Dietary management is the cornerstone of feline IBD treatment, with novel protein and hydrolyzed protein diets resolving symptoms in many cats without requiring long-term immunosuppression.
Dietary management for feline IBD is one of the most rewarding welfare interventions in companion animal medicine because it can resolve significant chronic suffering without the side effects of long-term immunosuppression. Cats whose chronic vomiting, diarrhea, and weight loss resolve with dietary management alone avoid the risk of diabetes (from corticosteroids) or bone marrow suppression (from other immunosuppressants). The challenge is strict trial compliance — even single treats with novel proteins undermine the diagnostic and therapeutic value of the dietary trial. Owner education about trial discipline, and commitment to maintaining successful diets long-term, is the primary welfare intervention.