Have Cat Questions? Ask a Cat Vet Online.
Hello. Thanks for writing in. My name is***** and I would be happy to help you. I am not set up to do phone calls but would be happy to answer any questions you do have online. If you get a request for a phone call, it is from the website and not myself. Given that he responded to an antibiotic and steroid, my first thought would be an inner ear infection, and it may be worth checking out more. At the very least, I would repeat those injections to see how he responds. With his age, though, you do have to consider something serious like a brain tumor. A middle ear tumor or polyp are also possible. Nasopharyngeal polyps can be common in cats and can cause various symptoms related to upper respiratory issues and inner ear issues. An infectious or inflammatory encephalitis (inflammation around the brain) are possible, but you would have to consider more extensive blood work for infectious organisms, MRI or CT scan and spinal tap to diagnose those issues. Make sure he is eating a well balanced cat food because some vitamin/mineral deficiencies can cause symptoms of vertigo. Lastly, some older cats (and dogs for that matter) can develop issues with vertigo with no apparent cause. With idiopathic vestibular syndrome, though, there is no treatment for it. I usually resolves on its own in 1-2 weeks. I do think it would be worth it to try the injections again, though, before deciding to put him down. Please let me know if you have any other questions or concerns. Hope this helps.
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Hello. I was following up to see how Superman is doing and to see if you have any further questions.