Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

This answer was rated:

I live in China and my access to English speaking vets is…

Hello, I live in China...
Hello, I live in China and my access to English speaking vets is limited. I have a 2 year old male neutered cat who has a history of peeing outside the letterbox, particularly when I have been out of town or my schedule changes. The past 3 to 4 days he has been peeing a lot more than usual (both in and out of the litter box), not eating or drinking as much as usual, vomiting clear liquid and refusing to let me near him. He normally loves to be pet and cuddled, but the past few days he's just hiding under the bed or table. I took him to the vet and his ALT level is 520. She said his penis was inflamed and red, maybe if he had been licking it a lot. She gave him an injection of hepagen and maropitant (I’m not sure if these are Chinese brands or if you are familiar with them). He’s on cystaid plus twice a day for four days and hepo tab once a day for a month. I am going back tomorrow and the next day for more injections (I assume the same ones but not sure). I did a bit of research on ALT levels and it appears it is cause for some alarm, but the vet didn't say anything about any further tests like a biopsy or ultrasound. Are elevated ALT levels normal with a lower urinary tract infection?
Show More
Show Less
Ask Your Own Cat Veterinary Question
Answered in 7 hours by:
3/14/2018
Tom Crippen
Tom Crippen, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 26
Experience: BVSc MRCVS
Verified

Hi, my name is*****'m a vet in the UK and hopefully should be able to help you. So I would say in direct answer to your question no ALT levels aren't raised in my experience with a simple urinary tract infection. In young cats most cystitis signs are not caused by infection, they usually have a sterile cystitis (95%+), this is what we call idiopathic or stress cystitis - is commonly can be linked to a stressful event - you going away could do this. There can be other causes of cystitis - rarely bacteria, sometimes stones/crystals. without urinalysis +- imaging (xrays/ultrasound) it would be difficult to say.

The ALT - so this ALT level is quite high. In cats anything over the normal is generally deemed significant. ALT is a liver enzyme released on damage of the hepatocytes usually. There can be many causes of ALT being high - we classify these as extra hepatic (something happening outside the liver affecting the liver eg some hormonal diseases, heart disease, lots of others) and intrahepatic something happening directly to the liver cells - (hepatitis, toxin).

I would say looking into this for me would be a good idea - this might involve ultrasound of the liver, further bloods to asses clotting function and look for other things going on then possible biopsy/aspirate of the liver.

Liver issues in younger cats are quite common, sometimes they go hand in hand with other issues like IBD and pancreatitis too so we quite often look for these at the same time.

The Hepagen as far as I can find is a liver supplement containing antioxidants, these can really help with liver problems but generally I don't rely on these alone if an owner is willing to get a diagnosis.

The other thing to consider is local diseases that we don't see in the UK where I'm from. Being in China I'm not sure if there are common things they see there that present with this pattern of results so this is important to check with your local vet.

I hope that helps

Any other specific questions get back to me.

If possible can you rate my answer by clicking the stars at the op of the page.

Thanks, Tom

Ask Your Own Cat Veterinary Question
Customer reply replied 1 month ago
Okay, thank you. So it’s quite likely his cystitis and raised ALT levels are completely unrelated?

I would say yes to that statement. Although I don't think I could say for definite but quite likely unrelated.

Tom Crippen
Tom Crippen, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 26
Experience: BVSc MRCVS
Verified
Tom Crippen and 87 other Cat Veterinary Specialists are ready to help you
Ask your own question now

If possible could you rate my answer with the star system above. I can still answer further questions if necessary.

Thanks, Tom

Ask Your Own Cat Veterinary Question
Hi,
I'm just following up on our conversation about Tiger. How is everything going?
Tom Crippen
Ask Your Own Cat Veterinary Question
Was this answer helpful?
Ask Tom Crippen Your Own Question
Tom Crippen
Tom Crippen
Tom Crippen, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 26
26 Satisfied Customers
Experience: BVSc MRCVS

Tom Crippen 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

3,928 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,753 satisfied customers

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

Dr. Bruce

Dr. Bruce

Veterinarian

4,473 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

3,557 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,072 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,883 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
My cat has an abscess on his leg. It's not his part where
My cat has an abscess on his leg. It's not his part where his leg bends. He has a possible brain tumor and has been treated with steroids to relieve possible symptoms. He's rubbed raw this area of bot… read more
Dr. Thompson
Dr. Thompson
veterinarian
Doctoral Degree
79 satisfied customers
My cat is having problems going to the bathroom. And he isnt
My cat is having problems going to the bathroom. And he isnt eating. … read more
Dr. Peter
Dr. Peter
Doctors Degree
14,324 satisfied customers
Licking anal area a lot. Not drinking (I had t give her
Licking anal area a lot. Not drinking (I had t give her syringe water because she hasn't drank since yesterday.) Very listless. Growls when touched. She is 15 but was perfectly health at her last vet.… read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
727 satisfied customers
I woke up this morning and the cat either vomited blood. We
I woke up this morning and the cat either vomited blood . We had him to a. Vet 4 months ago for teeth cleaning . He has been a feral cat for over 12 years. He is very lathargic won't eat only drinks w… read more
DocPaul
DocPaul
Doctoral Degree
709 satisfied customers
My 7yr old cat was diagnosed with severe stomatitus back in
My 7yr old cat was diagnosed with severe stomatitus back in November. Vet said all his teeth had to be removed. I took all this time to try other things, cleanings, antibiotics, Bartonela & Hiv feline… read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
727 satisfied customers
Not eating or drinking as of yesterday.just sleeping but can
Not eating or drinking as of yesterday.just sleeping but can be roused into lifting her head. About 15, calico, spayed. … read more
DocPaul
DocPaul
Doctoral Degree
709 satisfied customers
He is seventeen years old. His rear legs won't hold him up.
He is seventeen years old. His rear legs won't hold him up. He is not paralyzed, as he can move his legs; however, he cannot walk or stand without falling. This started yesterday, very suddenly, thoug… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
He's salivating at a steady rate. There is nothing wrong
He's salivating at a steady rate. There is nothing wrong that I can see outside of his mouth. I tried to look inside but he didn't let me look for long. I thought I saw a sound or maybe a broken tooth… read more
Dr. Leah Hill
Dr. Leah Hill
Veterinarian
Doctor of Veterinary medicine
30 satisfied customers
This morning my cat ate my sons 10mg adderall. I have been
This morning my cat ate my sons 10mg adderall. I have been watching him...do I need to take him to emergency clinic or can he pass it himself?? … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Is olive oil ok for him? He really seems to like it when I
Is olive oil ok for him? He really seems to like it when I mix a bit into his food but I don't want to hurt him … read more
Dr. Peter
Dr. Peter
Doctors Degree
14,324 satisfied customers
She is sneezing and her eyes are running. Dolly is
She is always in the house but has snuck out into the garage where it is cold.… read more
Rebecca
Rebecca
Cat Veterinarian
Doctoral Degree
3,557 satisfied customers
My cat has periods of excessive sneezing. Sometimes they are
My cat has periods of excessive sneezing. Sometimes they are dry, sometimes with discharge and on occasion with blood. I have taken him to the vet 3 times. They want me to take him for tests that cost… read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
2,177 satisfied customers
My cat, squiggles, threw up a lot of food twice this
My cat, squiggles, threw up a lot of food twice this morning. And after, he threw up clear/ yellow-ish fluid twice. He doesn't want to eat and he's acting very lethargic. He's ten months old, should I… read more
Dr. Andy
Dr. Andy
Medical Director
Doctoral Degree
4,753 satisfied customers
10 lbs kitty ate a 50mg capsule of lyrica. Rory. Takes
10 lbs kitty ate a 50mg capsule of lyrica. JA: I'll do all I can to help. The Expert will know if the kitten will be able to digest that. What is the kitten's name? Customer: Rory JA: Is there anythin… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,465 satisfied customers
My cat on Friday vomitted over six times. She quit that same
My cat on Friday vomitted over six times. She quit that same night. But she is barely eating. However she active and being herself … read more
Dr. Jo
Dr. Jo
Veterinarian
BA
2 satisfied customers
She keeps throwing up. I have purchased a purina brand that
she keeps throwing up. I have purchased a purina brand that supposed to help with hair balls but since w have been feeding her it the problem has only gown worse. … read more
Dr. Andy
Dr. Andy
Medical Director
Doctoral Degree
4,753 satisfied customers
My cat is 4 days into his Tresaderm treatment for a
My cat is 4 days into his Tresaderm treatment for a bacterial infection and he is listless today. … read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
727 satisfied customers
I heard a cat meowing frantically in the woods across fom my
I heard a cat meowing frantically in the woods across fom my condo last night- long story short, a wee russian blue kitty, looks well taken care of- very pregnant. I asked her to wait to have the kitt… read more
Dr Z
Dr Z
Small Animal Veterinarian
Doctoral Degree
3,715 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