Spunky was a big boy and aptly named. He ruled the house and his carers' day centred on his every need - because he wouldn't let them forget his standards and requirements.
He often brought up a furball, so often that his carers just thought it was normal for him to bring one up every week or so. Six months ago it became more frequent and he started bringing up food as well. He seemed as bright, happy and demanding as ever so at first they thought nothing was wrong. After talking to us they tried out a few different foods, including a hypoallergenic diet, thinking that maybe something was interfering with his delicate digestion.
He vomited all the more and started to lose weight despite appearing normal. We tested him for all the usual causes of vomiting in cats - kidney disease, liver disease, pancreatitis, hyperthyroidism - but everything came back normal. Something nasty was going on. Dr John recommended biopsies of his stomach and intestines. His carers were reluctant to go so far and played with his diet a bit more. Eventually they decided that something must be done and he came in to hospital for an anaesthetic and investigation. Samples were sent to the pathologist.
The result was a diagnosis of low grade lymphoma of the intestines. This is the end result of chronic inflammation of the stomach and bowel. The good news is that it can be controlled with low grade medication if caught early. Spunky lived another healthy 5 months, but the lymphoma spread to his stomach at the end. Many cats live much longer than 5 months. Some, especially if the lymphoma is advanced on diagnosis, have a more limited time to live.
If we diagnose the inflammatory bowel disease in the early stages we can prevent it from developing into lymphoma all together. Spunky's carers urge everyone to take notice of any 'furballs' or vomiting early on. Furballs are simply a sign that the stomach or intestine is inflamed - they are usually not because of the fur. If you see them more than once a fortnight, discuss it with your vet.