Inflammatory Bowel Disease / Chronic Enteropathy
Also called: IBD, chronic enteropathy, CE, food-responsive enteropathy
- Cats
- Digestive
- Adult / Senior
IBD is a form of chronic enteropathy — ongoing inflammation of the digestive tract that causes persistent or recurring tummy upset. 'Chronic enteropathy' is the now-preferred umbrella term, covering food-responsive disease, IBD, and (importantly to distinguish) low-grade intestinal lymphoma. It is common in older cats and involves an abnormal response to gut bacteria or food.
Signs to look for
- Recurrent or persistent vomiting
- Diarrhoea
- Weight loss
- Reduced or changed appetite
- Lethargy
How a vet diagnoses it
A diagnosis of exclusion. Vets first rule out parasites, infections, and non-intestinal causes (kidney disease, hyperthyroidism). Tests include blood work, B12 and folate levels, fecal exams, abdominal ultrasound, and ultimately intestinal biopsies — the only way to confirm IBD and distinguish it from lymphoma.
Treatment
Dietary trials (hydrolysed or novel-protein diets), vitamin B12 supplementation where deficient, anti-inflammatory/immunosuppressive medication (e.g. corticosteroids), and sometimes antibiotics. The condition is managed rather than cured.
Monitoring at home
Weight, appetite, vomiting/diarrhoea frequency, B12 levels, and response to diet and medication.
Who tends to get it
Especially common in middle-aged and older cats. Siamese and some Asian breeds may be predisposed.
This library is educational reference only. It is designed to help you learn about health conditions your pet may have been diagnosed with — it does not interpret your pet's symptoms, cannot diagnose, and is not a substitute for veterinary care. Cats and dogs often hide illness well, so signs can be subtle. Any new, persistent, or worsening sign warrants a vet visit.