Gastroenteritis refers to inflammation (-itis) of the stomach (gastro-) and intestines (enter-). A huge array of conditions can affect the gastrointestinal tract, which includes the esophagus, stomach, small intestines and large intestines (colon). Most cats experiencing gastroenteritis have vomiting and/or diarrhea, and they may also display a loss of appetite, lethargy, abdominal pain or fever. Cats of any age, gender or breed can experience gastroenteritis. However, certain causes are more common in different populations of cats. For example, young cats are more likely to acquire infectious causes of gastroenteritis, while geriatric cats are more likely to develop cancer or degenerative changes.
Since so many different conditions can cause gastroenteritis, the underlying cause needs to be diagnosed so that treatment can be initiated based upon the inciting cause. When a cat begins to display the signs associated with gastroenteritis, which commonly include vomiting, diarrhea and a loss of appetite, a physical exam is the first step in attempting to determine the underlying cause. During a physical exam, a veterinarian assesses a cat’s hydration status, listens to the heart and lungs, palpates the abdomen for any abnormalities or pain, checks the body temperature and often performs a rectal exam. Diagnostic testing is needed to get to the bottom of the issue and often begins with baseline lab tests, which include a complete blood count (CBC), biochemistry panel and urinalysis. Retroviral blood testing for feline leukemia virus (FeLV) and feline immunodeficiency virus (FIV) are often performed, as these viral infections can suppress the immune system and make affected cats more susceptible to other infections. Fecal flotation tests determine if intestinal parasites are present. Additional diagnostic tests may be needed and can include an abdominal ultrasound, abdominal x-rays, intestinal biopsies or fecal culture.
The cost to treat cases of gastroenteritis can vary depending on the underlying cause and the severity of the condition. Mild cases may be treated for less than $400 while severe cases requiring hospitalization, intensive care and/or surgery may cost $3000 or more.
Cats can recover from some mild causes of gastroenteritis over just a few days. Other more complicated cases can take weeks for recovery, may require lifelong management or may be fatal. As with the diagnostic testing and treatments, the recovery time for cats with gastroenteritis is dependent upon the underlying cause.
Cats should be monitored at home for any persistence or progression of their gastrointestinal signs. Depending on the cause of gastroenteritis, some cats require intermittent rechecks of blood or fecal tests.
The use of a monthly preventative to guard against intestinal parasites, management of food allergies, preventing dietary indiscretions and limiting exposure to drugs or chemicals may prevent certain cases of gastroenteritis.
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