The test results are back and the vet said that he has hepatic lipidosis or fatty liver disease. He doesn't have all of the symptoms though because some of his blood work is normal when it should be very high. This disease is caused by stress, diabetes, irritable bowel syndrome, and infection. He has all of these. He's been stressed out from going to the vets so often, he has more sugar in his urine so he still has diabetes, he probably has irritable bowel syndrome, and he has an infection which is a bladder infection. The vet thinks that he should be able to make a full recovery. I sure hope so. I now know what a vet tech feels like.
I have to force feed him 2 cans of Hills Prescription Diet a/d each day and then give him 2 units of insulin 2 times a day after he eats. He also gets 1 pepcid tablet 2 times a day, 1tsp. of kaopectate 3-4 times a day or as needed, 1/2 periactin pill to help increase his appetite 2 times a day, clindamycin hydrochloride drops 11/2 ml 2 times a day to help his infection, and denosyl sd4 1 tablet 1 time a day for his liver. I also force feed him water and I can give him liquid by IV subcutaneously as needed. I'm also keeping him cooped up in my room during the day so I can monitor his food and fluid intake and output in the litterbox. Storm and Sunny aren't too happy about this since they like to sleep in my room during the day. Oh well they'll have to adjust because it could take a while for Pepper to recover. He'll also have to be on a special diet for his irritable bowel. I sure hope he makes it through this. If all of this doesn't work then I have to be referred to an internal specialist because the vet and radiologist have done everything that they can do. I'm also baffled. He goes in to the vet again on Friday morning for another blood glucose test. I sure hope it's normal. He really needs some prayers and positive energy sent his way. Thank you.