civie w/evel liver values, anyone w/experience?

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Snoops mom

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My 15+ yr old (NON Diabetic) cat Raven hasn't been feeling too well lately, sleeping a lot, not eating well and then she vomited, not unusual for most cats to vomit once in awhile but it is unusual for her (she may have vomited more than once, I've got 3 cats and one of them often regurgitates her meal when she eats too fast, so I'm not always sure who threw up)

anyway, took her to the vet and got blood work done, got the results today. Her ALT is double what it should be (or was it dble the highest value on the ref range? either way, it's not right)

otherwise everything on her blood work looked ok, so her vet said maybe it's from dental disease, so we'll get her teeth cleaned (she's had them done several times since I adopted her at age 10 +, but she'd never had them done before that) and then she'll go on an antibiotic, and then we'll see if the ALT comes down,
oh and recheck her thyroid because HyperT can cause an elevated ALT as well and she's got early signs of hyperT (increased heart rate, variable appetite and some wt loss in the past year, but not recently)

as I said, she's at least 15yrs old, and I'm just not sure what to do. My vet fund is totally wiped out and I don't know how much more all the tests are going to be, but it is a lot of money just to get her to the vets ($30 round trip cab/car fare)

I don't want her to spend her final days sick, and I don't know if her liver issue can be resolved, the treatment plan is to try to rule out the more common causes, but she could have something more serious going on, and all of this could be for naught.

This is one of the hardest decisions I've ever faced. I have had cats with kidney disease and diabetes and IBD but this is my first time with a cat with a liver problem.

It seems that cats with liver issues only continue to go downhill, regardless of what is done for them, but that's just my overall impression, I don't know if that's a fact or just the way it seems, since all cats are going to get older and leave us someday anyway. :(


With the kidney diseased cats, I knew that the disease was progressive and I would eventually lose them, but I continued to treat for as long as I could. Looking back on it now, I can see that I continued to do more than what was probably best for the cat, only because I *could*.

There are so many ways that a cat's life can be extended now, but just because something can be done, doesn't mean it should be done. There's the whole quality of life issue.

Not saying her QOL is bad right now, but it's not wonderful either.
 
Not wanting to eat, vomiting, lethargy can be a few different things. Is her belly tender at all? How have her poo's been lately? I am specifically wondering about IBD or pancreatitis.

ALT in the 200 range isn't necessarily liver disease. A lot of the time it means the liver is a bit inflamed. Oscar had liver values around there for 2 blood tests in a row a couple of months apart. I put him on 25mg milk thistle twice a day and a month later his ALT was well within the normal range. Look for milk thistle that is the highest percentage of silymarin you can find. I was able to find a brand at my local health food store that was 80% silymarin.
 
Kelly & Oscar said:
Not wanting to eat, vomiting, lethargy can be a few different things. Is her belly tender at all? How have her poo's been lately? I am specifically wondering about IBD or pancreatitis.

ALT in the 200 range isn't necessarily liver disease. A lot of the time it means the liver is a bit inflamed. Oscar had liver values around there for 2 blood tests in a row a couple of months apart. I put him on 25mg milk thistle twice a day and a month later his ALT was well within the normal range. Look for milk thistle that is the highest percentage of silymarin you can find. I was able to find a brand at my local health food store that was 80% silymarin.


Hi Kelly,
is an ALT of 200 twice the normal? the vet only said it was dble , not what the number was

how do you give the milk thistle? is it a pill or powder or....?
 
Here is the ALT for my Patches on 9/9/10
ALT (SGPT) 19 28 - 100 U/L
It is on the low side. Note the normal range is 28-100

A value of 200 would not be that abnormal is cat that is not really eating well. Your high ALT is symptom of something is wrong, not that the liver is a cause. It could be many things.
 
An ALT of 200 is about twice the normal, but not indicative of liver disease. With that you usually see ALT in the thousands or close to it.

Milk thistle comes in powder form in capsules. I would just break open a capsule and approximate the 25mg and mix it in with Oscar's food. It wouldn't hurt to give it to your civie to see if it helps. Usually takes a month to a month and a half for the milk thistle to help the liver completely heal. With a number in that range, it is usually residual inflammation stemming from either stress or from inflammation somewhere else.
 
Kelly & Oscar said:
Milk thistle comes in powder form in capsules. I would just break open a capsule and approximate the 25mg and mix it in with Oscar's food. It wouldn't hurt to give it to your civie to see if it helps. Usually takes a month to a month and a half for the milk thistle to help the liver completely heal. With a number in that range, it is usually residual inflammation stemming from either stress or from inflammation somewhere else.

Kelly, I thought Milk Thistle was really bitter tasting. I am kind of surprised that Oscar would eat it in his food. I never had any luck with that when Tigger was so sick with liver disease. He would just turn up his nose and walk away! :YMSIGH:

But ECID of course! :)

You can always give it a try for your civie Raven. Or you could order Denamarin. It is a combo of SamE and Milk Thistle (Silymarin) used in cats and dogs for liver support. I successfully gave it to Tigger for years and still do (needs to be given on an empty stomach one hour before eating). It is a very small pill that fits nicely in a pill pocket:

http://www.petrx.com/Denamarin-blue.aspx

The pill pockets you can get at PetsSmart or online. They come in chicken and other flavors:

http://www.amazon.com/Pill-Pockets-Cats ... B00061MVTG

I hope your little girl feels better soon. Tigger was very sick with liver disease a few years ago. His liver values were a lot higher than hers and he recovered.
 
It was such a small amount mixed in very well in a heaping tablespoon of food that he never knew the difference :mrgreen:
 
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