replied 2 years ago.
First, if this wee lad has eaten a nerf bullets, these are large enough to cause a blockage which could certainly cause the signs we are seeing. Therefore, we do need to tread with care here.
Otherwise, just to note, anorexia of this nature in a young cat could also be triggered by bacterial or viral gastroenteritis, pancreatitis, parasites/protozoa infections, general dietary indiscretions, and again ingestion of harmful items (ie toxins, plants, non-edible items).
With this all in mind, since we have a blockage concern, I do have to note that it would be ideal to have him seen at this stage. Especially if this has been going on since Thursday and because cats are not designed to be off food for this long (they can develop fatty liver disease if off food for more then a few days and that often makes getting them eating even more difficult).
Now I do appreciate that it is Sunday, but its worth noting that some veterinary practices in our country have office hours today. As well, even if they do not, they will 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 (http://findavet.rcvs.org.uk/find-a-vet/) to find your local vets or Vets Now (http://www.vets-now.com/find-an-emergency-vet/ ) who are open all nights/weekends. So, we do have options.
Otherwise, we will need to focus on supportive care until he can be seen. To do so, we can start by trying to address any nausea (the most common reason behind appetite loss in the cat). To do so, we can try a low dose of OTC calcium carbonate (60-120mg every 12 hours) or Milk of Magnesia (0.25tsp every 8 hours). Each can help reduce nausea and could help us get him settled enough to eat. Of course, if he cannot keep these down, then that is usually a red flag that we need to bypass his mouth with injectable anti-vomiting medication from his vet.
If he keeps that down and steadies, then we can try him with a light/easily digestible diet. Examples you can use are boiled chicken, boiled white fish, or scrambled eggs (made with water and not milk). Though if he refuses to be tempted, then we may need to think about syringing more then just fluids. 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 into her per bite even if we cannot get much in..
Since dehydration is a risk here, we need to keep an eye on his hydration. To check this and ensure he’s not becoming dehydrated, there are a few things you can test. Further to checking for gum moisture, you will want to make sure his eyes are not looking sunken and that he 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 him seen before this becomes an additional issue for him (especially as it is often dehydration that makes them feel unwell).
Overall, a wide range of agents could trigger the GI upset we are seeing but a Nerf bullet is a real worry of blockage. Therefore, it would be ideal to have him seen at this point since it has been going on too long already. Though if there is any delay in you having him checked, then the above can be tried. Of course, if he cannot keep that or water down, appears dehydrated already, or doesn’t respond to the above within 12-24 hours; then we'd want to get his vet involved. They can assess his hydration, rule out fever, make sure there is nothing in his stomach that shouldn't be there. Depending on their findings, his vet can address any blockage and/or treat him with injectable anti-vomiting medication and antibiotics to settle his stomach and get him back feeling like himself.
All the best,
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