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Dr. Gary
Dr. Gary, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 3844
Experience:  DVM, Emergency Veterinarian, BS (Physiology)
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Cat has classsic symptoms of FVS but no head tilt. Does this

Customer Question

Cat has classsic symptoms of FVS but no head tilt. Does this ever happen?
Submitted: 1 year ago.
Category: Cat Veterinary
Expert:  Dr. Joey replied 1 year ago.
Hello I am Dr. Joey. Thanks for trusting me to help you and your pet today. I am a licensed veterinarian with over 15 years of experience. I look forward to working with you.
Expert:  Dr. Joey replied 1 year ago.
Yes, it is possible for a cat to have vesicular syndrome without the head tilt. Typically we do see some level of difficulty ambulating (stumbling) and nystagmus (eye movement from side-to-side) and nausea. However, there are many other issues that could cause these exact symptoms such as primary cerebral lesion (tumor, stroke-type event, parasite migration, etc), organ issue (especially liver disease), anemia, infection (parasitic, fungal, bacterial, viral) and the list continues. I even had one cat with kidney stones that we thought had vestibular syndrome until we took X-rays. This is one of those issues that really requires an immediate exam by your veterinarian followed by some testing to try to narrow down the cause. This testing might include lab work (CBC, chemistry profile with electrolytes, stool check and urinalysis) +/- X-rays. After this information we are usually able to narrow down the cause or consign this to an idiopathic vestibular syndrome, which will usually clear or at least improve on its own over 7-10 days with supportive care.
Expert:  Dr. Joey replied 1 year ago.
What we need to determine today is if you are in a crisis with your cat that cannot wait until tomorrow when your regular vet is open. If she is experiencing a lot of vomiting (or diarrhea), not eating, seems distressed or very depressed/weak then this is an emergency. If she has any seizures then I highly recommend have her seen. I do wish I could provide you with an easy at-home solution but because this is NOT a common diagnosis (vestibular syndrome) in cats, and there are many other more likely causes, I really must advocate her being seen before throwing medication at her; as well there are not many over-the-counter options to help with this. I too would need to perform the exam followed by testing to narrow down the cause and provide a good treatment for your cat. Please let me know your questions.
Customer: replied 1 year ago.
My vet is coming to see me Tues. There does not seem to be an urgency and the cat is able to eat. This is the 5th dsy og symptons which came on suddenly but have not worsened.
Expert:  Dr. Joey replied 1 year ago.
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