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Question:

Cholangiohepatitis in my cat - could I get a second opinion on some things my vet has said?

I'm feeling really overwhelmed right now and could use some advice. My cat, Whiskers, was recently diagnosed with cholangiohepatitis, and I’m not entirely sure how to process everything my vet has said. The vet explained that it’s an inflammatory condition affecting his liver and bile ducts, but I’m worried because Whiskers seems so lethargic and isn’t eating much. They’ve started him on antibiotics and suggested a change in diet, but I’m wondering if there’s more I should be doing or asking. It’s just so hard seeing him like this, and I want to make sure I’m doing everything possible to help him feel better. Does anyone have experience with this? Maybe there are additional treatments or questions I should bring up at his next appointment? Any guidance would be really appreciated.

Answer:

Thanks for reaching out with your question about cholangiohepatitis in your cat. It's understandable to want more clarity on a complex condition like this. Cholangiohepatitis involves inflammation of the liver and bile ducts, and it can appear alongside infections or issues with the pancreas and intestines.



The exact cause in cats can vary, but it often relates to bacterial infections or immune-mediated processes. Symptoms you might observe include lethargy, lack of appetite, vomiting, jaundice (a yellow tint to the eyes or skin), and weight loss. At home, ensure your cat has a quiet, stress-free environment and encourage hydration, as staying hydrated is key for liver health. Small, frequent meals can also help if your cat is eating less.



Watch for any worsening of symptoms, such as increased vomiting, severe jaundice, or prolonged loss of appetite, as these could indicate a need for urgent care.



If you're uncertain about your current treatment plan or simply need additional advice tailored to your cat's specific situation, I encourage you to book a video consult with one of our veterinarians here at Dial A Vet. We'll be happy to provide you with the support and information you need for your furry friend's well-being.

Answered by

Louise - Senior Veterinary Nurse, Dial A Vet

June 26, 2025

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The "Ask a Vet" forum on Dial A Vet offers general information and helpful tips on pet health, but it's not a substitute for professional veterinary care. The advice here doesn't create a veterinarian-client-patient relationship, and our vets can't diagnose or treat your pet remotely. For emergencies or specific medical concerns, always contact your local veterinarian immediately. Your pet's health is unique, and decisions should only be made after consulting with a qualified professional. By using this forum, you acknowledge these limitations and agree to seek in-person veterinary advice for all your pet's health needs. View our content guidelines.
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