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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.
No vomiting but her gums do look quite pale also no abdominal tenderness. Just wants left alone and the minute you try to disturb her quite tetchy. Hope this helps.
As well, you will want to try and see if you can get her eating (as I know you have been). Favourite foods are allowed or you can tempt her with a light/easily digestible diet. Examples of this would be boiled chicken, scrambled eggs (made with water and not milk), meat baby food (do avoid the ones with garlic powder in the ingredients) or there are also veterinary prescription diets that can be used here (ie Hill’s I/D or Royal Canin’s sensitivity.)
Further to this, if tempting doesn’t work, then we do have to consider initiating syringe feeds to get some proper food into her. In that case, you may want to try Hill's A/D (LINK) or Royal Canin Recovery (LINK) from your local vet. These are critical care diets that is comes as a soft, palatable pate. Both are alorically dense, so a little goes a long way nutrition-wise and this could just help get some more calories into her even if we can’t get a huge volume of food in. As well, for syringing food, you can use the animal version of Ensure (balanced for animals dietary requirements) called Clinicare Canine/Feline Liquid Diet (LINK). It is actually by the same people who make Ensure, but is formulated to meet out pet's dietary needs. Your vet should be able to order it for you but it is available without a prescription. They also make one specifically for older cats with kidney troubles, and this could be an alternative for an older cat. And in a pinch we can even use kitten wet food (as its more nutrition per bite and can be watered down for syringing if she won't eat it herself) This way it would a means of getting food, staving off hepatic lipidosis, and buying you time to uncover the reason for her anorexia and lethargy.
On top off all of this, you do need to keep an eye on her hydration if she won't drink. To check her hydration status to make sure she is not becoming dehydrated there are a few things we can test at home. One is whether the eyes appear sunken, if the gums are tacky instead of wet/moist, and whether she has a "skin tent" when you lift the skin. To see how to check these parameters for dehydration, you can find a wee video on this HERE. ( They use a big dog but it makes it easier to see and the principles are exactly the same) If you are seeing any signs of dehydration already, then you do want to have your kitty seen by her vet before this gets out of control for her.
In regards ***** ***** you can do to help stave off dehydration at home (though do note that if she is already then she will likely need more the oral rehydration), encourage her to drink but offering fresh water or even low-sodium chicken broth. As well, wet foods (as mentioned above) are 35% water, so getting her to eat will help us deal with water intake as well. If she isn't amenable to drinking, you may wish to offer unflavored pedialyte via syringe feeding. While we cannot do this if they are vomiting, it may be an option for this situation. A typical maintenance rate for hydration in an animal 48mls per kilogram of her body weight a day. If you do give syringe pedialyte, this should obviously be divided up into multiple offerings through the day rather then all at once. This value will give you the total she needs for the day and is a good starting point to give you an idea of her daily requirement. If she does vomits if you give pedialyte, I would discontinue this as a therapy. (since we don’t want her vomiting because of our intervention).
Overall, I am concerned that her signs may be triggered by her new medication or potentially related to an opportunistic infection. And as she is feeling so off, we can start the above supportive care but also need to consider stopping her medication in the short term until you can speak to her vet on Monday. If need be, you can also have them treat her symptomatically via injection to settle her stomach +/- start antibiotics and appetite stimulating medication. And if this medication does not agree with her, then we may need to consider an alternative formulation or drug to keep her thyroid disease stable.
Finally, just to note in case you were keen to have her seen today, some veterinary practices in our country have Sunday office hours. As well, I wanted to mention that most veterinary practices here do have contingency plans for emergency care for their patients even when they are not open. Therefore, it is worth ringing the practice. If they are open, you can get him seen today. If they aren't, then they will likely have a message to direct you on how to contact their out of hours service. And if you don't have a vet you can find one local to you, you can check the RCVS Register (HERE) to find your local Vets Now (LINK) who are open all nights/weekends. In any case, if you wanted to get her checked out sooner then there are options to have her seen today too.
I hope this information is helpful.
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All the best,
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Thank you so much for all your help and advice. I did take Cheeky to the emergency vet and she has been admitted. She has had preliminary blood tests which rule out renal failure and is currently being given an IV and will stay in vet overnight. They will review her in the morning but early signs show she may now have gone too far the other way and may now be under active. I will let you know outcome. Thank you again.