I'm Looking For Any Info On Jaundice/ Liver/ Gall Bladder Disease! My Poor Boy Isn't Getting Better

Kelly&AK23!

TCS Member
Thread starter
Kitten
Joined
Dec 22, 2018
Messages
8
Purraise
3
Hello everyone i just came across this page and I thought well what will it hurt. I'm here regarding my cat AK, hes 9 years old, and more or less the love of my life. I've had him since he was born and we've never had a medical issue until now. Hes on so many medications and he salivates so much but i know he needs to take them. his tongue sticks out, he hyper salivates and basically hates me when i give them to him...should i keep doing it an d at least finish out the script> ive highlighted my 3 vet visits for you and i pray someone can help me. I don't want to give up on him but this is such a struggle. his jaundice is still here from November ;o(

He's had jaundice since about the 28th of November 2018, I took him to the vet and drew some blood the very next day. His alp count were at about 598 which was extremely high. They said he was in liver failure to rush to have an ultrasound to make sure its all OK inside of him and they will be able to tell me why hes in jaundice and how to get him out of it. So we leave the first vet with fluids, a 14 day antibiotic and results from blood test. The liver and bilirubin very high... hes not eating a lot, barely drinking water, not into it, lethargic, drinking juice from tuna or tasty treat juice from wet snacks/ the wetness on cat food is what he will eat up until whatever he can stomach, not throwing up. coats really bad hes starting to get flaky. But hes eating so were OK.

One week later Dec 6 2018. 2nd vet we go to where we are able to get an ultrasound (with no biopsy's) . Ultrasound results looks great they say. his liver looks great they say. his kidney well one is bigger than the other, but they say that's OK too. They want to draw some blood to see if his levels improved in the liver. they want a UA........ results from blood are way better and his count went down to 321 from 598.... they cant get a UA so i need to catch it at home on my own.... long story short that vet says I HAVE A SICK CAT NOT A DYING CAT AND HES FINE BUT THEY STILL DON'T KNOW WHERE THE JAUNDICE IS COMING FROM. hes still drinking about a minute of water in am and a minute of water in pm. Still eating the tops of wet food like the juices and a tiny bit of the food because to me it looks like somethings wrong with his mouth and it looks like it is just so hard for him to eat, but hes doing it. he does have dry blood around his mouth, Extremely jaundice inside the mouth and so so pale and yellow on the gums and body... but still doing his best... they give us cerenia and renal diet food. still doing fluids pretty much everyday since this started.

DEC 10 4 days later bring him back to the vet bc i cant catch his pee at home.. they get the pee and say its perfectly fine nothing found in pee... they want to do more blood. they want to hospitalize they say hes not looking good. i cant afford the 2500 stay so i ask what can i do it at home... Oh hes now not eating for a day in a half.. still doing fluids. they want to check blood but at this point i need to see a specialists ( i thought the ultrasound guy was gonna be a specialist and turns out he was but hes mobile so its like not helpful at all and cant do a follow up with him so i paid all that for ultrasound with no biopsy for nothing.... )
Take cat home, start syringe feeding (should i have been doing this for weeks now) give 2 injections of cerenia and now i am giving denemarian. still giving fluid.

finally get an appointment with specialists 12/18/2018 Dr says "We know from AK'S previous evaluation that he has significant disease of the liver/and or gal-bladder. the most common diseases of these organs in cats are fatty liver disease ( from not eating enough.) bacterial infections, lymphoma ( a kind of cancer) or an inflammatory disease called chloangiohepatitis. we tell these apart by taking samples of the cells from the liver and the gall bladder for evaluation by a pathologists and for culture for infection. we can treat him with antibiotics in case of infection, with food in case of fatty liver disease, and with supportive therapy that would help any of these conditions. if these help then we continue these until his condition resolves. if this isn't enough then we can add PREDNISONE which helps control lymphoma and inflammatory disease.. cat not eating on his own. taking syringe feedings like a champ BC i know hes starving. still jaundice i'm feeling like a bad mom for even doing this to him. am i doing this for a reason right now? why am i even at this vet is he suffering?

Dr orders 12/18/2018 keeps syringe feeding keep doing fluids and start four medications........

12/22 MY cat hates me ;o( but 2 days in on the meds he drank the top of the fluids in wet food for the first time in weeks. small sign hes getting better. hyper salivating when its med time. he looks like the meds are just rocking his poor little body. not throwing up just so much spit.

12/22 pm second night of meds and hes continuing to hyper salivate when i give him mediations he hates them so much and doesn't vomit but his salivating looks like a santa
beard and it lasts for like 30 minutes, tongue has been out all night. i try to feed after and squirt water in to get rid of taste.

12/23 tried splitting up the meds to help but it only made him sick at night and then sick in the am... so tomorrow night im going back to all meds at one time.

he took a whole (small ) can of wet food in a syringe tonight. but hates the meds. IM LOST AND dont know what to do. im waiting until the medication is finished to do another ultrasound and the two biopsys. does anyone have any suggestions and or experience? do you think he can recover? do yo think the jaundice should go away with these meds or do i have to wait again and see what the patholigists say and they will tell me after ultrasound. do cats recover from liver disease like this....

all these vets just kept telling me different things and i just want him to get better. i would take him now for ultra sound but they said wait until meds are done. the medication doesn't seem like its working but again i'm only 4 days in . HELLLLP

ak's usually like a 20 pound mainecoon mix and we live in Florida. inside cat and the sweetest boy ever. should I give up> obviously not right>
 

Jem

TCS Member
Top Cat
Joined
Aug 6, 2018
Messages
5,601
Purraise
11,286
I'm so sorry you are going thru all this. It's such a tough situation, trying to treat a cat when you don't know what's going on.

I would not give up. You still don't even know what is causing all of this, and although it's been a tough road so far, when you get the answers it could all get better. I've been where you are with multiple cats (different illnesses), fighting to give medications, syringe feeding, etc....desperate to do all I can to save my babies. So I would not give up.

I have a few questions for you though.

Before you noticed his jaundice, what was he like leading up to it? Eating habits, bathroom habits, vomiting, lethargic.....?

Did the vet do a thorough examination of his mouth/teeth/gums/back of throat? Where is the blood in his mouth coming from?

And to answer your questions

I would continue with the medications. The salivation and foaming of the mouth is because the meds taste very bitter. If you can, hide them in food (if he'll eat it). What are the medications? Are they pills or liquid? Liquid might be easier to give him as you could put them in the first syringe of food he gets and hopefully he won't taste it.

Again, so sorry this is happening to you and your little one, but please know that we are here, even if you just need to vent.
 

FeebysOwner

TCS Member
Staff Member
Forum Helper
Joined
Jun 13, 2018
Messages
22,771
Purraise
33,934
Location
Central FL (Born in OH)
Hi. I feel so bad for AK and you, but it seems like there is improvement so far. And, you said he is only on Day 4 of the meds? How long is the prescription for? I am not sure you would see significant changes after just 4 days.

I like Jem Jem 's idea of a liquid med form that could be mixed with a little watered down food or gravy or whatever else you might have that would help mask the taste.

But, I would also want to ask the vet about the dried blood around his mouth, if it is still happening - just so you know what that might be caused by. (I hope it's stopped.)
 
  • Thread Starter Thread Starter
  • #5

Kelly&AK23!

TCS Member
Thread starter
Kitten
Joined
Dec 22, 2018
Messages
8
Purraise
3
Thank you so much for responding, it means a lot!!! To answer the questions about his eating before all of this i guess I’ll have to admit i didn’t really notice bc the food bowl is in the other room ( i live at my sisters) she did tell me though that he hadn’t been running to the food bowl like usual for about a week leading up to all of this. He literally eats like a cow so I’m shocked that the specialist is saying it’s a good chance of fatty liver disease, but she knows best right? Anyway so he’s on 5 meds. 1- (miritaz) (an appetite stimulant and it’s just some gel I put in his ears every 24 hours 2- (Ondansetron) is a nausea med that makes him hate life so i honestly haven’t been giving him that one. I chopped it up and did end up putting it in his food yesterday bc i felt like i had to and he really froths up on that one- that ones the hardest bc it’s tiny and u think it’s tiny it’s good HAHA THINK again. I’m gonna sneak it in tomorrow’s food i think. 3- (ursidol) i think that’s for the infection or the liver that’s a pill and that ones kinda easy giving to him, not counting the scratches I’m receiving 4- (orbax) antibiotic and boy oh boy that’s liquid and that’s the one he hates hates hates. Froth like I’ve never seen before. It says give with food but either way he despises that one. We do that last around midnight bc he hides and hates me the rest of the night 5 is denemaren for his liver twice a day and that’s a pill - Soooooo updates. His jaundice is still there- i feel like it’s getting a little lighter and more pale compared to yellow. But it’s still very much there - he’s drinking water on his own. He ate a lot of food from the syringe in the past 30/40 hours. He’s now eating off the syringe on his own & he even ate from the bowl of mush i made for the syringe- He’s no longer gagging when i put any food to his mouth and seems like he can stomach the smells. He usually lays next to me on my right like my baby spoon and since this has all happened he hasn’t. HES BACK TO THE GOOD SIDE. he comes out of my room to the kitchen when he’s hungry. He’s still on fluids. I don’t know what else. He seems a lot better as far as behavior goes but I’m worried because I’m afraid this is a temp fix to a permanent problem. We are going to obviously check his blood with the next appointment on the 3rd and hopefully they have improved. That’ll be the 4th time we’ve checked blood. I guess whatever i have to do to keep him feeling better is the plan but i hope the ultrasound tells us the underlying issue. It made me really nervous with the Whole frothing situation and how he hung his tongue out of his mouth for that long was super scary but didn’t know if I was hurting him or something with all those meds but I realized I have to give them all the meds at once because if I didn’t then he would feel like crap during the day and feel like crap during the night so I feel like getting it over with at night is better. Anyway just praying this jaundice gets going. Do you know how long that takes to goes away? Also if these meds are helping does that mean he has to stay on them and this is how life will be now? Also no dried blood in a few days, i mentioned to the 3 vets i saw that i was feeling like it was something to do with his mouth and mentioned blood but they just gave it a quick look bc he doesn’t really do well with the mouth being touched. The meds are 2 weeks. We’re a week in
 
  • Thread Starter Thread Starter
  • #6

Kelly&AK23!

TCS Member
Thread starter
Kitten
Joined
Dec 22, 2018
Messages
8
Purraise
3
Already freaking about giving him the orbax tonight! Not sure if i should try some food with it or tuna juice at each tip of the syringe Also i just looked at his stomach and he’s bright yellow. He’s definitely not the same cat but i think he’s fighting to get better wish me luck
 

Weasel21

TCS Member
Young Cat
Joined
Oct 25, 2018
Messages
33
Purraise
43
For bitter meds that cause foaming at the mouth, it can be really helpful to put the pills in empty gel caps (can be found online or in health food stores). I also recommend a pill popper if you can’t get it to the back of his throat to swallow it with your fingers. Gel caps have really made my life and my cat’s life easier.
 

Jem

TCS Member
Top Cat
Joined
Aug 6, 2018
Messages
5,601
Purraise
11,286
You can also get gel caps at pharmacies that do compounding on site.
I did that with my cat. He was on 7 medications, up to 3 times a day, for his heart condition, so you can imagine the fight!!! So I bought empty gel caps from the pharmacy, they were only about 6 dollars for 100. I think I used #2's (size) if I remember correctly. Then I divided and ground up his doses and used a blade to push the pill powder in, so I only had to give him 1 or 2 gel caps per med dose instead of up to 7. I also dipped the gel caps in water to make them slippery right before giving them to him so they slid right down. Followed by just a tiny squirt of water from a syringe then a treat. He hated me much less when I started that.
Because you don't have quite as many meds to give you may not need to grind them up first, they may all fit without doing that if you just cut them a bit smaller.

And I'm not sure if anyone mentioned this to you but the foaming at the mouth is only because the meds taste very bitter to your kitty, it's not an adverse reaction to the medication.

I hope things start getting better soon! Glad to see he's starting to eat more!
 

gorgod1

TCS Member
Kitten
Joined
Aug 30, 2018
Messages
15
Purraise
8
You can also get gel caps at pharmacies that do compounding on site.
I did that with my cat. He was on 7 medications, up to 3 times a day, for his heart condition, so you can imagine the fight!!! So I bought empty gel caps from the pharmacy, they were only about 6 dollars for 100. I think I used #2's (size) if I remember correctly. Then I divided and ground up his doses and used a blade to push the pill powder in, so I only had to give him 1 or 2 gel caps per med dose instead of up to 7. I also dipped the gel caps in water to make them slippery right before giving them to him so they slid right down. Followed by just a tiny squirt of water from a syringe then a treat. He hated me much less when I started that.
Because you don't have quite as many meds to give you may not need to grind them up first, they may all fit without doing that if you just cut them a bit smaller.

And I'm not sure if anyone mentioned this to you but the foaming at the mouth is only because the meds taste very bitter to your kitty, it's not an adverse reaction to the medication.

I hope things start getting better soon! Glad to see he's starting to eat more!
 

gorgod1

TCS Member
Kitten
Joined
Aug 30, 2018
Messages
15
Purraise
8
Hope things get better for your cat. One of my cats was diagnosed with what is thought to be liver cancer. Initially, during a routine blood test, it was noted that her liver enzymes were out of range. Started giving her Denosyl at the suggestion of her vet and he also put her on some meds. Three months later, had another blood test, enzymes were even higher, then a third blood test and again, they were higher yet. Vet suggested an ultrasound. Had an ultrasound done about 7 months ago and it was inconclusive. The reason for the ultrasound was to see what was going on with the liver, gallbladder, etc.

I moved to another state and began seeing a vet where I now live. He reviewed her lab tests from her original vet and it was suggested she have another ultrasound done since it was about 7 months since her last ultrasound. This time, I was told there were lesions which looked like tumors. But without a biopsy,the did know if it was cancerous. (Again, I opted not to have a biopsy done-- Didn't want to put my cat through that and I have heard that biopsies can be dangerous.) The vet's opinion was that she has liver cancer, but without having had the biopsy we are not sure. Also, in addition to her liver enzymes being way out of range, her bilirubin levels shot up (and this occurred since I moved, which has only been about 4 months.) When she had her last lab work done in the state where I previously resided, her bilirubin was slightly high, but nothing to be concerned with and she was not jaundiced. Now she is. She is eating and drinking and acting normal, except she doesn't seem to want to play much but, again, she is 11 years old. I am feeding her small quantities of wet and dry food about 6 times a day since I was told that feeding small amounts would lessen the workload of the liver. She is also on prednisone and this is giving her an appetite because over the past months, her appetite decreased and she lost a little weight and we are trying to keep her weight steady. She also started taking Denamarin for the liver but the vet said he doesn't think it will lower her enzymes, but it can't hurt. I am hoping it is not cancer and trying to do whatever I can to help. At present she doesn't seem to be in any pain, but it is so difficult to tell when a cat is in pain. Has anyone on here had anything similar happen to their cat?
 
  • Thread Starter Thread Starter
  • #12

Kelly&AK23!

TCS Member
Thread starter
Kitten
Joined
Dec 22, 2018
Messages
8
Purraise
3
wow sounds likes everything I am going thru!! AK is eating more on his own a few times a day but I am still feeding him with the syringe so he gets enough food in him. The jaundice hasn't gone away but hes acting more like himself as each day passes. it seems like its a lot of trouble for him to eat even the tiniest things. makes a loud like chomping noise that's almost painful to listen too. not sure why it sounds like that but he is enjoying tiny tiny pieces of ham and wet food. were still on meds and i ended up mixing the orbax (antibiotic) with a bit of water to soften the blow and he gets over it quicker and quicker every night. I noticed his tongue is even jaundiced along with his gums so bad. we go for our second ultrasound next Thursday but i didn't know it is stressful for the cat when they biopsy it. ive gotta do it because I still don't know where its coming from. his liver enzymes went from bad to good to bad again same with the billirubin so I'm hoping with the meds they have improved. the Dr said she would give prednisone next time if these meds didn't work but I'm not sure what shes going to say now since he has started eating while on these meds. My mission is still the cure for the jaundice if there is one. the first person that did the ultrasound cleared him of cancer and even a bad liver lol! meanwhile he was completely wrong because he never ran biopsy's on the liver and gallbladder. they made me think he was all good. meanwhile hes been in jaundiuce for one month exactly today. im not sure what else to ask or say here just venting. i wonder if she will try a different med like the prednisone or what? also if these meds are working is this for the rest of his life> or just to see if it took an infection away. what happens after the ultrasound... so nerve racking. thanks for listening.
 

gorgod1

TCS Member
Kitten
Joined
Aug 30, 2018
Messages
15
Purraise
8
If he is having trouble eating, has your vet checked his teeth for any kind of dental problems.
 
  • Thread Starter Thread Starter
  • #14

Kelly&AK23!

TCS Member
Thread starter
Kitten
Joined
Dec 22, 2018
Messages
8
Purraise
3
He’s been eating on his own from a spoon - without the god awful noise. I keep suggesting the vets look in his mouth but they brush me off! I’m gonna remind the specialist to look in his mouth again when we go for ultrasound on Thursday
 
Top