High Liver ALT values in Persian

aquadog

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I just head this morning that my 6 month old persian has elevated ALT.  So much so that we are postponing neutering.  I am very alarmed.

Do you have other information about this disease?  How is your cat?

valerie
 

pushylady

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Hi aquadog and welcome to TCS!
I've moved your post to it's own thread as the one you posted in was 5 years old and it's unlikely the OP would have seen your question.

There are a few members here with cats with elevated ALT levels and I'm sure you'll get some good information.
Good luck with your kitten!
 

denice

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Elevated ALT can have several causes.  My kitty had it when he had cholangiohepatitis and fatty liver from IBD.  I assume your kitty is eating well, behaving normally, since you had him scheduled for his neuter.  It will take some diagnostics to find the cause.  My kitty is doing well but I doubt that your kitties levels are caused by the same thing as mine was.  One thing you can do in the mean time is start giving him Denamarin.  It's a very good supplement for the liver that contains SAM-E and milk thistle.  If your vet doesn't have it you can order it from Amazon.  http://www.amazon.com/s/ref=nb_sb_s...ats&sprefix=denam,aps,522&tag=&tag=thecatsite   It does have to be swallowed whole.  It has a safety coating on it so it gets through the stomach and breaks down in the intestines for best absorption.  It's also best not to give it with food so it goes through the stomach faster.
 

flintmccullough

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ALT value is the Liver. Normal values are 10-100. What is your kittens value? If you don't know, you need to ask, and you should request a copy of the blood panel they ran. All they do, is photocopy it. You should always keep a copy of any tests run, in your health records, you may need it, if you need to see another vet, or in an emergency. The vet needs to know this, and it helps him/her evaluate the situation better.

Sometimes with liver, the BUN and Creatanine values will be off too, these are kidney values.  You need to know if these values or any other values are off too. On the panel, it shows, all the values they test for, what the normal values are, the range, and what you kittens values are.

The reason they run a blood panel, before the spay or neuter, is because the kitty is going under anastesia. They are checking for the white blood cell count, it that is off, it indicates there is an infection somewhere, and they won't operate under those circumstances. 

Persians are prone to PKD, its kidney issues. Not every Persian is going to get it, its just they are prone to it, and you need to be aware of it, and in case your vet is not aware of the various breed genetic issues, you need to tell him/her, and they need to look at those values too.  Liver and kidney issues can sometimes go hand in hand.

Denise is right, Denamarin is sometimes given for liver issues, but you need to check with your vet first, as they have to determine what the issues are, before they can go with a treatment. 

Depending on what the ALT values are, how far off they are, they should do an x-ray. With liver you have to do both, one from the side, which is the norm, and one from the top, it shows more. Depending on what the x-rays show, you might be sent for an ultrasound from a specialist, he/she can tell from that, what kind of issue you are dealing with.

Was the blood panel done in house, or was it sent to Antech or Idexx? You need to know, so ask. If it was sent to Antech, which is the better one, or Idexx, depending on what your vet uses, they have specialists there, that can work with your vet, to help determine the prognosis and treatment. If the blood panel was done in house, ask your vet to do one, and send it to Antech or Idexx, then get he/she needs to get on the phone with them.

I already been this route. Her value was 917, they drew 3 seperate specimines and tested each one 3 seperate times, it came out at 917 each time. Hers was because she ate the bread and the plastic.  They tried a plethera of different medications, changed dosages, tried liquid, tried pills, nothing worked, then they put her on Denosyl, that worked, and her values started to come down. 

First get a copy of the blood panel and ask what his value is, and check the other values. 

Not operating, when there is a concern with a value being off, is the correct decision.  
  
           
 

cprcheetah

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How high was it?  There are other things that can cause ALT to be elevated as well, sometimes stress can even do it.  It can also indicate Muscle conditions such as heart problems.  Do you know if the blood was hemolyzed?  That can also cause a false increase in the values.  http://www.2ndchance.info/dxme-ALT.htm  is a site that talks about what causes a high ALT.  Has your kitten been on any recent medications? 
 
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aquadog

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Thank you for helping me.  I do not understand how to use this forum as of yet.  Thank you again.  aquadog
 

blueyedgirl5946

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How is your cat now. What are you having trouble with in using the forums. If you will ask questions, a moderator will answer you and try to help. Is your vet still trying to help you figure out what to do. I wouldn't give the cat any medicines without the care of a vet.
 
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aquadog

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Hello and Thank you.    As Murphy Law goes, the many papers I was sent home with from the vet, none of them address the ALT issue.  It does speak about the ADENOSYL that is milk thistle 100 mg.  It does no appear to have SAM-E in this formula.  I am a bit upset because they charged me 35.00 dollars for 100mg of milk thistle.  A bit greedy.  As well as not giving me on number indication of the ALT on these 8 pages.  I am very upset by this.  Plus they called me and alarmed me, but can not give me proper written information.  The vet did give me the number on the phone.  However, I do not recall.  I also have not received an answer about the earlier blood test done on the first visit.  I am hopeful they took this test as well so I can nave a comparative.  I have not started my precious Japser on the medication because I can't seem to keep him still.   I need to get someone to help me.  I am quite upset by all of this.  And I thank you very much for guiding me through my first cat.  I had no idea that persian cats are prone to health issues.  My black persian cat has a flat face but is short hair. However, it is growing and is on the longer side of a kitty, but shorter side of a persian.  I have to figure this out.  I also have to stay calm.  

Ps.  just realized i did not send this.  That is how upset I was.  I have stopped using any cleaning supplies that may be toxic to my kitty.  I only use none toxic everything now.  Prior to this, I used a lot of cleaning solutions.  I did find out Jasper's number… 186.  I hate giving him the pill.  It is a fight where I usually lose.  But he has been taking his milkthistle daily.  

I have two more weeks or less to find out what is going to happen.  My Jasper was very mad at me when he returned from vet.  He still is a bit stand offish.  Wait until he gets a neuter.

Thank you mucho.  Valerie
 

denice

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186 is only slightly elevated, 'normal' is 100 or less.  When my kitty had some acute liver issues his ALT went as high as 1200.  I really don't think there is anything major going on.
 
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