Question Details
Kitty Diarrhea
by Cathy L. - November 19, 2009
Hi Steve-

One of the tech's cats is a 6 yr old DSH SF with chronic soft stools. They started after a bullae osteotomy was done for middle ear polyps, and antibiottics rx'd.

At that time, the rDVM did repeat fecals, stool culture, hypoallergenic food trial (which we've since repeated.) All neg.
Also panacur and pred w/ no change.

They then put her on canned DM, which kept her stools pretty much normal for ~ 2 yrs. (hi protein, hi fat, hi fiber and low carb).

6-09 her soft stools returned. She had been on probiotic, SP Enteric support, DM. Stools were (and are) cow pie consistency, no blood or mucous and BID frequency. She was pickier for her AM meal and occ. vomited clear liquid, so I called her sp. qi def and put her on the following herbs, in order:

-WLT
-LJZT
-Wu Wei Zi
-SRT

No change form the first 3; SRT and Metronidazole both helped ~ 10-20%.

11/13 exam;
Stools very soft w/ some lumpy form (yum...) dark brown. Now sh'e lost .60 lbs and is a bit underweight for her frame. Appetite is sl. up. P: fast
T: ~normal

CBC WNL
Profile ^ cholesterol 282 (71-218)
T3 and T4 mid-range normal.

What have I missed here? I don't appreciate much for damp heat symptoms in her, but she did respond at least a bit to SRT and Flagyl. I know you mentioned at our last class that cat's heat signs can be very subtle; would SMS be worth a try?

The owner is finally convinced to try raw or raw cooked w/ this cat also- owner is vegan , so it has been a tough sell..

Thanks!!

:)Cathy
Replies
by mikemesley
November 24, 2009
Steve, I always knew you were ahead of your time, but how did you make this post from Jan 2020? Amazing!
by mikemesley
November 24, 2009
Is it possible there is some TB issue here with the prolonged use of damp-forming diet potentially causing phlegm accumulation in middle burner?
Would expect tongue and pulse to be less "normal" but might fit with why SRT may have helped, also with high Chol, and maybe with vomiting too.
Any thoughts?
Mike
by naturevet
November 24, 2009
Definitely a possibility, Mike. I zipped to the future and checked. SMS is still a not bad choice, though, and I would have expected more gratification from SRT if the problem was mostly a TB obstruction.

S
by naturevet
January 12, 2020
Hi Cathy,

Si Miao San seems the next step to try. For some cats we've had like this, the only thing that has worked is a raw diet. So I'm glad she's come around in her thinking. My wife is vegan, too, but it was she who first put our animals on raw and tried it out for some of our patients.

Good luck. If the diet changes, I'm certain these loose stools will disappear quickly.

Steve
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