My cat has blood in stool, parasites, and pancreatitis. What's next?

Question

Choti had blood in her stool but was eating fine. She was given fenbendazole 26th Oct-30th,metronidazole 26th-1st Nov. When blood persisted she was given metronidazole IV 12-17th Nov,Amoxycilin 18th-20th,Fenbendazole 22nd-26th,Metronidazole 22nd-28th,eniprazole 24th,Albendazole 1st Dec (when worms appeared in her stool too). She was fighting blood parasite that recently got worse & had a blood transfusion. She now has pancreatitis. Attached are her results from before the transfusion. Plz advise. Pet's info: Cat | Mixed Breed | Female | spayed | 1 year and 4 months old | 5 lbs

Jenna Beyer, DVM, MBA, cVMA · Accepted Answer

I would recommend that you discuss the possibility of IMHA with your vet. The bilirubin could be elevated because of the body attacking red blood cells. Some blood parasites need intensive treatment with steroids to see improvement. I agree with the other vet, additional diagnostics are needed at this time. An ultrasound will help to evaluate the liver and kidneys and intestines.

My cat has blood in stool, parasites, and pancreatitis. What's next?

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