Replying to Ornella R. 04/04/2023 - 13:41
Hello Ornella.
1- If you were going for biopsies, I must admit I would try and biopsy as much of the GI tract as possible for completeness. FMT has not been demonstrated specifically in cases of T. foetus but I would think about using it in very refractory cases. FMT would be interesting, does this work in cats with T.foetus? I am sure VN in Manchester would be able to facilitate it. I would also consider Chestergates or NW Referrals. Where do you normally refer? I will pop on a separate post about the fecal transplant protocol.
2-I think the honest answer is… we don’t know. Some studies support Fortiflora, but only in very specific conditions. Fortiflora is generally a good option in cats, but in more refractory chronic enteropathies I would always try Vivomixx. I will share the dosing chart for Vivomixx again. How long depends on the patient, I have used long-term in some patients if they respond well and relapse when the probiotic is stopped. I would do a minimum of 4 weeks in chronic cases. Regarding endoscopy, I always do diet, wormer, and probiotics before discussing endoscopy. I like to do endoscopy before steroids, but if you have done as much as you can and owners are not up for steroids, it would not be unreasonable to try them.
3- Great question! I must admit, I only tend to use clopidogrel in PLE cases when the albumin is below 20 g/l. Having said that… most of the ones I see are below 15 g/l! We probably should be using it more! Could you share the paper you mentioned?
Hope that helps.
Scott 🙂
