Cholangiohepatitis In Siamese Cat Help!

this is an URGENT plea to anyone with experience of this..any information at all. We are battling to save my baby boy..hes 6 years old siamese called Diego..

Anything at all...hes on meds etc..been hospitalised..we are now feeding him every couple our hours with a syringe/water..really watered down..any advice at all about how much to feed how often..this came on suddenly on Wednesday..he was his happy joyful self before..

THANKYOU..I'm feeling very desparate.xxx
Sam xxx

Just want wanted to add he is not being sick xx

Hi! Welcome even under the circumstances - I'm so sorry to hear this!!
@Vanna234 mikameek @Bentley1960 @catladyloni can you provide help to the OP?

Cholangiohepatitis

Yahoo! Groups Feline pancreatitis --if you were to decide to join this group it's suggested to obtain a specific email address such as yahoo

Hi. I wish I could help, but I really know nothing about this condition. I did find articles that might help, if you are not already familiar with them.

I am guessing this a recurrence? Your post is pretty vague. I am inclined to think you need to contact your vet right away.

Cholangiohepatitis in Cats - Symptoms, Causes, Diagnosis, Treatment, Recovery, Management, Cost
Cholangiohepatitis in Cats

I hope someone on this site comes along soon to give you some specifics about how to feed him, but from what I read it is essential he is kept hydrated as well.

denice - Is there anyone you can contact to help G ginger1973wine ? Thanks in advance!

I also found this information on Web DVM - just in case it might help too.

"Treatment for cholangiohepatitis consists of IV fluids, antibiotics, and anti-nausea injections if vomiting. Once vomiting is controlled, I will offer cats food as soon as possible, preferably a low residue, highly absorbable diet. It is important to get these cats eating as soon as possible to prevent a complication known as hepatic lipidosis (aka, fatty liver syndrome). If they will not eat voluntarily, I will try an appetite stimulant, and if that does not work, I will blend a low residue diet into a slurry and syringe feed the cat, place an esophageal feeding tube if the feline patient cannot hold down the syringed food slurry (esophageal feeding tubes are easy to place and may remain in place for feeding and medicating for 2 weeks).

Another helpful (and from my perspective, essential) treatment for cats with cholangiohepatitis is treating with a compound known as a choleretic, that is, a compound that loosens bile secretions stored in the gall bladder and bile ducts and facilitates their out flow into the intestine to relieve sludging of the gall bladder and bile ducts. This also helps to release stored toxins that accumulate in the sludge within the liver and gall bladder of patients afflicted with cholangiohepatitis. The most commonly prescribed choleretic in in veterinary medicine is ursodiol. Some cats that have recovered from a bout of cholangiohepatitis require indefinite daily therapy to prevent relapse of disease.

Prognosis is generally fair to good with most cats making a full recovery with aggressive treatment. However, relapse is common, most likely because inflammatory bowel disease seems to be the driving force behind development of disease in most cases. Therefore, vigilant feeding with a low residue or hypoallergenic diet for management of underlying inflammatory bowel disease is a good strategy for prevention of inflammatory bowel disease. In some severe cases, maintenance treatment with an immune suppressant such as a steroid or cyclosporine (as well as previously mentioned choleretic ursodiol) is necessary as well to control inflammatory bowel disease to ultimately reduce the risk for relapse of cholangiohepatitis."

I would feed as much as your cat will eat, the way you have been frequent small meals. Hills A/D is a good choice at least short term while he is sick. I assume he is on an antibiotic. There is a supplement called Denemarin that is good, it has the active ingredient from milk thistle and SamE in it. The pills do have to be swallowed whole, they have a protective coating so they dissolve in the intestines rather than in the stomach. If the whole pills are an issue then milk thistle would be good. I had a cat that had hepatic lipidosis along with cholangiohepatitis and he survived. His was secondary to then undiagnosed IBD.

ginger1973wine said:

this is an URGENT plea to anyone with experience of this..any information at all. We are battling to save my baby boy..hes 6 years old siamese called Diego..

Anything at all...hes on meds etc..been hospitalised..we are now feeding him every couple our hours with a syringe/water..really watered down..any advice at all about how much to feed how often..this came on suddenly on Wednesday..he was his happy joyful self before..

THANKYOU..I'm feeling very desparate.xxx
Sam xxx

Click to expand...

mikameek
There is this thread, but she hasn't posted in over a month, maybe you could PM her...
Mika's Struggles With Cholangiohepatitis

I apologize for the EXTREMELY late reply. My school semester has absolutely swallowed me whole and I've had almost no free time to get on here. If OP is still around, I will keep an eye out for posts/questions and I will most definitely reply to the best of my ability!