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Dr. Kara
Dr. Kara, Board Certified Veterinarian
Category: Vet
Satisfied Customers: 18173
Experience:  Over 20 years of experience as a veterinarian.
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My cat is much loved 9yrs old Birman ,feww yrs ago had campherbacteria(?)

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My cat is much loved 9yrs old Birman ,feww yrs ago had campherbacteria(?) & had antibiotics biotice ever since on special prescription food but has lost weight slowly. Blood test 2yrs ago clear and more done.stools are pencil thin and no lumps found by vet but really worried as puss is now down to 2.9 k & very thin any idea what to try next.x
Hello, my name is***** and I have over 20 years of experience as a veterinarian. I'd like to help with your concerns about Saffy's weight loss, decreased appetite, and thin stools even with eating a prescription diet.
If she isn't eating well, then she won't have much stool.
Metabolic diseases like diabetes, liver and kidney disease can lead to a poor appetite and weight loss and so can hyperthyroidism and secondary organ failure. You mention blood tests, but how recently were the last ones done? Things can change quickly for your girl and if blood tests haven't been done within the past month they should be repeated. I recommend a complete blood count, biochemistry profile, T-4, feline specific pancreatic lipase, and a urinalysis.
But the other concern would be that there is something outside her intestinal tract compressing the stools or that there is a thickening of the intestinal walls leading to small stools. Inflammatory bowel disease could lead to thickened intestines, and could predispose to infiltrative cancers like lymphoma or adenocarcinoma.
I understand that your veterinarian couldn't feel any masses but infiltrative cancers may be very difficult to find with just palpation. An abdominal ultrasound may be more diagnostic, and allow aspirates of any abnormal areas to help diagnose her condition. But sometimes we need biopsies to get a proper diagnosis, either via endoscopy or via exploratory surgery.
If you are unwilling or unable to have any further testing done for her then at this point given her poor condition immunosuppressive doses of steroids would be an option. Steroids (prednisolone) can help tremendously with inflammatory bowel disease and also help, at least for a while, with infiltrative lymphoma. They aren't a cure, but they can give her a better quality of life for a period of time.
Please let me know if you have any further questions.
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Customer: replied 3 years ago.

Thank you for advice confirmed what was thinking and some new thoughts re ultrasound which h hasn't been considered ed

.fingers crossed thanks again for info and positve reply. Good response

You are very welcome, please let me know how things go for your little one, or if you have any questions along the way, Dr. Kara.
Customer: replied 3 years ago.

Following on from your reply could furballs be connected? Saffy used to cough up and pass in stools regularly and she used to hve access to ,kitty grass, until apprx 3 to4yrs ago whenpets @home stopped selling it. Very rarely see them now and wonder if they hve coated intestines? She doesnt appear to have a mass in stomach or vet would have felt it. Thank you. Anne

While ingested hair can certainly be an irritant it is rare that hair ingestion alone will cause as significant a problem as she has. Very rarely we see a hairball lead to an obstruction, and those are usually palpable upon examination as you surmised. I suspect that her access to kitty grass and fiber may have helped soothe her intestines a bit and helped push the hair through, but again I don't believe hairballs are her primary issue.