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Cat Forum / Health and Behavior / July 2005

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Liver disease...this is killing me...(long)

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NateB323 - 14 Jul 2005 08:56 GMT
Jana, your post does help, along with everyone elses.  I have bee
syringe feeding TB now since last November.  He would go through time
where he would eat on his own, two cans a day, but I have still bee
supplementing him when he wouldn't eat.  It is only recently, after
started him on Prednisone again for a week that he got worse.  He ha
been visibly yellow now for months, but he was still happy, bathing
and eating occasionally on his own, always interested in what I wa
fixing to eat.  I get about 2 cans a day into him now while he is no
eating.  He does not like to be syringe fed, but he doesn't fight al
that much, and when he does I let him go.  After every feeding I pic
him up and hold him or sit with him until he purrs.  He is not in an
pain, and the vet even said he does not seem to be in pain.  He doesn'
vomit all that much, he hasn't the last two days, and takes all of th
food in.  He is using his litter box putting out "normal" looking stoo
and a good amount of urine.  I mix his food with a good amount of wate
too.  He is just very lethargic and not bathing.  He sat down and go
into a bathing position tonight, I thought he was going to, but afte
just sitting for a minute, he got up, turned around and layed down.  

Family members have been telling me to prepare for his death and som
are saying euthanaisa, but they aren't around and don't know anythin
about his disaease.  All they see is that he has had bouts of troubl
since the end of last year.  I can't fathom putting him to sleep afte
spending all this time and effort into managing this disease.  He ha
no signs of cancer, only worries of a bile duct obstruction and ongoin
inflammation.  This is why they want to do the surgery, to make sure h
doesn't have an obstruction and to get a biopsy and possibly insert
feeding tube.  Oh, what a decision...hopefully I will be able t
discuss this further with the vet tomorrow.  

Jana P via CatKB.com Wrote:
> Dear Nate;
>
> It's a tough decision.  We put our beloved 13 year-old-cat Stinky t
> sleep
> today due to liver disease.  Vet thought she had cholangiohepatiti
> secondary
> to possible cancer or lippidosis (we did not want to put her throug
> the
> trauma of biopsy or exploratory surgery as further diagnosis especiall
> at
> her age).  She was hospitalized for two days with fluids an
> antibiotics and
> was eating a little.  We brought her home and were administerin
> antiobiotics,
> prednisolone, metronidazole, appetite stimulant, and a pain/sedativ
> med.
> She did not respond.  She wouldn't eat and refused water.  She droole
> out
> the liquid meds we gave her.  We took her for recheck Mon.  The ve
> gave her
> subcutaneous fluid therapy to help with dehydration.  We switched al
> of her
> meds to pill form.  We would administer the sedative first hoping sh
> would
> tolerate the pills better.  She did not tolerate us forcing the med
> down
> very well.  We got them down her for a couple of days with much effort
> I
> hated traumatizing her like that but we wanted her to recover.  No suc
> luck,
> she got progressively worse and we didn't want her to suffer anymore.
>
> The important thing  is TB responds well to the syringe feeding.  If h
> does
> not eat for a few days he can develop hepatic lippidosis ( Our ve
> thought
> Stinky may have had this) which requires insertion of a feeding tube.
> This
> treatment is high maintenance and there are no guarrantees.  We decide
> it
> was best to relieve Stinky of her discomfort. I sensed that she wa
> ready to
> go.   We lost our cat Star last March to liver disease.  She was 1
> also.
>
> It's devastating to see a beloved pet suffer.  We will miss our baby
> tremendously.  I have been in tears everyday for the past ten days.
> Today
> was the hardest.  But at least she is at peace now.  I wish you luc
> in
> whatever decision you make.  Hope my post helps.
> NateB323 wrote:-
> Hello everyone, I found this site in order to do more research, as wel
> as talk to fellow cat lovers.  I just finished doing a number o
> searches through the forum and am constantly holding back tears.  Her
> is my situation:
>
> My cat Tiger (Tiger Beast or TB for short) is a 15 year old nuetere
> male American short hair tabby.  He was born across the street from m
> house when I was 10 and I have had him ever since.  He has been
> blessing, an awesome pet, more like a dog than a cat.  He has neve
> missed a night sleeping in my bed and cuddling up purring away.  Alway
> wanted to be held and loved, never mean, just an awesome cat.
>
> Last year, around October he began getting extremely picky abou
> eating.  Finally, he stopped eating all together and I knew he wa
> sick.  I took him to the vet and they did blood work.  The blood wor
> showed elevated liver enzymes and I was given amoxicillin to make sur
> it wasn't an infection.  To make a very long story short, he did no
> get better until I put him on Prednisone.  He began to eat and act lik
> his normal self, but after two weeks he crashed and was back not eatin
> and looking ill.  I was referred to an internal medicine specialis
> that performed ultrasound.  His liver was enlarged as well a
> galbladder and bile ducts.  TB was diagnosed with cholangiohepatiti
> and suspected pancreatitis.  I had to syringe feed him while giving hi
> clavamox, metronidazole, Denosyl, and cyproheptadine.
>
> In January of this year, I bought a house and moved with him out of th
> house he had been in for almost 15 years.  He was still sick and no
> eating much at that time, but was a little bit better.  I continued t
> syringe feed him and administer the meds.  He got a little better, mor
> active, would play here and there, and was acting generally norma
> EXCEPT for his eating habits.  I had to constantly change up his foo
> in order to get him to eat on his own.  He has always eaten canned foo
> ever since he was a kitten.  Anyway, I have since had him to the vet o
> numerous occasions checking up on his blood and ultrasound images.
> About a week and a half ago, TB again stopped eating all together
> stopped bathing, and looked sick.  I put him in the vet on fluids for
> day and a half.  They did another ultrasound and took blood.  His live
> enzymes were still very high, his bilirubin was way higher at 14, an
> his ultrasound shows the same enlarged liver, thickened galbladder an
> dialated bile duct.  They are recommending exploratory surgery to mak
> sure there is no bile duct obstruction as well as biopsy.
>
> I love my cat like he is my son, and I have been very depressed abou
> this.  I really cannot afford the surgery, and there is no gaurante
> they will find anything or be able to do anything by opening him up.
> am also afraid that he might die from the anesthesia or other surger
> complications.  I just don't know what to do...he has no obviou
> masses, no signs of cancer, just this stupid liver/biliary disease.  H
> will still lay with me and purr, and has only really lost about 1 poun
> during this whole process.  I was really hoping to get close to 2
> years out of him.  I am just a mess right now, I'm sorry this is s
> long, but I had to get it all out.  What do you think I should do?
> Anyone have any experience with this
>
> --
> NateB323-

Signature

NateB323

blkcatgal - 14 Jul 2005 14:11 GMT
Nate,
As far as the surgery is concerned and whether TB can handle it.....I'm not
suggesting that you go ahead with it....this is something you really need to
discuss with your vet.  However, I once had a vet tell me when I questioned
whether my 18 yr. old cat could withstand going under anesthesia, that we
wouldn't tell an old person not do it so why would we treat an animal any
different?  Anyway, there are lots of factors that should be considered and
you should discuss these with your vet.  Good luck.  Let us know how TB
does.

Sue

> Jana, your post does help, along with everyone elses.  I have been
> syringe feeding TB now since last November.  He would go through times
[quoted text clipped - 135 lines]
>> --
>> NateB323-
 
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