Hi
@SydeniSass and welcome
I am sorry to hear about your poor boy's problems.
Do you have the capsules of Hepatosyl? I haven't seen the actual size of them but I assume they're too big for you to pill your boy straight down his throat? So you could open the capsule and split the powder between 2 smaller capsules and pill him directly with those? .
Empty gel capsules can be bought from ebay in tubs of 100 or more. Size 1 is the largest size and too big for a cat. I have used size 3 and size 4. Size 4 is very small and pretty easy to get down the cat's throat but is hard to fill; Size 3 is easier to fill but not so easy to get down the cat's throat.
I haven't heard of "Silent" IBD. I have had 3 cats with IBD, one of them is still with me. He is now aged 10, was diagnosed with IBD about 8 years ago and was diagnosed with Diabetes Mellitus a year ago. All 3 cats had symptoms with their IBD - either vomiting; or vomiting + diarrhoea; or diarrhoea alone. Food intolerances were a major problem for all 3.
I found the hydrolised veterinary diet foods did not help my current IBD cat, and he continued to vomit regularly.
I put him on an elimination diet and ascertained that he was reacting badly to beef, lamb, pork, venison and oily fish. But he is OK with chicken, turkey, white fish and small amounts of home cooked rabbit and kangaroo. I give him no dry food at all. The only treats he has are the freeze dried pure protein treats.
Another thing I found is that he does better on a low fat diet. This apparently is quite often the case with IBD cats (according to my vet).
He has 5 mg Famotidine (antacid) a day and it has made a big difference to him. He was constantly hungry before that and I was struggling to get his Diabetes under control. Now he looks well, has bright eyes and a lovely shiny coat, and more energy.
I put the antacid in Easypill cat putty but you won't be able to use that while your boy is on the elimination diet.
After discussion with my vet it was decided I would feed my boy every 3 hours day and night. So he has 6 meals a day of 32 grams each and 2 meals at night of 30 grams each, making a total of 252 grams of food a day, which is the right amount of food for his size/build. All his meals are weighed (on digital scales) and logged.
Feeding him as frequently has made a big difference to improving management of his IBD. I wish I had thought of doing it years ago.
For the elimination diet for your boy I suggest using kangaroo meat as a novel protein. It seems to be the most well accepted by cats, amongst the "exotic" meats. It is less expensive than some of the other novel protein meats.
Kangaroo Is quite a tough meat and benefits from slow cooking. I just bought a slow cooker for the purpose. I have up til now been cooking it in the oven in a covered casserole dish with enough water added to cover the meat. Cook at gas mark 4 for 1 and a half hours, or gas mark 3 for 2 hours. Check every half hour and add more hot water from the kettle if need be, to stop the meat drying out. I serve chopped into quite small pieces and add a couple of dessertspoonfuls of the cooking stock to each meal.
I buy the raw kangaroo meat chunks from either Kiezebrink or Kezie.
https://www.kiezebrink.co.uk/product/640-paleo-ridge-kangaroo-chunks-500gm
https://www.keziefoods.co.uk/Catalo.../Lean-Meats/Exotic-Meats/Kangaroo-Meat/Kangaroo-Diced-Steak-250g-Pack-MKADIFP52
I really hope the diet will help him. Please ask if you have any questions I can help with.
