Living With IBD - Mozart K.
Mozart Kinsella - Montreal,Quebec,Canada
Male, Norwegian Forest Cat
Born 1995
Diagnosed with food allergies in 2003
Diagnosed with Colitis, IBD and Feline Miliary Dermatitis on August 19, 2009
Diagnosed with Hypertrophic Cardiomyopathy on September 10, 2011
First Entry: October 23, 2009
Mozart was Fed premium dry cat food for first nine years, health was fine. Will not eat wet canned food. At age ten he developed a
urinary tract infection due to crystals. Was put on SO4 Royal Canin food to prevent crystals. He started scratching himself around his
neck constantly. Also we had moved so something in the home may have caused an allergic reaction but otherwise he was in good health.

Over the last eight months he started eating less and he would only eat treats, not regular food. We tried different brands of food but he
developed diarrhea. He continued scratching himself and vomited only once, then suddenly stopped eating. I brought him to the animal
intensive care hospital where he stayed for three days while undergoing tests. He was also given fluids for severe dehydration. His
urine, blood and stool tests all came up negative. He had an ultrasound and it revealed colitis (inflammation of the colon), everything else
was normal.

He was given metronidiazole to treat the inflammation, metroclopramide to prevent vomiting (which he probably didn't need because
he only vomited once), and cyproheptadine to increase appetite. He was also put on Z/D  Hills Wet Canned hyper allergenic food to test
for food allergies.

Two weeks later he was taken off metronidiazole and put on tylosin, a different antibiotic.

He no longer takes any medication and for the last three weeks has been eating Dick Van Patten Natural Balance Duck Grain free
canned and Wellness Chicken Canned foods. He's taking Gastriplex and a fatty acid supplement and his stools have almost returned to
normal. There is still no vomiting but he won't eat venison, fish, beef or lamb. He loves spinach but because he has crystals this is not
allowed. He was doing fine until this weekend when he vomited four times in one day so I knew something was wrong. I suspected it was
the food so I went back to the  Hills Z/D.

I put him back on the Z/D Hills canned and he  stopped vomiting. I feed him 6 times a day in small amounts
I want to get him off the Z/D  and back onto a premium grain free canned food, but he still refuses wet canned food. Although he will let
me feed him using my finger. He's very cooperative and likes the taste.
I'm going to take him off the Z/D as soon as his stomach settles down and things get back to relative normal.
I'll then try Nature's Variety Instinct canned rabbit, hopefully it will agree with him.

He has been diagnosed with feline miliary dermatitis which is caused by his allergy to some food, that's why he scratches. I'm also using
pine wood shavings as litter instead of clay clumping litter because some people think there is a link between  clay clumping litter and
IBD.

Update: February 7, 2010
No changes in Mozart's condition or diet, medications, etc. He's stable and doing well.

Update: June 10, 2010
Mozart is doing okay since the last update. His stools were still very loose, with no form,  just like pudding but no blood in stools. No
vomiting with, good appetite and no weight loss.

Two weeks ago I decided to try giving him only wet food. His wet pudding stools went away and his stools now  are well formed and  
normal. I am trying to introduce a bit of Wellness wet cat food to see if he can tolerate it.
Maybe I can get him off the Hills Prescription Z/D wet food and onto a normal diet of high quality cat food.

Present Diet Hills Prescription Z/D (allergy) wet cat food for cats with allergies and sensitivity to food Z/D sometimes works for cats
with IBD /colitis if the inflammation in the digestive tract is due to some allergic reaction from the protein in the food. Mozart scratches
a lot and this is  due to some unknown allergy. Only food he tolerates is Z/D. In the past if I changed him to other foods he eventually
started vomiting and getting blood in his stools along with diarhhea.

No medications being taken presently. I'm giving him supplements for cat with intestinal problems: Gastrilplex  and Phytomucil. Not
sure how much they help but I give it to him in his food. I plan to continue giving him only wet food.

Update: October 26, 2010
Everything is the same. No vomiting except for hairballs once or twice a month. Stools are well formed without blood. Continues to
scratch.

Medications - Gastriplex (I'm finishing the bottle).
Food - A few changes. He continues to be finger fed Z/D Science diet wet canned. He no longer will eat Merrick canned, no matter what
flavor of any wet food on his own. I am now giving him a no grain chicken dry food called PureVita.

I know dry food has brought on vomiting or diarreha (IBD) with my cat as he got older even though he tolerated it quite well when he
was young. So I soak a small amount of dry food pellets  in a very small amount of water (a few drops)  and put them in the fridge for a
few hours until they are semi soft. When they have soaked, but still hard, I put several pellets  in his bowl and he enjoys eating it
himself. NO vet visits.

Update: May 14, 2011
There's been no change in Mozart except now all dry food has been eliminated, even dry treats. There's no way I will ever go back to
any type of dry food for my cats, its not natural. I'm a firm believer in wet food when it comes to Mozart and my other cat Fluffy's
digestive problems. Both encountered vomiting, diarrhea, blood in stools etc. as they became older, even with Wellness and other
premium dry foods. But switching to Merrick, Wellness or any other high-quality, WET canned food solved their problems.

After thousands of dollars for ultrasounds and blood tests etc. with no diagnosis except for some inflammation in the colon and a HUGE
Mastercard bill, I had to figure it out for myself. For me it was a simple solution; switch to wet. It worked for me, maybe it will help
others. Although IBD is an all encompassing disease with many causes as I have learned from this site. But for some, it may be as simple
as eliminating dry foods. Or that may help eliminate some of the issues associated with IBD.

Update: August 9, 2011
Mozart had to go to 24 hour emergency vet hospital Friday night because he was badly gasping for breath. It happened suddenly and
within an hour just after I fed him and gave him water by syringe. They gave him a diuretic to remove the fluid from his lungs (that's
why he was gasping for breath), which showed up on x-ray. They put him in an oxygen chamber so he could breathe more easily. Turns
out he had fluid in the lungs which might be indicative of pulmonary heart disease. This is not uncommon in a cat his age, 17yrs. He
came home on Sunday and is doing really great but he has to see a cardiologist and get an ultra sound to confirm if he actually does have
heart disease. He is on 2 medications now, Fortekor for heart and furesomide (Lasix, a diuretic to remove fluids from the body). I'm
supposed to continue giving these meds until he sees a cardiologist August 23rd.

Update: August 30, 2011
As far as his recent heart problem is concerned. I didn't pursue it because I knew the fluid in the lung was due to my syringing water,
which I have stopped. His breathing has been normal for the past 2 weeks and there have been no more incidents so he is taking no
medication for heart failure. He is  a eating a bit less now but otherwise hanging in there and looks great for a 17 year old senior cat.

Update September 10, 2011
Mozart  saw a cardiologist today and had an ultrasound on his heart because he was having breathing problems again. He had fluid in his
lungs, same as last time, so I had to bring him into our 24 hour emergency clinic at 1 am. I stopped his heart medication 4 weeks ago and
unfortunately the diagnosis is congestive heart failure which is common in cats his age. They said he has about 6 months to 1 year to
live; could be more, could be less. He sees the cardiologist next week again for a follow up. He has to have his kidneys tested and blood
work done to see if the meds have any adverse effect. He's back home and is breathing normally since he's back on his meds.

He's taking 3 meds now. Furosemide, a diuretic which removes fluids from his lungs, twice a day (potentially could cause kidney damage
so they are tracking his kidney function). Fortekor which is a vasodilator and cardio-protective med, twice a day. And Plavix to prevent
blood clots which is common in cats with congestive heart failure, once a day. The technical name for his disease is hypertrophic  
cardiomyopathy which apparently is the most common heart disease in felines. Basically it's a thickening of the heart. It can be caused
by hyperthyroidism but they tested his thyroid function and it was normal.

Update Sept. 23, 2011
We took Mozart to the cardiologist last friday and she tested his kidneys to see if the heart meds were having any negative effects. One
of his meds is Lasix which is a diuretic to prevent fluid accumulating in the lungs. But Lasix is not the best thing for kidneys so she
wanted to keep an eye on his kidney function and it turned out normal. He hasn't had anymore  panting. His respiration is normal and
his lungs have no fluid, so hes not trying to get oxygen. Basically now I just keep an eye on his respiration, which means using a watch
and observing how many times he breathes in and out in one minute; so far so good.

The Plavix he is on now will hopefully prevent a blood clot from forming in the heart and travelling to his legs. He has had no
gastrointestinal reaction to his 3 meds, thankfully. I give them separately and after meals as the cardiologist advised. The only thing I
see is increased appetite, so he is pigging out on wellness wet canned. I continue with the same meds for 3 months and then see the
cardiologist for revaluation. Hopefully he won't have a heart attack but he's 17 year and has cardiac heart failure so we take it a day at a
time.

Update: October 18, 2011
We think Mozart might be allergic to sardine, shrimp, lobster etc. Or seafood such as found in Wellness or Merrick. Mozart had another
breathing attack today; panting and coughing just after he ate wellness canned sardine & shrimp. He  has  always had a scratching
attack whenever I have fed him seafood canned but he loves it so much and it's the only wet canned food he will eat. Xrays showed fluid
in the lungs which is typical in a cat with heart disease but all 5 breathing attacks have occurred after feeding him Wellness or Merrick
sardine or seafood.

It's so strange because he recovers so well when at the emergency vet and when I bring him home after a few days he gets worse again.
Something in the home is triggering the attacks. I put him back on Hills ZD ultra allergen free for now. I know its not the best brand but
I never saw him scratch after feeding him this food. His poop is great when I feed him Wellness sardine or Merrick. I don't see any IBD
symptoms but he does scratch after feeding. I have a feeling cats crave something they are most allergic too. Cardiologist can't figure it
out.

Mozart is taking a diuretic called Lasix, it doesn't seem to be absorbed or working when given orally because he doesn't pee at all during
the day and thus he gets fluid in his lung. He takes it with food and I am wondering if he took it on an empty stomach if it would work
better. But cats have sensitive stomachs and I don't want to do this because all of his meds are taken with meals. But if I give the same
dose subcutaneously he pees within 15 minutes. He takes it subcutaneously now on alternate days. Pills one day, subcutaneous the next.
The cardiologist is gradually moving him over to subcutaneous full time and abandoning the pill. She says it just works more slowly in
pill form.

Update: November 22, 2011
Things have changed a bit since the last update. Mozart doesn't take aspirin now because he seemed to get weaker. Now he only takes
Plavix, Fortecor, Lasix (diuretic) and a potassium supplement because duretics can reduce their potassium. Last week all his blood tests
came back  great; kidneys, blood sugar, all great. The big problem is the diuretic he is taking which has constipated him big time (no
poop for 4 days last week) due to the diuretic which removes water from his body. But he has to be on a diuretic for his heart failure, it
prevents fluid collecting in his lungs, so we started him on Lactulose last friday. The vets wants him to poop every day but I don't think
that's  possible with the diuretic. These diuretics make them pee a lot and thus constipates them removing water from their body
including their colon and causing very hard stools. Before he was on the diuretic he would pass stool every day. So I'm giving him
Laxatone and Lactulose to combat the constipation along with Clavimox. Although antibiotics can cause diarrhea so I don't know if he
will even need Laxatone or Lactulose which are for constipation.

Meanwhile last week I discovered a lump close to where I was injecting the diuretic subcutaneously, about 1/4 inch diameter. So the
cardiologist did a needle biopsy to see what was going on and its not cancer. Thats a relief but an inflammation possibly due to infection
probably due to the injection of the Lasix, which is why he's on antibiotics for a week to see if this will remove the inflammation due to
bacterial infection.

Update: January 20, 2012
Mozart has developed neuropathy in his hind legs. His rear legs are weak and he walking on his hocks. I ordered 3 bottles of Zobaline
even though I'm not sure he has diabetes. Meanwhile I'll use the natural factors methylcobalmine which has lactose. But I would choose
that over the sorbitol in the other product. Besides, milk sugar is a laxative and maybe I can take him off the Miralax.

REALLY GOOD NEWS! Mozart had a heart ultrasound last week (ultrasound is the only way they can tell how the heart is doing
besides observation of respiration rate. His cardiologist who did the ultrasound said his disease has regressed. His heart muscle is  
smaller and pumping better. She said in 15 years and hundreds of cats she had never seen heart disease regress. I wasn't surprised. He
actually hasn't had any heart attacks since October and its all because I changed his diet. All four of his heart attacks occurred when he
was eating what he loves most, Wellness canned crab shrimp sardine. 10 minutes after eating he would scratch his ears crazily and
about 20 minutes after he would start coughing and have breathing problems. I started last spring feeding only this food because he
loved it so much but it seems that he has an intolerance to seafood.

2 years ago when he had colitis and blood in his stools, vomiting and inflammation, I put him on Z/d canned food and the problem went
away. In October his heart ultrasound showed no improvement so I decided to put him back on Z/d Ultra Allergen canned and he has
had no heart problems since. I've decreased all of his heart meds and he still has had no heart attacks but he continues to be weak in the
hind limbs. The specialists are baffled because everything looks great. So I'll use the methyl b12 supplement orally until I see the  vet on
Friday. I think something is up with his pancreas, he has elevated amylase. So I'm thinking there is a connection between that and his
weak hind limbs.
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