In July 2017, my then 17-year-old cat Romeo started presenting with symptoms of vomiting, diarrhea, mild weight loss, and lethargy. Up to this point, Romeo had been a very healthy male cat with no medical issues other than a low-grade heart murmur, one eye infection, periodic dental cleanings, and routine annual checkups to maintain his health. But things were about to change for Romeo and his cat parents.

Concerned that Romeo’s diarrhea and vomiting had become more than just an isolated event, we scheduled an appointment at Four Corners Veterinary Hospital in Concord, our trusted vet who has been highly supportive and a critical partner in managing all of our cat’s health over the years. Romeo’s doctor did a full physical exam—palpating his abdomen—finding some thickening of his intestines. He took Romeo’s blood and ran a blood chemistry profile and urinalysis. Then recommended diagnostic tests—specifically an ultrasound that would rule out things like a GI tract obstruction or abdominal mass, but would provide a detailed examination of Romeo’s internal organs from all different angles, the sizes of the organs, as well as their functioning. An ultrasound evaluates the cat’s liver, spleen, kidneys, gallbladder, lymph nodes, small and large bowels, bladder and pancreas and is able to determine the size, shape and texture of each—revealing any abnormalities, enlargements, masses, fluids, stones, thickening, dilation or if any lesions are present. So we ponied up the $450 dollars (at the time) to get to the bottom of what was going on with Romeo’s gut.