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Chronic Intestinal Disease in Cats

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Chronic Intestinal Disease in Cats
Posted on February 11, 2020 in News

Why you shouldn’t ignore frequent vomiting and hairballs.

Cats vomit so frequently that you might consider this to be normal. Therefore, it is often tolerated when it should be seen as a sign of possible disease. When it occurs more than two times a month, if the frequency is increasing, or if your cat is losing weight, it needs to be investigated.

Causes

There are many causes of vomiting. Sometimes it is a diet intolerance that can be diagnosed with a change in food or a formal food trial with a hypoallergenic diet. Cats that eat grass or other hard-to- digest plants will frequently vomit. Restricting them from grass may solve the problem. However, sometimes it is due to a more serious disease that needs to be diagnosed and treated specifically.

Diagnostic tests

There are many diagnostic tests that can be performed looking for a myriad of causes of vomiting. Some are blood tests, and some involve taking x-rays with or without barium. The most useful test for most cats is an ultrasonographic study of the stomach and small intestine.

Increased thickness of the stomach or small intestinal wall is the most significant finding on an ultrasonographic examination. If thickening is found, there are two primary possible diagnoses: inflammatory bowel disease (IBD) and lymphoma, although about 5% of the time another disease will be found.

The only way to diagnose either is by obtaining biopsy samples of the small intestinal wall, usually by performing abdominal surgery. With that sample, a veterinary pathologist can determine if IBD or lymphoma is present and can classify the type of each. This is the information that is needed to make a treatment plan and determine the prognosis.

Inflammatory bowel disease

When the small bowel wall is significantly thickened, there is about a 50% chance it will be due to IBD. This disease is caused by a chronically irritated stomach and intestinal lining. It may be caused by an irritant in the diet, or it may be just an abnormal immune system overreacting to normal food or things in the food. However, the specific cause is not usually determined.

Inflammation interferes with digestion of food and absorption of nutrients. Therefore, cats with advanced disease are losing weight and often have an increase in their appetites as they attempt to make up for the weight loss. Poor motility of the thick intestines is associated with vomiting.

Treatment includes immunosuppressive drugs (usually corticosteroids such as prednisolone), special diets, probiotics, and vitamin B12 injections. Often, cats get an initial short course of antiparasitic drugs and antibiotics. IBD is not considered a curable disease, but proper treatment can control it and stop or slow the vomiting and weight loss. Overall, the prognosis is very good.

Lymphoma

Lymphoma is cancer that involves lymphoid tissue. Lymphoid tissue is found in lymph nodes, the tonsils, the spleen, the stomach, and the intestine. The greatest concentration is in the small intestine, so lymphoma is common in this location. Lymphoma accounts for about 45% of the cases of intestinal wall thickening, and it occurs in two forms: small cell lymphoma and lymphoblastic or large cell lymphoma. Biopsy is needed diagnose lymphoma and to distinguish between its forms.

Treatment for either form of lymphoma seeks to achieve remission, not a cure. Even in people with lymphoma, the word “cure” is not used for lymphoma. The disease may be in remission for many years, and the patient may be symptomfree, but it can always return. Remission in cats means that vomiting or diarrhea stops, their appetites return to normal, lost weight is regained, and the small intestinal wall returns to normal thickness.

Treatment for the two types of lymphoma carries different prognoses. Cats with lymphoblastic lymphoma have a lower success rate; fortunately, only about 15% of the lymphoma cases are of this type. Although many cats respond well to treatment, the prognosis is always guarded. Cats with small cell lymphoma have a much better success rate. In our experience, about 70% to 75% will go into remission. The average time of remission is about two years, although we have seen cats live more than four years in remission.

Is vomiting hairballs really normal for cats?

There is a common belief that the vomiting of hairballs is common and insignificant because it is normal in cats. Consequently, you might purchase diets and medications that can be used to prevent frequent vomiting of hairballs. The diets are usually high in soluble fiber that attracts fluid to itself as it goes through the digestive tract. This softer, moister stool will carry hair through the digestive tract and out with the stool. The medications are lubricants or stool softening agents that also help to move hair through the digestive tract.

Our newer understanding of hairballs questions the wisdom of using these products without first knowing if a cat has disease of the stomach or small intestine. IBD and lymphoma create a motility disorder. The thickened stomach wall and intestinal loops do not move hair through the digestive tract at its normal speed. This slower movement results in abnormal hair collection in the stomach or intestines, resulting in hairball formation.

Some cats, especially longhaired cats, swallow so much hair during their normal grooming process that hairballs can develop and be considered normal. However, a cat’s stomach and intestines need to be examined with ultrasound if the cat is not long-haired, the cat is a poor groomer, or vomiting of hairballs occurs more than twice a month. If they are found to be normal, a hairball diet or a hairball medication is definitely indicated.

Stopping the conversion to cancer

Another important reason not to ignore hairballs is that there is mounting evidence that untreated IBD may transform into lymphoma. If a cat has IBD and that is what is causing hairball formation, delaying treatment for IBD may allow IBD to transform into cancer.

Many cats that have been vomiting for months to years are found to have lymphoma. The ultrasound study is usually performed because either weight loss becomes substantial or the frequency of vomiting increases to a troublesome level for you or your veterinarian. In reality, most of the time that vomiting was occurring the cat had IBD, but then it transformed to lymphoma. When lymphoma developed, the signs became severe enough to seek a cause.

Therefore, treating hairballs with special diets or medications may reduce vomiting and control hairballs when the underlying disease is IBD, but that is the time when the cat needs to be diagnosed and treated for IBD so it does not become lymphoma.

If you think your cat may be having GI issues, or if you have any questions, please do not hesitate to contact us.

 

 

Information provided by Gary D. Norsworthy, DVM, DABVP (feline); Jen Olson, DVM; and Loren Gassler, DVM, Alamo Feline Health Center, San Antonio, Texas.
          
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You assessed your cat's body condition score (BCS) to be to be 3 out of 9.

What does this mean? The BCS is an assessment of your cat’s general body composition, including muscle and fat. While a score of 4 to 5 is ideal, a BCS of 3 indicates that your cat is thin.

What to do next: While thin cats are generally at lower risk for serious health issues compared to overweight cats, being underweight can lead to decreased muscle mass, malnutrition, and a weakened immune system. Unless there is an underlying reason for your cat’s thinness, the situation can often be improved with simple lifestyle adjustments, such as:

  • Offering a palatable diet recommended by your veterinarian
  • Feeding small, frequent meals
  • Stimulating the appetite by warming the food or introducing toppers
  • Minimizing stress
  • Weighing your cat monthly
  • Re-checking your cat's BCS at home
  • Staying alert to other health changes (especially continued weight loss and appetite loss)

Your cat's BCS provides valuable insights into their overall health and helps us spot potential issues early. While a BCS of 3 isn’t an immediate cause for concern, it’s a sign that small adjustments to their feeding and care routine could have a positive impact on their health.

Questions? We can help. Let’s work together to score a win for your cat's health.

You assessed your cat's body condition score (BCS) to be to be 6 out of 9.

What does this mean? The BCS is an assessment of your cat’s general body composition, including muscle and fat. While a score of 4 to 5 is ideal, a BCS of 6 indicates that your cat is borderline overweight.

What to do next: Simple daily actions can help prevent your cat from becoming overweight. Even a few extra ounces or pounds can significantly impact their health, increasing the risk of serious conditions like diabetes, arthritis, and kidney disease.

Restore your cat's future health by:

  • Feeding portioned meals (Your veterinarian can assist you with how much to feed)
  • Reducing stress by minimizing household changes and maintaining a routine
  • Decreasing boredom with interactive toys, social interaction, and cat furniture
  • Separating pets during meal time (Consider a microchip-linked feeder for multi-cat households)
  • Weighing them monthly
  • Re-checking your cat's BCS at home

Your cat's BCS is like a warning light for their future health. Taking proactive steps to address your cat’s weight can minimize future complications and help ensure they stay fit, agile, and healthy.

Curious about other ways to improve your cat’s BCS and overall well-being? Get in touch. Let’s work together to score a win for their health.

You assessed your dog's body condition score (BCS) to be to be 4-5 out of 9.

What does this mean? The BCS is an assessment of general body composition, including muscle and fat. On a scale of 1 to 9, with 1 being very thin and 9 being obese, your dog's score means they are at their ideal weight for optimal health and well-being!

What to do next: First, give your dog a scratch behind the ears to celebrate your success! Your commitment to their preventive health—regular vet visits, balanced nutrition, and consistent exercise—is truly paying off. But don’t relax just yet—maintaining a healthy BCS takes ongoing effort throughout your dog's life, including:

  • Feeding portioned meals
  • Avoiding high-calorie treats, diets, and people food
  • Staying active with regular exercise
  • Re-checking your pet’s BCS monthly at home
  • Staying on top of routine care (exams, screening tests) to ensure early detection of health changes

Just like your dog's vital signs, their BCS gives valuable insight into their overall health. Right now, we like what we see—and feel! But remember, supporting your dog's lifelong health is a team effort. By continuing the great work you’re doing and partnering with us, we can help ensure they stay healthy for years to come.

You assessed your cat's body condition score (BCS) to be to be 7-8 out of 9.

What does this mean? The BCS is an assessment of your cat’s general body composition, including muscle and fat. While a score of 4 to 5 is ideal, a BCS of 7-8 indicates that your cat is overweight.

What to do next: Weight issues are a common cause of many feline health problems, some of which can shorten a cat's life. Fortunately, with your dedication and our support, your cat can achieve better health, mobility, and an ideal body weight.

Rather than asking your cat to participate in daily exercise, feline weight loss emphasizes targeted nutrition and stress reduction to help them shed those unwanted pounds. This entails:

  • Offering a palatable weight-management diet recommended by your veterinarian
  • Feeding portioned meals (Your veterinarian can assist you with how much to feed)
  • Using a microchip-linked feeder for multi-cat households to ensure each cat consumes their veterinarian-recommended portion
  • Minimizing stress by maintaining a stable routine
  • Decreasing boredom through positive interactions such as interactive toys, food puzzles, cat-friendly furniture, and social bonding
  • Promoting movement with motion-activated food toys and puzzles
  • Weighing them monthly
  • Re-checking their BCS at home

Overweight cats not only face long-term health risks but can also suffer from discomfort and emotional stress. Intentional, veterinary-supervised changes can help ensure your cat’s fitness, comfort, and overall well-being for years to come. Let’s work together to score a win for your cat's health.

You assessed your dog's body condition score (BCS) to be to be 3 out of 9.

What does this mean? The BCS is an assessment of general body composition, including muscle and fat. While a score of 4 to 5 is ideal, a BCS of 3 indicates that your dog is thin.

What to do next: Although a lean body condition is healthier than being overweight, thinness can indicate muscle loss, health changes, or a lack of appropriate nutrition. Here are a few ways to help your dog reach their optimal weight and health:

  • Follow any recommendations given by your vet (these are personalized for your dog's unique needs)
  • Gradually transition your dog to a calorie-dense diet
  • Weigh them monthly
  • Re-check their BCS at home
  • Provide regular moderate exercise to build healthy muscle
  • Monitor them for other health changes (appetite loss, vomiting, unusual stools, fatigue, etc.)

Just like your dog's vital signs, their BCS gives valuable insight into their overall health and can help identify potential issues early. While a BCS of 3 isn't a serious concern, it suggests that your dog may benefit from adjustments to their diet and exercise routine. Please continue to monitor your dog for any other health changes—including difficulty gaining weight—as these could indicate the need for further evaluation. Let’s work together to help your dog achieve better health, so you can make the most of every moment together.

Now that’s a perfect score.

You assessed your dog's body condition score (BCS) to be to be 9 out of 9.

What does this mean? The BCS is an assessment of general body composition, including muscle and fat. While a score of 4 to 5 is ideal, a BCS of 9 indicates that your dog is obese (weighing 20% or more above their ideal weight).

What to do next: Dogs with obesity are in significant danger of many life-altering health conditions, including arthritis, cardiovascular problems, kidney disease, and cancer. Reducing your dog's weight and improving their body condition is critical to restoring their comfort, mobility, health, and longevity.

Take action today to protect your dog's  health by:

  • Following any veterinarian’s recommendations (these are personalized to your dog's unique needs)
  • Using a measuring cup to portion meals
  • Removing uneaten food after 20 minutes
  • Limiting treats to low-calorie fruits or vegetables
  • Exercising daily for at least 30 minutes (leash walks are a great way to start)
  • Weigh them  monthly
  • Re-check their BCS at home

Just like your dog's vital signs, their BCS gives valuable insight into their overall health. In your dog's case, it’s a signal for immediate action.

By following the steps above and your veterinarian’s recommendations, getting your dog back to a healthy weight is possible, but it will take time and effort. That’s why we’re here to help you every step of the way.

Let’s work together to score a WIN for Sydney’s health.

You assessed your cat's body condition score (BCS) to be 1–2 out of 9.

What does this mean? The BCS is an assessment of your cat’s general body composition, including muscle and fat. While a score of 4 to 5 is ideal, a BCS of 1 to 2 indicates that your cat is very thin, at least 20% below their ideal weight. This may be caused by poor nutrition or an underlying illness.

What to do next: Since a BCS of 1 to 2 can indicate potential health concerns, your cat's veterinarian may suggest blood work or other tests.

In addition to following any plan outlined by your cat's veterinarian, the following steps may help them achieve their ideal weight and BCS:

  • Offering a palatable diet recommended by your veterinarian
  • Feeding small, frequent meals
  • Warming the food or introducing toppers
  • Feeding pets separately
  • Minimizing stress
  • Weighing them  monthly
  • Re-checking their BCS at home
  • Watching for other concerning signs, such as loss of appetite, vomiting, or changes in litter box habits, as these may require prompt veterinary care.

Just like your cat's vital signs, their BCS offers important insight into their overall health. While a BCS of 1 to 2 can be concerning, we’ll work together to help your cat safely achieve their optimal weight and vitality.

You assessed your dog's body condition score (BCS) to be to be 6 out of 9.

What does this mean? The BCS is an assessment of general body composition, including muscle and fat. While a score of 4 to 5 is ideal, a BCS of 6 indicates that your dog is borderline overweight.

What to do next: With just a few pounds separating your dog from being overweight, a BCS of 6 is a clear call to action! Excess weight can increase their risk for serious health problems, such as arthritis, heart disease, and even cancer, and studies have shown that it can shorten their lifespan.

Here are a few ways to help Gigi reach their ideal weight:

  • Follow any recommendations given by your veterinarian (these are personalized for your dog's unique needs!)
  • Use a measuring cup to portion meals
  • Don’t leave food out all day
  • Weigh them monthly
  • Re-check their BCS at home
  • Provide regular moderate exercise to build healthy muscle

Just like your dog's vital signs, their BCS gives valuable insight into their overall health and and can help identify potential issues early. While a BCS of 6 isn't dangerous, it does raise their risk for many life-altering conditions and signals a need for change.

Let’s work together to help your dog achieve a better BCS and overall wellness, so you can make the most of every moment together.

Now that’s a perfect score!

You assessed your dog's body condition score (BCS) to be to be 7-8 out of 9.

What does this mean? The BCS is an assessment of general body composition, including muscle and fat. While a score of 4 to 5 is ideal, a BCS of 7 to 8 indicates that your dog is overweight.

What to do next: Your dog's weight is putting them at an increased risk for many serious conditions, including arthritis, diabetes, cancer, and heart disease. Overweight dogs are also clinically shown to have a shorter lifespan and a reduced quality of life.

Thankfully, it’s not too late to get back on track! Here are some simple steps to help your dog achieve a better BCS and a healthier life:

Here are a few ways to help them reach their ideal weight:

  • Reduce meal portions by 10% to 20%
  • Use a measuring cup for accuracy
  • Switch to a weight management diet
  • Swap treats for low-calorie fruits and veggies
  • Increase daily walks and playtime
  • Use a food-dispensing toy instead of a bowl to encourage movement
  • Weigh them monthly
  • Re-check their BCS at home

Just like your dog's vital signs, their BCS gives valuable insight into their overall health and quality of life. The actions you take in the days, weeks, and months ahead can help them slim down, restore their well-being, and allow you both to make the most of every moment together.

Let’s work together to score a WIN for your dog's health and happiness.

Now that’s a perfect score!

You assessed their body condition score (BCS) to be to be 9 out of 9.

What does this mean? The BCS is an assessment of your cat’s general body composition, including muscle and fat. While a score of 4 to 5 is ideal, a BCS of 9 indicates that your cat is obese (20% or more over their ideal body weight).

What to do next: Cats with obesity are in a health crisis. Excess weight strains their joints, leading to painful and decreased mobility. In addition, abundant fat tissue increases their risk for life-altering diseases like diabetes, arthritis, kidney disease, heart disease, and cancer.

Let their BCS be a turning point in their health.

With simple lifestyle changes and guided support from our team, we can restore your cat's quality of life and help them lose those unnecessary pounds.

We’ll focus on nutrition and stress reduction to create positive results. This includes:

  • Offering a palatable weight-management diet recommended by your veterinarian
  • Feeding portioned meals (Your veterinarian can assist you with how much to feed)
  • Using a microchip-linked feeder for multi-cat households to ensure each cat consumes their veterinarian-recommended portion
  • Minimizing stress in your cat’s environment
  • Decreasing boredom through positive interactions (interactive toys, food puzzles, cat-friendly furniture, and social bonding)
  • Encouraging healthy movement and exploration (motion-activated toys, food puzzles, ramps to perches, scratching posts, cat tunnels)
  • Weighing them monthly
  • Re-checking their BCS at home

Your cat’s body condition is a key factor in their health and longevity. Together, we can score a victory by helping them lose weight and reclaim their health, happiness, and mobility.

You assessed your cat's body condition score (BCS) to be 4-5 out of 9.

What does this mean? The BCS is an assessment of your cat’s general body composition, including muscle and fat. On a scale of 1–9, with 1 being very thin and 9 being obese, this score means they are at their ideal weight for optimal health and well-being!

What to do next: First, give your cat a head bump or a scratch to celebrate your success! Your dedication to their overall health—through regular vet visits, balanced and portion-controlled nutrition, a low-stress environment, and plenty of physical and mental activity—is truly paying off.

But don’t relax just yet—maintaining your cat’s healthy BCS will take ongoing effort throughout their lifetime. Keep up the good work by:

  • Minimizing stress
  • Creating a mentally and physically stimulating environment
  • Satisfying your cat’s social needs with one-on-one time
  • Encouraging movement with interactive toys, perches, and furniture
  • Feeding measured portions of a veterinarian-recommended, high quality, palatable diet
  • Checking your cat’s BCS monthly at home
  • Staying on top of routine veterinary care

Just like your cat's vital signs, their BCS gives us valuable insight into their overall health. Right now, we like what we see—and feel! But remember, supporting your cat's lifelong health is a team effort. By continuing the great work you’re doing and partnering with us, we can help ensure they stay healthy for years to come.

You assessed your dog's body condition score (BCS) to be 1–2 out of 9.

What does this mean? The BCS is an assessment of general body composition, including muscle and fat. While a score of 4 to 5 is ideal, a BCS of 1 to 2 indicates that your dog is very thin, at least 20% below their ideal weight. This may be caused by poor nutrition or an underlying illness.

What to do next: Since a BCS of 1 to 2 can indicate potential health concerns, your dog's veterinarian may suggest  blood work or other tests.

If no issues are found, the following steps may help your dog achieve their ideal weight and BCS:

  • Gradually transitioning them to a calorie-dense diet
  • Feeding more frequent meals
  • Weighing them monthly
  • Re-checking their BCS at home
  • Providing regular moderate exercise to build healthy muscle
  • Monitoring them for other health changes (appetite loss, vomiting, unusual stools, fatigue, etc.)

Just like your dog's vital signs, their BCS offers important insight into their overall health and can serve as an early warning that something may be wrong. While a BCS of 1 to 2 can be concerning, please know that your pet's well-being is our top priority. Let’s work together to help your pet pal achieve better health, so you can make the most of every moment together.