Like I need another thing to worry about. Boo is one of my senior (13 yo), neutered male cats. Other than his chronic constipation, tongue ulcers from feline herpes/calicivirus, FORLs, and arthritis (all manageable conditions), he is in good health. His blood work always comes back stellar. The vet always says it "looks remarkable for a cat his age." He eats well, drinks wells...even still plays and chases the other cats from time to time.
For last few years, there was always this little something going on in the background that I kind of brushed off. I didn't want to make a mountain out of a mole hill when, at this point, there was no proven evidence of an issue from his labs...only what I've observed. However, it's gotten worse and something I need to address.
He occasionally has these bouts of trembling and twitching. The trembling is very subtle and you would only notice by looking very closely...it's like shivering, kind of like how we shiver when we're cold. Along with the trembling, he'll have a very short, quick little twitch. It'll just be one twitch, but it may happen a dozen times over the course of his "episode." The twitch seems like it emits from his whole body, but it is most pronounced in his face. He doesn't squint, but oftentimes his eyes will be closed. If I call his name, he'll open his eyes and his pupils look normal (not dilated). He is sitting normal and oftentimes looks relaxed other than the natural tensing during trembling. It happened tonight, and before it happened he acted like he didn't feel well and wouldn't come down for dinner. After the episode, he was fine and came down to eat. He's now playing with his favorite toy...one of my hair ties.
On other occasions, he can have twitches but no trembling. A few months ago, I was also writing in to TCS about his feline hyperesthesia syndrome. I tried to alter his diet and treated him for fleas (thinking maybe it was an allergy of some sort), but he still gets FHS episodes, which I know can also be some kind of seizure/neurological issue. I'm now trying to put the pieces of the puzzle together.
I do plan to bring him back to the vet, but chances are all will look fine from a physcial exam and labs, as it has in the past. What are your thoughts on all this? Are there other specific conditions that come to mind that I could bring up to the vet? Should I bring up the idea of putting Boo on an anti-seizure medication for a trial period and see what happens? What medications are typical for seizures? I think there's one that starts with a "B" that is used often.