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    mycatRG posted:
    I have a 15 year old female cat that was diagnosed with inflamatory bowl disease several years ago. She has been on a special diet and was doing fine until this year. She developed a 'gagging/or coughing' sysmptom, along with difficulty swallowing. I took her to my vet who did xrays and said it was a hernia. The did the hernia surgery, and she was ok for about 1 week, then has progressively gotton worse. the 'gagging/coughing' is back, along with difficulty swallowing. When she gagges, she does not throw anything up. The vet did a scope and confirmed there is no foreign objects in her throat. My vet does not seem to know how to fix this problem, and I am looking to educate myself on what this condition could be, and how to get it fixed. Any suggestions ?
    Will Draper, DVM responded:
    mycatRG- I'd suggest talking with your vet about a referral to a specialty practice- where a board certified veterinary internist can evaluate what's been done, and where to go from here. Sometimes us general practitioners can exhaust our resources and need to call in the specialists. Sounds like it's critical for your kitty to get specialized care as soon as possible. Best to you and your kitty.
    Dr. Will
    mycatRG replied to Will Draper, DVM's response:
    Hi Dr. Draper,

    My vet is a specialty practice. They are the one's who have done the scope and surgery. This is why I am at a loss as to what to do. I have taken her to the experts in the field, and they experts, don't appear to be able to help. I'm not sure what to do at this point, so I placed this message for external help. Any other suggestions?
    Drew Weigner, DVM, ABVP replied to mycatRG's response:
    Yes, I have two. If your cat's Inflammatory Bowel Disease (IBD) is not well controlled, her medication needs to be adjusted until it is. Sometimes IBD progresses to cause the symptoms you describe and other medications are needed. If her symptoms are well controlled, ask your veterinarian to put her on an antacid medication to control gastric reflux. If that doesn't solve the problem, she may also need to be on medications to increase the emptying of her stomach. Incidentally, most feline veterinarians are not Feline Specialists so a referral may still be a good suggestion. There are about 80 Feline Specialists worldwide who are called Diplomates of the American Board of Veterinary Practitioners. You can find one here:

    Drew Weigner, DVM, ABVP
    The Cat Doctor
    Board Certified in Feline Practice

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