Hi, this is Dr M and I will try to assist you today. I am sorry to hear that Millie is not feeling well. I switched to question-answer mode because my computer does not do well with chat mode. I will be here to answer all your questions till your are satisfied with the answer. So please, keep getting back to me until the question is completed.
I have few questions for you. Has she had a blood test and urinalysis? Has she had any other symptoms like vomiting? How long has this been going on for?
Thank you for your answer. You said that Millie is 13 year old. Considering her age, one of the big concerns would be kidney disease. Kidney disease is a very common problem in cats. This can be a progressive disease in which the kidney's normal function decreases. In cats, the disease has a low progression. With time, the function of the kidneys can decrease to a point in which some waste products build in blood causing signs of sickness like dehydration and nausea. There is usually weight loss associated to it, too. Other important disease to rule out is thyroid disease. This disease can also cause weight loss and vomiting. In this case, there is usually an increase of appetite (at least during the beginning).
For more information, please check the following links:
- kidney disease
- hyperthyroid disease
Other important problems to rule out include cancer. Unfortunately, it would be important you consider doing some diagnostics first. Unless a diagnosis is made, this can become really frustrating for you because Millie may continue to decline. If you find out what it is, at least, your veterinarian may be able to give you an idea about prognosis and outcomes of the disease. A blood test would be around $100, but this depends on where you are located. Because Millie has already been seen at your vets office, then this will facilitate the process.
I don't recognize synulox. Would you please tell me what it is on the label? Like what is the name of the drug contained into the package. I will tell you what we should expect for results to happen.
Thank you for the clarification. Synulox is the name of an antibiotic used in animals in the UK and Europe. As any antibiotic, we should see an effect in about 24 to 48 hours. Metacam is an NSAIDs. This is like an aspirin but for cats and dogs. This provides pain relief and anti-inflammatory. This should provide improvement within 24 hours from the injection. We should have seen something by today. Tomorrow is Sunday and vet offices would be probably closed. By Monday, Millie should be much better if this is working, otherwise you will have to consider doing more diagnostics.
Cats can get really sick if they are not eating for over 48 hours. Liver lipidosis can happen very quickly and complicate a disease process. For more information, please check this LINK.
You should try feeding her. You can do so by offering her many different types of cat can food to see if we can get her interested on something. You can add some tuna juice from a can into her food to get her somewhat stimulated. Can food is better accepted when it is a room temperature. If you add tuna juice or just water to her food, you can microwave for 5 seconds to warm it up a little bit. Please make sure it is not hot afterward, just mildly warm.
If she declines further, you should consider taking her to your vet or an emergency clinic for further testing and care. She is older and they do not handle sickness as well. Please let me know if you have any additional question.