@JENGOSMonkey, @elbrant, @tanza, @Kembe, @eeeefarm, @helle-devi Thank you all for the kind words, it has not been easy but this does help. We actually got his ashes back today and the place did a fantastic job, came back with ceramic paw print and all. It will last bring final closure, he is home.

@helle-devi results confirmed what was suspected, IBD, for which we had already started his medications. I think it was just his time.

I am so sorry to hear, our Moe passed away on the 21st as well...they must be new playmates now.

Thanks all, unfortunately nothing solid to share. Ultrasound showed thickening on the first part of the small intestine. Will have endoscopy tomorrow endoscopy tomorrow wit hopes of understanding where/what the issue is and best path forward.