Page 1036 - Small Animal Clinical Nutrition 5th Edition

1076 Small Animal Clinical Nutrition

Progress Notes
VetBooks.ir The owner was offered several therapeutic options but elected to try an elimination food alone. The cat was started on a commer-
a
cial moist veterinary therapeutic food (Prescription Diet Feline d/d ) that contained highly digestible ingredients (lamb and rice)
to which the cat had not been exposed previously. The food was offered as two meals per day (one-fourth of a 14.25-oz. can twice
daily). Four weeks later, the owner reported that the diarrhea had resolved completely and the cat weighed 4.2 kg.The feeding plan
was continued.
The cat did well for more than a year; however, lethargy, vomiting and weight loss were noted 16 months after the initial diag-
nosis of IBD. Physical examination revealed a thin cat (body weight 3.5 kg, BCS 2/5) with palpably thickened bowel loops.
Persistent eosinophilia and elevated liver enzyme activity were present. Evaluation of intestinal biopsy specimens obtained endo-
scopically revealed GI lymphosarcoma. The cat was euthanized at the owner’s request.

Endnote
a. Hill’s Pet Nutrition Inc., Topeka, KS, USA. This product is currently available as Prescription Diet d/d Feline.

Bibliography
Dimski DS.Therapy of inflammatory bowel disease. In: Bonagura JD, ed. Current Veterinary Therapy XII. Philadelphia, PA: WB
Saunders Co, 1995; 723-728.