Civvie Stray with elevated ALT and ALKP

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terri1962

terri1962

Member Since 2011
I have a stray that I just brought in a couple days ago. He is about 10 or so they say estimate, neutered already. Anyhow I knew something was off, he was lethargic and then today threw up and had diarrhea. So I took him to the vet his liver enzymes ALT is elevated which is 847 normal 12-130 and ALKP is 174 normal is 14-111.
All other values are normal including thyroid. He also has a BB in him, suspect, idiot neighbor cat(2)_steam but not sure about that. He is eating but not a whole lot. They gave me Metronidazole for him.
My question is what would cause these values to rise?

Terri
 
Larry and Kitties said:
Alt and ALKP are liver values ot eating will be raised by not eating much/enough.
Click to expand...
Hey there! So if a cat is not eating much, or not enough, then his/her ALT can be elvated? Gobbles has been up, twice, but each test was done when I knew he really wasn't eating enough and once, when he was having episodes of diarrhea. Thankfully, last month his appetite increased dramatically--when he started going down the dosing ladder--starting at about when I was administering (every 12 hours) .25 u, then .10 u. now OTJ--in fact, I now will have to keep an eye on his weight, as he certainly has been living up to his name and does not need any more weight gain. I'm going to get a new panel run on him just as soon as I have the extra cash. I keep all labs on his SS, so it will be interesting to see where some of the elevated tests will be from said new panel. Thanks for mentioning this.
 
A couple of possibilities:

When the calorie intake is insufficient (starvation, diabetes, inappetance, etc), fat will break down for calories. In as few as 2 days, it is possible for that to overwhelm the liver, starting hepatic lipidosis which messes up the metabolism considerably, including the liver enzymes.

Diseases of the liver, gall bladder, and other parts of the GI tract may cause abnormalities of the liver enzymes.

Liver supportive options may include assisted feeding or a feeding tube, or digestive suplements such as FortiFlora, milk thistle extracts (Denmarin, Marin), or others.
 
Thanks everyone for all your replies. He was a stray who I have in an extra bedroom right now. What I noticed is he does not like dry food at all or can`t eat for whatever reason. He will eat Fancy Feast and eats that real well. So hopefully he will never become diabetic. My other cats however just nibble the FF and insist on dry at times( I know its evil).
So perhaps with him being outdoors he was not getting enough to eat. He still wants back outside whcih is not going to happen. Been trying to find out if he belongs to someone but no one is claiming him.
My cats do not like him and he does not like them so not sure whats going to happen.

Terri
 
Sounds like either a long and drawn out introduction for this new stray or restricted quarters. It's always a challenge when there is a new cat in the house. You never know if the new guy will get along with the older residents.

Hope things work out. Either a new member of your family or you find him another home.
 
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