I'm worried sick about my cat.

Several weeks ago my partner and I took our cats, Rasputin and Raven, to the veterinarian for their regular checkups. Blood work showed astronomical levels of certain liver enzymes in Raven’s blood, which mystified the doctor because there’s nothing obviously wrong with her. The vet said these were the liver readings of an elderly cat whose system is shutting down, but Raven is only 4 years old and just as healthy and happy as can be.

After repeat blood tests yielded the same results, the vet took X-rays, which seemed to indicate that the liver was a fraction of the size it should have been – obviously a fatal condition since it couldn’t filter the blood with any efficiency. The vet put her on a special diet and referred us to a specialist, but wasn’t optimistic.
The specialist did an ultrasound and determined that the liver is the proper size after all – it had just been obscured by something else on the X-ray. This was good news, but the reason for her elevated enzyme levels remained a mystery.

Raven also has/had a chronic tooth problem, and had to have several teeth extracted a couple of days ago. It was sort of touch-and-go with the anesthesia because of the liver problem, but it had to be done. More blood tests showed that her liver readings have actually gone up, and the vet is still without a clue. She said tooth problems can lead to liver problems, so now that the teeth have been taken care of, perhaps the liver will go back to normal. But again, she’s not optimistic. Basically at this point all we can do is keep an eye on Raven. If and when she gets sick, we can try a round of “liver friendly” antibiotics; failing that, exploratory surgery/biopsy, and possibly ultimately a feeding tube (which I will not allow – quality of life would be zero at that point).

Meanwhile, Raven seems kind of traumatized by her latest ordeal. She seems sort of depressed and is probably bewildered as to why we keep doing this stuff to her. She’s reluctant to lets us near her, and I can’t say I blame her – we’re constantly either forcing antibiotics and pain meds down her throat, or sticking her in a box and taking her to the vet to be tortured. The thought that she might not have been adequately anesthetized while her teeth were pulled haunts me. The vet assures us that was not the case, but what else would she say?

We cannot afford to spend much more money on this. I’m going to be going back to school full time next fall, so we’ll only have one income. In the meantime, we’re trying to pay off as much debt and save as much money as possible. We might have to resign ourselves to letting Raven go if she takes a turn for the worse.

I’ve had cats my whole life, but there have been few (really only one) that I’ve loved as much as Raven. She’s the sweetest, gentlest, most affectionate creature you could hope to see. She does not deserve this. She has such a funny little personality and there’s going to be so much I’ll miss about her. I can only hope she’ll come to trust us again and have some quality of life before we lose her.

Are there any vets in the house with any idea as to what could be causing this, and what to do about it?

I’m not a vet, but my heart goes out to you and your poor kitty. :frowning:
I hope someone has some good advice for you soon.
{{{{{Nordic & Raven}}}}}

I’m not a vet, but I have a cat who has cholangeo-hepatitis (not sure how it’s spelled). His liver enzymes are WAY up, and he’s lost a lot of weight. It is curable, apparently, but we can’t seem to cure him. He’s very old and skinny, but not in any pain.

Could you be more specific about which liver enzymes are elevated, i.e. ALT, AST, Alkaline Phosphatase, Total Bilirubin?

Has your cat been treated for a possible liver fluke? A couple of the vets I work with often treat unknown liver problems in cats for flukes, just in case, and some of the cases have responded to treatment. The parasite eggs are hard to find so they don’t rely on diagnositics and go by response to the treatment. The treatment is just a deworming so it’s usually not any harder on the cat than all the other stuff it’s likely getting to treat the liver problem.

I’ve also heard that the SAM-E supplement is being used a lot for liver problems, you may want to ask your vet about those options.

Cats and liver problems…now why does that sound familiar? :wink:

I’m so sorry to hear about your kitty. I don’t mean to be a downer, but we also lost a 4-year-old cat for mysterious reasons just a few months ago. So I feel for you and send my best wishes that your Raven pulls through.
Meet one of our other babies, Buggy. Looking at him always makes me feel better!

WileE: I don’t know exactly which enzymes are elevated, but I’ll be sure to ask when we bring her in next month. Interesting about the parasite possibility; that sounds like something the vet should have thought of. I’m really beginning to lose faith in her. Heck, she thought Raven had microhepatica because there was something in front of her liver on the x-ray. I’m not a doctor, but that seems like quite a leap.

harmless: thanks for the kind words.

TroubleAgain: I wish you luck with your cat’s condition. It sucks when an animal you care about is sick and there’s nothing you can do about it, doesn’t it?

yellowval: that pic made me smile as well. He looks like a charming fellow. I’ll see if I can post a picture of Raven when I get home (I’m at work now).

IANAV so I have no idea what is happening to your kitty but I will keep her in my thoughts. I wish you all the best.
The only advice I can give is if you ever let your cats outdoors, stop. It can and usually does lower their lifespan and makes them more susceptible to viruses, infections and parasites.

Also, give your kitty tons of hugs and kisses.

Pancreatitis.

Same thing with my cat, and my vet (after $700 worth of tests) said, “elevated liver enzymes and elevated pancreatic enzyme are almost impossible to tell apart.” And an inflamed pancreas would hide the liver in the X-rays.

Your vet’s an idiot if this never even occured to him.

If her amylase and lipase are elevated, then yeah, I’d guess pancreatitis. If those are normal, though, and her ALT, etc. are high, then I’d doubt it. And cats with pancreatitis usually (but not always) vomit or have diarrhea. Besides, a pancreas big enough to obscure the liver on radiograph should have showed up on the ultrasound. That’s assuming they did a full abdominal ultrasound, which is standard for our practice. If they did not ultrasound the entire abdomen, but just the liver, you need a new specialist.

And Eve, while the labwork can sometimes be ambiguous, if your vet can never tell the difference between elevated liver enzymes and elevated pancreatic enzymes, I’d consider looking for a new vet.

While I agree that keeping a cat indoors will prolong it’s life, but if you do, you aren’t letting a cat be a cat.

A cat is a wild animal that allows you into it’s personal space. To deny them what nature intended seems cruel to me.

Have you never seen a housebound cat sit at a window and long to be outside?

Just as another aside. Not all cats want to go outside. At the moment I have two cats letting me live with them. Gracie, a queen, and Boo Cat, a tom. Boo comes and goes as he pleases but Gracie never goes outside. But it’s not because I don’t let her.

I hope you can figure out the problem with you cat and she live a long happy life.

Thanks, everyone, for your good wishes and advice. I now have some more questions for the vet next time.

As it happens, we do not let our cats roam free outdoors. We live in a townhouse, and they love to sun themselves on the deck, which is on the second floor so they really can’t go anywhere. Also, I often take them out around the neighborhood on a harness. They love these excursions and the harness doesn’t bother them a bit; in fact, they get excited when they see me get it out. I suppose it’s possible Raven could have picked up a parasite that way.

I just got home from work and she’s in much better spirits today. I guess all is well for the time being.

For those of you interested, here’s a picture of my sweet girl.

And another.

And with her “brother,” Rasputin.

[QUOTE=Reeder]
…Have you never seen a housebound cat sit at a window and long to be outside? …

[QUOTE]

Actually, what my cat was longing for was the birdies he could see outside. When I tried to let him into the yard once, just to see, he bolted back inside and wouldn’t come anywhere near the door again. It’s fruitless to try to read a cat mind.
She looks like a real sweetie Nordic. Hope everything goes well for you both.

What my vet said was, “It’s difficult to tell the difference between liver failure and pancreatitis, which is why we’re testing for both.” Which Nordic’s vet shoulda said, too.

I’m sure we’ve had this discussion here before and I don’t want to hijack but domestic cats are not wild animals they are domesticated. If the cat never goes outside they have no idea what they are missing and they live longer safer lives.

Nordic-If your cat is strictly indoors, has never been outside and has never had little lizards, geckos, toads or skinks to eat, a liver fluke may not be a high possibility. If your vet hasn’t mentioned it it may be that it’s not endemic to your area, but it certainly wouldn’t hurt to ask about it. Usually when we see cats with this they are physically ill; vomiting, diarrhea, anorexia and often icterus (jaundice). ALT will likely be the elevated liver enzyme and there may be an eosinophilia on a CBC.