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Mix one can of prescription food (provided by your veterinarian) with water.This food is formulated to meet the cat's nutritional needs it should not cause vomiting or diarrhea. You will need to use a syringe to feed your cat a special food mixture through the feeding tube three to five times per day. Your veterinarian will determine the best one to use with your cat, depending on the particular circumstances. The feeding tube may be placed into the esophagus or the stomach (see the handouts 'Tube Feeding in Cats', 'Esophagostomy Tube Feeding in Cats' and 'Gastrostomy Tube Feeding in Cats' for further information). How do I provide the necessary nutritional support?Ī feeding tube is surgically implanted into your cat, so you can syringe-feed a special diet directly into your cat’s gastrointestinal tract.

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Treating the underlying initial cause of the inappetence is also essential for full recovery.

Cats may also be hospitalized for intravenous (IV) fluids during the first several days of treatment, in order to correct dehydration. While nutritional support is the most important component of treatment, many cats are also treated with medications to support liver function, decrease nausea, and correct electrolyte imbalances. 'Hepatic lipidosis is treatable with aggressive nutritional support.' This enables your veterinarian to know the exact amount of food and nutrients your cat is receiving. Therefore, a method of feeding such as a feeding tube, must be used that allows you to feed your cat at home. This takes an average of six to seven weeks. A consistently high level of nutritional support is required for the liver to resume functioning so it may mobilize the excessive fat stores. Hepatic lipidosis is treatable with aggressive nutritional support until a normal appetite returns. Further tests may be required however, if your cat develops additional clinical signs or does not follow the expected course of the disease. If a cat’s history, clinical signs, and bloodwork are strongly suggestive of the condition and the cat is too unstable to obtain a biopsy, a presumed diagnosis may be considered adequate to proceed with treatment. In some cases, a presumed diagnosis may be made without a liver biopsy. If the cause for anorexia is treatable or resolved, the prognosis is reasonably good. Other diagnostic tests may be performed in an effort to determine why the cat originally stopped eating. A cat with hepatic lipidosis will have a large amount of fat in and among the liver cells.

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The latter may be performed during an exploratory surgery or by inserting a needle into the liver through the skin guided by ultrasound. The liver sample is sent to a veterinary pathologist for analysis. How is hepatic lipidosis diagnosed?ĭiagnosis of hepatic lipidosis is made from blood tests that demonstrate poor liver function and/or from a liver biopsy or fine needle aspirate.

At this point, the disease will be fatal if not treated rapidly and aggressively. The cat usually becomes icteric or jaundiced, as evidenced by a yellow color in the whites of the eyes or in the skin. This fat becomes stored in and around the liver cells, further compromising liver function.

When fat is broken down rapidly to supply energy and nutrients to the anorectic cat, it can overwhelm the ability of the liver to process it. These may include inflammatory bowel disease, other types of liver disease, cancer, pancreatitis, anxiety, respiratory disease and diabetes mellitus. In greater than 90% of cats, there is an underlying disease that has caused the inappetence. These cats are often middle aged and have lost at least 25% of their body weight. The chances of hepatic lipidosis occurring are greater if the cat was overweight or obese before the anorexia began. Usually a cat with hepatic lipidosis has recently gone through a period of anorexia (little or no eating) for three to four consecutive days. This disease is unique to cats and is one of the most common liver diseases seen in cats. Hepatic lipidosis is also known as fatty liver syndrome. What is hepatic lipidosis and how does a cat get it?