Hipatic Lipidosis Relapse

miso and puma

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Just wondering what the prevalence is for recurrence of hepatic lipidosis. My cat is currently recovering from it. It has been absolute hell for her and me. She is a very difficult cat to deal with. She is on the mend but everyday is still extremely stressful. She will not tolerate any treatment well. Including feeding through her e tube and the dressing. She is constantly scrating and licking herself raw. It is a struggle to change the dressing everyday. She is just miserable. I feel so bad for her. I just worry about this disease coming back again after she is well. Does recurrence happen with HL?? Or is it kinda a one time thing
 

denice

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Hepatic Lipidosis is caused by taking in too few calories and the body trying to use it's fat stores too quickly.  As long as she doesn't go to long without taking in enough calories it shouldn't reoccur.  There are very very rare instances where it isn't secondary to not eating enough over an extended period but that is extremely rare.

My kitty had it a little over 4 years ago with no reoccurrence.
 

stephenq

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Just wondering what the prevalence is for recurrence of hepatic lipidosis. My cat is currently recovering from it. It has been absolute hell for her and me. She is a very difficult cat to deal with. She is on the mend but everyday is still extremely stressful. She will not tolerate any treatment well. Including feeding through her e tube and the dressing. She is constantly scrating and licking herself raw. It is a struggle to change the dressing everyday. She is just miserable. I feel so bad for her. I just worry about this disease coming back again after she is well. Does recurrence happen with HL?? Or is it kinda a one time thing
Once you get her through this and in order to help prevent a recurrence, don't be picky about food on her behalf.  Whatever she will eat plenty of is the right food.  You want yummy food that she will enjoy and eat plenty of.  The other thing re: recurrence is to look at the original cause.  Technically while it comes from a lack of food/eating, usually there is some underlying cause having to due with an underlying illness that depresses appetite.  Preventing that illness from recurring is key.
 
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miso and puma

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Thank you for your feedback. The only thing that changed was that I switched her food. Two months before she was diagnosed. I'm assuming this is the cause. I feel so bad. She was obese. And I thought that the initial weight loss was a good thing. But I now understand why it was not. I have now switched her back to the food she was previously on. She is also recently diagnosed with asthma in summer of 2014. We also started her on an inhaler same time we switched her food. I don't know the exact cause. She was always a cat who would eat anything. She devoured everything she could. So I was surprised that the food change was the cause. I'm currently struggling with the decision of when to remove the tube. She is eating on her own. She is 11.3lb she is eating almost 3/4 cup of food every 24 hrs. The vet says she should be eating 1cup of food. My other cat doesn't even eat 1cup of food in 24hrs. The other problem is that I find it hard to gauge how much she is actually eating. I have two cats who eat the same food. I have separated two bowels. And I am monitoring who eats out of which bowl. This is extremely difficult and not 100% accurate. But I go as far as waking up in the middle of the night when I hear someone eating. And making sure they are always eating out of the right bowl. Any tips on this?
 

stephenq

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Thank you for your feedback. The only thing that changed was that I switched her food. Two months before she was diagnosed. I'm assuming this is the cause. I feel so bad. She was obese. And I thought that the initial weight loss was a good thing. But I now understand why it was not. I have now switched her back to the food she was previously on. She is also recently diagnosed with asthma in summer of 2014. We also started her on an inhaler same time we switched her food. I don't know the exact cause. She was always a cat who would eat anything. She devoured everything she could. So I was surprised that the food change was the cause. I'm currently struggling with the decision of when to remove the tube. She is eating on her own. She is 11.3lb she is eating almost 3/4 cup of food every 24 hrs. The vet says she should be eating 1cup of food. My other cat doesn't even eat 1cup of food in 24hrs. The other problem is that I find it hard to gauge how much she is actually eating. I have two cats who eat the same food. I have separated two bowels. And I am monitoring who eats out of which bowl. This is extremely difficult and not 100% accurate. But I go as far as waking up in the middle of the night when I hear someone eating. And making sure they are always eating out of the right bowl. Any tips on this?
Any discussion of adding wet food to her diet?  Overweight cats who lose too quickly can get HL.  My only tip would be to get a baby scale and start weighing her, and discuss with the vet, not only the quantity of food she needs to eat but at what weight she can safely be  taken off the tube.  And if she likes wet food, this could make up the difference in quantity of dry.
 
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