Hi all, apologies for the long post. I am 25 based in the UK I have access to a vet but worried about funds as I’ve been back and forth at the vet this past month.
My cat is a 3 years old male and a tonkinese mix, neutered, 4.56kg from 4.8kg post hospital stay.
TLDR: My cat’s nose randomly started fluctuating from bubblegum pink, he’s experiencing lethargy but eating 1 pouch wet royal canin gastrointestinal, a cup of dry royal canin digestive care, 1 pouch purina hydro life. churu treats included. not so much drinking water - two blood panels confirmed no anemia, kidney and liver functions normal.
unsure of what to do
On july 22nd miso was hospitalised for diarrhoea, a fever and lethargy. he spent three days in the hospital and was diagnosed with ileus the vets were unsure of where it came from but he wa given fluids, an abdominal scan and a whirl of medications. he was well enough to come home — his stool firmed up within a few days but he was still quiet around the house and i spoon fed him for a week until he started on his own. He was prescribed Cisaprid, Panacur and Emperid.
I took him to the vet after course of medication ended 3 days after coming home - this was just for a checkup and all vitals were good. He’d stopped drinking his water at this point too. Was told that he would likely take some time passing stool on his own and the lack of drinking water would be from having wet food only. The next week, I noticed he wasn’t passing stool at all, so went to the vet again. This was on the 4th August. He was constipated and prescribed lactulose at 1ml per day for 3 days. He was still failing to pass stool so the vet upped the dosage to 1.5ml which he was on for a week starting 7th August. Stools softened and he came off lactulose.
For two weeks he was starting to pass stool once a day, urinated normally and I started his dry food again alongside wet and a hydrocare pouch just in case as we suspected he was stealth drinking but couldn’t tell due to having multiple water bowls around the house. I noticed that on the week of August 17th his nose was beginning to have flashes of paleness instead of pink — I suspected dehydration because of the heatwave, he would be more active early hours of the day and late at night but sleep for most of the day (whilst eating). I took him to the vet 19th August and of course in the car his nose pinked up bright pink — vitals were all good and we were sent home.
On the 24th we were back at the vet as his nose had gone white a few times over the weekend and he remained sleepy during the day. Still eating — emergency vet was called and they advised to visit the clinic monday as he was still eating. Drew bloods on 24th, all came back good and we were prescribed B12 pills for the lethargy. He was with a sitter until Friday, he was doing well eating all meals and playing. Nose was pretty pink according to the sitter and videos. Blood was drawn again on the 26th to be sent off to the lab and all results came back clean. My vet was happy and said none of the expected values from the CBC or Biochemistry were out of the ordinary. (if needed I will call and ask for a copy).
Now over the weekend it seems like he has reverted. His nose is a salmon pink to pale pink most of the day, he’s toileting as normal peeing and passing stool every day. I think he’s getting tired of the royal canin wet so this evening I’ll try his regular food but he is continuing to eat the dry. Today his nose went white for a second and is now a pale pink lbut his gums seem okay.
I’m just at a loss for what to do next, he is not anemic according to the vet but he is so sleepy during the day. He started moving around a bit more today on his own but I’m still concerned. I’m losing sleep over this I’m watching him like a hawk but I don’t know how to proceed and what questions to raise with the vet next. Should I be looking for anything specific? I think I’m going to call again this evening — I spoke with them earlier about his bloods but he was looking okay then. Many thanks