Liver disease (including hepatic lipidosis) in cats
Cats can develop fatty liver (hepatic lipidosis) after not eating for a few days, especially if overweight. Inflammation of the liver and bile ducts is also common.
Last updated: October 2026 · 2 sources · see sources
Signs to watch for
- Not eating
- Weight loss
- Yellow skin or eyes
- Vomiting
- Drooling
Trouble breathing, collapse, repeated vomiting, not peeing, or a seizure that lasts more than a few minutes needs a vet right away. See when to see a vet.
How vets diagnose it
Bloodwork, ultrasound and sometimes a liver sample. [2]
How it's treated
Nutrition is key: many cats need a feeding tube for a while. Liver-support medicines and treatment of the cause help. [2]
Medicines your vet may mention: Ursodiol, Mirtazapine (Mirataz), Cerenia. We don't list doses; your vet will decide what fits your pet.
What it costs to diagnose and manage
| Item | Typical US price | Src |
|---|---|---|
| Diagnosis (exam and tests) | $300–$800 | [1] |
| Treatment | $1,500–$4,000 | [1] |
These are typical US ranges from the sources listed. Your pet's costs depend on how severe things are, the tests your vet recommends, your pet's size and where you live. Ask your vet for a written estimate.
Outlook
Many cats with fatty liver recover with early, aggressive feeding. [2]
Common questions
What is liver disease (including hepatic lipidosis) in cats?
Cats can develop fatty liver (hepatic lipidosis) after not eating for a few days, especially if overweight. Inflammation of the liver and bile ducts is also common.
What are the signs of liver disease (including hepatic lipidosis)?
Common signs include: not eating, weight loss, yellow skin or eyes, vomiting, drooling.
How do vets diagnose liver disease (including hepatic lipidosis)?
Bloodwork, ultrasound and sometimes a liver sample.
How is liver disease (including hepatic lipidosis) treated?
Nutrition is key: many cats need a feeding tube for a while. Liver-support medicines and treatment of the cause help.
How much does liver disease (including hepatic lipidosis) cost to treat?
Diagnosis (exam and tests): $300–$800; Treatment: $1,500–$4,000. Costs vary with severity, tests, your pet's size and where you live.
Related
This page is general information for pet owners, not veterinary advice. Talk to your vet about your own pet.