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Kitten Diarrhea

  • 1.  Kitten Diarrhea

    Posted 11-23-2022 01:08 PM
    Hi,
    We rescued over s100 cats this year; we are so proud! We also had over 60 adoptions so far, this is our first real active year for our rescue that we founded in 2020. Last year we only rescued 40 cats. With that said, this is the first time that we have had a lot of kittens, and all are doing well, except for 2 kittens that we took in from a 44 -cat hoarding situation back in July/August.  We took in a total of 38 cats, 1 kitten died same day in an incubator, the other we had to have our vet euthanized as the entire back of its body was deformed and the vet indicates she would not have a good quality of life. All these cats were inbred, including the two kittens we are having trouble with, they started out with a bad coccidia infection, which we treated, then once we got nothing but negative fecals, we thought we were doing great, but.... they kept having wicked diarrhea. So back to the vet, given them meds for diarrhea, changing the food, etc., that helped a little bit, but they still have loose stools and diarrhea at times enough where the fosters cannot handle them anymore and I am concerned about getting them adopted.  Anyone have any advice, ideas, experience with a bad case of the runs like this? Any help is greatly appreciated.
    #Medicine,SurgeryandSterilization

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    Brigitte Ivory
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  • 2.  RE: Kitten Diarrhea

    Posted 11-25-2022 08:33 AM
    Couple of angles to maybe think about here:

    1. The most obvious is the infection/parasite piece.  It's possible whatever they had being coccidia or giardia or worms is still in their system or their system is still processing it out while they're getting better and so they're still symptomatic.  Or something else is flying under the radar that hasn't been treated yet.

    2. If they're still on any medications, some of the medications can actually cause diarrhea including antibiotics and I want to say Panacur but I forget exactly which is the one we seem to have the most problems with.

    3. Our kittens respond very differently to certain types of food.  It especially seems like for canned food the more soupy vs pate can cause bowel issues, and fish-based products seem to have more problems in our kittens then the chicken or beef versions.

    4. Depending on what your living quarters/foster setup is and how often the kittens have been moved, they may just still be stressed out which can cause internal
    turbulence :)

    5. If you're saying many of the kittens are inbred, there's also a possibility that they have some internal abnormality within the stomach or intestines that unfortunately would likely cause lifelong issues that may or may not be resolvable with treatment.

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    Jeff Okazaki
    Humane Society of Jefferson County
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  • 3.  RE: Kitten Diarrhea

    Posted 11-25-2022 12:52 PM
      |   view attached
    Hi Brigitte, 

    Along with everything Jeff said, we typically follow the APA Kitten Diarrhea protocol (attached).

    Are they currently on any medications? Has your vet tried Metronidazole and a probiotic? 


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    Amanda McQuarry
    Portsmouth Humane Society
    7579686795
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  • 4.  RE: Kitten Diarrhea

    Posted 6 days ago

    Good morning. 
    On your protocol. What does BAR stand for? 
    Our rescue has only done Panacur or Pyrantal (depending on situation) and probiotics. We've not been told about the other meds you mention. Which could be helpful with some of our kittens. We've had several that have diarrhea for weeks and vet just says to deworm them again and keep on with probiotics. Kinda frustrating for us and the fosters. 



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    Sarah
    Paws in Middle Georgia Animal Rescue
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  • 5.  RE: Kitten Diarrhea

    Posted 5 days ago

    Hi Sarah

    BAR is an acronym for  bright, alert, responsive.  I guess that's what they mean on the protocol document.



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    Bettina Vine
    Animal Health Director
    The Kitten Connection
    Peniche, Portugal
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  • 6.  RE: Kitten Diarrhea

    Posted 11-27-2022 09:35 AM
    Going along with Amanda's comment about following vet protocol- Our shelter has a medication protocol in place, then we tr changing the food, but sometimes that just doesn't cut it. Has your doctor approved or tried probiotics? In some cases, we are able to resolve persistent diarrhea (after routine deworming and anti-diarrheal medication) with probiotics. Our favorite immediate go to is Purina Forti-flora, and then if that doesn't cut it we use visbiome probiotic as well. It is expensive and has to be refrigerated, but we have a lot of success in both dogs and cats with this probiotic. They have a shelter program as well. Just something for DVMs to consider!

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    Kasey Berry
    SPCA of Texas
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  • 7.  RE: Kitten Diarrhea

    Posted 4 days ago

    Good morning!

    When you say "negative fecals," have any of the samples included an actual diarrhea panel? If not, you might consider it.  A panel looks for different pathogens.  Takes a little longer and more expensive, but can be worth it.  



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    Diane Metz
    Board of Directors, Volunteer, and Foster Mom
    Orange Street Cats, Inc.
    Albany NY
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  • 8.  RE: Kitten Diarrhea

    Posted 4 days ago

    Ova and Parasites ("fecal") only detects parasite eggs in the feces. Internal parasites are intermittently shedding eggs, so O&P can miss the presence of parasites. Better and more expensive is a fecal PCR test.  Check with your lab. In addition to prescription medications and probiotics I use Platinum Performance Biosponge. It is an intestinal adsorbent for horses. It is not a drug and works physically by binding the excessive fluid in the guts. A pinch of the powder added to the kittens food or formula helps keeping hygiene (thus decreasing the risk of re-infection).



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    MW Cats
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  • 9.  RE: Kitten Diarrhea

    Posted 3 days ago

    Brigitte,

    We found this resource to be quite helpful: https://www.kittenlady.org/diarrhea 

    She has a 3 hour webinar on youtube about diarrhea. It really helped our shelter...but it's LOOOONG. 

    Also, we started worming all of our kittens with Ponazuril/Panacur as soon as they come in, which has been helpful since we take in mostly street kittens (not owned). 



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    Kristen Little
    Sarasota County Sheriff's Office Animal Services
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  • 10.  RE: Kitten Diarrhea

    Posted 3 days ago

    Congrats on so many adoptions and building your rescue!

    In regards to the kittens, we take in a lot of kittens and use a lot of fosters, so we give the kittens the Ponazuril/Panacur as soon as we intake them. This seems to work as well as we have diarrhea kits for fosters to help them. These usually help them. We have found Royal Canin Babycat and Kitten seems to help if the kittens are having issues with their food.



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    Stefanie Schmidt
    Animal Welfare Specialist
    Hearts Alive Village
    NV
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  • 11.  RE: Kitten Diarrhea

    Posted 2 days ago

    Diarrhea is a challenge for both foster and adoption placement.  I think that a lot of shelters and rescues are on board with very similar diarrhea protocols for kittens at this point, and I definitely agree with suggestions for continued tests and collaboration with your veterinarian.  As far as probiotics go, have you tried using Vetoquinol's Pro-Pectalin?

    I am a shelter volunteer and kitten foster, and I adopted two kittens (16 weeks and 6 months) in 2023.  Every kitten I fostered last summer AND my two 2023 adoptees struggled with diarrhea, ranging from the veterinary emergency gushing liquid grade to soft, runny stools that just would not resolve.  None had a single test result showing parasitic or bacterial infection.  We treated initially with anti-parasitics and antibiotics but also supplemented with pumpkin puree and Pro-Pectalin gel.  Pro-Pectalin contains kaolin; together with the pumpkin, it adds bulk and absorbs some of the water without causing constipation.  

    Definitely consult with your veterinarian for dosage, especially for small kittens.

    For my foster kittens, the diarrhea resolved by the time they were around 12 weeks old.  Once the diarrhea was under control with Pro-Pectalin, I slowly began reducing the pumpkin until they were just eating cat food (wet and dry Royal Canin Mother and Babycat).

    My adoptees took longer, but they were shelter kittens (from two different shelters) who presumably had not been on any anti-diarrhea regimen prior to adoption.  One, the 6-month-old, was also suffering from significant stress as she had been trapped outdoors at the age of 5 months and separated from a bonded sibling.  (In fact, that is why I adopted her--she was completely overwhelmed and clearly needed a calm environment and cat-friendly cats to help her learn to live in an indoor environment.)  We additionally transitioned her to a Hill's prescription diet for about 3-4 months.  After her issues resolved, I was able to slowly transition her back to the same diet that my other cats eat, but it was about a six-month process to calm down her system.  But again, I think that her significant stress was a factor in how challenging it was to get her to a good state.  

    In all cases, foster and adoptee, it was a success.  Since then, I keep Pro-Pectalin on hand for new fosters.  I would recommend talking to your veterinarian to see if they think it is worth trying with your cats and kittens.  I have found it to be a safe, effective addition to a resolvable diarrhea regimen.



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    Erin Linsky
    Volunteer
    Fort Wayne Animal Care and Control
    IN
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  • 12.  RE: Kitten Diarrhea

    Posted 2 days ago

    Diarrhea is tough for both foster and adoption placements.

    I think that most shelters/rescues are pretty much on the same page as far as a diarrhea protocol of anti-parasitic and antibiotic treatment as a 1-2 punch for parasites/bacteria that are so often the cause of resolvable diarrhea.  I agree with the advice given for testing and continued veterinary monitoring. 

    I am a shelter volunteer and rescue foster with two different organizations.  Every kitten that I fostered in the 2024 summer and my two kitten adoptees (aged 16 weeks and 6 months) from 2023 suffered from diarrhea.  In each case, testing did not lend much insight as to the cause of their lingering problems.  In all cases, the kittens were healthy and otherwise suffered no symptoms; they were happy, curious, playful, active, and alert.  They just had persistent problems, ranging in one case from the veterinary emergency grade (explosively gushing liquid) to more typical persistently soft stools.  It's important to note that my fosters likely had immature digestive systems that likely contributed to their problems--they ranged from the 4-5 week old age at intake and were all cases in which they were orphaned or abandoned intentionally by people, so continued care from the mother cat was simply not an option.  

    During and following antibiotic/anti-parasitic treatment, we supplemented diet with raw pumpkin (for fiber) and Vetoquinol Pro-Pectalin gel.  Pro-Pectalin contains kaolin (a soft white mineral clay), so it absorbs some of the moisture and with the pumpkin, adds soft bulk to the stool.  Pro-Pectalin dosage was arrived at with veterinarian recommendation based on kitten age/size--I would absolutely recommend that you consult with your vet because you don't want to go overboard and cause constipation. 

    With my fosters, each kitten's diarrhea cleared up around 12 weeks, with stools consistently normal/no diarrhea at around 16 weeks in the latest (and most severe) case.  All kittens were continually and routinely monitored by our veterinarian.  

    My adopted kittens, who were from two different shelters and had been de-wormed and treated with antibiotics but presumably received no pro-biotic or continued anti-diarrhea regimen prior to adoption, took a bit longer, particularly my 6-month-old.  However, she was also a special case as she had been trapped as a free-roaming cat at about 5 months of age and suffered from significant stress following separation from her siblings, all of whom had been adopted separately by other people.  Within a 6-week period, she was trapped, taken to a shelter, spayed, moved to an off-site location, separated from a bonded sibling, and adopted--that's a LOT of change in a short period of time.   Under veterinary care, we transitioned her to a prescription pro-biotic gut diet in addition to using Pro-Pectalin and gave her the time and space to decompress.  It took a full six months for her issues to completely resolve without regression, during which time she has become a contented housecat.  Once resolved, she was able to gradually transition to a regular, non-prescription diet.  It just took time, patience, and the time to establish healthy intestinal flora.  

    Based on my experience, I would ask your vet about adding Pro-Pectalin or another similar kaolin and pro-biotic based product.  There are several available, but make sure you consult with a professional for dosing and safety based on the specific needs of each cat or kitten.



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    Erin Linsky
    Volunteer, Kitten Foster
    Fort Wayne IN
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