything I can do? Looking for a miracle. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Garfield has diabetes and kidney disease. He was receiving
Garfield has diabetes and kidney disease. He was receiving fluids but did not have any for 10-12 day. Then he was given about 1 1/2 or 2. He does not seem to feel well. He is not eating but he has had… read more
Dr. Denise
Dr. Denise
Veterinarian
Doctor of Veterinary Medicine
357 satisfied customers
My cat has a recurrence of kidney stone symptoms. Can I get
My cat has a recurrence of kidney stone symptoms. Can I get a prescription for Science Diet s/d cat food? If I go through the normal vet Id have to pay for an office call and xrays. She had this two y… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
What would cause one of my cat's kidneys to shrink and the
What would cause one of my cat's kidneys to shrink and the other to enlarge with only part of it normal kidney tissue?… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
Our cat was diagnosed with kidney disease that can be
Our cat was diagnosed with kidney disease that can be treated with special food. She might have arthritis. She needs a few teeth pulled. Recently she's not as social. Her weight is stable. She's shedd… read more
Dr Scott Nimmo
Dr Scott Nimmo
337 satisfied customers
Cat has bad diarrhea & vomiting. Have not changed food or
Cat has bad diarrhea & vomiting. Have not changed food or treats. What can I Give him? … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
Im looking to take my 14 yr old off KD kidney cans & food
Im looking to take my 14 yr old off KD kidney cans & food and need exp. advice as to replacement receipies I can make at home that the short ques … read more
Terri
Terri
Healthcare/behavior specialist
Private
21,709 satisfied customers
Are there better food options for cats with kidney stones?
Are there better food options for cats with kidney stones ? She hates the Hills food and has lost weight... … read more
Brittany Hale
Brittany Hale
Doctorate of Veterinary Medicine
12 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x