Please help! My sweet cat Petey has fatty liver disease, and not getting better

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ld0203

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Hi, everyone - I just left my vet, visiting Petey who is hospitalized there, and sat in the parking lot in tears. Then I found this site when I Googled the disease on my phone, and read through a thread from a few years ago. I'm hoping to get some advice (and comfort) from other cat lovers here. NOTE: I apologize in advance for the long post, but I am really upset right now!

Petey (and his brother Pedro) are both 9 years old. I adopted them as kittens from my sister after she found that her daughter was allergic to cats. They are both neutered, and got all their immunizations as kittens. Then (and please don't judge me) they never went to the vet again - because they were never sick, other than the occasional nasal allergies that would only last a day or two. Until 2 weeks ago, they have both been wonderful, playful, sometimes annoying, but always the little loves of my lives (which also speaks to the sad current state of my love life, but that's another story). Petey has always been the alpha cat, chasing Pedro around and pretty much running the house.

Two weeks ago, I noticed Petey wasn't as active. He was also staying back in the guest room, sometimes hiding under the bed. He wasn't eating as much as usual, and he was sneezing a bit and his eyes were watery, so I thought it was just the allergies. After two days of that I took him to the vet. This was traumatic on its own, since he hadn't left my house in 9 years. The vet examined him and said she thought he had an upper respiratory infection, and gave him an antibiotic shot. She also gave him a rabies shot, since he was overdue for that. She said he should start feeling perkier over the weekend (this was a Thursday). I told her I was leaving for a business trip and would be out the following week, but that I have a pet sitter that could bring him in if necessary.

Over the weekend, Petey did seem a little better...although when I first brought Petey home from the vet, Pedro hissed at him and wouldn't come near him. I did some research and found that that is common when one cat goes to the vet; the other cat doesn't recognize his scent, and also the well cat may be hostile toward the sick cat. By Sunday, it seemed that Petey was better, and Pedro stopped hissing at him (although they weren't snuggling up together like they always did before).

I had to leave town Monday morning; the pet sitter came every day to feed them, clean the litter box, etc. She was also aware that Petey had been sick, but that he had been doing better. When I came back on Friday night, I found Petey huddled under the bed in the guest room. He wouldn't come out. He was meowing softly at me, and kept sticking his tongue out a bit. I put a cup of water near the edge of the bed, and he crept out and drank about half of it, then threw some of it up. I could tell he had lost weight in the 5 days I had been gone; I tried to get him to eat something - tried lots of things - but he was not interested. I was up all night trying.

Saturday morning we were at the vet when they opened. He saw a different vet this time (same clinic), who did blood work and told me Petey had hepatic lipidosis (fatty liver disease). They admitted him to the hospital, and put him on an IV to get him hydrated and get some vitamins in him. They are also giving him an antibiotic and something for his liver. That day I did hours of research online, which is so scary.

They were closed on Sunday; yesterday I went to visit him, and it was so sad. He was curled up in the back of his cage under a towel; they said he seemed to feel better that way because he was stressed by all the activity in there. I reached in and petted him, talked to him for a long time, and he just meowed really softly. I tried to get him to eat (putting some canned food on my finger), but he wouldn't, so they were going to feed him with a syringe after I left. I came home and cried so hard - I feel so terrible for him. This morning I went back, and they said they had gotten 40 cc's of food in him last night, and he seemed a little better, so I was encouraged. Then tonight I went back, and he seemed worse. They said he didn't do well with the syringe feeding today, so they put a dish of food in his cage. He seemed to wheeze a little after each meow, and his mouth is slightly open. I asked about that, and they said the vet had listened to his lungs and didn't hear congestion. I just don't know what to do - I guess I want someont to tell me they went through this, and it all turned out okay. I feel SO TERRIBLE for him, and  - please help!!!  I love him so much, and I feel like I am letting him down!!
 

denice

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My kitty survived Fatty Liver Disease.  He does have to get enough calories in to stop trying to use his own fat which is what causes Fatty liver disease.  My kitty had a feeding tube put in and I fed him 60 ml of diluted Hill's A/D which would be 30 ml of the food four times a day.  My kitty didn't have the upper respiratory stuff going on.  The URI may be why he quit eating, cats won't eat what they can't smell.

Once thing that concerns me is giving him a vaccination while he was sick.  I personally don't believe that should be done.  

I would ask your vet about a feeding tube.  The IV is keeping him hydrated but getting enough food in him on a consistent basis is what will bring him out of fatty liver disease.
 
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ld0203

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Thanks, Denice - I'm concerned that the vaccination was a factor, too. I'm inexperienced with this, and the vet seemed so matter-of-fact that it was no big deal, so I didn't question it. I asked about a feeding tube today, but they seemed to think that was a last resort measure (but I was talking to one of the staff, not a vet). His vet will be back tomorrow and I'll ask about that. I just feel like they're not doing enough to get food in him!

I am wondering if he would be better off at home with a feeding tube...but also, I'm single and work full time. When your kitty had his feeding tube, could you leave him alone for hours at a time? Was the feeding tube in his stomach, or in his esophagus, or through his nose?

Thanks so much -

LeAnne
 

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His was in his esophagus, I think that is the usual way it is done now.  At one time they were usually put in the stomach.  The ones in the nose are very rarely used for cats, kitties don't tolerate them as well and the tubes are much smaller in diameter so they clog more easily.  Hopefully your regular vet will get a handle on this.  The only effective treatment is enough food, there simply is no other treatment.  There are supportive things that can be done to help the liver heal, a supplement called denamarin is good.  Antibiotics are usually given because the liver is in a weakened state and needs extra protection from infection.  In your kitties case it's also needed because of whatever is going on with his respiratory system.  
 
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ld0203

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I know they said they're giving him something for his liver; I'll ask tomorrow if it's denamarin. How long did your kitty have a feeding tube before he started feeling better? I can't stand to see mine so miserable!  It's breaking my heart.
 

denice

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He started eating a little on his own after about a week and a half.  He was eating normally after about 3 weeks and the feeding tube was left in for about a month.  It's a slow recovery period and some cats take longer to recover.
 

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I'm so sorry about Petey. I know exactly how you feel when you said you were in tears in the parking lot. I've been there. My cat has chronic pancreatitis and had to be syringe-fed for two+ weeks after his first attack for which he was hospitalized. He had stopped eating for 4-5 days, so we were very close putting in a feeding tube, but ended up not needing to. Anyway, right now the treatment is to get food in him as @Denice has pointed out and get him out of fatty liver. Then, it's a matter of figuring out why Petey stopped eating in the first place to help manage his health.

Sending lots of vibes for Petey... 
 
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ld0203

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I just went to see Petey this morning, and he was not any better than last night. Wheezing softly, not eating and curled up in his cage at the hospital. I said I wanted to talk to his vet, and was told he was out for a family emergency. So I asked to talk to another vet who has seen him. A few minutes later, they came back and told me that his original vet (out with the family issue) is coming in at 11:00 specifically to meet with me. I'm trying not to think the worst.  Please send prayers and positive thoughts!  I am so afraid of what is happening, and can't stop retracing the events of the past few weeks to see what I could have done differently. I had no idea when I left town last week that I would return to my poor sick cat in this state, or I would never have left!!
 
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ld0203

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Thank you - me too! I can't believe after all the reading I've done on this site (I barely slept last night), that it hasn't been done yet.  I am leaving now to go meet with him…hoping and praying for the best.
 
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ld0203

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I just got back from the vet; he is putting in a feeding tube today, and hopefully Petey can come home tomorrow and I can start feeding him here. I know there is risk for any surgery, and he is weak right now, but I am thinking positively. The vet did tell me two things that helped tremendously (given that I was crying in his office): he has a cat that he loves, and would do this for him - and, he's never lost a cat who had a feeding tube. There is hope!
 

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The recovery rate does go up substantially with a feeding tube.  Did he have any idea what was going on with his breathing?  Hopefully it's just a run of the mill kitty cold.

The procedure only takes a few minutes so the kitty doesn't have full blown anesthetic like they have with abdominal surgery.  All kitties that are at the point of getting a feeding tube are in a weakened state or they wouldn't need the tube put in.
 
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ld0203

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The vet said his breathing issue was in his sinuses, not his lungs, so he didn't seem too worried about that piece. You make a good point about the weakened state - that's why we're in this situation to begin with!

What do you suggest about preparing a place for him back at home, with my other cat? I'm thinking they should be separated for awhile, and I need to make sure Petey can't crawl under a bed or anything.
 
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ld0203

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Petey came through surgery fine today; I went to see him and he was drugged up, but okay. Looks so small and pitiful! They were able to feed him once through the e-tube and he kept it down, so that's good. He should be coming home tomorrow, and then I'll start feeding him here...I'm so glad to find all the great resources here!  So many kind and helpful people.  :)
 

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Yay!

You might try brushing him a bit using a brush that still has some Pedro on it to help cover up the vet smell. Just a thought.
 

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Petey came through surgery fine today; I went to see him and he was drugged up, but okay. Looks so small and pitiful! They were able to feed him once through the e-tube and he kept it down, so that's good. He should be coming home tomorrow, and then I'll start feeding him here...I'm so glad to find all the great resources here!  So many kind and helpful people.  :)
I'm sure he's glad to be home. You may have a lot of questions in the coming days, so write everything down and keep in close contact with your vet. In fact, I would recommend a journal/log to keep track of Petey's feedings, how much you gave, any behavioral or medical observations, etc. If you're weighing him at home with a baby scale, you may want to keep track of that as well.

Sending lots of vibes that Petey pulls through! 
 
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ld0203

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I can't believe I'm writing this, but I lost Petey today. The vet called this afternoon and said he had been taking his feedings well, and that he wanted to keep him for one more night just to be sure he was okay to send home. I went to see him about 5:30, and they showed me how to feed him through the tube. I fed him, and then spent a lot of time petting him and talking to him. He looked me in the eyes and purred for the first time in two weeks, and I felt so happy. Everyone there was saying what a little fighter he's been. I left and came home. 20 minutes later, the vet called and said he was having seizures and that I needed to come back right away. I'm only 2 minutes away. When I got there, they had him on a table and he was having a seizure and it was so awful. They said they had done an x-ray after the first seizure and he had a blood clot in his aorta. They told me he couldn't see, and didn't really know what was going on, and that he was in a lot of pain. They said there was really nothing that could be done at this point that would give him a good quality of life. He had another seizure in my arms and it broke my heart. I looked in his eyes and could tell he couldn't see anything. He held onto him until he quieted down, and they spread blankets on the floor in the examining room so I could lie down with him. I asked the vet (who has a cat that he loves like a child) what he would do. He told me he couldn't let his baby suffer like that, and he would not ever have a good quality of life, so I decided to let him go. I curled up around him and told him I loved him until he was gone.

I will say my vet was the nicest, kindest man through this. When I was leaving, he opened his arms and hugged me, and held me and told me that I had done everything I could and promised me that I had made the right decision, and that Petey is in heaven now (which I happen to also believe). I feel so heartbroken, but I know he's at peace.

I think I'm also still kind of in shock, since this all happened so fast today. I go back and forth between crying my eyes out and just sitting in disbelief. Thank you for your advice and your encouragement through this - it has been a blessing.
 

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Oh no! I can't believe it. I am in utter disbelief and heartbroken. 
  I am so, so sorry for your loss. Your vet is right. You did everything you could. Even though it was so painful to see Petey in such a state, I know that it comforted him for you to be there. You made the most loving decision of all, and that was to take his pain away. 
 

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Wow I certainly wasn't expecting this.  I am so sorry.  This is one of those very rare things that sometimes happen out of the blue.  I think that there was something going on besides a kitty cold and then not eating, I really don't think that anything you did, or had done, or didn't do had anything to do with this.

I believe you did the right thing in letting him go.  Even if somehow he would've survived the quality of life would have been poor.
 
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