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Hi,
I have a 4 year old beautiful domestic longhair about 6.5 lbs who stopped eating for a few days about a month ago. I took her to the hospital where they gave her some anti nausea med, IV fluids, and appetite stimulant. After a night, she was eating some food again so they sent her home with me with a diagnosis of hepatic lipidosis, an appetite stimulant, anti nausea med, and advice to feed her lots. At home, I was getting her to eat steadily more over 3 weeks until she was eating about 7 oz of canned food a day but she was still a lot less energetic than before and spent most of her time in her bed. This all got worse when she threw up 3 times after breakfast one morning. I took her back to the hospital where they put a feeding tube in her and I took her home again with the same diagnosis. This time she was prescribed prednisolone for the liver swelling and ursodiol for liver recovery. However, even with the meds, food through the tube, and lots of love for 3 days, she seems to be getting less and less energetic. I don't understand what the problem could be as her blood tests showed nothing abnormal other than the liver values and an ultrasound revealed nothing but an enlarged liver. I can't keep taking her back to the hospital for the same diagnosis and a $3k bill each time and nothing they do seems to be helping. I'm starting to think that she's dying and it's breaking my heart. She spends more and more of her time in bed and seems weaker and weaker. Does anyone have any idea about this? I feel like the vet must be missing something since hepatic lipidosis should be cured by food.
 

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I have no idea, but I send deep sympathy. It's hard to know when to call it quits if you have no clue what's going on. If she seems comfortable, then perhaps just watching is the best plan. If not, then maybe it's time to stop. Very sad for such a young animal. Liver failure is a Very Bad Thing, for cats and for people.

That said, the best thing would be to make a plan in case of the worst. Much easier now when things are relatively calm, than in an emergency "OMGoodness what should I do???"
 

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Discussion Starter #3
Thank you. I found the feline grimace scale for measuring pain and she seems to be doing ok based on that. She just has no energy to do much more than purr when I pet her and use the litter box. I will continue to keep a close on her.
 

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I don't know how much Tuna you're feeding her...every day or every week...
But get her on to some different kinds of canned foods...
A steady diet of tuna, can lead to 'fatty chest' syndrome, and fatty liver...
I hope she's hanging on❤
Best Wishes!
 

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How is she doing? I hope better...
 
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