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

Updated on September 23rd, 2025

Pet's info: Cat | Mixed Breed | Female | spayed | 1 year and 4 months old | 5 lbs

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

2 Answers

Most Helpful Answer

Answered By Jenna Beyer, DVM, MBA, cVMA

Veterinarian, Certified Veterinary Acupuncturist

Published on December 9th, 2018

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.

1Pet Parents found this answer helpful

Related Answers from Veterinarians

Answered By Tomasz Wnuk
Veterinarian
Published on April 14th, 2021
Hello and thank you for contacting Petco Pet Education Center, formerly Petcoach. The two significant findings on the bloods are
- mild elevation in ALT, which is one of the liver enzymes
- elevation in TBIL (which means that Bits is mildly jaundiced)
The most common cause of these abnormalities is liver / gall bladder / bile ducts infection. Also, it is not uncommon to find this results in cats that suffer from pancreatitis (pancreas was not tested on the blood work you posted).
The next step of investigation would be an ultrasound scan of the liver, pancreas and gall bladder.
However, if Bits is not clinically ill (if she does not have temperature, is not vomiting and has normal appetite) your vet may decide to treat her with a course of antibiotics and then run the bloods again.
Good luck
1Pet Parents found this answer helpful

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