Glossary
Hepatic lipidosis
A serious liver disease in which fat builds up in liver cells after a cat stops eating, most often in overweight cats.
Also called: fatty liver, feline fatty liver syndrome, liver lipidosis
Hepatic lipidosis, often called fatty liver, happens when a cat eats little or nothing for days. The body starts to break down stored fat for energy, but the liver cannot process the flood of fat fast enough. Fat collects inside liver cells and the organ begins to fail. Overweight cats are at greatest risk, which is why a crash diet is dangerous for them.
It often follows another problem that stopped the cat from eating, such as stress from a move or a new pet, pancreatitis, diabetes mellitus, inflammatory bowel disease, dental pain or cancer. Signs are loss of appetite, weight loss, vomiting, drooling, lethargy and sometimes yellowing of the gums, whites of the eyes and ear flaps, known as jaundice.
A cat that has not eaten for a day, or that eats much less than usual, should see a vet, particularly if it is overweight. The vet will run blood tests, an ultrasound scan and sometimes a needle sample of the liver. Treatment centers on nutrition. Many cats need a feeding tube for weeks, plus fluids and treatment of the underlying disease. Most cats recover if caught in time. Do not try to force-feed at home. Ask your vet how to help your cat eat safely.
Last reviewed November 7, 2026