Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you today. I do apologize that your question was not answered before. Different experts come online at various times; I just came online, read about your wee one’s situation, and wanted to help.Again I do apologize that my colleagues could not aid you sooner, but can you tell me:
Is there any chance at all that Angel could have chewed or eaten any of the lilies?
What tests did her vet do? What treatments have they started?
Is she drinking more or does is urine look watery?
Any retching, gagging, lip licking or vomiting?
Are her gums pink or pale/white? Moist or sticky?
If you press on her belly, does she have any discomfort, tenderness, or tensing?
Thank goodness they have checked her bloods and that her urine is normal. Lilies are terribly toxic for cats and even small volumes can lead to serious kidney damage. Though if we have anorexia after her vet has given a possible steroid (the most common treatment for skin irritation as you have reported), then it is quite possible that the steroid is irritating her stomach even if she isn't vomiting. And just to note, if she were stressed, we'd not expect this but instead she'd be withdrawn and hiding.
Now since there is concern of gut irritation with the steroid, it would be best to ring her vet about having them dispense gastroprotectants. Or at the very least we can start her on an OTC antacid like Pepcid (More Info/Dose @http://www.petplace.com/article/drug-library/library/over-the-counter/famotidine-pepcid). And once that has had time to absorb and she is steadier on her stomach, you can consider starting her on a light/easily digestible diet. Examples you can use are boiled chicken, boiled white fish, scrambled eggs, or meat baby food (as long as its garlic/onion free). Or if she cannot be tempted but isn’t actively vomiting, we can try syringe feeding her. To syringe feed, we can water down calorie rich diets (ie Hills A/D, Royal Canin Recovery diet, even canned kitten food) or use a liquid diet (ie Clinicare, Catsure). As well, there are paste supplements (ie Nutrical) that can also be used. And these will all get more in per bite even if we cannot get much in.
Since dehydration is a risk if she is only drinking that small bit, we need to keep an eye on her hydration. To check this and ensure she’s not becoming dehydrated, there are a few things you can test. Further to checking for gum moisture, you will want to make sure her eyes are not looking sunken and that she doesn’t have a "skin tent" when you lift the skin. To see how to check these parameters for dehydration, you can find a good video HERE (http://www.ehow.com/video_12232503_dog-dehydrated.html). If you are seeing any signs of dehydration already, then that would be our cue to have her seen before this becomes an additional issue for her (especially as it is often dehydration that makes them feel unwell). And again since she isn't actively vomiting, we could syringe fluids (where kitties need 48ml per kilogram of their weight over 24 hours)
Overall, I am quite concerned about her lapse in appetite. Either they have missed the cause or we have a reaction to the drugs they gave. So, we'd want to consider the above for her +/- ringing the vet to discuss this deterioration and for them to dispense gastroprotectants, and possible appetite stimulants to break her fast and get her eating/drinking properly.
Please take care,
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You are very welcome and thank you for the update, my dear.
I am very glad to hear that she is eating a bit more for you, is brighter and that they have ruled out anything sinister on xray. So, I agree that we aren't out of the woods but her eating a bit now and coming out are steps in the right direction. :)
Keep up the good work and best wishes,