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Causes for High Bilirubin Levels?

This forum is for cat lovers seeking everyday advice and suggestions on health-related issues. Remember, however, that advice on a public forum simply can't be a substitute for proper medical attention. Only your vet can say assuredly what is best for your cat.

  
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Greenlee (In- Loving- Memory)

I'm sweet as- sugar but I can- be a spice!
 
 
Purred: Wed Jul 25, '12 5:10pm PST 
We took Greenlee, our 3 year old cat, into the vet to find out if there was an underlying medical issue for her urinating on the couch and rugs.

There is definitely a medical issue of some sort. They did a full exam, and found everything to be normal. They also did a urinalysis, and a CBC/Chemistry Panel. They both came back with extremely HIGH levels of Bilirubin. They are not sure what's causing it. She has lost about 5 pounds within the last year or so, but has been eating and drinking normal. They think it could be a Bile Duct Block, Hepto-Cellular Damage, just something having to do with her Gallbladder or Liver.

They have referred us to AVC (Advanced Veterinary Care) in Salt Lake City. We have an appointment at 8:45 tomorrow morning. They will be doing an ultrasound to hopefully find something.

Just wondering, before I take her in, if anyone can give me an explanation of some possible causes for high bilirubin levels and weight loss. I can't seem to find any information online.

Thanks!
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Macy

Super- freakey----MEOW!
 
 
Purred: Wed Jul 25, '12 5:32pm PST 
I am not sure if this fits or not but here are some ideas:

http://www.cat-world.com.au/liver-disease-in-cats

http://www. petmd.com/cat/conditions/infectious-parasitic/c_ct_toxoplasmosis#.UB CP6aPHmR8
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Baron

1120674
 
 
Purred: Thu Jul 26, '12 6:13pm PST 
I'm not sure what causes for bilirubin levels are but I hope your appointment went well! Please post an update soon! Sending meows and purrs your way!
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Alex (sweet- angel girl)

Angel on a- mission!
 
 
Purred: Fri Jul 27, '12 3:09pm PST 
high bilirubin and weight loss signify liver disease! Is the vet running more tests?
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Alex (sweet- angel girl)

Angel on a- mission!
 
 
Purred: Fri Jul 27, '12 3:13pm PST 
Liver Disease in Cats - Causes, Symptoms & Treatment of Cat Liver Disease
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~Purrcy ~- Meohmy

I AM- MARSHMELLOW CAT!
 
 
Purred: Fri Jul 27, '12 6:35pm PST 
I had a blocked bile duct and had surgery to bypass the duct - they took my duodenum (small bowel) and attached it to my gall bladder. Unfortunately that caused a chronic ascending bacterial problem - so I was on antibiotics chronically (and lot's of other meds too). Demnamarin is good for liver support and my internal specialist also had me on Vitamin E, ursodiol, and budesonide (a steroid) for liver support and I took tapazole for my thyroid. Whew!
As far as diagnostics go - I had a few ultrasounds and a liver biopsy after the surgery which showed fibrosing cholangiohepatitis.
Mumma is still paying off her credit card - around $18,000.
I lived for 2 years after my surgery. I developed lymphoma and mumma helped me to the Bridge in Oct.
Good luck!

Edited by author Fri Jul 27, '12 6:39pm PST

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Greenlee (In- Loving- Memory)

I'm sweet as- sugar but I can- be a spice!
 
 
Purred: Sun Jul 29, '12 6:22pm PST 
Update on Greenlee:

I ended up driving all the way to Salt Lake City to AVC Wednesday morning just for them to deny Greenlee care because I am a little under 18 and not authorized to use the Care-Credit card. Our regular vet, Quail Pointe Veterinarian Hospital, knows my family and I really well, so they let me use the Care-Credit card when I take the pets to appointments. We have been going there since 2007. We are completely and totally satisfied with their care. They are amazing! The only reason we took Greenlee to Antelope Vet Hospital is because Quail Pointe didn't have any appointments that day.

Anyway, when I was driving home, I called our regular vet and asked them if they had an ultrasound machine and what is the earliest day they could get Greenlee in. They said the earliest day when the radiologist could come in was this Tuesday (7/31/12). Antelope Vet faxed Greenlee's bloodwork and urinalysis results to Quail Pointe. They agreed that it was best to go the ultrasound route. We are eagerly awaiting Tuesday to come. I am dying to know what's wrong with our sweet Greenlee :|

It was either home treatment or hospitalization until Tuesday. We chose home treatment over hospitalizing her because that would cost us $700 to hospitalize her until the ultrasound. They had us come and get some liver medication (big horse pills), Science Diet K/D wet food, a syringe, and go buy plain Pedialyte and give her this until Tuesday.

However, we ended up hospitalizing Greenlee Saturday morning because she completely stopped eating and drinking and was becoming lethargic. We realized we probably weren't equipped to keep a sick cat from getting worse for almost a week. It was probably the best decision for all involved to have her hospitalized until her ultrasound on Tuesday and then we will decide and go from there.

Also, how do I tell them I DO NOT want her on that nasty Science Diet K/D prescription wet food? They seem to be very content and reassuring that it's not as bad as I think. What other foods are out there that will help her liver and not make it worse like K/D? Please give me a list and description, so I can go over there and have actual proof of why I want her on a different wet food. I am very concerned with this.

Thanks and please pray for good news. We are worried sick about Greenlee. She's only three years old! She hasn't even lived half of her life yet. She can't die! :'(

Edited by author Sun Jul 29, '12 6:30pm PST

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~Purrcy ~- Meohmy

I AM- MARSHMELLOW CAT!
 
 
Purred: Mon Jul 30, '12 12:30pm PST 
Why is she on K/D diet? She really needs high-cal food Iams makes one and I think Hills makes one too. To force feed make a thick slurry out of the food by adding water.(I warm it in the syringe by putting the syringe in a cup of warm water).
I agree an ultrasound might be helpful. But ultrasounds - in particular - in the gallbladder/liver/pancreas area may not be able to visualize all of the organs.
You are in our thoughts and our paws are crossed for you!
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Greenlee (In- Loving- Memory)

I'm sweet as- sugar but I can- be a spice!
 
 
Purred: Mon Jul 30, '12 11:19pm PST 
My mistake - They are feeding her Hills A/D Prescription Diet which is made specifically for cats recovering from serious illness, accident or surgery. I am eagerly awaiting morning to come. It's midnight here. I am so anxious to find out what the ultrasound results are tomorrow morning.
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Greenlee (In- Loving- Memory)

I'm sweet as- sugar but I can- be a spice!
 
 
Purred: Tue Jul 31, '12 5:33pm PST 
Update on Greenlee (Evening of 7/31/12):

The ultrasound showed a partial gallbladder bile duct obstruction. The question now becomes "what exactly is obstructing it?" Greenlee is currently under anesthesia getting an aspirate on her liver and gallbladder. They will send it in to a pathologist and they will take a look at the sample of cells. They will look for signs of cancer or bacteria. They are also going to test Greenlee for FIV. FIV is associated with Lymphoma, and Lymphoma can cause Bile Duct Obstructions.

They are looking at all their options and trying to rule everything out. It doesn't look good for Greenlee, though. My dad says we don't have the money to spend $5,000 dollars on a cat, if she happens to need surgery or if she needs more care than our budget will allow. He bluntly said "We will put her to sleep if her needed care goes beyond our budget" frown

I am also extremely worried about our 2 other cats if she has FIV, which is contagious to other cats, what's their future looking like?

I am distraught, sad, and frustrated at my dad. He will spend $500,000 on our dogs, but I guess he doesn't think our cats are worth it frown
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