How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. B. Your Own Question

Dr. B.
Dr. B., Cat Veterinarian
Category: Cat
Satisfied Customers: 19588
Experience:  I am a small animal veterinarian with a special interest in cats and am happy to discuss any questions you have.
60269376
Type Your Cat Question Here...
Dr. B. is online now

My Cat has recently had all s teeth out (over 1 week ago) he

Resolved Question:

Hi My Cat has recently had all his teeth out (over 1 week ago) he also has hip dysplaysia and has a mild spinal injury? also the bginnings of renal decline. We adopted him one year ago. He has been put on metacam but he has deteriorated and is now not eating and incredibly lethargic. He also has not pooed for approximately 5 days. The vet does not appear too worried. Reading up on metacam - it can have these side affects and lead to anorexia which is where he is heading. It states that metacam is 79% excreted by faeces and 21% urine. If he is not defacating is it building up in his body aggrevating these side effects?
Submitted: 10 months ago.
Category: Cat
Expert:  Dr. B. replied 10 months ago.

Hello & welcome, I am Dr. B, a licensed veterinarian and I would like to help you with your wee one today.

I have to say that I am quite concerned about your lad. Now if he isn't eating, he will have little to pass as stool. Though that isn't the major worry. Instead, you need to be aware that you cannot use Metacam if he is not eating since it can cause stomach irritation,nausea and even stomach ulcers. Furthermore, we tend to avoid this medication in patients with renal compromise since it can worsen kidney function.

So, ideally he should be on a kidney safe pain relief (ie Buprenorphine) for his hips/spine. As well, we need to take steps to protect that stomach and get him eating. To start, you can consider ringing his vet for an antacid (ie Famotidine, Ranitidine liquid, Cimetidine) or anti-nausea medication (ie Cerenia, Zofran, etc). The former will reduce the risk of stomach ulcers from the Metacam and both can tackle nausea (the #1 cause of appetite loss in cats). As well, they can even dispense an appetite stimulant to give him a "push" to eat for us.

Once that has had time to absorb and he is steadier on his stomach, you can consider starting him on a light/easily digestible diet. Examples you can use are boiled chicken, boiled white fish, or scrambled eggs (made with water and not milk). There are also OTC vet diets that can be used (ie Hill’s I/D or Royal Canin’s sensitivity) too. The aim of these diets is that they will be better tolerated/absorbed by the compromised gut. Though if he cannot be tempted and as long as he has no vomiting, you can also consider syringe feeding at this point. To do so, we can use a calorie rich diet like Hill's A/D, Royal Canin Recovery or even canned kitten food. As well, there are also liquid diets like Clinicare Canine/Feline Liquid Diet or Catsure. All of these are nutrient dense, so a little goes a long way nutrition-wise. And these could just help get some more calories in even if we can’t get a huge volume of food in.

Overall, I am quite worried about Jimmy. There are a number of reasons to see appetite decline in a cat, but given his situation we'd be worried the Metacam (+/- worsening kidney disease) is triggering what seeing. Therefore, we'd want to ring his vet about those above medications and start working to keep him eating. If we can't get him to do so (and secondary liver issues then become a worry), then we may need him rechecked +/- IV fluids given to support his kidneys, flush out the Metacam and help us get him settled.

Please take care,

Dr. B.

-----------------------------------------------------------------------------------------------------------------

If you have any other questions, please ask me – I’ll be happy to respond. **Afterwards, I would be grateful if you would rate my service by clicking on the "Rate my Expert' button at the top of the page as this is the only way I am credited for helping you. Thank you for your feedback!: )

Dr. B., Cat Veterinarian
Category: Cat
Satisfied Customers: 19588
Experience: I am a small animal veterinarian with a special interest in cats and am happy to discuss any questions you have.
Dr. B. and other Cat Specialists are ready to help you
Customer: replied 10 months ago.
Thank you - I will definitely follow up with the vet on all of these options - I stopped giving the Metacam on Sunday Evening.kind regards
Helen
Expert:  Dr. B. replied 10 months ago.

You are very welcome, Helen.

I am glad you have and that sounds like a perfect plan of action.

Best wishes for you both,

Dr .B.

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
< Previous | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. Joey

    Dr. Joey

    Board Certified

    Satisfied Customers:

    576
    15 yrs in practice, specialist canine/feline medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/ZF/zforward/2012-6-6_202211_headshot1.64x64.jpg Dr. Joey's Avatar

    Dr. Joey

    Board Certified

    Satisfied Customers:

    576
    15 yrs in practice, specialist canine/feline medicine
  • http://ww2.justanswer.com/uploads/VE/vetdeb/Debbie Headshot 500.64x64.jpg Dr. Deb's Avatar

    Dr. Deb

    Cat Veterinarian

    Satisfied Customers:

    186
    I have been a practicing veterinarian for over 30 years.
  • http://ww2.justanswer.com/uploads/NE/nekovet/2013-8-20_23339_nekovet.64x64.jpg Dr. B.'s Avatar

    Dr. B.

    Cat Veterinarian

    Satisfied Customers:

    1361
    I am a small animal veterinarian with a special interest in cats and am happy to discuss any questions you have.
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    3955
    15 years of small animal, equine and pocket pet experience in medicine and surgery.
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    3073
    UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Cat Veterinarian

    Satisfied Customers:

    2359
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/fshlee/2009-7-15_23110_drlee.jpg Dr. Lee's Avatar

    Dr. Lee

    Cat Veterinarian

    Satisfied Customers:

    1219
    8 years of experience in veterinary medicine and surgery
 
 
 

Related Cat Questions