Changes

**An elimination diet should be instigated.  The patient should be fed strictly on a novel protein source that had not previously been exposed to.  Clinical signs should resolve within 1-2 weeks.  The patient should ideally be rechallenged to demonstrate a true dietary hypersensitivity.

**An elimination diet should be instigated.  The patient should be fed strictly on a novel protein source that had not previously been exposed to.  Clinical signs should resolve within 1-2 weeks.  The patient should ideally be rechallenged to demonstrate a true dietary hypersensitivity.

**Folate and cobalamin supplementation may be required if the levels are subnormal.

**Folate and cobalamin supplementation may be required if the levels are subnormal.

*Antimicrobials such as metronidazole at 10-15 mg/kg BID for 3-4 weeks

*Antimicrobials such as [[Nitroimidazoles|metronidazole]] at 10-15 mg/kg BID for 3-4 weeks

**This may be suitable for mild to moderate cases, and especially in cats.

**This may be suitable for mild to moderate cases, and especially in cats.

**The mucosal damage caused by IBD may decrease the animal's ability to manage to intestinal flora, resulting in secondary ARD has been reported.

**The mucosal damage caused by IBD may decrease the animal's ability to manage to intestinal flora, resulting in secondary ARD has been reported.