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High liver enzymes, THYROID NORMAL, losing weight
Hi, I have a 13-year-old neutered male cat who, for the last little while,
has had a ravenous appetite, is basically screaming for food all the time, eats like a horse, but is dramatically losing weight and obviously isn't feeling well. My first thought was hyperthyroidism. However, I took him to the vet today, they ran bloodwork ... twice to make sure ... and his thyroid function is completely normal, as is his blood glucose, but his main two liver enzymes are dangerously high, plus his potassium level is low. My vet, who I've used for years and I trust him completely, is kind of at a loss at what's going on here, to the point of checking textbooks and brainstorming with some friends of his who are internists at the main veterinary school in our state. Basically, what we're planning to do is give him antibiotics ... even though his white count is normal, so there are no signs of infection .... a steroid to reduce inflammation and a prescription diet to try to build him up and then see what happens, because he's not strong enough right now for a liver biopsy. Anybody out there had any similar experiences? |
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"Gregory Bailey" wrote in message ink.net... Hi, I have a 13-year-old neutered male cat who, for the last little while, has had a ravenous appetite, is basically screaming for food all the time, eats like a horse, but is dramatically losing weight and obviously isn't feeling well. My first thought was hyperthyroidism. However, I took him to the vet today, they ran bloodwork ... twice to make sure ... and his thyroid function is completely normal, as is his blood glucose, but his main two liver enzymes are dangerously high, plus his potassium level is low. My vet, who I've used for years and I trust him completely, is kind of at a loss at what's going on here, to the point of checking textbooks and brainstorming with some friends of his who are internists at the main veterinary school in our state. Basically, what we're planning to do is give him antibiotics .... even though his white count is normal, so there are no signs of infection ... a steroid to reduce inflammation and a prescription diet to try to build him up and then see what happens, because he's not strong enough right now for a liver biopsy. Anybody out there had any similar experiences? Yes & no. When one of my cats - Debbie - was 11, she developed a loss of appetite & bloodwork showed sky-high liver enzymes. She became very ill, but a liver biopsy was possible via a core needle biopsy, not a surgical one. Ask you vet about this. My vet knew that there was no way she could perform a surgical biopsy on Debbie in her weakened condition, so she referred me out to a vet internist/oncologist (who's a little over an hour from here), who was able to do an ultrasound & the needle biopsy. Cancer was ruled out, & the internist/oncologist prescribed a treatment regimen of Prednisone/prednisolone (might be the steroid your vet has prescribed) and amoxicillin - which was later changed to Baytril (strong antibiotic) - her liver was not dealing well with bacteria from her intestines. The Pred not only was to reduce inflammation, but also to kick-start her appetite - which is a different scenario than what you're dealing with. A little while later my own vet suggested Actigall, she checked w/ a liver specialist at Cornell to double-check for its appropriateness for my cat's particular condition, & that was added to the treatment. Over the course of the next 4 - 5 years (daily pills) her liver values slowly improved, to the point where they were virtually normal. So... my advice would be to check with your vet on the viability of performing a core needle biopsy, either in-house or as a referral - it was not stressful on my cat, who was in poor/acute condition at the time she had it done. She was given a muscle relaxant before the procedure, that was all. A few hours later, she got her legs' muscles coordination back (after the muscle relaxant wore off), & was feeling considerably better - due to the Prednisone revving up her appetite. Cathy |
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"Gregory Bailey" wrote in message link.net...
Hi, I have a 13-year-old neutered male cat who, for the last little while, has had a ravenous appetite, is basically screaming for food all the time, eats like a horse, but is dramatically losing weight and obviously isn't feeling well. My first thought was hyperthyroidism. However, I took him to the vet today, they ran bloodwork ... twice to make sure ... and his thyroid function is completely normal, as is his blood glucose, but his main two liver enzymes are dangerously high, plus his potassium level is low. My vet, who I've used for years and I trust him completely, is kind of at a loss at what's going on here, to the point of checking textbooks and brainstorming with some friends of his who are internists at the main veterinary school in our state. Basically, what we're planning to do is give him antibiotics ... even though his white count is normal, so there are no signs of infection ... a steroid to reduce inflammation and a prescription diet to try to build him up and then see what happens, because he's not strong enough right now for a liver biopsy. Anybody out there had any similar experiences? I have something similar with my cat Nick, though he's only two years old. He's experienced weight loss over the last few months (from 9.1 lbs to 6.6 lbs)and seems a little jaundiced, he was never obese (always tends toward the lean side), he eats and drinks normally (I'd say his appetite is marginally larger), and his bloodwork shows that _only_ his bilirubin is elevated (about 5 times the normative values of the place that performed the test), white cell counts, liver enzymes, blood glucose, etc. all all normal. No vomiting or salivating. Our vet (I've only been dealing with them for a year or so) suggests Fatty Liver Disease, but the symptoms don't seem to jive with what I've read. We're taking him for a second opinion. James. |
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