THE SOFT STOOL MYSTERY DIARRHEA, SOFT STOOLS & IBD An Article from TIBCS Health Committee By Canie Brooks & Jaen
Treesinger, Co-chairs  

No longer is it possible for any Bengal breeder to claim that the Bengals just have a "sensitive" intestinal tract always prone to soft stools & diarrhea. Sound
familiar?.....Something we used to hear all the time and still do on occasion, even from vets. With access to internet networking, new grain-free kibble and some
newer treatments for Coccidea & Tritrichomonas foetus, more and more catteries are faced with nearly picture perfect poop. Unfortunately the picture is not
nearly so perfect for everyone.  
Lots of people, ourselves included, jumped into Bengals without knowing anything about breeding cats and it has been a steep learning curve. A lot of people
ignore what cycles in and out and don't know how to cure what they have. Much of it doesn't test positive at the vet, so treatment is clueless and frustration
mounts in direct proportion to the vet bills.  
We tend to think much of it is diet based and that most Bengals are especially sensitive to grain-based diets, not to mention meat "by-products" (read most
kibbles and canned brands). Perhaps Bengals' sensitivity is because of closer proximity to the wild ancestor and its primordial diet. Or perhaps it is more true of
all cats than we realize. If an animal is healthy because of their diet and their immune system is healthy, they can exist with many of these pathogens and not be
symptomatic because there is no overgrowth.  
If you have a Bengal that cycles in and out of diarrhea, there are some supportive therapies that you can do. Two supplements which will help heal the gut are
bonded L-Glutamine (an amino acid, a very high quality form is GlutImmune, available from www.wellwisdom.com) and pro-biotic products such as Wysong
products; Call of the Wild or F-Biotic. Adding in about 15% plain cooked pumpkin will help firm up the stiool without further inflaming the intestinal walls. Also, a
high quality diet is essential. Bengals need a primarily meat based diet, using a product that uses human grade meat as the base.  
EVO is a new grain-free kibble (available from www.naturapet.com) which does just that. Many breeders report lots of healthy changes from feeding this kibble.
We recommend changing over to it very, very slowly to avoid being discouraged if it brings on diarrhea. We believe EVO allows the cat to start to dislodge layers
of mucoid plaque caused by the previous grain-based diet. Typically vets will put a Bengal with runny stools on an IBD food that will stop diarrhea because there
are ingredients in these foods like beet pulp that will plug up a runny bowel. They only bury the problem, for it to surface as long term effects (no pun intended)  
Basic husbandry tells us to keep very clean conditions; keep the hands and litter boxes washed, especially if any diarrhea starts up. A brief summary on the order
of diagnostic pursuit is; a) parasite/pathogen, b) diet sensitivities, c) Viral and d) Inflammatory Bowel Disease. Until you've got a handle on what's wrong, you
really can't start treatment...or it's hit and miss; and yet sometimes that seems like your only option.  
One breeder recently had a weird outbreak of very runny diarrhea in virtually all of their cats. The cats were taken in and a battery of routine testing was done
without anything identified. Luckily, a fellow breeder posted to the TIBCSMEMBERS list (http://groups.yahoo.com/group/TIBCSMEMBERS/) about flavor
additives that most chicken is soaked in. The cats were being fed raw ground chicken. To save money, the breeder was buying a cheap outlet brand of one of
the major brands of chicken and grinding it. Upon hearing about the flavor additives, as an experiment, the breeder cut back on the percentage of raw meat in
the meat mixture being fed and the diarrhea disappeared in all but two cats! Then the breeder called around and found a wholesaler who delivers and was able
to buy a free range, no antibiotic brand of chicken with no flavor additives for the same price as the outlet brand!! The breeder again increased the percentage
of raw chicken in the meat mixture and this time there was no resulting diarrhea. There were just two cats that did not respond to change of diet who then did
respond to a week of treatment with metronizadole.  
Coccidia This parasite is very, very common and very easy to get a re-infection, especially if your cats are housed more than one to a space. There was a
complete article by Lorraine Shelton on Cocci & the use of Baycox in the 2005 winter Bulletin (vol. 19, issue 4). The important things to realize about Baycox
are: a) Use only the 5% solution (available from http://www.interpet.biz/Baycox.html.) and NOT the 2.5% solution for pigeons, b) This drug works best when it is
used at the age of 4-6 weeks as a preventative of coccida infection in kittens. and c) Follow the directions carefully and when you use it, draw up some water into
the syringe first and then the Baycox, so that when it is administered, there is a little "chaser" of water already in the syringe to help wash down the Baycox so it
doesn't irritate the esophagus.  (They really hate this as it is very bitter)  
Tritrichomonas foetus or TF For information about what TF is, read this link where there are excellent pictures you can share with your vet; http://www.fabcats.
org/tritrichomonas.html  
Tritrich may be causing much of the diarrhea so common in Bengals. A relatively new breeder who has bought in 5 Bengals from 5 different catteries found that
every single one tested positive for TriTrich using the TF Pouch Test..... a frightening bit of information in a quickly developing breed that frequently trades and
sells between breeders in a frenzy to keep up. This breeder has used the TF
Pouch Tests & Ronidazole for treatment, but has had the TF re-occur in every cat. However, the good news is that post treatment overgrowths of TriTrich have
been controlled by switching to a raw diet and the cats are symptom free.  
From Dr. Gookin's research: In a study of long-term outcome in 26 cats with diarrhea and T. foetus infection, clinical signs resolved a median of 9-months after
the onset of diarrhea (range, 4 months to 2 years). Relapses of diarrhea were common and associated with dietary change, medical treatments unassociated with
T. foetus infection, and travel. On the basis of fecal PCR, T. foetus was undetectable in >50% of cats when tested 2-5 years after diagnosis. Thus, cats with T.
foetus may have a good long-term prognosis for spontaneous resolution of disease.  
Recently 50 cats were fecal tested at a southern California show (under a study conducted by Dr. Stanley Marks, UCDavis) Results demonstrated that 11/50 cats
(22%) were positive on culture (InPouch) for TriTrich. foetus. 15/50 cats (30%) had Giardia present. 9/11 (82%) of the cats with TriTrich also had Giardia 2/50
(4%) cats had Cryptosporidium.   
For those of you who breed outside cats, the Trich culture test should be considered for incoming queens. This may not please your customers, as it is a $200.00
test that takes 2 weeks to complete the culture. So how do you test for Tritrich? There are two options:  1) The TF Pouch test, about $4-5 each. Here is the link for
the Tritrich test pouch instructions.....This tells you to "incubate" the contents of the pouch  or 2-12 days before you look at it under the scope. The pouch test
can possibly  miss "inactive" TF.  To read about the TF Pouch Test and order: http://www.biomed1.com/TF.htm  2) Also available from your vet are PCR tests
which are a 2 week culture, costing approximately $200.  
So how do you treat TF?  Use Ronidazole, which is suspected of being mutagenic and carcinogenic, which is why it was withdrawn from the US market, (and
elsewhere) for use in humans. DO NOT use in pregnant cats. More info on drug here: http://europa.eu.int/comm/food/fs/sc/scan/out01_en.html        
The dosage given for this drug is 30-50 mg/kg, twice a day for 14 days.  
DO NOT give the avian version.  This needs to be formulated in a lab using a script from your Vet:  Labs:  Roadrunner Pharmacy 711 E. Carefree Hwy., Suite 140
Phoenix, Az. 85085 (877) 518-4589  (623) 434-1180  
OR:  West Lab Pharmacy 4410 West Newberry Street
Suite #5 Gainesville, FL 32607 352 377-8156     
This drug's safety in pregnant cats has not been established. The test group for the published safety and efficacy study consisted of 10 week old kittens. Here is a
reference for your vet: http://www.cvm.ncsu.edu/mbs/gookin_file4.doc  
Here is the link to Dr. Gookin's site; She is doing a lot of research on Tritrich: http://www2.ncsu.edu/unity/lockers/project/cvmaprhome/gookin_file2.htm  
Some have tried to use Tindazole or Tindamax is an alternative drug for use against Trichomonas (T.Foetus), Giardia, coccidia and many other protozoa in
cats. It is available from your local Pharmacy with a Vet's prescription. The dosage is 250 mg Tabs given at 30mg/kg once daily for 10 days. This drug is safer
and far more obtainable and affordable than Ronidazole, but may not be as effective and the trich can re-occur.  Dr. Gookin is doing a study on using
Tinidazole as an alternative to Ronidazole, since finding that the possibility of reinfection of TF in cats after administrating Ronidazole.  Please check her site
for the latest information and updates


All of our cats and kittens here at Poconopaws are currently on:

Simply Nourish™ Source High Protein Grain Free Kitten Food
&
Simply Nourish Source Grain Free Adult Indore















Size  : 6 Lb   

Flavor  : Chicken & Turkey   


Is your kitten getting the nutrients it needs to grow up healthy and strong? Simply Nourish Source Chicken and Turkey Recipe High Protein Grain Free Kitten
Food offers a superfood blend packed with essential nutrients to help your kitten thrive on its way to adulthood. Only at PetSmart.

Features: High Protein, Grain Free
Food Type: Dry Food
Food Consistency: Kibble
Life Stage: Kitten
Flavor: Chicken and Turkey
Primary Ingredient: Chicken
Package Weight:  6 lb (2.7 kg)


Feeding Instructions:
Kittens, by nature, like to eat small meals frequently throughout the day. In order to satisfy your kitten's nutritional needs and preferences, we recommend
providing your kitten with Simply Nourish™ Kitten Cat Food in the morning, allowing him to nibble throughout the day. Provide your kitten with a clean container
of fresh water daily. Always consult your veterinarian with any health questions.
Recommended Daily Feeding Amounts
(Using a standard 8 oz measuring cup)
2-4 lb cats 8-15 wks ⅓-¾ cup 16-25 wks ¼-½cup 26-35 wks ¼-½ cup 36-51 wks ¼-½ cup
5-8 lb Cats 8-15 wks 1-1 ⅓ cups 16-25 wks ⅔-1 cup 26-35 wks ½-⅔ cup 36-51 wks ½-⅔ cup
9-12 lb Cats 16-25 wks 1-1 ½ cups 26-35 wks ¾-1 ¼ cups 36-51 wks ¾-1 cup


Ingredients:
Chicken, Chicken Meal, Turkey Meal, Dried Potatoes, Dried Peas, Canola Oil (Preserved with Mixed Tocopherols), Flaxseed Meal, Tomato Pomace, Turkey,
Menhaden Fish Meal, Natural Flavor, Salmon Oil (Source of DHA), Dried Chicory Root, Dried Cranberries, Dried Carrots, Dried Sweet Potatoes, Vitamins (Vitamin
E Supplement, Niacin Supplement, L-Ascorbyl-2-Polyphosphate [Source of Ascorbic Acid], Vitamin A Supplement, Pantothenic Acid, Thiamine Mononitrate,
Pyridoxine Hydrochloride, Riboflavin Supplement,Vitamin B12 Supplement, Vitamin D3 Supplement, Folic Acid, Biotin), Salt, Choline Chloride, Minerals (Zinc
Sulfate, Ferrous Sulfate, Calcium Iodate, Copper Sulfate, Manganese Sulfate, Sodium Selenite), Taurine

Guaranteed Analysis:
Crude Protein (min) 40.0%
Crude Fat (min) 20.0%
Crude Fiber (max) 5.5%
Moisture (max) 10.0%
Lysine (min) 1.2%
Methionine (min) 0.62
Calcium (min) 1.5%
Phosphorus (min) 0.9%
Potassium (min) 0.6%
Magnesium (max) 0.1%
Zinc (min) 175 mg/kg
Selenium (min) 0.3 mg/kg
Vitamin A (min) 30,000 IU/kg
Vitamin E (min) 500 IU/KG
Taurine (min) 0.2%
Omega-6 Fatty Acids* (min) 2.5%
Omega-3 Fatty Acids* (min) 1.0%
Ascorbic Acid (Vitamin C)* (min) 100 mg/kg
Docosahexaenoic Acid* (min) 0.15%
*Not recognized as an essential nutrient by the AAFCO Cat Food Nutrient Profiles


Caloric Content: (calculated): 3,790 kcal/kg ME, 379 kcal/cup ME






















The Tidy Cats Breeze Litter Box controls odors in your home and features a pull out tray which holds disposable cat pads that absorb urine and lock in odor.
Instead of using traditional clay litter, this system uses specially designed cat friendly litter pellets which are 99.9% dust free and anti-tracking. These litter pellets
allow urine to pass through while leaving the solid waste on top for quick, easy removal. The urine is quickly absorbed by an odor-controlling pad in a protective
tray.

Features: Deodorizing
Includes: Litter Box, Litter Scoop, 1 Bag of Pellets, 4 Cat Pads
Dimensions: 20.3"L x 15.2"W x 11.8"H
Color: Green & White
Material: Plastic

What is Revolution?
This once-a-month topical (on-the-skin) treatment is truly a revolutionary idea in parasite protection. In Cats, Revolution protects against heartworm, roundworms,
hookworms, fleas, and even ear mites when used as directed. In Dogs, Revolution protects against heartworm, fleas, American Dog ticks, ear mites, and Sarcoptic
mange mites when used as directed.

Who is it for?
For dogs/puppies over 6 weeks of age and cats/kittens over 8 weeks of age. Safe to use on pregnant and nursing animals.

What are the benefits?
*Heartworm preventive for dogs, cats, puppies or kittens
*
medication also can be used to treat and control roundworms and hookworms in cats
*
Also delivers flea control and prevention - and tick control in dogs

How does Revolution work?
Revolution is used in the prevention, control, and treatment of various parasite infections. The active ingredient is selamectin, which interferes with the parasite's
nervous system. It is an effective heartworm preventive, killing the immature form of the heartworm (Dirofilaria immitis). It kills adult fleas (Ctenocephalides felis)
and prevents flea eggs from hatching for one month. It is also used for the treatment and control of ear mites (Otodectes cynotis) and sarcoptic mange
(Sarcoptes scabiei). Revolution is effective in controlling tick infestations due to the American dog tick (Dermacentor variabilis). In cats, Revolution also treats
and controls roundworm and hookworm infections
.

How is it given?
For the prevention of heartworm disease, Revolution must be applied monthly, preferably on the same date each month. Drs. Foster and Smith recommends (and
our guarantee requires) that Revolution be used year round, although some veterinarians may recommend using it only during the mosquito season. If used
seasonally, the first dose must be applied within 30 days of the pet's first exposure to mosquitoes. The last dose must be applied within 30 days after the pet's last
exposure to mosquitoes.

To control fleas, apply the first dose one month prior to the expected start of the flea season.

Part the hair on the back of the pet at the base of the neck in front of the shoulder blades. Place the tip of the tube on the skin and squeeze the tube 3-4 times to
empty the entire contents on the skin. Do not massage into skin or apply to broken skin. Do not apply when the haircoat is wet.

What results can I expect?
Revolution will kill the immature heartworms the pet was exposed to in the preceding month. For ear mites and sarcoptic mange, most mites are killed with one
treatment, although a second treatment a month later may be required; follow the advice of your veterinarian. To control ticks, the dosage may need to be
changed from the heartworm dose of once a month; again follow your veterinarian's recommendations. Most fleas are killed within 36 hours of application. If the
pet was already infested with fleas when Revolution was applied, you may see fleas after that period of time as the immature forms of the fleas in the
environment hatch.

What form(s) does it come in?
Topical
Please click on "More Information" for possible drug and food interactions with this medication.
Health information
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