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The exact cause of fatty liver disease is usually unknown, but if a cat stops eating for as little as one day then they risk getting fatty liver disease. Normally, when a body is undernourished or starved, the body automatically moves fat from its reserves to the liver to be converted into lipoproteins for energy. Cat's bodies are not designed to convert large stores of fat, so when a cat is in starvation mode, the fat that is released to the liver is not processed efficiently, resulting in a fatty and low functioning liver.
We don't know for sure how both cats came down with fatty liver disease. Betsy got it first. She also had a urinary tract infection which may have caused her not to eat. (With two cats that prefer to graze on food it can be very difficult to tell who is eating what.) Betsy was in the hospital for several days and had a feeding tube put in. When she came home Alice was pretty confused. About a week later Alice stopped eating for a day. We took her to the veterinarian and learned she had a high fever and a high white blood cell count. She was hospitalized for a couple of days as well, and an ultrasound showed she also had fatty liver. Alice's illness was less severe. Instead of a feeding tube we force fed her with a syringe for a few days, which was awful and stressful for everyone involved.
Betsy recently experienced a second urinary tract infection and a bout of vomiting. Alice's tendency to scarf and barf was also becoming a cause for concern. Both cats are now eating hypoallergenic food to keep them from vomiting.
Alice's blood work looks very good now. Betsy's blood work is steadily improving. We are so grateful that they have proven to be resilient little kitties. Mark and I strive to be the best caretakers we can be. With your help we will feel secure that we can readily handle future kitty medical expenses.
Thank you for taking the time to read our story.
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