Page 1 of 2 12 LastLast
Results 1 to 10 of 20

Thread: Thickened small intestine

  1. #1
    Staff - Cats MarciD's Avatar
    Join Date
    Apr 2005
    Location
    Kitsap County, WA
    Posts
    6,095

    Default Thickened small intestine

    One of my kitties recently had to have all her teeth pulled and when they examined her prior to the surgery my vet said her small intestine was thickened. They also found an elevated protein level when they did the blood work. Now I know those two things together can point to either IBD or lymphoma. This cat has never had any symptoms of IBD. The vet wants to recheck her blood work in a month or so and see if the blood protein level has gone back to normal since the inflammation in her mouth could also cause that to be elevated. What I'm interested to know is what other diseases or conditions could cause the thickened small intestine? Doing endoscopy and subsequent biopsy at $1600 isn't going to be possible. I want to do everything I can for this kitty but my pockets aren't deep. Is there any other way to diagnose lymphoma?
    Marci DeLisle
    Cats/Rescue, Feral and Stray
    Camp Counselor at Camp Happy Cat
    Owner of NW Critter Sitter - "Paws-itively Purr-fect Pet-sitting"
    Owner of Northwind Reiki ~Animal Reiki for the fur-persons in your life!

    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.

  2. #2
    Senior Member calicokitty's Avatar
    Join Date
    Apr 2005
    Location
    suburban Philadelphia
    Posts
    21,553

    Default

    Well, you certainly have had a massive run of bad luck, and my heart goes out to you. They have been trying to develop a test for lymphoma, but nothing apparently yet. And, there is perhaps another complication in diagnosis as indicated in this link: http://www.vin.com/VINDBPub/SearchPB...00/PR00130.htm

    "The nodular form causes a segmental thickening of the bowel, most often in the ileocolic region, with resultant luminal narrowing and partial intestinal obstruction. Metastasis to regional lymph nodes is common with both forms of the disease. Gastric lymphoma in cats is rarely confined to the stomach and is best treated with adjuvant systemic chemotherapy. The prognosis for cats with gastric lymphoma is extremely variable with treated cats having survival times ranging from less than two months to more than one year. Adjuvant chemotherapy (Table 1) is also recommended following surgical excision of a solitary lymphomatous mass.

    Definitive diagnosis is usually made by intestinal biopsy via celiotomy or endoscopy. Caution must be exercised when diagnosing intestinal lymphoma via endoscopy. In some cats, the initial biopsy is interpreted as inflammatory bowel disease (lymphocytic-plasmacytic enteritis), and patients frequently show a favorable response to dietary modification and glucocorticoid therapy. These patients ultimately become refractory to therapy and necropsy reveals intestinal lymphoma. It is uncertain whether the initial lesion represented prelymphomatous change or whether it was erroneous because of sampling error."

    Unless someone else has more information, it appears that if it is a lymphoma, the prognosis is bleak. I don't know the treatments, but perhaps treat as if it is IBD, and if you are correct, it will save a lot of money. If not, perhaps there was little to be done in the long term.

    However, be awre that the link is from 2001, and there may have been many advances since then. But it appears that endoscopy and biopsy is the method of choice for a definitive diagnosis.

  3. #3
    Staff - Cats MarciD's Avatar
    Join Date
    Apr 2005
    Location
    Kitsap County, WA
    Posts
    6,095

    Default

    Quote Originally Posted by calicokitty View Post
    Well, you certainly have had a massive run of bad luck, and my heart goes out to you. They have been trying to develop a test for lymphoma, but nothing apparently yet. And, there is perhaps another complication in diagnosis as indicated in this link: http://www.vin.com/VINDBPub/SearchPB...00/PR00130.htm

    "The nodular form causes a segmental thickening of the bowel, most often in the ileocolic region, with resultant luminal narrowing and partial intestinal obstruction. Metastasis to regional lymph nodes is common with both forms of the disease. Gastric lymphoma in cats is rarely confined to the stomach and is best treated with adjuvant systemic chemotherapy. The prognosis for cats with gastric lymphoma is extremely variable with treated cats having survival times ranging from less than two months to more than one year. Adjuvant chemotherapy (Table 1) is also recommended following surgical excision of a solitary lymphomatous mass.

    Definitive diagnosis is usually made by intestinal biopsy via celiotomy or endoscopy. Caution must be exercised when diagnosing intestinal lymphoma via endoscopy. In some cats, the initial biopsy is interpreted as inflammatory bowel disease (lymphocytic-plasmacytic enteritis), and patients frequently show a favorable response to dietary modification and glucocorticoid therapy. These patients ultimately become refractory to therapy and necropsy reveals intestinal lymphoma. It is uncertain whether the initial lesion represented prelymphomatous change or whether it was erroneous because of sampling error."

    Unless someone else has more information, it appears that if it is a lymphoma, the prognosis is bleak. I don't know the treatments, but perhaps treat as if it is IBD, and if you are correct, it will save a lot of money. If not, perhaps there was little to be done in the long term.

    However, be awre that the link is from 2001, and there may have been many advances since then. But it appears that endoscopy and biopsy is the method of choice for a definitive diagnosis.
    From what I gather in all my research it depends on what grade the lymphoma is as to the prognosis. However, since I don't have the $1600 to do the endoscopy it's rather a moot point. I guess we'll meet this head-on if and when she starts to have some problems. What's interesting to me is that she has no symptoms at this point of IBD or lymphoma (and the symtoms would be similar no matter which it was which is what makes it so frustrating).
    Marci DeLisle
    Cats/Rescue, Feral and Stray
    Camp Counselor at Camp Happy Cat
    Owner of NW Critter Sitter - "Paws-itively Purr-fect Pet-sitting"
    Owner of Northwind Reiki ~Animal Reiki for the fur-persons in your life!

    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.

  4. #4
    Staff Yasmine's Avatar
    Join Date
    Apr 2005
    Location
    In the land of Microsoft, mocha, and language...we brake for Starbucks.
    Posts
    13,424

    Default

    Quote Originally Posted by MarciD View Post
    However, since I don't have the $1600 to do the endoscopy it's rather a moot point. I guess we'll meet this head-on if and when she starts to have some problems.
    Sometimes, you just have to do what you can do, Marci, and hope and pray for the best. Hugs to you and the rugrat...and I'll light a candle that it's not too serious.

    Yazza
    Yasmine; Staff: Your First Cat.
    I love the smell of espresso in the morning.
    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.

    NYT, USA Today, and Publishers Weekly Bestselling urban fantasy author
    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.

    I miss all my Rainbow Bridge Gurlz...love to Meerclar,
    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.
    Luna ,
    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.
    Keeter ,
    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.
    Tara
    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.
    , Circe
    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.



    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.

  5. #5
    Staff - Cats MarciD's Avatar
    Join Date
    Apr 2005
    Location
    Kitsap County, WA
    Posts
    6,095

    Default

    Quote Originally Posted by Yasmine View Post
    Sometimes, you just have to do what you can do, Marci, and hope and pray for the best. Hugs to you and the rugrat...and I'll light a candle that it's not too serious.

    Yazza
    If I had unlimited dollars to spend it would be one thing but I have to be realistic. This cat isn't a cuddler and would be so stressed to be on chemo at the vets office ... she doesn't deal well with having to go anywhere. I won't let her suffer if it does turn out to be lymphoma or even IBD. If there's anything I can do to make her life more comfortable I will be money is a factor in my life ... reality bites sometimes
    Marci DeLisle
    Cats/Rescue, Feral and Stray
    Camp Counselor at Camp Happy Cat
    Owner of NW Critter Sitter - "Paws-itively Purr-fect Pet-sitting"
    Owner of Northwind Reiki ~Animal Reiki for the fur-persons in your life!

    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.

  6. #6
    Senior Member GailS's Avatar
    Join Date
    Apr 2005
    Location
    Northern Catskill Mountains
    Posts
    17,400

    Default

    Quote Originally Posted by MarciD View Post
    If I had unlimited dollars to spend it would be one thing but I have to be realistic. This cat isn't a cuddler and would be so stressed to be on chemo at the vets office ... she doesn't deal well with having to go anywhere. I won't let her suffer if it does turn out to be lymphoma or even IBD. If there's anything I can do to make her life more comfortable I will be money is a factor in my life ... reality bites sometimes
    Dear Marci, Is this Shy Anne you're talking about? even if you had all the money in the world, some cats just aren't cut out for a lot of messing about and teatments. You know her best and I know you believe quality of life is more important than quantity. You'll do the best you can by her and not let her suffer, I know.

    A very dear friend of my lost her little kitty to an intesitnal lymphoma last year. They had the expnsive tests done, but there was nothing to do to save her, all they could do was keep her comfortable until she told them she wasn't, any more, then give her the gift of peace and rest. she didn't last very long, I'm afraid, about 2 months after her diagnosis.

    Has Shy Anne ever had any trouble with constipation? Maybe a long shot, but I wondered if megacolon had been considered. When Ootay's bowels are "full" her intestines feel thick. I'm not a vet of course, but I can tell when she's got to go just by feeling her. When she's "empty" I can't really find her intestines at all.

    Anyway my thoughts are with you as the blood test comes around, it's soon isn't it?

    Gail

  7. #7
    Senior Member GailS's Avatar
    Join Date
    Apr 2005
    Location
    Northern Catskill Mountains
    Posts
    17,400

    Default ps

    by the way Marci, actually I think my friend's cat was diagnosed by Ultrasound, not endoscopy.

    (in edit) she was being treated with prednisone and pepcid AC to help keep her more comfortable. She had a lot of trouble with diahrrea, too, but I don't think they were giving her anything for that, though I had suggested she try fortiflora or probios or even a finger full of yogurt every day.

    Gail

  8. #8
    Staff - Cats MarciD's Avatar
    Join Date
    Apr 2005
    Location
    Kitsap County, WA
    Posts
    6,095

    Default

    Quote Originally Posted by GailS View Post
    Dear Marci, Is this Shy Anne you're talking about? even if you had all the money in the world, some cats just aren't cut out for a lot of messing about and teatments. You know her best and I know you believe quality of life is more important than quantity. You'll do the best you can by her and not let her suffer, I know.

    A very dear friend of my lost her little kitty to an intesitnal lymphoma last year. They had the expnsive tests done, but there was nothing to do to save her, all they could do was keep her comfortable until she told them she wasn't, any more, then give her the gift of peace and rest. she didn't last very long, I'm afraid, about 2 months after her diagnosis.

    Has Shy Anne ever had any trouble with constipation? Maybe a long shot, but I wondered if megacolon had been considered. When Ootay's bowels are "full" her intestines feel thick. I'm not a vet of course, but I can tell when she's got to go just by feeling her. When she's "empty" I can't really find her intestines at all.

    Anyway my thoughts are with you as the blood test comes around, it's soon isn't it?

    Gail
    Yup, it's Shy Anne. She's never been constipated nor has she had diarrhea. So this came as a total surprise to me when the vet was telling me about the small intestine being thickened. Shy Anne isn't the kind of kitty that would do well with lots of tests and procedures. It would be one thing to diagnose it easily then treat with chemo but that isn't to be. I'm just trying to figure out whether a thickened intestine could be caused by something other than IBD or lymphoma. We won't be doing the blood work for another month. In the meantime she's feeling very good after having all her teeth pulled.
    Marci DeLisle
    Cats/Rescue, Feral and Stray
    Camp Counselor at Camp Happy Cat
    Owner of NW Critter Sitter - "Paws-itively Purr-fect Pet-sitting"
    Owner of Northwind Reiki ~Animal Reiki for the fur-persons in your life!

    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.

  9. #9
    Senior Member Iluvkatz's Avatar
    Join Date
    Jun 2005
    Posts
    287

    Default

    Wish I could offer some helpful info, but since I can't I am sending giant Hugs, purrs and Prayers!

    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.

  10. #10
    Staff - Cats MarciD's Avatar
    Join Date
    Apr 2005
    Location
    Kitsap County, WA
    Posts
    6,095

    Default

    Quote Originally Posted by Iluvkatz View Post
    Wish I could offer some helpful info, but since I can't I am sending giant Hugs, purrs and Prayers!
    Thanks ... the hugs, purrs and prayers are all very welcome
    Marci DeLisle
    Cats/Rescue, Feral and Stray
    Camp Counselor at Camp Happy Cat
    Owner of NW Critter Sitter - "Paws-itively Purr-fect Pet-sitting"
    Owner of Northwind Reiki ~Animal Reiki for the fur-persons in your life!

    To view links or images in signatures your post count must be 30 or greater. You currently have 0 posts.

Page 1 of 2 12 LastLast

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •