Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

Cat Veterinary

Elevated bilirubin, fever

Customer Question
Elevated bilirubin, fever
Submitted: 2 years ago.Category: Cat Veterinary
Ask Your Own Cat Veterinary Question
Answered in 27 minutes by:
5/13/2015
Cat Veterinarian: Dr. Kara, Veterinarian replied 2 years ago
Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 17,140
Experience: Over 20 years of experience as a veterinarian.
Verified
Hello, my name is***** and I have over 20 years of experience as a veterinarian. I'm sorry to hear that your kitty has a fever and elevated blood levels of bilirubin.
Bilirubin increases secondary to increased red blood cell breakage and pigments being released, liver disease with poor liver cell ability to clear the bilirubin from the blood, or a blocked bile duct so that bilirubin cannot be released into the intestine.
A fever points toward some sort of inflammation, usually due to infection (viral or bacterial).
I assume that your fellow has had a complete blood count and biochemistry profile.
What does his liver look like on radiographs or with an ultrasound?
Has he had a bile acids test?
While elevated liver enzymes can point toward liver disease as the liver fails it may be too sick to produce enzymes, and thus with a very sick liver we can see normal or even low enzyme levels. In that case the liver should appear smaller than usual or irregularly shaped indicating a mass taking up space where normal liver tissue should be. I would recommend a bile acids test to make sure liver function is truly normal.
If his liver is truly normal then we need to look at red blood cell numbers and evidence of red cell lysis.
In a young cat red blood cell lysis along with a fever can be indicative of a mycoplasma infection, which is a infection passed by fleas. Cats that are positive for immunosuppressive viruses like Feline Leukemia or Feline Immunodeficiency Virus are more likely to get sick from this. Some cats can harbor the infection and only get sick when stressed (as an immunosuppressive virus would cause).
Finally obstruction of the bile duct is a possible cause as well. This can be from bile sludging, (thick bile), gall stones or a parasite called a liver fluke (not common but more commonly seen in outdoor, strays that hunted for food). Tumors can cause bile duct blockage but he would be young to see cancer.
I highly recommend testing your fellow for Feline Leukemia, Feline Immunodeficiency Virus and a Mycoplasma infection. If it hasn't been done yet an ultrasound of his liver can be very helpful. We can look at the architecture of his liver and collect aspirates, check his bile duct and evaluate the rest of his abdomen.
It would be prudent to get him on intravenous fluids and an antibiotic called Doxycycline just in case this is related to a Mycoplasma infection.
Best of luck with your fellow, please let me know if you have any further questions.
Ask Your Own Cat Veterinary Question
Ask Dr. Kara Your Own Question
Dr. Kara
Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 17,140
17,140 Satisfied Customers
Experience: Over 20 years of experience as a veterinarian.

Dr. Kara is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Gary

Dr. Gary

Cat Veterinarian

3,924 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,739 satisfied customers

UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management

Dr. Bruce

Dr. Bruce

Veterinarian

4,343 satisfied customers

15 years of experience as a small animal veterinarian

Dr. Scott

Dr. Scott

Veterinarian

3,998 satisfied customers

15 years of small animal, equine and pocket pet experience in medicine and surgery.

Rebecca

Rebecca

Cat Veterinarian

3,330 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,070 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,834 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
She is vomiting after gulping her food. Feline. No Africa
No Africa just ate her dry food. I am a retired vet. Asst. … read more
Dr. Sara
Dr. Sara
Small animal practicioner
Doctoral Degree
93 satisfied customers
Sudden averaion to his dry food, ate a little if the wet
Sudden averaion to his dry food, ate a little if the wet food. He is getting really thin. He is indoor and i have not changed brands or had any new lifestyle changes. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Throwing up almost every day. Undigested food, hairballs,
Throwing up almost every day. Undigested food, hairballs, light brown liquid. … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,649 satisfied customers
I gave my cat some food that contained chicken broth. After
I gave my cat some food that contained chicken broth. After more research I discovered the chicken broth contains onion powder. Should I be concerned? … read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
4,343 satisfied customers
My two kittens really like sea-food, and they're not really
My two kittens really like sea-food, and they're not really into chicken/beef. Is it healthy to keep them on a sea-food only diet?I feed them Whiskas Perfect Portions Cuts & Gravy. They always finish … read more
DocPaul
DocPaul
Doctoral Degree
664 satisfied customers
My cat won't eat food recently and has been losing weight.
My cat won't eat food recently and has been losing weight. She eats a couple of bites then walks away from the food, asks for more then repeat. We took her to the vet and they couldn't find anything w… read more
Dr. Jo
Dr. Jo
Veterinarian
BA
1 satisfied customers
Cat acts "afraid" of food -won't eat, but meows all the
Cat acts "afraid" of food -won't eat, but meows all the time. … read more
DocPaul
DocPaul
Doctoral Degree
664 satisfied customers
She's about 9 weeks old and breath smells like cat food but
she's about 9 weeks old and breath smells like cat food but is not eating … read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,046 satisfied customers
After eating dry foods, she vomites. Female tuxedo cat, 14
After eating dry foods, she vomites. JA: I'm sorry to hear that. What sort of animal are we talking about? Customer: Female tuxedo cat, 14 years old. JA: OK. What is the cat's name? Customer: Presley … read more
DocPaul
DocPaul
Doctoral Degree
664 satisfied customers
My cat is vomiting puddles of digested food multiple times a
My cat is vomiting puddles of digested food multiple times a day - been going on for over a week and I'm becoming concerned but am not sure if I should take him to the vet as he seems fine otherwise … read more
DocPaul
DocPaul
Doctoral Degree
664 satisfied customers
He has been struggling with food allergies for a time. I now
He has been struggling with food allergies for a long time. I now have him on raw food diet but he is still itching quite a bit. The condition gets better and then flares up again. He has lesions in f… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,649 satisfied customers
She is diabetic. she normally just eats her food and goes to
she is diabetic. she normally just eats her food and goes to bed she ate all her food but now she is walking around sniffing everything … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
She is vomiting a foamy stuff..through up some of her food.
she is vomiting a white foamy stuff..through up some of her food … read more
Dr. Peter
Dr. Peter
Doctors Degree
14,316 satisfied customers
Im looking for a dry cat food without a lot of gluten for my
Im looking for a dry cat food without a lot of gluten for my Senior cat born in 2005: SDMA is 19, bun/urea is 35 mg/dl, crea is 2.3 mg/dl … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
He seems to be having a hard time digesting his food. He
He seems to be having a hard time digesting his food. He keeps vomiting and having diarrhea every few days. First time is a fist full of undigested food and then diarrhea then more vomiting until liqu… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Lethargy and not interested in food. Went to vet five days
Lethargy and not interested in food. Went to vet five days in a row, can't figure out reason. Normal blood work, lab urinalysis was normal, home urinalysis showed slight hematocrit, positive nitrates,… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
A lot! Switched foods---been dealing with sensitive stomach
A lot! Switched foods---been dealing with sensitive stomach issues for years. Just switched to a Hills sensitive stomach. Now she has been projectile vomiting and also puke that appears like diarrhea … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,252 satisfied customers
Loss of weight not eating dry food but eats treats, wet food
loss of weight not eating dry food but eats treats, wet food and water wandering around a lot stays close to people and other pets kinda of circling he is going blind … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x