I recently came online and see that your question about Apache hasn't been answered. I'm so sorry that you've had to wait for a response, but if you still need assistance, I'd like to help if I can.
There may be a delay after I receive your answers since I have to type up a response to you and I may be offline at the time you respond. But I'll get back to you as soon as I can since I'm on the computer some part of every day.
Thanks for your patience. Deb
So sorry for the delay I had to get home to examine him again, answers are : coming on around 4/5 days, I do not have a rectal thermometer to hand but if it helps he has a wet cold nose and no hot spots on his head, ears or body. His gums are light pink and no different from usual, he last urinated around 4.00 pm today and his abdomen palpates easily with no lump or bumps and no pain reaction. He has eaten a little this evening without vomiting and seems just a little brighter than this morning.
1. Fever. Unfortuantely, you can't tell much about the core temperature of a cat without actually taking their temperature. If you manage to get your hands on a rectal thermometer, you could take his temperature although this is often very hard to do in a cat. Normal is between 100 and 102.5. Of course, then we'd have to wonder why the temperature is elevated. Explanations for this could be: a bacterial infection, a virus (such as leukemia, AIDS, FIP), or toxoplasmosis.
There is a condition in cats that is called Fever of Unknown Origin--which is exactly what it sounds like in that we can't find an explanation for the elevated temperature. Treatment is primarily supportive which consists of fluids and drugs to reduce the fever. Most cats recover very quickly once the fever is reduced.
2. Pancreatitis can happen very suddenly; appetites can be affected and they can become lethargic. Approximately 30% of cats with this condition will vomit. We don't have a good explanation for why this happens, either. We do have a test for this (spec fPL) although I've come to doubt its reliability in some cases; treatment consists of fluids and pain medication (we believe the pain is why they stop eating).
3. Other systemic diseases such as kidney disease, liver disease, anemia, problems with the heart, etc are all possible but usually there's other symptoms.
4. I've seen a few cats just have "off" days but they're usually showing improvement after 2-3 days so he's pushing the limits if this might be the problem.
Unfortuantely, it's not considered advisable or safe to give cats many over the counter drugs since cats are so sensitive to many of them and they could cause more harm. But, if he's nauseous, he could be given 1/4th of a Famotidine twice a day which might help.This drug may be difficult to find in the UK so Omeprazole (Prilosec) can also be given at a dose of1/2th of a 10 mg tablet once a day
Maintaining hydration with water or Pedialyte is important, especially if there’s a fever. If he's not drinking very much, you can dribble this into the side of the mouth with an eye dropper or syringe every 30-60 minutes. You can also can mix canned food with a lot of water or tuna juice and see if you can get him to "drink" his meals.
Since he appears to be a little perkier today, you could continue to monitor him; however, if he's not continuing in this positive direction, then a vet visit might be prudent. I hope this helps and that he's feeling better soon. Deb
Thank you so much for such a very detailed reply. This is very helpful and I will follow your advice and if he does not improve shortly will go to my local vet. I must say I have used this site a great deal for other matters but I have never had such an indepth response before so I will happily recommend you to my friends. Many thanks again - Jan
Thank you for taking the time to follow up. He remains better than he was but still a little off. I think now I might have discovered the problem. I was stroking him this morning right down to his tail and high up on the tail underneath I have discovered a small bald patch where he has obviously been licking and it is a little swollen and lumpy. I think this may mean he has been attacked by one of the rather muderous kittys we have in the area and it has just come up. Think this probably means a bacterial infection from a bite alongside of stress at it happening so I am trying to make a vet appointment soon. I really appreciate your interest as he means the world to me.
Jan: If he's working on an abscess, then his behavior makes sense in light of that.Not all injuries of this sort require systemic antibiotics, especially if it ruptures....if this is an abscess, of course. You could try cleaning the area with very dilute betadine or iodine (to the color of weak tea) twice a day and gently massage the area. If it ruptures, then continue to clean it.I'll sometimes suggest over the counter antibiotic ointment or cream but you need to prevent him from licking it off. Cats are react in adverse ways to these medications.He sounds like a very lucky cat to have you in his life; please continue to keep me posted about him, if you would. Regards, Deb