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liver problem with my cat? Help please?

My cat had a blood test and said it was too much bilirubin in the blood. The vet told me he has something to do with your liver, but not safe. He said it could be jaundice, but not certain, and not yellow yet. He does not have the proper equipment, so we have to go to another vet for another exam and X-ray and ultrasound, and probably some other tests, plus a lot money. I was wondering if anyone else had to go through this or a similar experience. Because I'm not sure what to do. Help please? I Do not Want to see my cat more suffering. But I do not know if its worth going through all this. He is 12 years.

im sorry to hear about your poor baby. Look for stairs or veterinary clinic emergency room in your area to find a veterinarian who charges a bit less, but make sure you ask if they have the equipment to treat your baby. It is a violation of jaundice and bilirubin: To understand the phenomenon of jaundice, a brief explanation of bilirubin metabolism is normal in order. Bilirubin is a yellow-orange pigment that comes from the breakdown of hemoglobin. Hemoglobin is the main source of old red blood cells. When red blood cells grow old, most they are removed from circulation by cells called macrophages, which reside primarily in the spleen and liver. Once red blood cells are absorbed by the liver and spleen macrophages, hemoglobin in red blood cells is metabolized to produce bilirubin. This bilirubin is released into the bloodstream, where binds to a protein called albumin. Albumin carries bilirubin in the liver after. Once the albumin-bilirubin reaches the liver, liver cells remove the bilirubin from albumin, and then secrete the bilirubin in the biliary system (gallbladder and bile ducts). Finally, bilirubin is released, and bile in the intestine Hail, where it plays an important role in digestion. The liver in cats is very good at bilirubin in the blood supply to the system biliary maintenance of serum bilirubin in a range reasonably well controlled. To understand why bilirubin in the blood can be high, it is necessary to examine the three traditional categories of jaundice. Classification of jaundice know the physiology of bilirubin metabolism allows us to understand the mechanisms by which excessive levels of bilirubin can develop. Bilirubin way could be developed if the bilirubin is too important occurs due to the rapid destruction of red blood cells. Another explanation of bilirubin too much blood flow is the inability of liver cells to properly remove the blood traffic. A third reason would be impaired capacity to eliminate bilirubin biliary system in the intestine. These three explanations are abbreviated to Traditional veterinarians classify jaundice: pre-hepatic, hepatic and post-hepatic. "Although there is considerable overlap between categories, this simplistic classification system which allows a clearer understanding of why the yellow cats. The literal translation of the word "pre-liver" is "before the liver. In fact, before hepatic jaundice has nothing to do with the liver. The liver is fine. The problem has to do with the excessive production of bilirubin, due to hemolysis – excessive destruction of red blood cells. As mentioned above, bilirubin is derived from the hemoglobin in red blood cells. The spleen and the liver for continuous monitoring of traffic, elimination of old red blood cells, damaged or abnormal red traffic. If the liver cells and The spleen removes red blood circulation also bilirubin also occur. The passage of the liver to the next level through the elimination of bilirubin as can. Finally, the liver's ability to eliminate this excess bilirubin is exceeded, and build bilirubin in the blood, tissues yellow. Pre-hepatic (hemolytic) the causes of jaundice is less common in cats compared with dogs. The most common cause of hemolysis in cats is Mycoplasma felis (formerly known as Felis Hemobartonella), a parasite of red blood cells. These parasites cling to the surface of red blood cells. Macrophages in the liver and spleen to recognize these abnormal cells, and carefully remove the movement, release of bilirubin in the blood. There are other causes of hemolysis in cats, too. Hepatic jaundice, as its name implies, is the jaundice that develops after liver failure. Severe liver disease and cholangitis (inflammation of liver and bile duct), hepatic lipidosis (fatty liver) or liver cancer in May alter the metabolism of bilirubin, which prevents the liver The transformation of bilirubin effectively. Therefore, bilirubin levels rise, leading to a visible jaundice. The third category, after the jaundice liver occurs when the primary abnormality is an impaired ability to excrete bilirubin due to clogging the flow of bilirubin and bile through major bile ducts. The most common causes of biliary obstruction are cancers and gallstones. Among the types of jaundice, hepatic causes are more common. Common symptoms of liver disease in cats are the lack or absence of appetite, lethargy, weight loss, vomiting, diarrhea, dehydration, unusual behavior, and prolonged bleeding. Diagnostic approach to a jaundiced with Kitty cat shows signs of jaundice, it was time to do some research. The first step in evaluating the cause of jaundice in cats is to exclude the causes of pre-hepatic. In other words, the levels of bilirubin due to destruction of excessive red blood cells? This is easily determined by measuring the hematocrit – the percentage of blood consisting of red blood cells. This test can performed easily at home in all veterinary hospitals. The normal hematocrit for a cat is somewhere between 29 and 48%. If a cat has a hematocrit falling jaundice within that range, then the destruction of red blood cells is unlikely to be the culprit. If, however, the hematocrit is low (less than 20%), haemolysis may be the cause of higher levels of bilirubin and the subsequent evaluation of the causes of hemolysis is justified. A complete blood count was made at Kitty and his hematocrit was a solid 41%. No anemia. Once pre-hepatic causes are eliminated, the cat should be evaluated for the causes of liver disease (see box). Diseases the liver that usually causes jaundice in cats include cholangitis, hepatic lipidosis, lymphoma, feline infectious peritonitis and liver toxicity. Assessment of liver disease should include a complete blood count, the panel of serum, urine, and evaluation of blood clotting. Kitty Complete blood count was normal, however, chemistry panel and urinalysis was a different story. Increases in liver enzymes are expected in most cats with jaundice. The Most groups report the biochemical activity of four liver enzymes: alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP) and gamma glutamyl transferase (GGT). Elevations in the first two, ALT and AST, reflect damage to liver cells. Elevations in the last two, ALP and GGT, reflect a lack of flow of bile in the small bile ducts between the liver cells. In most cases, the four enzymes are elevated. Bilirubin is also reported in the chemistry panel, and, of course, these levels are high, confirmation and quantification of jaundice. As expected, Kitty had Elevated ALT, AST and alkaline phosphatase levels. His GGT level was normal. The bilirubin is significantly higher, about 15 times the normal value. The urine of cats jaundice is often brilliant, almost fluorescent orange, because bilirubin levels. "While it may be normal for dogs to have a small amount of bilirubin in urine the presence of bilirubin in the urine of the cats is to have an abnormal "Mr. Stone said. In fact, the urine samples of Kitty shone a bright orange. The complete blood count in cats with liver disease may be normal, as it was with Kitty, or may show an increase in the number of leukocytes in the infected liver. The abnormally shaped red cells (called poikilocytes) are a common finding in cats with liver disease. Other laboratory tests can be justified under circumstances. Post-liver causes jaundice, obstruction of the bile, ie, the flow of the gallbladder and / or bile ducts is much less frequent jaundice due to primary liver disease. The diagnosis of bladder outflow obstruction due to cancer, gallstones, etc. is best diagnosed by ultrasound (see below). Diagnostic imaging of the liver is an important component of the diagnostic approach to jaundice. Liver size, and the presence of calcified gallstones can be evaluated with abdominal radiographs. Ultrasound, however, is more useful and provides a wealth of information. Ultrasound is the technique used to differentiate post-hepatic causes of jaundice (tumors, gallstones, etc.) to causes (diseases of the liver Primary liver). Ultrasound usually allows the identification of liver cancer, liver cysts and / or liver abscess. Abnormal liver tissue itself as lipidosis (fat infiltration in the liver), cholangitis (infiltration of the liver with inflammatory cells) and lymphoma (cancer of infiltration of liver cells) sometimes can be differentiated. Kitty liver ultrasound excluded from the position of the liver causes jaundice, the support what we already suspected – that the liver is the main problem. In fact, liver ultrasound appearance suggests a kind of infiltration. It was an invasive cancer, or was an inflammatory disease such as hepatitis? Although Bloodwork and ultrasound provides a wealth of information on the liver and biliary system diagnosis Final ultimately required a liver biopsy. There are several ways to get a liver biopsy, the two most common are needle biopsy and surgical biopsy. A needle biopsy is obtained by inserting a needle biopsy – or "blind" or with ultrasound guidance – in the liver and the removal of a small sample. Alternatively, a biopsy can be obtained during exploratory surgery. The advantage of needle biopsy is less invasive and often requires only mild symptoms and Short Acti

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