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. Louis Gotthelf Your Own Question
Dr. Louis Gotthelf
Dr. Louis Gotthelf, Veterinarian
Category: Cat
Satisfied Customers: 2438
Experience:  35 years owning a dog and cat veterinary practice. President of an animal emergency clinic
Type Your Cat Question Here...
Dr. Louis Gotthelf is online now
A new question is answered every 9 seconds

My cat has been suffering from IBD and it has progressed to

This answer was rated:

My cat has been suffering from IBD and it has progressed to the point that she cannot eat. She is currently on Prednisone and Lukeran (she had only one dose so far). I have to feed her with a syringe. Is there a chance that she can recover, even if it means switching medications and can Lukeran seem to make the cat worse? She just stays in the bathroom all day.

Dr. Louis Gotthelf :

Hi. I'm Dr. Gotthelf. I have been a vet for 35 years and I would like to use my experience to help you with your pet's medical problem.

Dr. Louis Gotthelf :

When cats have IBD, their colon protrudes into the stomach and decreases their appetite. So I usually recommend liquifying and warming the food to entice the cat to eat. If she cannot eat, then she may need to be tube fed to provide nutrition. Often I will also use a drug called mirtazapine (3.5mg twice weekly) to stimulate a cat's appetite.


She had been on Mirtazapine once before and it helped a bit. But she had an appetite at that time. I have been feeding her with a syringe as much as 4-5 tablespoons a day. She has not vomited once. I feel that something more is going on with her. I also read that Lukeran can cause gastrointestinal upset. I feel that more should be explored before any vet thinks of putting my cat to sleep. She still goes outside and cleans herself. I can tell she's in a lot of discomfort because last night she came into the air conditioned living room for the first time all day and she was turning from one side to the other. She has been spending most of her time in the bathroom because that is the coolest room in the house.

Dr. Louis Gotthelf and 4 other Cat Specialists are ready to help you
Hi Sonni,

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

Dr. Louis Gotthelf
Customer: replied 4 years ago.

I have been giving her about 9 tablespoons of food a day and she is not getting better. She is very weak. The meds are not working although she has not been vomiting. She has been prescribed Mirtazapine one quarter tablet every day (3.75 mg). I don't have much hope at this point. Now my vet thinks that maybe she had lymphoma all along and could be in her final stages. It's very sad. I can't think of anything else to do.

I'm sorry to hear that. I don't know if you have a referral veterinary internist close to where you live, but you might ask your vet for a referral.