Have Cat Questions? Ask a Cat Vet Online.
My name is***** and I am sorry to hear that your kitty is so sick. Based on your description of his problems, I would suspect that the constipation is causing the nausea. The colon and stomach live right next to each other in the abdomen so if one is spasming, the other is often affected as well. It is very common to see nausea when an animal has an irritated colon.
Constipation in older cats is often secondary to dehydration. You may want to ask your vet about regular administration of fluids under the skin to help maintain normal hydration. You can learn to do this at home if you want.
The nausea can also be secondary to the kidney disease. The kidneys make the hormone that makes mucus in the stomach, so with kidney failure, there is not enough mucus in the stomach to protect it from the acid. Pepcid can be very helpful for these cats. The dose is 2.5mg per kitty twice daily.
Does this help? Do you have any more questions?
I would worry about a bladder infection or inflammation in the bladder secondary to the constipation and dehydration.
The weakness is also from the dehydration.
Do you have a local animal emergency clinic near you? Can you take him for an exam and possibly consider fluids and treatments for the constipation again?
Will your vet come in tomorrow to give your kitty fluids under the skin?
Yikes...I didn't realize that he is that sick...Will your vet at least talk to you on the phone?
Would you feel comfortable telling me what city or town you live in? I can help you find a vet who can help you tonight.
Yes, I was looking at the map. How far are you from Lexington?
I would consider trying to give him water by mouth this evening.
Hmmm, that is quite a drive, but something to consider for tomorrow if he is not rallying.
I would use a syringe to try to give him water tonight, but go slow to minimize choking. I would aim for 100 to 150mL in 24hrs.
I am so sorry you are going through this with him. It is so hard to watch our furry friends at the end of their lives.
I am worried that he is dehydrated, so he is not making urine.
Can you syringe feed him water tonight?
Okay. I think that is the best you can do tonight.
Can you take his temperature as well? Sometimes very sick kitties will get cold and heat support such as warmed blankets can help. Normal temperature is 100 to 102.5.
Okay. I would recommend wrapping him in blankets to minimize any heat loss from his body so that he is as comfortable as possible tonight.
I will be on-line in the evening tomorrow if you have any more questions.
I am sending cyber-hugs in this difficult time.
How is your kitty doing today? Did he perk up after giving him the water last night? Did you end up taking him to the emergency room today?