-
QUESTION:
Treatment for Alcoholic Fatty Liver Disease?
I am a 52 year old male who has presented with swollen feet, distended belly and abdominal pain last week. Following blood tests for liver function it was established that although albumen production was normal, the enzyme reading was not. An ultrasound scan revealed fatty liver disease. I was disturbed to hear a BBC Radio 4 documentary say that 20% of people with my symptoms do not live beyond a few months.
I have stopped drinking alcohol and am taking lecithin and milk thistle and I have also radically changed my diet to exclude fat, sugar and nighttime carbohydrates and have been eating plenty of fresh fruit and vegetables.
Despite this regime being enforced for more than two weeks, the pain continues, the belly is still swollen and I have not lost an ounce of weight.
Any advice would be hugely appreciated. Thanks in advance for your time and knowledge.
-
ANSWER:
Ann gave you a lot of good advice. Don't believe that radio thing because it is simply not true. I had cirrhosis and had to get a transplant, but my disease was from an autoimmune problem. Whatever causes the cirrhosis, it still pretty much acts the same for everyone.
You need to get treatment for your liver problem and find out what is really going on with it. You need more done that just blood tests. I don't know how much fluid you are retaining, but that is what sent me to the hospital where I was eventually diagnosed with cirrhosis the first time. The next step is a CT scan to show if your liver is enlarged or shrunken and the size of your spleen. Depending on what shows up there, a biopsy would be next which is the one definitive test that will tell exactly what is going on.
The fluid in your belly is probably what is causing you pain and that needs treated one way or another. There's 2 ways to do it and they did both with me. My fluid was so bad that I could hardly breathe anymore so I had to get tapped to drain it out physically. Then they gave me meds (diuretics such as Spironolactone and Lasix) to try to keep it under control. Once I received treatment, the meds were able to control it until I received a transplant. That fluid can be quite miserable when it is pushing on everything inside you and it needs to be removed. You might actually continue to gain weight if left untreated no matter what you eat.
Stopping the use of alcohol is the most important step you can take with this disease. Find yourself a gastroenterologist or hepatologist to treat you since they know much more than a regular PCP about the problems that come with liver disease. I was surprised at how little some regular doctors know about liver problems.
You are on the right track with what you are doing, but now you have to take it a step further and find out more about your condition and get the proper treatment for it. Otherwise, you are probably going to be pretty miserable. Good luck to you and get help ASAP because it seems like that fluid of yours is not going to go away on its own which means it will just continue to accumulate. You also run the risk of that fluid getting infected and you never want that to happen because that is life threatening.
-
QUESTION:
How long can a person live with fatty liver disease without treatment?
I was diagnosed with a fatty liver in Feb and i weighted 260lbs im 6'0 , and since then i have worked really hard and im down to 220 i run for 45 mins a day and have cut out fast food and butter and pop and chips and now drink skim milk , i haven't had my check up yet but am looking forward to it
I am juss wondering how long it takes for a liver to go bad from this if i isn't reversed like 10 years 5 or 20 or what .
thanks
-
ANSWER:
Fatty liver is caused by increased deposition of lipids in your liver cells (hepatocytes). In it's mild forms, its very reversible and there's a good chance that your diet and exercise changes have made a big difference.
As long as you continue exercising and eating right, as well as minimising your alcohol intake and controlling your cholesterol, it might not ever get worse.
It's great that you've made so many changes to your lifestyle - it really reduces the risk of advancing liver disease. Keep at it!
-
QUESTION:
Anyone had any succes with Milk Thistle in helping with Fatty Liver disease?
I have Fatty Liver disease and have almost constant pain. Looking for someunorthodox/natural treatments.
-
ANSWER:
Liver DTX Complex contains milk thistle which is shown to support the regeneration of liver cells. Also contains dandelion and turmeric which help flush out toxins and thwart free radicals.
Lecithin is a fat emulsifier and prevents fat build-up in the liver.
Hope this is useful and feel free to contact me.
-
QUESTION:
I need help saving my cat from hepatic lipidosis, fatty liver disease!?
My 7 year old cat, Toby wasn't eating for a couple of days. I took him to the vet and they said that his liver looked enlarged, he was jaundice, and he had all of the common signs of having Fatty Liver Disease.
I need help. I am on the verge of tears every night. The treatment for this disease is to hospitalize your pet and have a feeding tube inserted. The cost is upwards of 00.00 which I simply do not have at this time. I have researched every possibility. Payment plans, credit cards, Care Credit... nothing will work.
The vet recommended that I feed him one or more cans of Hills a/d per day with syringe. He absolutely hates it. He doesn't struggle too much, but he spits it all out. I don't know how much I'm actually getting into his belly because I'm wiping so much off of my walls, floors, chin etc.
I desperately need some advice from anyone who has gone through this before or has veterinary experience.
I simply do not know what to do. Am I helping him? Is he getting enough food? He won't eat or drink anything. I even offered him his favorite, tuna, and he just turned up his nose.
I love him dearly, and I can not fathom having him die or be euthanized, so I need help and soon.
Please let me know your thoughts about this. Thank you so much <3
-
ANSWER:
I am sorry you're going through this, it must be awful not to be able to help. Unfortunately your vet is not helping either by prescibing the Hills junk. Really, all the prescription stuff is just a moneymaker and the only research that supports the results is paid by the companies that make the food.
Your cat with fatty liver disease need low carb, high protein diet. You can't feed anything that contains grain, that is probably what caused this in the first place. Most commercial food contains grain and the pet food industry doesn't care that it's killing our cats.
Most of the natural wet foods available today like Wellness, EVO, Merrick, Nature's Variety and Blue Buffalo have high content of animal protein, and don't include andy sources of carbohydrate. This is much better food for your cat's disease than Hills.
I understand your cat doesn't want to eat. force feeding usually doesn't go well, try to get him to lick the mashed up food from your fingers. Try a little tuna juice to add the smell. but not too much, and not the oil, just the juice. If it doesn't work you will have to feed him with the syringe. You can't let your cat go without food, especially since it gets also hydration from the food.
The amount of consumed food should reflect in the amount of feces. You should get at least one small poo per day.
Here are some great websites on cat nutrition, the first one also mentionas fatty liver disease. This doctor who wrote it is extremly knowledgable and hopefully this will help you.
Good luck
-
QUESTION:
Anyone with diabetes been told they have fatty liver disease?
If so what is treatment and long term affects? Any information is greatly appreciated.
-
ANSWER:
I wasn't told it was a disease, I was just told that I had fat deposits. My Dr. told me that there's not a treatment yet.
I found out about it when I was getting life insurance and my blood work came back I didn't have diabetes yet. He monitored my liver levels once a year to watch for liver failure, if that happen then I'd need a transplant. Then two years ago my blood work came with with high sugar. Retested and still high, officially now I'm diabetic.
I lost a lot of weight (60 lbs), dieted, working out, this brought my liver tests back down to high normal or just a point or two high.
Don't know if it was working out, that helps all your organs work better, losing the weight, or a combination of the two. Maybe it wasn't anything of those things don't know.
Anyway if you're overweight losing weight won't hurt and might help.
Hope this helps.
-
QUESTION:
Can Psittacosis in Budgies damage thier liver?
I have a 18 month old Female budgie with the following symptoms:
Lethargy, lime green droppings (and Urates), sleepiness, quiet, ratty wing feathers, watery eyes,
Vet: Feacel smear + mouth swab
mass in abdomen
Diagnosis: Fatty Liver Disease?
Treatment: Baytril + Duphalac - 7 days
Return vet
Treatment: Doxycycline injection
Improvement within days
Return vet
Blood test - immunocomb-chlammydia - results pending
Treatment - Psittavet in water daily
Could undiagnosed psittacosis cause liver damage (mass in abdomen)?
I also have a male budgie with no symptoms except for ratty-looking tail feathers
Vet had quick look - no diagnosis made
I was just wandering if he could be carrying psittacosis aswell?
-
ANSWER:
Unfortunately, many infections will attack the liver in parrots, but I don't think this is the problem here. Masses in budgies are very common, and even though this a young bird, i think it's a common tumor. Are you sure she's only 18 months? Are you sure it's a female? I ask that because many male budgies get testicular tumors, and as the tumor restricts the flow of testosterone, his blue cere will turn brownish; thus, he looks like a female.
How long have you had the birds, and for how long have they been separated from other birds? If it's been a while, then the possibility of psittacosis lessens.
The mouth swab... was there just one, for psittacosis? Was there one taken for other bacterial infections? There's definitely something going on, but we see many more cases of bacterial infection, like klebsiella, Pasteurella and pseudomonas than we do psittacosis.
Is the Baytril going in the water? If so, you can almost bet on that it's not going to work, especially for only 7 days. Same thing with Duphalac (lactulose) which is usually a long-term treatment for fatty liver disease. If it's a tumor on the liver, that's a different story. Personally, I prefer treating most liver ailments with milk thistle. That goes for birds, dogs, cats, and humans.
The male could have the same thing as the female, but you're going to have to wait for the test results. If it's really suspected to be psittacosis, he should be treated as well. If it's not psittacosis, you'll need to know what it is that's making her sick, and testing to see what antibiotics will work on whatever it is. Baytril and doxy may not work on that particular bacterium or bacteria.
Good luck.
-
QUESTION:
question about fatty liver inflammation (non-alcoholic) and its treatment?
I was told that fatty liver inflammation (non-alcoholic type) is usually prevalent in obese people. However I was recently diagnose with it but I'm actually overweight, not obese. I think the reason I had inflammation was due to the fact that I have high bad cholesterol and triglycerides. I was told fatty liver inflammation is reversible. My question is, would this disease be easier to treat and reverse on an overweight person rather than an obese person?
-
QUESTION:
How much of a decrease in food intake is normal when switching from a low to high quality cat food?
Recently my cat has lost his appetite. I think it's due to a number of changes in his life:
1.) He began to eat less right after his cat friend passed away about 6 weeks ago.
2.) He is an overweight cat who was used to eating Friskies so I gradually transitioned him to a more healthy dry diet. He is not fond of wet food but I offer him that as well.
3.) We introduced a new kitten about 2 weeks ago which was making him nervous.
Now, I am debating whether or not I should take him to the vet. Right now he does eat, but not nearly as much as he did before the death of his friend. He even stopped eating his Friskies right after my other cats' death. He is an overweight cat and I'm concerned about him developing fatty liver disease, but I don't think his condition has progressed to the point of force feeding or feeding tubes (standard treatment of fatty liver disease) as he IS eating just not as much.
How much of a generally healthy cat food like taste of the wild or chicken soup for the cat lover's soul does he need to eat in order to not progress to develop a health issue? In other words, would he only need to eat a small amount to equal the calories contained in Friskies?
I think his lack of appetite is due to depression over the loss of his cat friend, but I don't really want to medicate him with prozac as I think that will be unhealthy. Do you have any tips for helping him grieve and helping him to regain his former appetite?
Please be aware, that I WILL take him to the vet if he loses any weight or starts to exhibit other signs of a true medical condition. I am hoping to try some methods at home before medicating him for depression.
-
ANSWER:
Well if your on healthy cat food, a decrease in food intake is normal. I My cat used to eat foods like purina cat chow,friskies,and purina ONE. She was never satisfied and I would have to constantly refill her bowl. When I switched her to Innova and she only ate about 5 teaspoons of food in one sitting, I mistook it for not liking her food, but in fact, the food has more of what she needs like real meat and less of what she doesn't(corn,wheat,soy which make up the basis of friskies and other low brands). She had to eat so much more on cat chow just to get enough meat to keep herself healthy.
-
QUESTION:
focal fatty infiltration of liver?
I recently had an CT scan that showed "Focal Fatty infiltration is noted adjacent to the ffissure for the falciform ligament, and the liver." Can anyone tell me what that means. I have tried to look via the net to find out info about it and it does not tell me anything. My family has a history of liver disease including my father who did have liver disease and my grandfather who had cancer of the liver. My grandmother had some lesions removed from her liver. I was wondering if this is something that I need to be worried about. Or what are some types of treatment for this. I have had numberous abdominal surgeries and have also had an cholecystectomy done.
-
QUESTION:
Emaciated Cat with Liver Issues?
3 days ago i found a cat in the basement of an abandoned, boarded up house. it is skin and bones and severely jaundice. Vet thinks it was once an overweight cat who now has fatty liver disease since it had no access to food or water for "who knows how long." Blood results were normal except for slight anemia and bilirubin in the 20's which is really off the charts. He was given flea treatment and stool sample showed no worms or parasite and he has no infections of any sort.
I'm caring for him in my home and give him prescribed under skin lactating ringers (200 day). I feed him small frequent meals and he's a great eater. He eats on his own and always has. After all i've read about fatty liver disease in cats, it seems that most cases are due to an overweight cat who stops eating due to stressful situations vs. no access to food. Other cats with fatty liver disease need tube feeding, but this guy gobbles up food and then falls back to sleep. He's also extremely wobbly most of the time.
While visiting the vet, he prescribed clavamox as a prevenative to an infection...he does not have infections now. However, after his 3rd dose of clavamox, he doesn't have nearly the appetite that he used to and seems very lethargic (as compared to before clavamox). I also worry that feeding him every hour interrupts his much needed sleep.
Should i stop the clavamox since he has no infection and should I give him bigger meals and more sleep? He has not vomited since I've met him. I love him. Has anyone dealt with an emaciated and or severely jaundice cat with fatty liver?
-
ANSWER:
I would continue with the Clavamox, but call the vet and ask if what you're experiencing might be a side effect.
Fatty liver disease can be hard to deal with, but you've got a survivor on your hands.
Feeding every hour is a little too much, I would stick to feeding about 4 times a day. Also you can go for healthy, nutritious brands instead of the supermarket stuff, and he'll be putting weight on soon.
I wouldn‘t really recommend feeding any dry food. Cats are designed to get their water from food. That's the way nature designed them, they have low thirst drive. When fed dry, they won't drink enough to compensate for the lack of moisture. They will only consume about 50% of the water they should be having. This can lead to kidney disease, UTI, crystals, blockage, renal failure and more. Especially since you have a tom, this is crucial. Male cats have a narrower urethra than female cats and are more prone to blockage from the crystals.
Free feeding also contributes to obesity. And the fact that dry food is over-processed means, that most of it’s little nutrition has been already destroyed, leaving almost no nutrients for your cat. It needs to eat more to meet it’s needs, and in the process consumes more calories from the fillers.
Btw wetting the dry food will not help. There’s bacteria on the kibble and the water would just allow it to grow.
The only way to give the cat it's natural hydration is to feed it wet food only.
But some wet foods are not of a very high quality, either. That goes for most commercial foods. Just like the dry, they are often made with cheap fillers such as corn, wheat, soy, rice etc. These are not a part of cat's natural diet (it’s an obligate carnivore – it eats meat) and they are not designed to digest it. Grain is carbohydrate which the cats can't process and it turns into blood sugar and fat, causing diabetes and obesity. In the wild, where cats only hunt for meat, diabetes and obesity are unheard of. It's us who cause these by feeding a species inappropriate food.
We usually read labels on our food, but rarely on the food for our cats. Learn to read the label and understand the ingredients. The healthiest food to feed apart from raw feeding is grain-free wet food with no by-product. Some good brands are Wellness CORE, EVO, Merrick, Nature's Variety, Blue Buffalo Wilderness and more. These will give your cat the proper hydration and nutrition it's designed to get and it will be strong and healthy.
If you switch it's diet, do it gradually, by mixing the current food with the new one over couple of weeks until there's only the new. This will prevent diarrhea and upset stomach.
You will probably get a lot of different answers, so google feline nutrition or look at the links below, and do the research for yourself. I personally wasn't able to find one reliable source (besides the pet food industry) that would say grain is beneficial for cats or that dry is beneficial for them.
More on cat nutrition below,
Good luck!
-
QUESTION:
What is the appropriate treatment for a DVT (blood clot) in lower left leg (calf)?
A little more history: 49 year old female, diabetic, high bp, high cholesterol, hypothyroidism, fibromyalgia, severe depression, PTSD, bipolar, major anxiety, sleep apnea, and liver disease due to extreme fatty liver. On 16 daily meds for psych and med, plus a 17th optional for nausea as needed, and 18th for stool softener. Her meds: Docqlace, Cytomel, Lexapro, Famotidine, Promethazine, Metoclopramide, Metformin, Trazodone, Hydroxyzine HCL, Cymbalta, Glimepiride, Levothyroxine Sod, Protonix, Lisinipril, Benztropine, Tricor, and Clozapine. Of those, 7 had warnings about anticoagulants, 4 of which were serious interactions, and 2 other meds have a rare side effect of causing clots (research on WebMD). This person went to ER twice in 10 hours (sent home both times, told not to worry, talke Ibuprofen)then to her personal doc not even 2 days later, he put her on home injection blood thinners. She died the next night, clot broke loose, split, and traveled to both lungs.
-
ANSWER:
she died from pulmonary embolism
its one of the complications of DVT ... as the clots may travel through the viens of the lower extrimities and get in to the lungs either as massive emolism or showering embolies ...
well ... the effect of the drug interaction in a patient with long term uncontroled Diabetis , Hypertenssio , hypothyroidism in addition to psychological stress and depreesion ... and i suppose immobilisation ... the risk becomes morbidly high ...
the appropriate treatment of DVT and preventing the pulmonary embolsm is by
blod thinners pills or injections
mobilisation is so very important
Good Control of pre-excisting diseases
avoiding drug interaction
but never can obtain a 0% of risk or 100% of prevention.
and for such cases it is done in a special care units
my kindest regards and deepest sympathy
Havoc
-
QUESTION:
Syringe-feeding a cat?
My cat is in treatment for liver damage, and I'm having to syringe-feed him until he will eat on his own. He hates it in the worst possible way. He will tolerate about half an ounce at a time, and so he's not getting nearly the amount of food he needs. The vet just said that if he's not eating, there's no more that can be done for him.
Does anybody have experience with fatty liver/liver damage/liver disease in cats? Or any pointers in how to more effectively syringe-feed my cat? Or anything?? I'm desperate. He's only 3 years old, extremely sweet, and I'm not ready to give up on him.
Edit: Fortunately, Rygel's very gentle and, even though I've clearly been doing it wrong, he has never tried to bite or scratch me. He just thrashes and tries to escape, and then cries. I've been letting him go when he starts fighting, but I'm going to have to get tough (or get it right) if I want to save his life.
I had done some research, and I honestly didn't think his condition was that dire. I was completely unprepared to get the news that it was over. I can't accept that.
Thank you for your answers and help. It's given me hope.
-
ANSWER:
When you are about to feed you cat hold him on you lap and with one hand gently, but firmly hold him in between the scruff and the ears. Pull back.Then lightly press the tip of the syringe onto him lower gum behind the teeth.He will then (hopefully) open his mouth so you can push the food into his throat (again, be very gentle). When cats swallow they lick their nose, so don't let go or try to get him to open his mouth again because he will spit the food out.If he won't swallow gently rub the front of his neck until he does.
-
QUESTION:
Question about metfomin?
Biguanide, a type of oral antihyperglycemic agent, does not increase insulin secretion from the pancreas and thus does not cause hypoglycemia. Since it works by decreasing glucose production by the liver; it decrease intestinal absorption of glucose; and it improves insulin receptor sensitivity in the liver, skeletal muscles, and adipose tissues.
Now biguanides, or specifically metformin, are a type of the most commonly used medication for type-2 diabetes, a couple of questions have triggered my attention. Knowing that overweight or obesity can lead to many serious complications if left untreated. Can an overweight or obese individual with no type-2 diabetes take this type of medication for the primarily purpose of weight or fat reduction (as many of the mechanism of action do contribute to weight loss)? Other than the adverse effect of the medication, what would to be down-side of doing so? Will non-alcoholic fatty liver disease be a potential complication of this treatment?
Thanks for answering in advance.
-
ANSWER:
Yes. Actually Metformin has been demonstrated to be useful for such, particularly when metabolism is impaired as it is in treated schizophrenics. The advantage of Metformin is that it is impossible for it to induce hypoglycemia, which most other antidiabetic medications can do.
It's been shown to nearly halt the overwhelming weight gain associated with use of Zyprexa. It's an older medicatio, and quite safe.
As for downsides, possible nutritional problems. Really not many. You're rather off label though. The studies that have been done haven't shown any problems, but there's only a couple of small scale ones.
Non-alcoholic fatty liver disease is a pretty unusual complication, sometimes related to certain drugs. Since weight loss tends to antagonize NAFLD, and metformin is used to treat it, I can't think of any reason in particular why it should be a complication.
-
QUESTION:
Cat lost his appetite when his cat friend died?
Within the past 5 weeks or so, I have noticed that my cat has been eating very little. He doesn't appear sick, he is actually overweight, which is why it concerns me even more because I'm worried about him developing fatty liver disease.
There are a number of changes that seemed to trigger the loss of appetite.
1. His cat friend passed away.
2. I had been transitioning him slowly to a healthier food than friskies. He wasn't eating the friskies either after his friend died.
3. I got a new kitten which made him very nervous.
My cat is still acting a little sad and nervous, but not acting sick. I think his nerves and some depression are to blame. I will take him to the vet if he loses any weight or continues to not eat as much or shows any other symptoms.
Right now he is eating some, but not too much. I have read that cats don't eat as much of a higher quality food that they would of a low quality food?? I also have read that they will stop eating or eat less when stressed. The kitten is kept in a separate room. He comes out about twice a day to visit. My older cat doesn't appear too stressed by it. At first he hissed, but now he's just acting quiet and observing.
Any suggestions as to what I can do to help prevent my cat from developing fatty liver disease? He's definitely not at the point for invasive treatment such as feeding tubes. He DOES eat just not much. How can I help him start eating again?
I have tried wet food, warmed up wet food and two high quality foods. I don't want to go back to Friskies because he wasn't eating that either anymore after his friend died.
-
ANSWER:
Hi Summer... so long as he is eating something he will not develop hepatic lipidosis (fatty liver). Additionally, it is quite common for a cat to eat much less when fed the premium pet food diet respectively.
Consider offering chicken or turkey baby food as a supplemental treat. Most cats are willing to eat this when they are stressed or not well. It's important to select the baby food that is completely devoid of the ingredients garlic and onions which are used to flavour the foods. Both ingredients cause Heinz Body Anaemia.
Continue to be patient as he will come around.
The following articles may be helpful for you to better understand when cats are grieving:
http://www.messybeast.com/cat-grief.htm
http://www.petplace.com/cats/your-cat-s-grief/page1.aspx
-
QUESTION:
what could this be? abnormal vaginal bleeding?
im 19, not sexually active, never have been. don't plan on until i'm in a really serious relationship.
height 5''6
weight: 260
I have polycystic ovarian syndrome, fatty liver disease, and sleep apnea.
My problem is this:
From july 2008 - may 4th 2011 i hadn't gotten a period, and from may 4th-july 5th i was having abnormal vaginal bleeding everyday,lots of clotting, and i would have to change my tampon AND pad every 45 minuets ( it was light at the begining, and coming into july, it got so bad)
I went to my doctor, and she said its just because of the ovarian cysts that i'm having all of this bleeding, anyways she put me on the birth control called try-ceclyn lo?? (spelling..)
and i was taking it for about a week, nothing had stopped, so then i went to the ER, (my doctor doesn't really do anything..)
they sent me to a gynocologist,he put me on these hormone pills called : PROMETRIUM 100MG
and the bottle says " TAKE 3 CAPSULES ONCE DAILY FOR 2 WEEKS OF EACH 4 WEEK CYCLE AS DIRECTED"
so i took those for about 2 weeks, and had really really bad night terrors, so stopped.
Went back to my doctor, and she put me on these birth control pills called:MARVELON
So i started taking those 28 days ago, it stopped the bleeding for about 1 week, but then i started slowly spotting everyday again.. and ive never had it this bad before! i went to USA for the weekend, and its so embarrasing, i had to go to the bathroom to change my tampon like every 45 minuets, or else i would soak through.
(i know im being graphic.. sorry..)
over night is the worst, i would wear a Big Tenna pad, plus a tampon (super plus)
and i would wake up in the hotel room, and my shorts were soaked with blood!
i also have these unbareable pains in my lower abdominal area.
its not a ruptured cyst..
but i don't think that this bleeding is normal what soever. its affecting me socially, and physcially.
what could be a treatment,and causes of this?
i plan on calling my gynecologist ASAP tomorrow morning, i just wanted to know if anyone else has had problems like this, or knows anything about it.
thanks very much,
s.
-
ANSWER:
They definitely should be doing blood testing on you to be sure of
your Red blood cells, iron levels, and also your hormone levels.
People who have liver disease and those who have polycystic
ovarian disease can develop problems with their hormones.
I would ask to be referred to a More advanced Hospital in your
area or outside that area, that deals more on the Specialist side
of Gynecology. You need a second opinion with someone who
understands more about these problems together.
I do know that a woman who is overweight tend to produce more
estrogen. That blood tests can show if your ovulating, and have
a hormone imbalance. A D&C can sometimes stop someone
from bleeding much if the lining of the uterus is thick.
Wish I could be of more help.
Losing alot of blood for long periods of time is not good at all and
is causing your bone marrow to do what it can to replace the cells.
You are a good candidate for becoming anemic.
Write down all your questions, take any doctors records and films
with you, and be bold about telling the doctors your symptoms, pains,
etc. Make sure you don't leave there with an explanation that you
don't understand or a reason why this is all taking place and how the
drug, you are given to take, is suppose to work to stop this flow.
-
QUESTION:
Do I really need a liver biopsy?
I am a 35 year old male, overweight (5'10" and 280lbs). About 6 months ago, blood tests showed elevated liver enzymes. I was told to follow up with a liver specialist. 6 months went by (procrastination), another blood test was taken, and my enzyme numbers were even higher (sorry I don't have specifics).
I had an ultrasound done, which showed no lesions, and the diagnosis was "fatty liver". My liver doctor wants me to get a biopsy, since all blood tests for specific diseases have come back negative.
My question is: is this necessary at this point? In my research, it seems the result of the biopsy only affects treatment (which is usually weight loss) in a small percentage of cases. Others recommend a period of gradual weight loss for 3 months, followed by the enzyme tests again, to see if they have gone down, and only then to have a biopsy performed if they haven't.
My main concern is the 1 in 10,000 mortality rate for liver biopsy. Good odds, yes. Great odds? No. What are the risks of skipping the biopsy, starting a weight loss program, and checking back in in 3 months?
-
ANSWER:
Hi lugubrious,
Biopsy is both the "gold standard" for diagnosis of liver diseases and yet still highly controversial.
I did a Google search for "role of liver biopsy" and came up with many articles discussing the pros and cons.
http://www.google.com/search?hl=en&q=%22role+of+liver+biopsy%22&btnG=Google+Search&aq=f&oq=
Like you said, you pretty much know that the very first thing you need to do is change your eating and exercise habits and lose weight. Being obese alone can cause elevated liver enzymes. It sounds like you are strongly leaning toward putting it off and I think you would find scientists who would support that decision.
Please check out my other answer about fatty liver, with more information about diet and treatment, here:
http://answers.yahoo.com/question/index;_ylt=AgBYc7MaQcF0_LkPd5EEgKvty6IX;_ylv=3?qid=20090104031733AAqozea&show=7#profile-info-oAyfPk2oaa
I hope that helps some!
Good luck!
-
QUESTION:
Do you think that Black Seed Oil can be used as a treatment for HIV/AIDS?
I AM SORRY THAT THIS IS LONG, BUT PLEASE READ
I am currently doing research about Black Seeds. It is also known as Black Coriander or Black Caraway seeds. It is know that Black Seeds can cure/treat many medical ailments.
Well in my Biology class, we were learning about adaptation, and an example is the AIDS virus. When ever this one perosn took the medication, it seemed that somehow the virus would adapt to it. Well since I have heard of Black Seed, and I have done some research, I was wondering if it can treat HIV/AIDS. I know that it may not completley cure it, or that you need to take this for a while to see results, i was just wondering about the possibilities.
Based on this info, what do you think? Any comments will be accepted. It would help me if you cite your information (if you can).
-Black seed unquestionably has a positive and stabilizing effect on the human immune system which . Moreover, since diseases are the result of defective immune systems, it is fair to assume that the beneficial effects go beyond skin disorders and allergies. Since the immune system has a direct or indirect effect on all the systems of the body, when you are infected by any disease, the power of the immunity system affects the cure of this disease.
-Black seed is a safe and effective herb that can be used by almost anyone. No irritations or side effects are caused when the right dose is correctly applied. Its benefits are obtained through consistent use,the effects are medium to long term. Diabetes is useful in the treatment of diabetes mellitus or diabetes caused by an allergy. However it is recommended that the treatment be supervises because Black seed does lower blood sugar levels. Black seed should not be taken by pregnant women if their wombs are sensitive
-Mahfouz and El-Dakhakhny, prominent Egyptian researchers isolated the active principle nigellone from Black Seed's essential oil in 1959. There are over 100 different chemical components in the seed.
Nigella and melatin are two ingredients in Black Seed that contribute greatly to its highly diversified powers. These substances work together to provide the digestive benefits that have been revered in Black Seed. They also promote cleansing and assist with overall eliminating action.
Two of the most volatile oils found in Black seed are nigellone and thymoquinone which were fist discovered in the herb in 1985. Nigellone offers both anti-spasmodic and bronchodilating properties which contribute to Black Seed's potency against respiratory ailments. It also acts as an antihistamine which helps to reduce the negative symptoms of allergy sufferers. Thymoquinone contains excellent anti-inflammatory and analgesic properties. It is also a strong anti-oxidant and helps cleanse the body of toxins. Both nigellone and thymoquinone work in conjunction with one another to enhance Black Seed's action against respiratory ailments. It also provides a healthy alternative to the more commonly prescribed cortisone based therapies used by allergy sufferers.
Black seed provides a rich supply of polyunsaturated fatty acids. These ingredients play a key role in daily health and wellness. They help to regulate the metabolism, carry toxins to the skin's surface for elimination, balance insulin levels, regulate cholesterol, improve body circulation, and promote healthy liver function. A deficiency in polyunsaturated fatty acids can lead to a wide number of health problems including nervous system disorders, uninhibited growths, and skin diseases.
Black seed contains over 100 valuable nutrients. It is comprised of approximately 21% protein, 38% carbohydrates, and 35% plant fats and oils. The active ingredients of black seed are nigellone, thymoquinone, and fixed oils. Black seed also contains significant proportions of protein, carbohydrates and essential fatty acids. Other ingredients include linoleic acid, oleic acid, calcium, potassium, iron, zinc, magnesium, selenium, vitamin A, vitamin B, vitamin B2, niacin, and vitamin C.
A 1994 study conducted in London by King's College revealed that Black Seed has properties that inhibit certain enzymes, which also inhibit the production of certain prostaglandins. This is more proof that the rich and complex combination of elements found in Black Seed work together for a total effect.
Black Seed has over 1400 years history of use. Many ancient books and text suggest the following traditional uses for Black Seed. But please note, that these should not be understood as cures or treatments for any disease or illness.
Now this is only some of the research that I have done. I have not actually done some testing or anything, I am just in High School. Right now, I am in the stage of gathering information.
-
ANSWER:
What's the active ingredient?
Can it be synthesized or purified on a large scale?
What's the target?
What's the mechanism of action?
What's the effectiveness compared to current treatments?
These are the questions that must be answered before it can be used to treat anything.
There's a reason medicine doesn't just use things like this. Until you know what molecule is doing what you don't know about any possible cross-reactions, toxicity issues, and most importantly you can't quantify everything since the amount of active ingredient isn't controlled.
-
QUESTION:
health questions help?
What is key to improve cancer's survival rates?
improve people's nutrition and lifestyle choices
more research into better chemotherapy drugs
programs that stress early detection and intervention
better surgical techniques to remove all cancer cells
34. What is the disease that involves changes in the nerves and chemicals of the brain leading to memory loss, personality changes, and complete dependency?
Parkinson's
Alzheimer's
Paget's
Grave's
35. Which of the following is not a disorder related to hypertension?
congestive heart failure
stroke
diabetes mellitus
heart attack
36. How is hepatitis B typically transmitted?
fecal-oral route
bacteria and its spores
contaminated blood or sexual contact
breast-feeding
37. Which STD can cause blindness in a newborn baby if it infects the baby's eyes during the birth process while producing a greenish yellowish drainage from the reproductive organs of the infected adults?
syphilis
gonorrhea
genital herpes
chlamydia
38. Which STD begins as chancres or open lesions on the reproductive organs and can invade the nerous system causing difficulty speaking, headaches, blurred or diminishing vision, seisures, problems with memory and thinking, and depression?
syphilis
gonorrhea
genital herpes
chlamydia
39. Which organ is affected by hepatitis?
brain
stomach
uterus
liver
40. Which of the following is not a form of anthrax infection?
digestive (gastrointestinal)
circulatory (blood)
skin (cutaneous)
respiratory (inhalation)
41. The lack of which of the following hormones from the pancreas prevents the body from regulating its own blood sugar?
insulin
adrenaline
testosterone
melanin
42. Which of the following bacterial STDs is the most common in the United States causing the formation of a painless lesion which may result in scarring of the pelvic organs and sterility?
gonorrhea
genital warts
syphilis
chlamydia
43. What is the cause of Bovine Spongiform Encephalopathy?
bacteria
virus
prion
fungi
44. Which of the following best describes symptoms of BSE (Mad Cow Disease)?
fatty plaque in the arteries leading to chest pain
loss of the ability to sense, move, and think
skin rash, digestive disturbances, and difficulty breathing
severe headache or no symptoms at all
45. Which of the following best describes symptoms of diabetes mellitus?
crushing chest pain, nausea, weakness, and fatigue
excessive urination, thirst, and hunger
flu-like symptoms, headache, and stiff neck
loss of coordination on one side, slurred speech, and difficulty concentrating
46. Which of the following could cause a non-communicable disease?
viruses
bacteria
smoking
fungi
47. Which of the following is an example of a communicable disease?
Alzheimer's disease
common cold
heart disease
diabetes mellitus
48. Which of the following is NOT a reason it is difficult to cope with a chronic illness?
financial obligations to cover treatment and care that health insurance may not cover
loss of physical independence which requires more assistance with the activities of daily living
knowledge that the person will get better with the appropriate medications
dealing with depression and grief for the diagnosis
49. When does the HIV positive stage move into full-blown AIDS?
when the red blood cell count rises above 7 million cells per cubic millimeter
when the cells have metastasized from their original location to the brain
when the heart fails to pump blood properly causing swelling and difficulty breathing
when the T-cell count falls below 200 cells per cubic millimeter
50. Which of the following is NOT a leading cause of death in the United States today?
pneumonia
heart attack
stroke
diabetes mellitus
-
QUESTION:
health questions, not very many. I had 60 but i answered 45. Please help?
Note: I have 45 out of 60 answered, these ones i need help with...
Which of the following is NOT a reason it is difficult to cope with a chronic illness?
financial obligations to cover treatment and care that health insurance may not cover
loss of physical independence which requires more assistance with the activities of daily living
knowledge that the person will get better with the appropriate medications
dealing with depression and grief for the diagnosis
When does the HIV positive stage move into full-blown AIDS?
when the red blood cell count rises above 7 million cells per cubic millimeter
when the cells have metastasized from their original location to the brain
when the heart fails to pump blood properly causing swelling and difficulty breathing
when the T-cell count falls below 200 cells per cubic millimeter
Which of the following is NOT a leading cause of death in the United States today?
pneumonia
heart attack
stroke
diabetes mellitus
Which of the following is not a form of anthrax infection?
digestive
circulatory
skin
respiratory
The lack of which of the following hormones from the pancreas prevents the body from regulating its own blood sugar?
insulin
adrenaline
testosterone
melanin
Which of the following bacterial STDs is the most common in the United States causing the formation of a painless lesion which may result in scarring of the pelvic organs and sterility?
gonorrhea
genital warts
syphilis
chlamydia
What is the cause of Bovine Spongiform Encephalopathy?
bacteria
virus
prion
fungi
Which of the following best describes symptoms of BSE (Mad Cow Disease)?
fatty plaque in the arteries leading to chest pain
loss of the ability to sense, move, and think
skin rash, digestive disturbances, and difficulty breathing
severe headache or no symptoms at all
Which of the following best describes symptoms of diabetes mellitus?
crushing chest pain, nausea, weakness, and fatigue
excessive urination, thirst, and hunger
flu-like symptoms, headache, and stiff neck
loss of coordination on one side, slurred speech, and difficulty concentrating
Which of the following could cause a non-communicable disease?
viruses
bacteria
smoking
fungi
Which of the following is an example of a communicable disease?
Alzheimer's disease
common cold
heart disease
diabetes mellitus
Which of the following is not a disorder related to hypertension?
congestive heart failure
stroke
diabetes mellitus
heart attack
How is hepatitis B typically transmitted?
fecal-oral route
bacteria and its spores
contaminated blood or sexual contact
breast-feeding
Which STD can cause blindness in a newborn baby if it infects the baby's eyes during the birth process while producing a greenish yellowish drainage from the reproductive organs of the infected adults?
syphilis
gonorrhea
genital herpes
chlamydia
Which STD begins as chancres or open lesions on the reproductive organs and can invade the nerous system causing difficulty speaking, headaches, blurred or diminishing vision, seisures, problems with memory and thinking, and depression?
syphilis
gonorrhea
genital herpes
chlamydia
Which organ is affected by hepatitis?
brain
stomach
uterus
liver
-
QUESTION:
Health Majors Please help! Last test on health & i am really stressed.?
These are some of the ones i dont know. I mean there are ones out of this that i do know but yeah, I am really stressed and need help. Please Please help me.
27. Which type of diabetes generally occurs in young adults and children and always requires insulin as part of the treatment plan?
type 1
type 2
type 3
type 4
28. Which of the following is NOT a warning sign of skin cancer?
crushing chest pain
a sore that does not heal
unusual bleeding or discharge
thickening or lumps
29. What is the most fatal form of skin cancer associated with moles?
squamous cell carcinoma
basal cell carcinoma
malignant melanoma
acute cell melanoma
30. What disease is caused by a bacteria and can be sent in a powdery form for bioterrorism and leads to difficulty breathing and even death?
West Nile virus
anthrax
bovine spongiform encephalopathy
stroke
31. What is the general name for all infections that cause diarrhea to occur?
Irritable Bowel Syndrome
Crohn's Disease
Colon Cancer
Dysentery
32. Which fat leads to atherosclerosis and can contribute to one's risk of a heart attack or stroke?
steroids
cholesterol
phospholipids
olive oil
33. What is key to improve cancer's survival rates?
improve people's nutrition and lifestyle choices
more research into better chemotherapy drugs
programs that stress early detection and intervention
better surgical techniques to remove all cancer cells
34. What is the disease that involves changes in the nerves and chemicals of the brain leading to memory loss, personality changes, and complete dependency?
Parkinson's
Alzheimer's
Paget's
Grave's
35. Which of the following is not a disorder related to hypertension?
congestive heart failure
stroke
diabetes mellitus
heart attack
36. How is hepatitis B typically transmitted?
fecal-oral route
bacteria and its spores
contaminated blood or sexual contact
breast-feeding
37. Which STD can cause blindness in a newborn baby if it infects the baby's eyes during the birth process while producing a greenish yellowish drainage from the reproductive organs of the infected adults?
syphilis
gonorrhea
genital herpes
chlamydia
38. Which STD begins as chancres or open lesions on the reproductive organs and can invade the nerous system causing difficulty speaking, headaches, blurred or diminishing vision, seisures, problems with memory and thinking, and depression?
syphilis
gonorrhea
genital herpes
chlamydia
39. Which organ is affected by hepatitis?
brain
stomach
uterus
liver
40. Which of the following is not a form of anthrax infection?
digestive
circulatory
skin
respiratory
41. The lack of which of the following hormones from the pancreas prevents the body from regulating its own blood sugar?
insulin
adrenaline
testosterone
melanin
42. Which of the following bacterial STDs is the most common in the United States causing the formation of a painless lesion which may result in scarring of the pelvic organs and sterility?
gonorrhea
genital warts
syphilis
chlamydia
43. What is the cause of Bovine Spongiform Encephalopathy?
bacteria
virus
prion
fungi
44. Which of the following best describes symptoms of BSE (Mad Cow Disease)?
fatty plaque in the arteries leading to chest pain
loss of the ability to sense, move, and think
skin rash, digestive disturbances, and difficulty breathing
severe headache or no symptoms at all
45. Which of the following best describes symptoms of diabetes mellitus?
crushing chest pain, nausea, weakness, and fatigue
excessive urination, thirst, and hunger
flu-like symptoms, headache, and stiff neck
loss of coordination on one side, slurred speech, and difficulty concentrating
46. Which of the following could cause a non-communicable disease?
viruses
bacteria
smoking
fungi
47. Which of the following is an example of a communicable disease?
Alzheimer's disease
common cold
heart disease
diabetes mellitus
48. Which of the following is NOT a reason it is difficult to cope with a chronic illness?
financial obligations to cover treatment and care that health insurance may not
-
ANSWER:
First of all, who made up these questions? I'm not that impressed.
These questions have been around for awhile - you could have just searched Y!A and found identically worded questions.
.
While you may be stressed, if you don't know the answers to some of these, what are you doing in this class?
Just entering all of the answers takes more time than you spent cutting and pasting them.
27. Type 1 - the body does not produce insulin read this article: http://www.lifescript.com/Health/Conditions/Diabetes/The_Double_Whammy_What_is_Type_3_Diabetes.aspx
28 Crushing chest pain
29. Malignant melanoma
http://www.cancercenter.com/skin-cancer-melanoma.htm
30. Anthrax
https://health.google.com/health/ref/Anthrax
31. Question does not make sense because it is not accurate but the answer has to be dysentery as the other 3 options are not infection related
http://digestive.niddk.nih.gov/ddiseases/pubs/diarrhea/
32. cholesterol
http://www.nhlbi.nih.gov/health/dci/Diseases/Atherosclerosis/Atherosclerosis_Causes.html
33. all of the above but if you have to chose one go with programs which stress early detection and insurance plans which cover intervention
34. Alzheimer's followed by Parkinson's with dementia
35. Diabetes - but there is a relationship
http://www.americanheart.org/presenter.jhtml?identifier=2152
36. Hep B is transmitted through blood and bodily fluids - read and figure out the answer
http://www.hepb.org/hepb/transmission.htm
37. Several can cause eye infection but the answer you want is gonorrhea
http://www.wdxcyber.com/stds_pregnancy.html
38. see: reference above for answer
39. see: reference in question #36 or just think about it
40. see: question #30 reference
41. see: question #27 reference
42. see: question #37 reference
43. Mad Cow Disease - caused by watching too much Boston Legal in reruns - ok, it is thought to be a prion disease http://en.wikipedia.org/wiki/Bovine_spongiform_encephalopathy
44. see: reference in #43
45. excessive urination, thirst and hunger
46. this one's on you to think about
47. You don't know this one? That's nothing to sneeze at
48. You should be aware of the fact that you can add the rest of the answer by simply returning and adding it.
-
QUESTION:
Biochemistry Questions?
I need help with the following questions:
1) Which of the following statements are FALSE with respect to the prognosis and complications of familial hypercholesterolemia?
a) The outcome is likely to be poor in people with the homozygote type of familial hypercholesterolemia because it causes early heart attacks and is resistant to treatment.
b) Heart attacks may occur at an early age in patients
c) The disease is associate with cholesterol-rich deposits in skin, eyelids
d) In families with a history of familial hypercholesterolemia, genetic counseling may be of benefit, especially if both parents are affected.
e) none of the above
2) Which one of the following enzymes is NOT involved in the degradation of total dietary lipid during digestion?
A. Gastric lipase
B. Pancreatic lipase
C. Lipoprotein lipase
D. Phospholipase A2
E. Cholesterol ester hydrolase
3) One of the characteristics of each of the sphingolipidoses is the absence or deficiency of a specific catabolic enzyme activity. These enzymes are normally localized in the:
A. Golgi complex.
B. lysosomes.
C. endoplasmic reticulum.
D. mitochondria.
E. cytosol.
4) Which one of the following changes would you expect in a patient with decreased activity of lipoprotein lipase?
A. Elevation of plasma chylomicrons only.
B. Elevation of both plasma chylomicrons and very low density lipoproteins.
C. Elevation of plasma HDL only.
D. Elevation of plasma LDL only.
E. Elevation of both plasma HDL and LDL.
5) Which one of the following statements about plasma lipoproteins is correct?
A. Chylomicrons are synthesized primarily in adipose tissue and transport triacylglycerol to the liver.
B. HDL particles are produced from low-density lipoprotein particles (LDL) in the circulation by the action of lipoprotein lipase.
C. Very low density lipoprotein particles (VLDL) are the precursors of LDL in the circulation.
D. HDL competes with LDL for binding to receptors on the surface of cells in extrahepatic tissues.
E. Cholesteryl ester transfer protein in HDL is important for the efficient uptake of cellular cholesteryl esters by HDL in extrahepatic tissues.
6)Which of the following statements apply/applies to eicosanoids?
a. The mechanisms by which aspirin and glucocorticosteroids inhibit prostaglandin formation in tissues are different.
b. The endoperoxide prostaglandin H2 is the precursor of prostaglandin E2, prostaglandin F2alpha, prostaglandin I2 (prostacyclin) and thromboxane A2.
c. Regulation of phospholipase A2-catalyzed hydrolysis of glycerophospholipids to yield free polyunsaturated fatty acids may provide a general mechanism for controlling PG synthesis.
d. The half-lives of many PGs are very short.
e all of the above are correct
-
QUESTION:
Cat lost his appetite when his cat friend died?
Within the past 5 weeks or so, I have noticed that my cat has been eating very little. He doesn't appear sick, he is actually overweight, which is why it concerns me even more because I'm worried about him developing fatty liver disease.
There are a number of changes that seemed to trigger the loss of appetite.
1. His cat friend passed away.
2. I had been transitioning him slowly to a healthier food than friskies. He wasn't eating the friskies either after his friend died.
3. I got a new kitten which made him very nervous.
My cat is still acting a little sad and nervous, but not acting sick. I think his nerves and some depression are to blame. I will take him to the vet if he loses any weight or continues to not eat as much or shows any other symptoms.
Right now he is eating some, but not too much. I have read that cats don't eat as much of a higher quality food that they would of a low quality food?? I also have read that they will stop eating or eat less when stressed. The kitten is kept in a separate room. He comes out about twice a day to visit. My older cat doesn't appear too stressed by it. At first he hissed, but now he's just acting quiet and observing.
Any suggestions as to what I can do to help prevent my cat from developing fatty liver disease? He's definitely not at the point for invasive treatment such as feeding tubes. He DOES eat just not much. How can I help him start eating again?
I have tried wet food, warmed up wet food and two high quality foods. I don't want to go back to Friskies because he wasn't eating that either anymore after his friend died.
-
ANSWER:
My guy did the same thing when our other cat died years ago. It was like he was lost without his pal.
Yes, a higher quality food will require your cat to eat less to get the right nutrients. But many cats don't seem to notice this and just plain love to eat. If his appetite is down, you want to keep an eye on it (which you are obviously doing)
For a temporary fix, you can add a bit of "tuna juice" (the packing water from the tuna) to his food. This is super-smelly, which cats love, and was the one thing that got our guy back to eating. There are also wet food products you can get from your vet that are specifically for an ill cat or a cat not eating. I believe its called science diet ad? It comes in tiny cans. I have not seen a cat turn his or her nose up at that stuff yet.
You can also try a bit of extra attention when he' eating. Turn it into a really special "just you and him" time, where you give him extra love and attention. That can help, too.
If nothing else, you might want to reassure yourself that he is not heading for trouble, by getting a blood count to make sure he's not getting the fatty liver disease. Even a decreased food intake over a long period of time can cause this - not just a couple day hunger-strike.
I'm so sorry for your loss.
Good luck to you and your kitties!
-
QUESTION:
Cat lost his appetite when his cat friend died?
Within the past 5 weeks or so, I have noticed that my cat has been eating very little. He doesn't appear sick, he is actually overweight, which is why it concerns me even more because I'm worried about him developing fatty liver disease.
There are a number of changes that seemed to trigger the loss of appetite.
1. His cat friend passed away.
2. I had been transitioning him slowly to a healthier food than friskies. He wasn't eating the friskies either after his friend died.
3. I got a new kitten which made him very nervous.
My cat is still acting a little sad and nervous, but not acting sick. I think his nerves and some depression are to blame. I will take him to the vet if he loses any weight or continues to not eat as much or shows any other symptoms.
Right now he is eating some, but not too much. I have read that cats don't eat as much of a higher quality food that they would of a low quality food?? I also have read that they will stop eating or eat less when stressed. The kitten is kept in a separate room. He comes out about twice a day to visit. My older cat doesn't appear too stressed by it. At first he hissed, but now he's just acting quiet and observing.
Any suggestions as to what I can do to help prevent my cat from developing fatty liver disease? He's definitely not at the point for invasive treatment such as feeding tubes. He DOES eat just not much. How can I help him start eating again?
I have tried wet food, warmed up wet food and two high quality foods. I don't want to go back to Friskies because he wasn't eating that either anymore after his friend died.
-
ANSWER:
Give him time, he is depressed b/c he lost his best friend. Was the cat that passed a litter mate? A few years ago, I was caring for my boyfriends sisters two cats, I had to have the mother cat put down b/c she was externally ill and did all I could to care for her. Squeeky the daughter cat eventually got over the depression. I gave her one on one care and plenty of love. She is a fat and happy cat and traveled all the way from California to Georgia with me. As for your new kitten, I have a 8 month old Torbie who like to hiss at the older cat and visa versa. I try and discipline the 8 month old, but figure that she's just playing with the older one. As for the fatty liver disease, I feed my cats what I can afford. I don't buy expensive food. I put down the food 2 handfuls at a time twice a day. I give friskes canned food every other day usually in the evening. Consult your vet and make an appointment, if you fear fatty liver disease.