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Diseases and Conditions: Identifying & Treating Anorexia in Cats

In the intricate world of cat health, the gradual decline in appetite should not be cast aside. Do not underestimate the significance of food refusal. It's important to note that when we speak of "anorexia" in cats, we're not referring to a distorted self-image as in human anorexia nervosa. Instead, we're simply addressing the absence of eating. 

Appetite loss and reduction are crucial indicators during illness assessment, demanding swift recognition and reporting. The preferences for beloved meals often serve as the judge deciding whether a cat requires hospitalization. While a couple of off days might not set off alarms, persistent instances of poor appetite or a gradual, unhurried decline in eating could signal an underlying chronic ailment. Nutritional support serves as a lifeline, not only aiding the cat's recovery but also buying time for the diagnosis and treatment puzzle to be solved. Nourishment is the key to wellness.

Unraveling the Definition of Anorexia for Cats

Anorexia, in its simplest form, denotes a complete absence of food consumption. Let's steer clear of confusion with human eating disorders. When a veterinarian speaks of anorexia in pets, it's not a commentary on the cat's body image. It's merely stating that the cat has refrained from eating.

But how do we reignite a cat's desire to dine? Let's explore some strategies. However, it's essential to consult your veterinarian for guidance on appropriate food amounts and suitable choices. Munching a few kibbles or sipping on gravy doesn't constitute a hearty appetite. When asked about your cat's eating habits, specificity is key.

Timely Intervention Matters

A cat with a dwindling appetite is a cat in distress. Waiting until the appetite extinguishes completely might push recovery beyond reach. This holds particularly true for cats. As the appetite wanes, pets must rely on stored fat for sustenance. When these fat reserves are tapped to meet energy demands, the liver processes the released fats before they can be used as calories. Sadly, the feline liver is ill-equipped to manage large fat quantities, often succumbing to a condition called hepatic lipidosis.

Crafting a Palatable Feast: First Steps

If your cat's appetite seems lackluster and you're offering dry kibble, your first move should involve introducing canned food. Most animals find canned diets more appealing than dry ones, and this step alone might resolve the issue. Dispel any misconceptions about the nutritional quality of canned food. In reality, the primary distinction between canned and dry food lies in their water content and resulting texture. Remove the water, and the unprepared diet resembles powdered meat—a versatile mixture that can transform into kibble or canned food. Canned food quality varies, just like dry food. Test if your cat takes to canned or a blend of dry and canned delights. Elevate the allure with a dash of flavored broth or a cooked egg.

Tempting the Palate: A Second Act

Delicacies in the cat world include canned chicken, cooked eggs, and canned tuna. Therapeutic recovery formulas are often embraced, too.

While these treats might not provide complete nutrition, they can serve as a catalyst for cats on the road to recovery. Cats that have refrained from eating might continue to experience discomfort until they start eating again. A delectable incentive could be the spark needed to reignite their appetite.

Simply presenting the food in a dish might not cut it. Instead, dab a small amount on their teeth or spoon-feed them a taste. Don't be surprised if they spit it out; the goal is to introduce the taste. Bring the bowl close to their nose, saturating the air with enticing aromas. This coaxing approach can often kickstart their appetite.

Exploring Gourmet Options: For Both Feline and Canine

Certain "extra-tasty" products found in grocery stores can be valuable allies in tempting cats with sluggish appetites. For cats, Fancy Feast by Purina offers a variety of textures and flavors in each can, packing around 100 calories. This complete and balanced diet can act as a delectable appetite stimulant. Temptations® by Mars Petcare are well-received treats designed for cats. These treats, formulated to be nutritionally complete, can even serve as a cat's sole diet if needed.

Navigating Prescription Diets

If your cat is prescribed a special diet but shows resistance, do not resort to starving them into submission.

Numerous prescription diets are bland, and cats accustomed to table scraps or more flavorful regular food might be reluctant to adopt them. Starvation will only exacerbate the situation. A gradual transition from their regular diet to the new prescription food over a week or so might be more effective. If your cat adamantly refuses the new food, consult your veterinarian. Alternative flavors might be available, and remember that prescription diets often come with a satisfaction guarantee. It's sometimes necessary to prioritize appetite over the therapeutic aspects of a special diet, and your veterinarian can offer guidance in such cases.

Respecting Privacy

In multi-cat households, it's important to ensure that sickly or elderly pets aren't bullied or disrupted during meal times. Many animals prefer to dine at their own pace, especially when feeling unwell. Offering your cat a private space and a dedicated dish can make a significant difference. Furthermore, cats often find solace in eating overnight, away from prying eyes.

When Medical Aid Is Needed

Appetite-stimulating medications can make a difference.

Several products are designed to kindle the appetite:

  • Capromorelin: This oral liquid mimics the body's natural hunger mechanism. It's recommended for daily use and is available for both canines and felines.
  • Mirtazapine: Originally an antidepressant for humans, this pill has a side effect of increased appetite. It's available in tablet form, often given every few days for cats. A transdermal gel version for cats is also available, applied daily to the inner ear surface.
  • Cyproheptadine: This psychoactive antihistamine has appetite stimulation as a side effect. It's administered as a pill, usually twice daily.
  • Prednisolone/Prednisone: This hormonal anti-inflammatory offers various applications in treating immune-mediated and inflammatory conditions. One of its side effects is increased appetite, though it's typically used for broader therapeutic purposes.

These medications offer non-invasive ways to boost appetite.

Extending a Helping Hand: Assisted Feeding

While non-invasive methods are valuable, it's important to recognize that a cat's refusal to eat can lead to worsening health and eventual demise. Ensuring the delivery of nutrients, ideally without undue stress, is essential.

Feeding Tubes

Feeding tubes represent one of the least stressful means of nourishment. They can be inserted through the nose, throat, directly into the stomach, or even into the intestine. Liquid diets flow through the tube, and the absence of facial manipulation makes the process comfortable for cats.

The esophagostomy or E tube has gained popularity. This tube is inserted into the esophagus through a neck incision.

While a bandage or special collar might secure it, some patients require no such restraint. The procedure is brief, and the tube is generally well-tolerated. Protective cones are usually unnecessary, allowing cats to carry on with their lives. The E tube's larger size accommodates blenderized diets, potentially prepared at home for lower costs than commercial liquid diets. Feeding is hassle-free, as it doesn't involve the cat's face. Cleanliness around the tube site is important, and tubes must remain in place for an optimal period to encourage proper scar tissue formation, sealing the feeding hole. Removal is a straightforward process once the time is right. Note that surgical placement involves brief anesthesia.

Nasogastric tubes (N-G) inserted through the nose require no anesthesia, but necessitate an Elizabethan collar to prevent removal attempts. Due to their small diameter, they only support liquid diets and can be challenging to manage at home. Most cats dislike having equipment attached to their faces and might attempt to dislodge it. N-G tubes are better suited for cats too ill to remove the tube themselves or for temporary feeding.

Feeding tubes can also be placed directly into the stomach (G-tube) through the abdomen, protruding from a belly bandage. G-tubes combine the advantages of E-tubes and can accommodate slurry diets. A brief surgery under anesthesia is needed for G-tube placement.

Syringe or Force Feeding

In the past, syringe or force-feeding was attempted to supply calories. However, this approach carries disadvantages and no real benefits. It can lead to stress, struggle, and food aversion in cats. Feeding too quickly might result in choking or food aspiration. It's important to consult your veterinarian before attempting this method, as it might do more harm than good.

Nourishing Recovery

Nutritional support lies at the core of effective recovery. Understanding the range of available techniques can ensure that cats do not suffer undue malnourishment, aiding their journey back to health. If you suspect your cat is experiencing weight loss or inadequate appetite, don't delay seeking professional help from your veterinarian.

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