Mature cat stopped eating!

petcar

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Hi
I'm now very worried about my cat, and having been to 3 different vets seem no closer to a resolution so I am posting on here to see if anyone has any ideas... any help, suggestions or recommendations would be much appreciated!!

Summary
I have a female 12 yr old cat called Nermal who has always been a healthy happy cat with a good appetite. To cut a long story short, 2 months ago, she suddenly stopped eating and got diarrhea, and has not eaten properly since. She has gone from being a fully rounded, slightly above average sized cat, to a tiny near skeleton weighing just over 2kg. I keep her alive by force feeding her 30ml a day of special high protein food recommended by the last vet.

I have been to 2 different veterinary practices and had a full battery of tests which are all inconclusive. The latest blood test showed that there "may be a liver problem" which I suspect is a condition caused by the non-eating rather than the underlying problem itself.

She is obviously now not a completely happy cat, however she is still very affectionate and, this may seem strange to say, she is otherwise perfectly healthy (she still sleeps purring on my lap, plays with string, and does all the normal cat things). She always cries for food too and shows such interest as I spoon it out but then when she gets close to it, turns away without even licking it.

Detailed history

About 2 months ago, she began going off her food and got diarrhea. I kept changing what I fed her from all varieties of cat food to fish fillets. This was partially successful at the beginning with her generally eating something (eventually!). Gradually however, she started losing weight over the period of a few weeks and would then only eat a tiny bit of food if I sat with her and hand fed her. I hoped it would resolve itself but by the time I went to the vets for the first time she had lost a huge amount of weight.

VET 1 - Visit 1: WEIGHT DOWN TO 3KG.

Diagnosed either (i) bad teeth or (ii) athritis.
Gave injections - vitamin B, steroid laurabolin, and metacam (for athritis).

However, she was so dehydrated I had to take her back the next day.

VET 1 - Visit 2:
Blood test - Pre anaesthetic profile bloods were taken (which eventually showed nothing out of the ordinary).
Put on drip - she was admitted for 4 days due to her extreme dehydration and kept on a drip.
Teeth - she had 4 teeth removed in case it was those causing her to have stopped eating.

She was pretty groggy after the operation (for the teeth), and started vomitting when I had her back home. The vet said the vomitting may be side effects from the operation. The diarrhea continued, but became alarmingly worse - it was now pure liquid!

After no improvement after 3 days I took her back to the vet.

VET 1 - Visit 3:
She was given more injections - vetergesic amps, clamoxyl la, 500ml saline under skin (for the dehydration), cerenia solution, and an appetite stimulant.
The vet also gave me some Protexin pro kolin paste to administer orally via a syringe.
The vet told me to come back the next day to see how she was.

VET 1 - Visit 4:
She was given another saline injection for the dehydration, and vetergesic amps and vitamin b injections.
Another vet from the same practise was called in for a second opinion, who was also out of ideas.

VET 1 - Visit 5: WEIGHT DOWN TO 2.74kg

Was subscribed Flagyl s susp syringe liquid to be administed by syringe into her mouth 3 times a day.
However, her demeanour got a lot worse after this and she started going downhill rapidly, so I stopped administering this after a couple of days.

Still with no improvement, she was getting dehydrated again and continuing to lose weight. I took her back 3 days later.

VET1 - Visit 6:
She was admitted back on a drip for 3 days due to dehydration.
A faecal analysis was taken during this time.
A flagyl s susp injection was given every day while she was there.
When I picked her up from the vets, she was in a right state. The nurse said that she hadn't eaten a single thing the whole 3 days she was there, but that "this was not surprising as it's awful back there" (referring to the place where the cats are kept). Nermal was covered in a weird residue that took days to come off (bits of vomit, poo, spit?), and was heavily mentally traumatised.

Unsurprisingly, I wasn't impressed at this stage with this vet, given the amount of money and time put into them and having got no closer to a diagnosis. I certainly wasnt going to let her be admitted back there, as she came out much worse than when she went in! Plus, although a minor issue after everything else, even after all this time and all these visits, the vet and nurses kept on referring to her as male!

After a very lengthy 10 days, the faecal test came back showing nothing. She was still losing weight and eating very little, so I took her to a new vet.

VET 2 - VISIT 1: WEIGHT DOWN TO 2.34KG

He reviewed all the paperwork sent over from the previous vets and suggested an "in depth" blood test done was done (costing £150) which supposedly tests for "everything apart from the pancreas which costs another £115".

He sold me some high protein food (Royal Canin gastro intestinal food), which he said to encourage her to eat.

Given that she will eat nothing unaided, I decided to force feed her this food using a syringe 3 or 4 times a day (I manage to get about 30ml down her each day - I mix it with a bit of water in a food processor). I follow the general advice for force feeding, and I'm careful to give it to her slowly via the side of her mouth. She doesn't like this process, but doesn't hate it either.

I am currently waiting for all the blood results to come back although he says from what has already come in it is pointing towards a liver problem.

Update
Over the last couple of days, she has become VERY thirsty. She drinks for extended periods of time, and when she is not drinking she lies or sits with the water bowl within reach. I'm happy she's drinking lots as that what's I've been trying to get her to do for weeks, but drinking to this extreme seems a little strange?

Finally, the last week or so, the only food she will eat is certain cat treats, but then she will throw them up a few hours later (she doesn't vomit up the "proper" food). However, she shows a lot of interest in food, but just won't eat it unaided!

She's still very skinny, the vets all seem to be totally stumped, and I'm force feeding her every day. What can I do next??? Please help!!!

Many thanks... :-)
 

ldg

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Poor you, and poor Nermal! Unfortunately, losing weight as rapidly as you have portrayed, it's very likely she's got fatty liver disease (Feline Hepadic Lipidosis). I hope it's not so far advanced that it can't be corrected.

I am in shock at that vet where they kept her for three days and just let her go without food. It sounds like a horrible place.


http://cats.about.com/cs/healthissues/a/fatty_liver.htm
http://www.marvistavet.com/html/body...lipidosis.html

She needs to be fed and kept hydrated. Get the blood work results. I don't know if she's strong enough to undergo surgery, but she may need a feeding tube.

The thirsty part worries me. That is often a sign of diabetes. Diabetes indicates the pancreas isn't working proplery.

How long before all the test results are back? I'd call the vet you're currently working with to let them know she's extremely thirsty for several days now. (This is important). I think she needs medical attention, and now.



I have no experience with this, but I'm sure others that do will reply.
 

my4llma

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Keep checking her, if you see any yellow in her ears, eyes, skin that is a sign she's in hepatic lypidosis, liver failure. Get her to the vet right away. A feeding tube can work to reverse the liver damage. It was already to late for
Lynxx
, but if you catch it quick enough the feeding tube will work.

The same thing happened with
Lynxx
. He just started barely eating. Then refusing all food. We force fed him to. He went from 17lbs, down to 9lbs. We got away from his original vet, who did nothing for him. By the time we got him to our new vet it was just to late. She did try.

Speak to your vet about a feeding tube.
 
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petcar

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Thanks for the quick responses. You are all showing much more concern for Nermal than any of the vets!

I should be getting the test results back tomorrow (I tried calling the vet but he is away on holiday until tomorrow!). Nermal has actually not been drinking as much today which may be a good sign, may be a bad sign!

I shall keep you informed!
 

my4llma

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Originally Posted by petcar

Thanks for the quick responses. You are all showing much more concern for Nermal than any of the vets!
I know you've already gone to a few vets. But if you feel this way, is there another vet you could try going to? I know your fustration believe me!
 

carolina

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Oh my... Poor little kitty... Hopefully you will have some answers soon, but I will bet a penny on Hepatic Lipidosis...
Please please insist on a feeding tube - only that will allow you to give proper nutrition for her to recover... 30ml a day is not enough for her; she should be getting about 5x that amount...
 
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petcar

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Nermal has been getting worse and when I went to the vets last night, her weight had dropped to 2.12 Kg (previously 2.34 Kg). The blood results were in and it looks like a liver/gut problem.

She is now on the following medications:
Synulox palatable drops
Zantac syrup
Antepsin Suspension
Flagyl S

I have to syringe varying amounts of these into her mouth. I didn't realise that most of them would make her foam at the mouth. She does not like them at all!

I had been giving her 30ml of food a day but after hearing on forums how this isn't enough, and with her weight dropping again, yesterday I managed to give 90ml instead.

On people's recommendation, I got some Hills A/D today. When I got home from work she was crying for food (as she usually does) but even more anxiously than usual.

I opened the Hills and she showed no interest but when I sat on the floor with her and put some on my finger, she eventually licked it off. I was very excited as this is the first proper food she has eaten in nearly 2 weeks. However, she only ate a very small amount and then wouldn't eat any more. She did however have some of the cat treats she likes and ate much more than usual and much quicker than usual.

So I thought we were making progress until she stopped eating and started behaving strangely. She would move her head to look at the floor and not look up even if she was walking. This also prompted her to walk rather strangely with one paw not really moving properly. She would then lie down and seem to struggle to get comfortable and end up stretching one paw out.

For quite a bit of the evening, she has been lying on all fours but with her head staring at the ground (I do have a picture but cannot seem to attach it anywhere). At the moment she is fast asleep curled up in a ball as usual and you wouldn't think anything was wrong. She has never shown any of this strange behaviour before tonight. Does anyone have any ideas what this could be?

I am off to the vets again tomorrow night so will obviously get his opinion but would value anyone's views.

Thanks again for showing such concern \t
 

carolina

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Please, please request a feeding tube to be placed on her.... It can save her life... It will take her and your stress away... This will be the only way you can guarantee proper nutrition for her recover....
 
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petcar

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Originally Posted by Carolina

Please, please request a feeding tube to be placed on her.... It can save her life... It will take her and your stress away... This will be the only way you can guarantee proper nutrition for her recover....
I did speak to the vet about a feeding tube but he said he would not want to risk putting the tube in, with her in the condition she is in so I am feeding her more and we hope the medication will stimulate her appetite.
 
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