My cat has fatty liver. When will feeding tube improve lethargy?

Hepatic lipidosis is a very severe condition in cats and takes weeks to recover from. You should contact your vets office and advise them of the slow progress being made as further investigations for underlying causes and triggers may be warranted if she is not responding to the feeding. Hepatic lipidosis and jaundice generally occurs in cats that were well conditioned or overweight which then lose their appetite and the body starts to sue the fat reserves in the liver triggering a crisis. In most cases refeeding resverses the symptoms and the original trigger resolves itself but furhter investigations into underlying causes may be required

Unfortunately it can take a long time - weeks to months - to recovery from hepatic lipidosis. I typically recommend a feeding tube because feeding the appropriate number of calories is most important and it can be difficult to get enough calories in with syringe feeding alone. If you have other concerns for questions about her care you should check in with your vet and be sure to follow up for all recommended rechecks.

Hepatic lipidosis in cats typically develops secondary to long-standing inappetance, liver disease, or neoplasia (cancer). These cats are generally very ill and require medications to treat the primary cause in addition to trying to get them to take in enough nutrition for their body. To start from home, you can try syringing a canned food to Gimli; if needed you can mix a little water in with it in a blender to get to a consistency that is easy to push through the syringe. Unfortunately, many of these patients do not do well with syringe feeding and a feeding tube (esophagostomy tube) is needed to get enough nutrients to them. The bright yellow urine could be due to increased bilirubin content, which is common in cats with hepatic lipidosis. I would strongly recommend getting him to a primary care veterinarian to determine what the primary cause is for the inappetance. Thorough bloodwork (complete blood count, serum chemistry, FeLV/FIV test) should be performed to begin to look for an underlying cause. Abdominal x-rays or additional bloodwork may be recommended based on these findings. The liver is very good at recovering from an injury if it is caught early and treated appropriately and aggressively. I hope Gimli feels better soon.

Hello, thank you for your question about Sweetie. Fatty liver disease, or hepatic lipidosis, can become a serious life threatening condition. It occurs when cats suddenly stop eating, which leads to abnormal fat accumulation in the liver. The most important aspect of treatment is to ensure that the cat is eating, as this prevents further fat accumulation. Many cats with the severe form of this condition become very dehydrated and develops other symptoms such as vomiting, lethargy, etc. Many cats who are severely affected due require hospitalization and often placement of a feeding tube. If Sweetie has no sign of other symptoms and has already regained her appetite and is starting to feel better, I think it is ok to continue to monitor her at home. If you notice that she stops eating, develops any vomiting, or other symptoms I would recommend having her rechecked and consider in-patient therapy. Hope this helps!

Your cat really needs to be seen by a veterinarian for proper diagnosis and treatment. She is likely dehydrated from not eating or drinking well and will require subcutaneous or intravenous fluids. Because she hasn't been eating, she is also at risk of developing a condition called hepatic lipodosis. This disease is the most common cause of metabolic liver failure. At home encourage your cat to eat by offering highly palatable food, such as fish-flavored canned cat food or Stage 1 strained chicken or turkey baby food (no onions or garlic). If necessary, gently open her mouth and place a small amount of moist food on her tongue. Watch to see if she swallows it. If she does, place a couple more dollops of food on her tongue, then encourage her to eat a bit on her own.

An RBC of 7 is seriously low. It will take quite some time (around three weeks to get a normal RBC count) for your kitty to make new blood, so it is important that it eats and drinks. I would actually feed it canned food only, and even add some minced beef (hamburger) to it to make sure it has enough iron and moisture to make new blood. He should get a little bit better every day. Such severe anemia weakened your kitty and that is why he is so lethargic.

This depends on the type of fluids he is receiving, it is possible to provide intravenous nutrition but this is often very expensive. Tube feeding is often used if not eating voluntarily or if vomiting is severe. I recommend you chat about this with your primary treating vet