Your veterinarian will perform a complete physical exam on your cat, including a dermatological exam. Non-food causes of dermatologic disease should be ruled out. Your veterinarian will order a blood chemical profile, a complete blood count, a urinalysis and an electrolyte panel to rule out other causes of disease. You will need to give a thorough history of your cat's health, onset of symptoms, and possible incidents that might have preceded this condition, especially regarding any changes in diet, and any new foods added to your cat's diet, even if temporary.
Food elimination diets are advised for cats thought to be suffering from adverse food reactions. These diets typically include one protein source and one carbohydrate source to which the cat has had limited or no previous exposure to. A clinical improvement may be seen as soon as four weeks into the new diet, and maximum alleviation of clinical signs may be seen as late as thirteen weeks into the food elimination diet.
There are two things to keep in mind when undertaking the elimination diet with your cat: cats require a source for taurine in their diets or they will become quickly and extremely ill and die. Your cat will ingest sufficient quantities of taurine as long as it is being fed meat; and, cats do not naturally have the digestive capabilities to handle a large amount of carbohydrates, so the protein in their diet should outweigh the carbohydrate by about 90 percent. Choose a protein source that is high in taurine, such as meat, chicken, or fish. Avoid raw meats, as they can be a source of other bacteria, such as salmonella. Some suggested animal meats that may be fed to your cat are organ meats such as the liver, heart, etc.
If your cat improves on the elimination diet, a challenge should be performed to confirm that the original diet was the cause of disease and to determine what ingredient in the original diet triggered the adverse reaction.
Challenge: feed your cat with the original diet. A return of the signs confirms that something in the diet is causing the signs. The challenge period should last until the signs return but no longer than ten days.
If the challenge confirms the presence of an adverse food reaction, the next step is to perform a provocation diet trial: going back to the elimination diet, begin by adding a single ingredient at a time to the diet. After waiting a sufficient amount of time for the ingredient to prove either agreeable or adverse, if there is no physical reaction, move on to adding the next ingredient to your cat's diet, again, keeping in mind that your cat need always have a source of taurine in its diet. The provocation period for each new ingredient should last up to ten days, less if signs develop sooner. Should symptoms of an adverse reaction develop, discontinue the last added ingredient and wait for the symptoms to subside before moving forward to the next ingredient.
The test ingredients for the provocation trials should include a full range of meats (beef, chicken, fish, pork, and lamb), a minimal but full range of grains (corn, wheat, soybean, and rice), eggs, and dairy products. The results of these trials will guide your selection of commercial foods, based on those prepared foods that do not contain the offending substance(s).
Avoid any food substances that caused the clinical signs to return during the provocation phase of the diagnosis. Antibiotics or antifungal medications may be prescribed by your veterinarian if secondary pyodermas or Malassezia infections occur.
Living and Management
Treats, chewable toys, vitamins, and other chewable medications (e.g., heartworm preventive) that may contain ingredients from your cat's previous diet must be eliminated. Make sure to read all ingredient labels carefully. If your cat spends time outdoors you will need to create a confined area to prevent foraging and hunting, or you may need to consider keeping your cat indoors, at least during the trial period. All family members will need to be made aware of the test protocol and must help keep the test diet clean and free of any other food sources. Cooperation is essential to the successful treatment of this disorder.
A disease of the skin in which it emits pus
To be allergic to or sensitive to a certain vaccine or medication
An in-depth examination of the properties of urine; used to determine the presence or absence of illness
A lesion on the skin that is filled with pus
A medical condition in which the ear becomes inflamed
A condition in which the skin becomes inflamed
A reaction to a certain pathogen that is out of the ordinary
Any substance or item that the body of an animal would regard as strange or unwanted; a foreign disease or virus in the body (toxin, etc.)
A product made of fluid, cell waste, and cells