Severe Cat Liver Damage.

We see these cat Icteric a lot. Depressed and sometimes vomiting a lot. Many will NOT eat or if they do they just throw it back up. So we have to get calories into the cat and stop the vomiting.

1. Cerenia for vomiting.
2. So you can give Nutrical and jump-start the gut.
3. Also, Mirtazipine to drive an appetite artificially but you have to keep the Cerenia up to avoid just vomiting everything up.
4. I’d probably give Cerenia for 2-3 days overall
5. If you can get pills into a sick cat like this, Ursodiol is really helpful.
6. For liver damage, I really like DMSO enriched fluids because DMSO helps reduce “further cellular oxidation and destruction”.
   1.  I’d do those fluids once a week or maybe once every 5 days because DMSO benefits are around as long as you can smell it, even a little.
   2. However, fluids may be helpful daily without the DMSO.

Some cases of liver “failure” are from Hepatic Lipidosis or “Fatty Liver Disease” and those cats absolutely MUST take calories so that’s why we’re doing Cerenia and ‘force feeding’.

Some cases of liver “failure” are from bacterial infections in the liver. Germs get out of the intestine and survive in the liver, causing bacterial hepatitis. An antibiotic plus the other medications becomes crucial.

To figure out what’s REALLY going on with the liver there are:

1. Additional blood tests. [Bile acids]
2. Ultrasound. [Shunt? Acquired? Tumor?]
3. Radiographs. [Tumors?]
4. Possibly liver biopsy. [What actual pathology is going on?]

Franchise runs all these tests concurrently in case one of the tests shows the problem and obviates the rest.

In any event. There’s naught to do about cancer but for EVERYTHING ELSE, there’s the above.
To recap:

• Antibiotics
  Settle the stomach
  Get calories in the cat
  Soothe and heal the liver itself.

DocJohnson