high ATL's after pancreatitis in 8 year old cat

Hello, my dear 8 year old cat had a pancreatitis attack back in December '13 her atl's then were in the 600's after several visits to the vet nothing has changed her numbers went down to 300's, to 600's, and the last reading in the 900's. The sonogram does not show any problems but the liver does not get better. She is taking 2 medications but with last reading they seem not to be working. She has not t lost weight, she drinks her water and is playful, very frustrated and scared for her, has anybody had this situation, recent tests ruled out cancer, and her pancreas is ok as well. Very concerned.

Of course you are concerned and I would be too. I wish I had more to offer you other than just support but can say that if she is eating, playful and acting normal then that would make me very relieved to know. I know you are waiting for that "other" shoe to drop worrying that another attack is looming but did the vet say anything about her diet and what would be best for her to eat? I wonder if her diet will play a role in whether or not she has another episode. Hopefully others will chime in here that have some more information on pancreatitis, if that is what the diagnosis is. One of our members kitties has a thread on her pancreatic kitty that is packed with information on the disease. It is long but may touch on some things such as diet and supplement, etc. and give you some answers if it truly is pancreatitis. http://www.thecatsite.com/t/264363/sebastian-is-back-at-the-vet-suspected-pancreatitis-again

Is one of the medications a supplement called Denamarin?  I think it is very good for the liver.  When it is given it has to be swallowed whole.  It has a protective coating on it so that it breaks down in the intestines rather than the stomach.

Thanks, yes that is one of the medications plus prednisolone, last ultrasound just showed that all her other organs are OK. The vet said that she must likely has a chronic swallen liver, reason why those enzymes continue coming out in such high high numbers, she said as long as she is doind well we will keep her on those meds, we will continue doing blood test every month or 2, I'm just afraid for her long wellbeing, and those numbers being on the extreme side. I'm just a very frustrated cat mom that can't do more for her, and that we do not know the root cause for her liver being angry. She was a rescue and lived 2 years outside she was malnourished she could have had this before but until now it showed up.

My kitty had fatty liver and it took awhile for numbers to come down.  He also has IBD so the worry was about lymphoma.  He was doing well but his numbers wouldn't come down.  The vet finally said that there is a point where you have to treat the cat rather than the lab results.  His numbers did finally come down.  He still gets a liver panel ran every six months to keep an eye on things and he is still on a small daily dose of steroid.

Thank you, @Feralvr, for posting the link to Sebastian's thread.

@gisapez, my Sebastian has chronic pancreatitis. Did your vet say your cat's liver issues were a result of him not eating (fatty liver disease)? Or is the liver compromised for some other reason/condition? There are several organs and ducts in close proximity to each other in that area of body, so its not uncommon for other organs to be affected as a result of, or concurrently with, pancreatitis. Cholangiohepatitis, for example, can occur concurrently. This is inflammation of the liver and biliary system, and can cause increased ALT. Here is some information:

http://www.veterinarypartner.com/Content.plx?A=1960

http://bluepearlvet.com/cholangiohepatitis-in-cats/

http://www.merckmanuals.com/vet/dig...e_cholangitischolangiohepatitis_syndrome.html

http://www.vet.cornell.edu/FHC/health_resources/Cholangiohepatitis.cfm

I have heard of Denamirin too. They bring up a good point. Are you administrating the medication properly?

GoHolistic said:

Thank you, @Feralvr
, for posting the link to Sebastian's thread.

Click to expand...

Thank YOU for such a great post above and I am sure your information will be very helpful to gisapez.

She always had a good apetite , until December of last year when she had the attack. The vet did said yesterday perhaps its because there is a large hairball?? She indeed does not throw up hairballs I normally see her trying to, and then swallow it back up right away. She told me to put some fiber in her food to see if they come out the other way. She has never stop eating even with or without the meds. Except the month we were back and forward at the beginning of this health issue . thanks for the links I'm trying to get as much information. I know the pain you are going through and at times feeling helpless to them.

yes, I give her pill one our before her morning meal on an empty stomach right after she wakes up around 4am on a pill pocket.