Pudding's fatty liver

pudding603

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Like anyone who would join a cat forum, I love my cat, Pudding, a 13 year old Cymric, more than words can express.  She's always been of fine health.  She's abnormally needy for a cat, and follows me everywhere I am for as long as I'm home.  Always been this way.  It's one of the reasons that led us to where we are today.

On Friday the 14th, I brought her in to the vet because she just started ignoring food from me, which never happens.  Pudding was diagnosed with fatty liver disease, and by 2 vet offices in the same day, I was told that if I don't put a feeding tube in her, she will die.  I couldn't do it.  I couldn't leave her in a strange place.  And I won't put a 13 year old cat who never eats when I'm not home (doesn't matter if there's a pet sitter, I come home to an empty litter box) through the stress of a hospital admission.  I'm also somewhat of a naturalist, and after seeing human medicine fail a number of people around me, with their final days hooked up to tubes and machines... Well, it's not something I want for myself, and so it's not something I want for my best friend.  They said, "you can try force feeding, but it usually doesn't work".  They send me home with a paper explaining the feeding tube, and again, how the cat will die if we don't go that route.  So from that day, I've been having a total emotional breakdown, faced with 2 awful choices.  I brought Pudding home to die.

For the last 10 days, I've gotten very little food in her though coaxing.  She's drinking, She's had some heavy cream.  I know cream is bad for her but she likes it and it's dense in calories so I didn't care.  One day about a week ago I got her to eat a slice of ham, but that was really the last she ate for me.  I watched her get weaker.  I asked the vet for something for pain if she starts hurting.  They told me she already is and is hiding it.  So I got some buprenex and gave her her first dose last night.  Well, it made her a little wired, but the upshot to me seemed that if she's now running around the house at random intervals, she probably isn't in too much pain.

Like I said earlier, I've been overcome with grief because of this.  Completely a mess.  Not doing what I need to do for my cat because I didn't think there were any options.  I've just held her and held her for hours at a time.  Changing food bowls she doesn't eat from.  I work from home, so at least I can be here.  Today as she sat on my lap, overcome with tears and a refusal to let go, I googled force feeding, and it seems people have a pretty high degree of success.  And now my emotions have gone from "I just can't believe she's going to die" to "I can't believe I could have been helping her, and haven't done so yet, and now it's probably too late".  Nobody explained what it was to us and it sounded so awful to forcefeed an animal!  I had all these visions of it making her sick and her hating me in her final days and it not helping.  

Today I got 12 cans of AD from the vet.  I'm going slow with the syringe feeding.  She hates it.  I've done it twice today.  6ml a time, per someone else's schedule on this site.  She's now 7 lbs, is usually 10.  It's so hard to tell she lost weight before we took her to the vet because she's a long hair and is always a big puff regardless of weight.  The food goes everywhere.  I think most of it gets in, but I don't know if it's enough at this point.  She didn't throw up.  Maybe too little too late.  She still drinks water, she still gets up on the couch, she's still mobile, and she has enough energy to fight the syringe with every ounce of her being.

I'm a wreck.  Next feeding is at 6.  Some encouragement please!
 

sugarcatmom

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Oh sweetie, my heart goes out to you! I've had to deal with fatty liver a few times in various cats, and it's a scary place to be. Except I did go the feeding tube route, and it was indeed a life-saver. HL cats need an aggressive amount of high protein calories to overcome the disease process, and it can be very difficult and stressful to provide that via syringe feeding. Not impossible as others can attest, but you have your work cut out for you! I'll give you some links to check out below, but also want to point out that Pudding doesn't need to stay at the vet clinic once they put the tube in. Maybe a day or 2 to stabilize from the procedure, but after that she can be back with you in the comfort of her own home. I guarantee it would be less stressful than having to force-feed her, for possibly months.

http://assistfeed.com/feline_assisted_feeding.htm

http://catinfo.org/?link=feedingtubes

http://pets.groups.yahoo.com/group/Feline-Assisted-Feeding/
 
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pudding603

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Thank you for your kind words, we'll see how this goes.  At this point, I'm just so scared it's too late.  I got 5 feedings in today, about 6ml the first 2, and 10ml the next 3.  About half a can today of AD in today.  No throwing up, so that's a positive.  Tomorrow is another day.
 
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pudding603

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What about constipation?  Might food after a period of no food, coupled with the pain meds (an opiate) stop her up? I wonder if I should stop the pain meds.  How long until something should show up in the litter box?
 

carolina

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Assuming your baby is strong enough to make through anesthesia to have a feeding tube placed, I have to say, it is probably the best shot it has of surviving fatty liver at this point.
There is one, and one cure ONLY for fatty liver - aggressive nutrition. It takes time, and the cat will NOT eat on its own - period.
This is the problem with Fatty liver.
The idea of having the cat "hooked to tubes" is not what really goes through when a cat has a feeding tube. It is not hooked up to life support in a bed, waiting to die, like a human being in the hospital. It simply has a tube, which he barely even notices it, that allows you to easily give him LIFE-SAVING nutrition, enabling him to fully recover.

Can it be done by force/assist feeding? Yes. However, you need to make sure to feed the cat the entire nutrional amount that cat needs on its daily basis. And that is not easy feat.
For many cats, and parents alike, it is stressful, and sometimes, downright impossible.

Please, I really do hope that you reconsider your decision in re. to the feeding tube. You will be saving your cat...... I am so sorry he has been going through so much sufering.... I hope he gets better :vibes::vibes::vibes::vibes::vibes::vibes::vibes::vibes:
 
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pudding603

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Just under 1 can of AD in in the last 24 hours...

No throwing up yet....knock on wood.

No poop either though... hmmm.

I'm up to a schedule of 19ml (as much as my one syringe holds), 6 times a day.  Tomorrow I'll increase the frequency if she can handle it to get her up over a can a day.  She seems to be a little more accepting each time.  Maybe I need a bigger syringe. 
 

ldg

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I'm so sorry you didn't realize that all she needed was food. :( Many :vibes: :vibes: :vibes: that she hasn't suffered so much damage from starvation at this point that she CAN recover. :heart2:

I don't know what type of syringe your vet provided. But you can take a look at some available in pharmacies for babies. When I need to assist-feed any of my cats, I use this syringe


Just clip the tip at the end. Easy to use, easy to clean. They only take 1/2 an ounce though. I gave 3 syringes per feeding.
 
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pudding603

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More energy this morning (her, not me)...  heard her pattering around the house at 5 am.  Came up to me in the kitchen looking for fresh water or something.  Picked her up, and instant purr and kneading my shoulder.  Not like the past week where it's taken 15 minutes of petting to get a purr.

I'm trying not to get my hopes up though.  But just that she'd be happy this morning makes me feel good.  

I'm getting the syringe feeding down to a science, so it's taking less time... good for both of us.  20 ml a time is no problem, and I'll get a second syringe today so I can up it to 30.

Called the vet and she's very encouraged she's keeping it down.  Also said it may take a few days for something to show up in the litter box after not eating for a while.

It's hard not to be hopeful, I know there are good days and bad days with any illness.  C'mon Pudding!!
 
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mrsgreenjeens

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Just now reading this thread and sending some TCS vibes for you and Pudding
.  So glad to hear she is taking the syringe feedings better now, and seems to be feeling a little better too. 

I've also had a cat on a feeding tube, and it's certainly easier than syringe feeding, at least it was for me.  Bashful would purr while getting fed thru his tube
, so apparently he didn't mind it either.
 
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pudding603

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You guys are great.  Thank you.  Once I got over the emotional barrier of syringe feeding, I rolled up my sleeves and dove right in.  I AM going to save her!  I go into the feedings with that attitude and it makes them go so much better.  Purrs are happening more frequently, and she's coming up to me meowing again.  Started begging at the food closet again, although still, no dice on getting her to eat anything on her own.  But I'm still encouraged because she just stopped getting up and moving around for a while and now she's back to some of her old ways.  We are NOT out of the woods yet, and I know this, but my positive attitude makes things better for everyone I think.  

Oh, and she's pooping again!  That in itself causes a little extra attention because she's long-hair, without a tail (to keep the long hair out of the way), and is still sick so she hasn't started cleaning herself yet.  But I will gladly clean her up on her road to recovery.
 

mrsgreenjeens

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Good, good, good!  It will take quite a while for her to recover, and even when she starts eating on her own, it probably won't be nearly enough, so you will still need to continue force feeding her as well.  Such a good
you are!! 
 

daisy the cat

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oh dear! please write to my friend bev! she is totally a naturalist too. i do know giving cats fish from cans or fish period has been known to cause fatty liver disease. i have homeopathic cat books and i read that. here is bev's site:

http://www.lacommunitycats.com/

[email protected]

in the subject line, say: a friend of leah

do this right away! she is a screen and book writer so she does most of her mailings late at night. she recently joined this site just to vote for us but i don't know her user name yet or profile. do this now ok? poor girl :-)

later i will look in my cat books for you too...
 
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