Need advice from people who has a cat with Liver Disease

[Catty1]

Oh gosh...poor kitty. All I know is that Prednisone is an appetite stimulant.

I know someone here will have some great information.

Prayers for that sweet Himie!

[Lizzie]

I've fostered about a dozen cats with hepatic lipidosis, both with a feeding tube and force feeding, but I've never cared for one who got it twice. Did the vet say why they thought she developed it a second time? Is it because the kidney disease is making her feel nauseated?

I don't understand the Metronidazole because I thought that was used for infections in the gut. Is she on an anti-nausea medication? Mirtazapine helps with nausea and is a good appetite stimulant, though if a cat is feeling nauseated from both liver disease and kidney disease, it won't be powerful enough. Have they tried Famatodine/Pepcid for acid stomach which kidney disease cats get? It seems they need a triple-pronged approach - treat the kidney disease to reduce toxins and so reduce nausea, reduce nausea with medication, and give appetite stimulant. I don't think they will use Pred. because her liver is compromised.

I don't understand the high Potassium level. Is that something that happens with fatty liver disease? Cats with kidney failure typically have to be given potassium because those levels drop. It's the phosphorous that sky-rockets. That said, a high phosphorous level causes really bad nausea. If that is the case, she could try giving Milk of Magnesia - it won't make her popular by any means, but it does bind phosphorous and coats the stomach.

It will be good if the cat can be seen by a specialist because she sounds seriously ill. Please keep us updated.