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Dear Dr. Soboroff,

I have a health concern with my kitten, Blueberry, and would greatly appreciate if you could advice me on that. She is a ragdoll kitten, SS months old. We have seen you in December for a check up and everything was normal. Also her fecal test came out negative a couple of weeks ago. She developed soft stool for a short period of time when I was giving her new foods, which we discussed last time I saw you, and that issue got resolved after I followed your advice, her stool was consistently normal for more than a week. I am in the Caribbean now and have her with me in the house. She has been doing well here for a while, but 2 days ago had a diarrhea accident (liquid stool which she has never had before). I am not sure if this is food related, as I have not changed anything in her diet. Her stool was better since then, but still soft. Other than that, she has no other symptoms: she seems active, playful and has a good appetite. My concern is if she could possibly get infected with some parasite? It seems that there are more potential hazards down here, than I thought. Even though she is kept strictly indoors, I saw a little lizard got into a room the other day and Blueberry started playing with it. I did not let her eat it and took it away, however this could have happened at some point when I was not with her. After reading about it, I found out about liver flukes, which seem like a very severe disease potentially if left untreated at an early stage. I saw a local vet down here today, they have seen only a few cases of liver flukes over the years down here, so it seems like the chances are not high, especially considering that the area where we live is isolated and there are no other cats around. However she recommends monthly deworming for cats who live in this area. She also recommended a medication called "Revolution" to prevent from other parasites, but that would not cover flukes. I wanted to ask you before I do anything..do you think I should give her any medications just to rule out the chance of infections? Or would you like me to bring another stool sample? I will be back in NY this Wednesday.

Thank you very much in advance!

Dr. Shuliak