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Question

My cat has lost about 2 pounds over the last year. She has a good appetite, no vomiting/diarrhea (except the occasional hairball), plays more than her 1 year old sibling. Blood tests for hyperthyroidism were negative. One vet indicated the weight loss may be due to protein loss. Her kidney levels were fine. The only thing elevated was her liver enzyme (500)...which they said they would expect to be higher in the case of liver cancer. I'm scared to death. Ifwe were to pursue this they recommend an abdominal ultrasound..who knows what after that and I know that if it were liver cancer, the outlook would not be good. I can't stop obsessing about this.

Submitted: 125 days ago.
Category: Cat
Value: $30
Status: CLOSED
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Optional Information

Pet's Sex: Female
Pet's Age: 12

Posted by CriticalCareVet 124 days and 23 hours ago.

Info Request

How is the appetite? Good?

What about drinking? more than you would expect?

Any vomiting or diarrhea?

124 days and 23 hours ago.

Reply

Perhaps a bit more

Posted by CriticalCareVet 124 days and 23 hours ago.

Answer

Hi there,

Thank you for your post!

Whenever I have an owner present to me with a case similar to what you write I discuss that there are a certain group of disease processes which tend to be more likely when there are signs such as this in older cats.

Possibilities include, but are not limited to:
- Hyperthyroid (overactive thyroid)

- Diabetes

- Kidney problems

- Liver problems

- etc


With this information - the first step to evaluate underlying causes would be basic bloodwork. We need to look into specific values including:
- Kidney
- Glucose
- Thyroid
- Liver
- etc.

As you report above, if those tests are non-diagnostic - meaning they did not show an answer as to what is going on -
the next test I would recommend would be an abdominal ultrasound.

 

http://www.petplace.com/cats/abdominal-ultrasound-in-cats/page1.aspx


With that said - what would I be looking into with the ultrasound? Why do I recommend this? Of course it would be part of a thorough evaluation - especially with weight loss to this degree, but notably I would be looking to see if there was evidence of problems such as intestinal thickening due to Inflammatory Bowel Disease (IBD), liver problems, or even cancer of organs (Lymphoma) that does not show up on bloodwork.

 

http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=598

 

I hope this helps!
_____________________________________________________________________

Please click "ACCEPT" if the information I have provided has been of help so I receive credit for my work. Bonuses are always welcome and Feedback is appreciated. Thank you.
The above is given for information only. Although I am a licensed veterinarian, I cannot legally prescribe medicines or diagnose your pet's condition without performing a physical exam. If you have concerns about your pet I would highly advise contacting your regular veterinarian.

124 days and 23 hours ago.

Reply

How concerned should I be about a liver cancer. Is a reading of 500 indicative of a cancer. Can anything else cause elevated liver enzymes? thanks. Like I said, I'm very very nervous about this and not functioning quite well.

Accepted Answer

It does not mean cancer for sure - but it can mean infection, inflammation or cancer as well.

The ultrasound would really give you that information needed to determine which of the above is possible or likely.
_____________________________________________________________________

Please click "ACCEPT" if the information I have provided has been of help so I receive credit for my work. Bonuses are always welcome and Feedback is appreciated. Thank you.
The above is given for information only. Although I am a licensed veterinarian, I cannot legally prescribe medicines or diagnose your pet's condition without performing a physical exam. If you have concerns about your pet I would highly advise contacting your regular veterinarian.

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Expert: CriticalCareVet
Pos. Feedback: 99.5 %
Accepts: 738
Answered: 11/11/2009

Critical Care Veterinarian

Emergency and Critical Care Specialist

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