My cat has liver tumors and jaundice. Should I put her down?

Poor guy. It is tough when you are in these situations where you are deciding on continued care (which isn’t 100% guarantees to work) or Humane euthanasia. Unfortunately we don’t have enough information about your cats particular case to help you decide things here. Perhaps a consultation would be best to comb through all of the details such as lab work findings (even seeing the normals is quite helpful), medications tried so far, and his physical exam findings would also be helpful. But generally speaking if your pet is ill from liver disease, which can be any condition such as hepatitis, hepatic lipidosis (carries a poorer prognosis unless aggressive treatment is implemented including a feeding tube in most situations), liver cancer or even gallbladder disease can cause elevated liver enzymes, then it’s best fo an abdominal ultrasound to determine what specific liver condition is present. The prognosis of your pet should be determined by your vet and then carefully considered when determining if continued care should be done or if Humane euthanasia is the better option. I hope this helps and best wishes moving forward with a good decision regarding Elmo’s care.

Hi and thanks for using Petco Pet Education Center, formerly Petcoach! Sorry to hear about Jake. Your question is one that is frequently asked. I try to counsel clients that once a pet stops eating, drinking, and just basically lays around, it's time to start thinking about one of several courses of action. These would be a diagnostic workup or start considering euthanasia. You said that you don't want to do a workup so I guess you should start considering euthanasia. It is possible that Jake has something that is very treatable like hyperthyroidism, but of course, that would involve a diagnostic workup. There are many things that it could be and some of them are treatable, and of course, some are not. Liver disease, kidney disease, diabetes, or even cancer are just some of the possible causes. The problem with vomiting is that unless you intervene, he will just continue to get weaker and weaker from fluid/electrolyte losses. This will lead to extreme lethargy, shock, and even death. I learned over the years that this experience is different for everyone. Some people can not under any circumstances, make the irreversible call of ending their pets life. I counsel clients but never push them unless I truly think that the pet is suffering. I would just say go with your heart and remember, sometimes euthanasia is the last gift of love that pet owners can give their beloved companions. Please know that whatever you decide, it is the right decision. Again, I'm sorry that you are going through this with Jake.

Hello and welcome to Petco Pet Education Center, formerly Petcoach. Hepatitis (infection and inflammation of liver) is a very serious condition and is very hard to treat. If there is an internal medicine specialist in the area I would recommend having Nala seen by them. Otherwise I would be talking with your vet about testing for infectious diseases. However, it looks like they have treated her with broad spectrum antibiotics as well as IV fluids. I would recommend continuing treatment. She may need a feeding tube placed to try to keep her protein up during this illness. Unfortunately, with how severe this is, she may or may not pull through it, but the best chance of her making it through is to be aggressive with her treatment. I would suggest continuing to monitor her liver and white cell count, and to have imaging done and possible samples of her liver to try to determine the cause of the infection. Otherwise I would be talking to your vet about the parasites and infections present in your area and get covered with certain antibiotics. The white cells have increased however not that much, and the liver enzymes are actually improving if I can read the dates right from your picture. This is very hopeful. I would continue with antibiotics (IV if you cannot get them in orally), as well as IV fluids and I would think about syringe feeding or placing a feeding tube. Best of luck with Nala, I hope she makes a good recovery.

Thanks for using Petco Pet Education Center, formerly Petcoach! I am sorry to hear that. Lymphoma is an aggressive disease in cats, especially when in the gastrointestinal system and in circulation. Usually even with chemotherapy you are looking at a prognosis of 2-6 months depending on the exact type of lymphoma. You could try prednisolone as a palliative treatment to make her feel better for the time being and perhaps extend her survival time for a few weeks. If she is already anemic, she may also require a blood transfusion making things a bit more complicated. If she is not doing well and you are not interested in pursuing therapy knowing the prognosis then euthanasia is a good option. Let me know if you have further questions regarding her disease. Sorry for the sad news!

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! Poor Jade! This is the hardest part of owning pets. You know what is best for your pet. You know her quality of life better than anyone ever will. Your Vet and we can help you decide when it is time. I consider a decreased/poor quality of life when the bad days out weigh the good days. When an animal no longer hangs out with the family, can't get around well, has vomit, diarrhea or won't eat, is crying or whimpering then I consider that a poor quality of life. I don't think it is wrong to try some time with pain medications to see if you can improve her mobility. But if it doesn't work and you think she is in pain then it might be time to consider putting her to sleep. I wish you and Jade the best!

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! I am so sorry for the loss of your cat P! Cats are very good at hiding illnesses until they are very sick. Jaundice in cats can be from: 1) destruction of red blood cells. They tend to be anemic on blood work. This can be from blood parasites, cancer, immune problems 2) Liver disease: cancer, infection, toxin, inflammatory conditions or fatty liver disease (hepatic lipidosis). Fatty liver is a secondary condition. Prolonged anorexia is usually the cause. Anything that makes a cat stop eating for more than 3 days can cause fatty liver disease and 3) Gall bladder, biliary or pancreatic disease: infection, cancer, gall stones, biliary obstruction. P didn't die from an overactive thyroid. She died from whatever disease caused her to stop eating, that could have been liver disease or another disease that caused fatty liver syndrome. She sounded like she was very sick. I hope this provides some insight. Again I am sorry for your loss.

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. I am sorry to hear that Kitty is not feeling very well. With the description and blood results, I worry about a condition known as hepatic lipidosis (fatty liver disease) or triaditis (inflammation of the pancreas, liver and small intestines). For fatty liver disease, a feeding tube is generally recommended to help bring cats out of this condition as nutritional support is key and extremely important in these cases. I would recommend an abdominal ultrasound as the next diagnostic step to help better determine what the cause could be. If Kitty is still not wanting to eat, you need to consider hospitalization and feeding tube placement to help her get through this. I hope this helps guide you in the right direction. Please let me know if you have any other questions or concerns and I would be more than happy to help you further.