He is puffed up and sleeping a lot. Budgie. 1 day. No he is still eating. He had oranges the other day. Oz and 4 years

I'm sorry to hear about this with Oz.

It's important to note that once a budgie acts ill it's already quite ill and in need of the attention of an avian-oriented vet (please see here: www.aav.org). This is a protective mechanism because sick birds are attacked by other birds in the wild. Oz's clinical signs of fluffing (an attempt to conserve heat) and somnolence (sleepiness) are important signs but they're not pathognomonic (specifically indicative) of any one particular disorder. They're part of an array of highly nonspecific signs of what we call “sick bird syndrome”.

An avian-oriented vet might first treat symptomatically and supportively by providing supplemental fluids and electrolytes by needle and tube feeding a "recovery" food. Blood tests and cultures of Oz's choana - the slit between his oral cavity and nose - and cloaca (vent) may be taken. Whole body X-rays can be helpful as well.

Until Oz can be attended to, please heat up his environment to 85F by means of a 100W bulb shined into his partially covered cage (not at night when he needs to rest) or by taping a heating pad set on its lowest setting to the sides of his cage. If he appears weakened, remove his perches and put his food and water on the bottom of the cage along with him. Add a water-soluble avian vitamin such as Oasis brand Vita-Drops to his water at half of the recommended dose so as not to make his water distasteful. Add a calcium supplement such as Calcivet or Calciboost to his water. These supplements are available in pet/feed stores. Avoid over the counter antibiotics designed to be placed in his water. They won't be effective if only because an ill bird won't drink enough to medicate itself properly.

Nutritional imbalances are a common cause of illness in our pet birds. What has diet consisted of, please - other than oranges which are safe for him?

Seeds should comprise less than 20% of his diet. A diet of mainly seed and nuts has excessive fat, carbohydrates, and phosphorus; marginal protein; adequate vitamin E, and are deficient in amino acids, calcium, available phosphorus, sodium, manganese, zinc, iron, vitamins A, D3 (necessary for efficient absorption of calcium), K, and B12, riboflavin, pantothenic acid, choline, and available niacin.  Ideally, a balanced pelleted diet such as can be found here:  www.harrisonsbirdfoods.com or here:  www.lafeber.com/pet-birds should be fed as well as hard-boiled egg yolk, pancakes and cornbread, the tops of fresh greens, dairy products such as yogurt and cheese - yes, these low lactose foods are safe, fresh fruits such as apples, pears, melon, kiwi, and berries, vegetables such as broccoli, carrots, beets, asparagus, cabbage, sweet potato, and squash, and even tiny pieces of meat. Here are some tricks in transitioning him to a formulated diet: https://www.harrisonsbirdfoods.com/using-our-foods/diet-conversion/ and click on “Feeding Harrison's”.

Please respond with further questions or concerns if you wish.