Your poor little cat sounds like he has quite a few issues he is dealing with. Sounds like he has been diagnosed with Inflammatory Bowel Disease (IBD), as well as Feline Lower Urinary Tract Disease (FLUTD – a common condition also called Feline Idiopathic Cystitis). I think there are a lot of changes going on right now with him that could cause further stress and irritation to the GI tract as well as recurrent urinary issues. I don't like the fact that we are already seeing changes in his urination habits and bowel movements.

When was the last time you had a urinalysis performed on him? I recommend once yearly with cats that have had urination issues in the past and anytime there is a change in overall routine and habits. This could change some of the therapies and recommendations for him, especially if he is not on a prescription diet such as Hill’s c/d or Waltham/Royal Canine SO.

I am not a very big fan of holistic diets, mostly because I find it very difficult to encompass all of the nutrition cats need. Not only is this difficult for a maintenance diet for an otherwise healthy cat, your cat has two underlying issues that are tough to medicate and treat. This makes it very difficult to provide adequate nutrition as well as prevention diets for the two issues he has. If you decide to go this route, I would definitely consult a veterinary nutritionist to hopefully cover all aspects of therapy.

Of course, if we can get him to take the uroeze again that would be best, however this sounds difficult. Here is a link to Veterinary Partner, which has a list of therapies to speak to your veterinarian about concerning feline lower urinary tract disease or feline idiopathic cystitis. It discusses treatment options and therapies for the disease.

http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=612

In my understanding of the disease and recent studies on the subject, the best thing we can do for these cats is to keep them hydrated and drinking as much water as possible, keep their stress levels down and supplement Cosequin or glucosaminoglycans for overall bladder health and protection. Obviously, we need to treat any underlying cause, such as stones or metabolic disease. But once treated, simple daily prevention and habits can really help these kitties. The same is true for Inflammatory Bowel Disease. If you do decide to continue working with your veterinarian or a veterinary nutritionist, perhaps you can inquire about these treatments and therapies and see if they are right for your cat.

Every patient is different and it sounds like you have an established history with your vet. My recommendation would be to continue educating yourself about these conditions and the different options available. Speak to your veterinarian and get advice from experience on this particular patient. Let me know if I can address any more of your concerns.