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Your vet will typically perform a series of tests: Fecal tests to rule out parasites FeLV/FIV testing, as these viruses can affect the immune system and predispose some cats to cancer Bloodwork and urinalysis to assess overall health Abdominal ultrasound to evaluate GI tract inflammation Biopsy (via endoscopy or surgery) to confirm IBD and identify the type of inflammation A clear diagnosis requires tissue samples showing inflammation in the intestinal wall